HomeMy WebLinkAbout2013-00625 - gas line only � CITY OF ORONO *� _ 0 0 6 2 5 *
, 2750 KELLEY PARKWAY DATE ISSUED: 07/09/2013
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 1485 GREEN TIZEES RD
PIN : 11-117-23-23-0011
LEGAL DESC : GREEN TREES ON TANAGER LAKE
: LOT 001 BLOCK 001
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : GAS LINE ONLY
VALUAT[ON : $ 1,485.00
NOTG: GASLINE FOR OUTDOOR GRILL
2-GAS GENF,RATORS
APPLICANT MECHANICAL 50.00
S R MECHANICAL INC. STATE SURCHARGE MECH(VALUATION) 0.74
7320 OXFORD ST
SUITE 200 MAIL-IN FEE 2.00
ST. LOUIS PARK, MN 55426- TOTAL 52.74
(952)933-6933 PAID WITH CC# 7658
OWNER
MARLIEM& MAI THOR,JOHANNES
1485 GREEN TREES RD
WAYZATA, MN 55391-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and does
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances goveming this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or iY construction is
suspended for a period of 180 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
C .� 7, � ,� , � ,
Applieant Permitee Signature Date Iss ed By Signa ure Date
SEPARATE PERMITS REQUIRED FOR WORK THER THAN DESCRIBED ABOVE.
�'!09l2013 07:51 S R Mechanical �A)I�529331484 P.001 l003
RORCI E8P ONLF � ��
Cl�va[Orono �/'�
P.O.Be:d6 Dtl�R�eev�i? �umil M V'Y �
��O 2190 Kdley�Fakw�
Qyau:Bay.Mfi533.3 Ayyavv�dHy: AmuamS:
Fhou�(9l��D-1690 Par�3�3a9�6i6
� x
�� �,v.� C1TY O�OROlVO—MECHANICAL PERMIT
� a (All Commcctd permin mmt be epprwed Ey�heHulldnQ Odndal a[n�pacta md�ar Fhe Mmd�nll)
aENERAL INFO�iMATION
1. You mqy apply fa mccLaalca!pennue by mNl or in pewon nt the Ciry of5cu, Applicationa will
be revte�ved end e pmnit will ba is�ud wNhln twa workLtg days.
., Pcrmit carde aill be aent by roturn wail afler a�e�iew ia completed,PERA9TS ARfi NOT
VALiD UP17'[L YUU RECEIUE A PIILA4I7.
3. MechnnicalDeaian9—Cwnplatacelculationo,dotniieandapec�wtioro�ereauiredfvreacL
heaany,vendiat{on,humldlficatioa-&humidit3tttian,aad air con8itionla�iu�tellation includinp
6eet loas�'heat gein calculxtion�desi&n teruPeiehcrea,equipment radn�s and idaot�cetion xa to
typS maeutactum end mefleL Detn shell bepresmcefl oa foiw provided.
d. �vy�wy aaw constrnc4ion or�emodeNna is involveG,a yoDurote YuGQ1a8 vetwit wust be
obtxmmd,
7. A(1 arorlc must�e dac�e!n accoxdence�vtth tUe t7nlfam Mechenfcal CoddState BufldSng Code
requJrementa.
6. All Rrork must be inspected{iougL-in m�dfiuol). Coll(992).'49-4600,
(2.1-d8 honr eotice requlred)
7, House Heutfug Test Record muat be aubmitted beforo fluoL
TYPE OF PERMIr
Check All That A 1
Residmtiel Q Commerciel(Approvel fteqvired)
❑New ❑Add311one1 ❑Repea•a ❑Replace
TOU$11C/OWGEt I11P0171lAGOtI:
3iteAddress' f�Qj�J� �'�1��'�.V� �� ��.� 1� �..
Q�vna':��� L 1 �,� Mailing Addresa:
Ciry: �"K 'C"��R'� Zip� �3��� �
Homc Phonc: Alteniatc Phonc:
�Cantractor Informntion:
c�,r��c�:,,�r'C Y1�1 Ec.����'ri�r'�� crn►tactPeraon: �f Wt `�� ��'�
Addxess:�'���f �k���.�� ��5tate Bond#: �_�)f� �7 f � �
r� r
City: �� 1_ Zip:�/ FxpirationDate: � "' .�i� ' r..1 ry ���
Phonc:-r r7�"�.��'� �1 Alton�sta Phone:
� Tnaurence—G�rrent
1
- 0l��09l2013 07:51 S R Mechanical �A�S�529331484 P.002J003
MECHANICAT SYSTEMS HEINO 1NSTALI,Eip
Note:Alt Gaot�crmal Systema�vil]vrnv reqttire a�j�fi gaview by our Buildii�g Official.
TS'FHIS GEOTHERII-lAL7 f]Yex �j No
HEA7iNG SYSSEA48
Quantiry:
Make:
Modai:
Puel:
Pluc 9'uc:
Inptit BTUf:
Oulpul 8'lUa:
Cfbt'
COOLIA'G BY6TEM8
Qnanriry: „�
Nteke:
Model:
Toos;
H.Powcr �
FIREPLACES
❑ oa�Fecro�y Flreplace Brend Nem e: _
[] WOod$wy+�g F3replece
B wooa seo� r�oa��xo.:
W ead 8teve wlth Flue/Mneoniy
VENTiLATIQI4
❑ No. Kitchen Fi�Uaust_,,,,,^duct Y'ecirCulat3�tg cfln
❑ No. Bac�BxLaus�(p�ust Lavt duct outside) cfm
[� No, Othec F�ms:Lo�roNons cfm
Fjj�j{jTORAOH, (P;(�tf 6t Gyylo�'M DJ'���)!a�?h0ll{jp1'nPosing b aba�idan tmnk h�placeJ
� Iuete(ladon ❑ Rewoval
Fuel 017: gallone ❑Undergmund❑]nsidc�]Oullide
LP C3ea: gnllone
Othar:
� M� N1.� ��t' �'�°�l� �,
O�,tdoorGw�11 ❑
OtLer/LisitYhe�6t Whero; "''
2 �f ������!�� ��" , r ���'�t �(� �'"'�`'�
- fl'!��0912013 07:51 S R Mechanical �A��529331484 P.003l003
PBRMTT�CALCLJLATION(S)
BA5ED OFF-20D2 3TATS STATU� _,_ _ __ __,_,�,,,
Q Yes,�his section applles
'Fhe iroplace�uent af a litWt tu0els All thre0 oY4�e follmving t�equiramente;
1. J„�q.�,p�raquiic modificntian to electriaai ar ant urvlca
2. Has a�of 530DA0 or letf;r.celudina t�e tof�of We l3xNre or nppliance:end
3. 1:improved,inttalkd or ceplattd by che bo+ueownerar�iceueed con�rac�o:.
Skip nc�t aettivn,;fil�is avplia; Coet of Pem+1� S�,�.qp
31ete Snrcharge S s.ao
Mni1-!n Fee(If Appticabls) 5,,,,,,,,�„QQ
TotAlPvrmltFoa 8
f� FERMI'T f��E CALC'UL,ATION(5)—JOAS ClVER SS00.00 �
If al�we doee not apply;follow�uidel'mee below:
1, �ON�Rd.CTPRIC6 �iS1.�5S�60fC0itta'�Ctqii��th0(MldflpumFeeot5S0.00)
�� N ��
,,,�x.0 L37 S """'
(anv+caple� (mlelmom 650.0�
a. sTa�.slrRcBpRc�
x.0905 $ �
(coMcectyriaq)
3.P09TAQE&IiANDf.iD7Q(onfy rn�Mail-In AppllcnHone} 5
4,�OTAL PEAMIT FEE(Add Lines L•3 Above) S w 4' w ��
. •CONiAACr PRiCE or JOB COST meene the ectual or astimntcd dollar amount charQed fol'the
permitted wrnlc including meteriols,Lahor,prof'it,and othar fc�ad ceslt. It if tAe auloun�ta be cherEed
to tLe cuetomer for the�vo�c don�, If aoy maxrial,equ{pmeut,1abOt oTlpstnlledoas ere fhrnlshed by
the mHner,tanant or eny otl�ar yuty,the reacoauble mwket vnlue oF eueh i�eme must be eddad ro tLe
eatimarod coat or contract priw for pannit fce yUryosel. In the eVept Ikef there la e diapute on the
umwnt of ths job cacy thc Citv mq1 Y�qUdt tlle aubmission of e efgned copy of the scNel covtrect
MECHATIICAL PP.}2MTT.�,PPLiCAT1'ON Ac,��EMENT
The undersiuned hercby epplies m tha Ciry for issuanw af a Mechduicdl Perinit,r,grees to do all
woi�k io stnct acwrdanct�Vith t�e oYflinenCea of the Ciry sqd U�e regularlo¢s of the St�te af
Minneso►�, oud certlties that �11 atatemenfs madc an this applicatian erc comple[e, mu anfl
co�rect.
r,"
�l�Ipj ~' �
AppIiceat�8 SIgllHIl1TG: (� "'��" DRtt: ' � �
i
3
,��� [�i " DATE TIME ✓
CITY OF ORONO CALLED IN
INSPECTION NOTIC �j-17 SCHEDULED —/7/3 / �
PERMIT NO. ��" OMPLETED
ADDRESS
OWNER TELEPH NO. S –3 g77`
CONTRACTOR C�
>; DESCRIPTION
�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
Q ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� O FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
� ❑ PLUMBING RI ❑ SEPTI FINAL ❑ FOUNDATION/REMOVAL
� OWNER/ TRACTOH TO ET YOU�YES_NO
� COMMENTS: �� � �/�X�O�,��Y�i
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W i�W�13KSATISFACTORY:PROCEED [� PROJECTCOMPLETE
� ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
�CORRECTUNSAFECONDITIONWITHIN HOURS. �; pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-460�
.
OwnerlContractor on site:
Inspector.
White Copyllnspector's File Canary CopylSite Notice