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Home My WebLink About2009-00712 - gas line only CITY OF ORONO PERMIT NO.: 2009-00712 2750 KELLEY PARKWAY ORONO, MN 55356- �ATE IssuED: 10/15/2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 1035 HERITAGE LA PIN : 10-117-23-13-0009 LEGAL DESC : FOXHILL : LOT 003 BLOCK 002 PERMIT TYPE : MECHANICAL(<$500) PROPERTY TYPE : RESIDENT[AL CONSTRUCTION TYPE : GAS LINE ONLY APPLICANT MECHANICAL(<$500) 15.00 THOMPSON PLUMBING STATE SURCHARGE MECH(<$500) 0.50 15001 MINNETONKA IND RD TOTAL 15.50 MINNETONKA,MN 55345 (952)933-7717 OWNER FRITZ,JEFF& ELLEN 1035 HERITACE LA WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to [he approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing[his type of work shall be compied with whe[her or not specitied herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construc[ion is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are reques in conforniance with the State Building Code.This permit may be revoked a[ y ti�for due cause. / `� �'"__` � ( � / �� / l�� Q/ / � Applicant Permitee Signature Date d By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. ,. FOR C I'PY L'SE O 1 LY � �` Cih�of Orona O¢O`YO P.O.Bos 66 Date Kecen�ed: Yermit� 2750 I�ellev Yarl.�cav .+ • +� Crystal f3ay,MN 55�� pprovect By: :lmount$: � : c� (952)249-dfi00 ��n�r` CITY OF ORONO—MECHANiCAL PERMIT (�1ll('ommercial pe�mits must bc appro�eJ hy Ihe Building Qflicial or Inspr;ctor and:or Fire'�larsfufll) GENERAL INFORMATION t. You may apply for mechanical pernlits bv mail or in��erson at the Cit��oftices. Applications��711 be reviewed and a pemiit�m�ill be issued withn�trvo��orking days. 2. Penuit cards�vill be sent by return ntail after a revie��is compleled. YLRMI"1'S AKE N�T VALID i7NTIL YOU RECE.IVE A PERMIT. WORK MUST NOT BECIN UNTIL THE PERMIT CARD 1S POSTED ON THE JOB SITE. �. Mechanical llesi�ns-Complete calculations,details and speciYications are required Yor each heating,ventilation,humiditication-dehumiditication,and air conditioning inst��llation including heat loss/heat gain calculation,design temperatures,equipment ratings and identification as to h pe,manufaclurer and mociel. Data shall be presented on lorni provided. 4. When am-new construction or remodeling is involved,a se}�arate building perntit ttn.tst be obtained. �. �111��ork must bc done in accordance��•ith the Uniforni Mechanicai Code/State 13uilding Codc reqilirements. 6. All�vork must be inspected(rough-in and final). Call(952)249-4600. (2�t-=18 hour notice required) 7. House Heating Test Record must be submitted before final. TYPE OF PERMtT (Check All That A l��j �Resi�lential [,]�Commercial(Approval Reyuired) l� ❑Ne�� ❑Additional ❑Repairs ❑Replace Job Site/Owner Information: � Site Address: �v-�� '�u�Q �' ��— 0��ne � Mailing Address: �CC-��lLe Cin�: Z �� Zip: Home Phone: Alternate Phone: Contractor Information: � Contractor: RP � Contact Person: ��J �� THOMP Address: 15001��KANMNI56 45D State Bond#: Cit��: � Zip: EYpiration Date: Phone: ��-5 2' -��3��'�7 Altemate Phone: �nsurance—Current: 1 PERMIT FEE CALCUL.ATION(S) BASED OFF -�002 STATE STATUE � Yes,fliis section applies Thc rcpincemcnt ol a Residenliai listure or ap�pliance that mu ts all Lhrcc ol lhc lollo�-ving requirements: 1. Does not require modiTication to electrical or gas service. 2. Flas a total cost ol$�(x).UO or less;excludinQ tl►e cost of the tistL�re ur appliance:and 3. Is improved,installed or replaced by the homcotivner or licensed contractor. Skip nest section,if tkus applies; Cost of Yem�it $ 15.00 Slatc Surcharge $ 50 Mail-In Fee(If Applicable) $ 2.00 Totul Permit Fee $ PERMiT FEE CALCULATION(S)—JOBS C)VER$S�O.t)0 IY above cloes not appl�;lollo�v guidelines below: 1. CONTRACT PRiCE * is 1.25%of contract price with a(Minimum Fee ot 550.00) J�� .0125$ /S. �� (contiaclprice) (minitnum$50.00) 2. STATE SURCHARGE "*Add the State I31dg Code Div. Surcharge(111inimum I�'ee of 5.50) x.00US $ i �� (contractpricc) (minimum S .50) 3. POS"fAUG 8i I IANllLING((?nly on Mai1-In llpplicalions) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Abovc) � /,S��S l� ■ * CONTRACT PRICF. or 70R COST means the acttkll or estimated dolllr amount charged for the pennitted��ork including materials,labar,proi7t,and other tiaed costs. It is the aniotuit to be charged to the customer for the work done. If am�material, equipment, labor or installations are fumished b` the o��ner, tenant or am�other part��, the reasonable market��alue ot such items must be added to the cstimated cost or contract price for permit fee ptuposes. ln the evcnt that there is a dispute on the amount of the job cost, the Lity mati� request the submission of a signed copv of the actual contract. ■ **'l�he STn'1�L SURCI�i�11tGE is .000�of the Building llepartuient at(952)2�9-4600 for the price. MECHANICAL PERMIT APPLICATION AGREEMENT T'lie undcrsigned hereby applies to the Cit�� for issuance of a Mechanical Permit, agrees to do all ��ork in strict accordance with the ordinances of the Cin and the re�zlations of die State of Minnesota, and certi("tes that all stateme�lts made on tllis apptication are complete, true and conect. / � Applicant's Signature: �� Date: �� / Reset Form 3 . � � MECHANICAL SYSTEI�IS BEING INSTALLED Note: All Geothcrmal S}�stems��ill no�� rcquire a Siic Plan& Revie��b}�our Buildil�g Official. IS THIS GEOTHERMAL? ❑Yes ❑No HEATI1�iG SYSTEMS (luantity: Nlakc: Model: Fuel: 1�luc Siz�: Input BTIJs: (hitput RTiJs: Cl�M: COOLING SYSTEMS Quanlitv: Make: Modcl: Tons: H.Potv-er FiREPLACES ❑ Gas I�actory��ireplace ]3rand Name: � Wood Buming Fireplace � Wood Stove Model No.: ❑ Wood St<>ve WiTh Fluc V ENTILATIOIV ❑ No. Kitchen F,�haust duct recirculating ctiii ❑ No. 13ath Exhaust(must havc duct outsidc) cfiu ❑ No. Uthcr r'ans: Locations cfm FUEL STORAGE (Mtut be approved by Fire Marshall if proposing to abandon tank in plaee.) � Inst��llation 8 Remo��al Fuel Oil: aallons ❑ Underground �Inside �Outside T.P Gas: gallons (�ther: GAS LINE ONLY ❑ vutdoor Urili Othor/List What�Vb'hcrc: 2 �^ S� ATE TIME ✓ � q CITY OF ORONO CALLED IN /D � / INSPECTION �OT/�C.E /�/�'7/ 7 SCHEDULED � O9 lI• �S PERMITN (JV�� J(J/ �`�COMPLETED ADDRESS �D�S � OWNER C�NTR. TELEPHONE NO. /J�� - / �3 - 77I7 �/ � DESCRIPTION ��-s� � ❑ FOOTING MECHANICAL RI ❑ EXCAV/GRADING/FILLING ,Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL � ❑ FOUNDATION/REMOVAL Z OWNER/CONTHACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O � � � S -�= 1��'�� 0 � W �-�i � C./ Q � C' ��;�� i .� T ' � � � � d W� ❑WORK SATISFACTORY:PROCEED PROJECT COMPLETE W ❑CORRECT WORK&PROCEED Cl ISSUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-46QQ OwnerlContractor on site: , r Inspector. �f -' � � White Copyllnspector's File Canary CopylSite Notice