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Home My WebLink About2012-01061 - gas line only * . . CITY OF ORONO * z 0 1 z - 0 1 0 6 1 * 2750 KELLEY PARKWAY DATE �SSUE�: 10/22/2012 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : l 100 HERITAGE LA PIN : 10-117-23-13-0005 LEGAL DESC : FOXHILL : LOT 005 BLOCK 001 PERMIT TYPE : MECHANICAL(> $500) PROPERTY TYPE : RESIDENT[AL CONSTRUCTION TYPE : GAS LINE ONLY VALUATION : $ 1,200.00 NOTE: GASLING FOR OUTSIDE GENERATOR. APPLICANT MECHANICAL 50.00 BUDGET PLUMBING CORP. STATE SURCHARGE MECH (VALUATION) 0.60 855 HWY 169 N PLYMOUTH, MN 55447- MAIL-IN FEE 2.00 (763)531-2000 TOTAL 52.60 PAID WITH CC# 6377 OWNER RETZLER, KURT 1 l00 HERITAGE LA WAYZATA, MN 55391- AGREEMEIYT AND SWORN STATEMENT I�hc��ork for which this permit is issued shall be perfonned according to thc approved plans and specifications,applicable City approvals,and the State Building Code. T'his 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 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 if construction is suspended for a period of 180 days at any time afrer 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. �`'1tiL�,(�� l� i��'i � �-- �i��/a-- App 'cant Permitec Signatu Date Issu By Signature Date SEPARATE PERM[TS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. OC:/?2/��12/MON 09: 08 AM Budget Plumbing Corp FAX No, 763-537-4730 P, 001/003 Fox crr�us�orr�,�t 0�� City of Orono P.O.Box 66 nat��;��a/D;o�d-��rn,;�� o�� - /�(P/ 2750 Kelley parkway � ��, , � Crys[al Bay,MN 55323 Approved Hy: Amount$� ��+ � �� Phone(9S2)249-4600 Fax(952)249-4616 CITY OF OT�O1�T0-MECH,A,NICAL PERMIT (All Commereial permits musc be approved by rhe Buildrng Of:Ficial or Inspector and/or Fire Marshall) GENE�2�1,L TNFORMATYON 1, You may apply for mechanical permits by mail or in person at the City offices. Applications will be re�vie�ved and a permit will be issued wikh,i.�two working days. 2. Permit cards will be sent by return mail after a re�ievv is completed. PERI�IlTS ARE NOT VALID LTNTTL YOU�CLX'V�A p�RM[T. VVORCC MUST NOT BEGIN UNTIL THE PE�iMYT CAR1�XS pOSTED Ol�C T�IE JOS SITE. 3. Mechanical ll�e�,i„�ns—CompleLe ealculsiions,details and specifications are required for each heating,ventilation,humidi�cation-dehumidifieation,and sir conditioning installation ipcluding heat loss/heat gain calculs�ion,design temperatur�s,equipment ratings and identificaLion as io rype,m.at�.u�acturer and model, Data sha[l be presented on form provided. 4, When any new construction or cemodcling is involved,a separate building permit must be obtained. 5. All worlc must be done in aeeordance with the Uniform M�echanlcal Code/State$uilding Code requirements. 6. All work must be inspectcd(rough-in and final). Call(952)249-4600. (24-48 hour notice required) 7. House Hcating Test Record must be submitted before final. TYPE OF PERMIT Check A11 That A 1 �esidential ❑ CommeiCial(ApprOVal Required) ❑ New [� Additional ❑ Repairs ❑Replaee rob Site/Owner Information: Site Address: �/ � /�e r � �q� L._o,,w` Owner:�`v�'+ I�e f Z�r✓' Mailing Address: SA--�+� City: (' r'oK a zip: S`-'S" 3 "'Y/ Horne Phone: _��Z - �/7�7�� Alternate phone: Gontractoz�Tnformation: Contractor: l3�v�c�r�.F 1�'J�v»,��y �vr/'Contact Person: �ol�..,� Jo�.�s� Address: �S S�- /G �, State Bond#: /Lt/3 Oo�p g'(Y City: � � Zip:�y/E�cpiration Date: 7 q—?�l�'/ phone: 7G 3� S�3/ ZOA'J , Alternate phone: G I`��'�Gi—O�f y? ❑ rnsurance—Current: 1 OGT/22/e012/MON 09: 09 AM Budget Plumbing �orp FAX No, 763-537-4730 P, 002/003 . ..� :� �. ,. v � �, ,'�y r. r � �r�� . .' `'��f�' . "y r•�s P�. , ., ,> ,.+.;� •y, �c�� , �i�Wl ��y� � . �..L: 'K;.'nL. ��'. �'?=1„%i.' 1��'. �ri <.�' 1V�ote: All Geoth.enmal Systems will now require a Site Alan &Review by our Buildr�ag Official. IS THIS GEOT�TERMAr,? ❑ Yes�N�o H�ATXNG S'YSTEMS Quanciry: Make: Moclel; �uel: Flue Size: Input BTTJs: Output BTUs: C�M: COOT.YNG SYSTEMS QuantiCy: Make: Model: Tons: H.Power �YR�P��#CES ❑ Gas�actory�ireplace Brand Name: ❑ �/ood Burning�'ireplace ❑ 'W�ood Stove Model No.: ❑ 'Wood Sto�ve�uvith�lue/Masonry 'V�NTYr,ATYON [� No. Kitchen Exhaust duct recirculating cfm ❑ No. Bath Exhaust(must have duct outside) cfm ❑ No. Other Fans� Locations cfm FUEL STOR4G� (Must be approved'by,Fire Marshall if proposirig to abaridori tan/r in place.) ❑ Installation ❑ �2emoval Fuel pil: gallons (� C7nderground ❑Ynside ❑ Outside C.P Gas: gallons Other: G�AS�X1V��ON�,'Y ❑ Outdoor Crrill � Other/List'What 8r Where: �U f S;�I�e (�;,..t.�c/`a,�yf 2 0 GT/22/�012/MON 09: 09 AM Budget Plumbing �orp FAX No, 763-537-4730 P, 003/003 ---�-..�- �� ; � � ��tt ,�� .f � � ��+ �J a1� �� .� ^ 9�S�w t yl'n��' 7�� V �r��* ` ��1 � �� p d H� a^'l�Y�tt o� j �� 5��@,r1 J f�'4�1'� :�i V �'� r ti�t�'i�,� �d A PA�G�� ',�,�' �+'C + r f la �<�i ,, nt w n�n , �' u �'� � a^ � � G d � 4��: a'P �a�� dS'� ry0ti xe�� .� i � r .� � a e^ 7,� � s W; � i �,�� ,� w, , a .� 7.,�8� �'�,��2 ,� � ,r U � o. , �� x ��, ❑ � Yes,this section applies The replacement of a Residential fixiure ot applianee Zhat mee[s all three of thc foUowing rcquirements: 1. Does not require modification to elecCrical or gas serviec. 2. TTas a total eost of$500.00 or less;exeludin2 thc cost of the fi�ctiue or appliance:and 3. Ys impro�ved, installed or replaeed by thc homcowner or licensed contractor_ Skip ne�i section,if this applics; Cost of Permit $ X 5,00 State Surcharge $ 5.00 Ntail-Tn Fee(Xf Applicable) $ 2.00 Total Permit�'ee $ _ , , . ., " :..N S � � I, . ` . . � i _ a� t" hF, ,�.�Y �t V ��.i ''�',� ,y,x � ;�$�!�' „} . ,� . +3 Yf above does not appl�+;follow guidelines bclow: 1. CONTRACT PRICE x is 1.25%of contract price with a(1Vlinimum�'ee of$50.00) ��l�� x.0125$ �� (Co�i[rdCt priCe) (minimum$50.00) 2. STATE SURCHAl2C� � / y�� x.0005 $ � (convact price) 3. POSTAGE&HAND�.Y'NG(Only on Ma'rl-Yn ApplicaLions) $ 2.00 4. TOTA�p�Y2MYT�E�(Add T.ines 1-3 Abo�ve) $ � � CONT�2ACT PC�CE or J"OH COST means the actual or estimared dollar arnount charged for the pewmitted work lncluding materials,la.bor,proft,and other fixcd costs. It is the amount to be charged to the customer for the'worlc done. Yf any material, equipmcnt, labor or installations are furnished by ihe o'wner,Lenant ot att�other parry,the reasonablc market value of such items must be added to the esirmated cost or conTract price for petmit fee purposes. In the event that there is a dispute on the amount of the job eost, the City may requcst thc submission of a signed copy of the ac[ua1 contrzct. d�ip K�,f�r�r�:gK�� ^��'�g�,�� .� 2..:� � y .y,�7y �„� �� E ` "p ��, y/1�( ' ii g, y ' a rcn �:��^i '"� ' „�`� f �)P"�l��i;ie , �' ,�;LV�1C� �';1� � ,n��, �� ...,, ��.:Ai� ;f �' :F��d�� ?�i�^e�rc��i'�""�. ,' , ,.�.. . �1 4%' �J'4��J'� ' � ��r`. �,. The undersigned hereby applies to the City for issuance of a Mechaxucal permit, agrees to do al1 work in strict accordance vuitll the ordinances of the CiCy and the regulations of the State of Minnesota, and certifies that all staternents rnade on this application are complete, true and correct_ Applicant's Signature: bate: l�� Z a— �Z-- �;`��`��.�'`}Z6$9'#'\.,�;�Ofryrrl ' �<�_:;...�..:,:s,::_._.,,.,...,.,:,.�_,.---._........I 3 S�� DATE TIME � CITYOFORONO CALLEDIN �� INSPECTION NOTICE �,�� SCHEDULED //-7-/2- �� = � PERMIT NO. �O/2-[�� COMPLET ADDRESS � OWNER T LE ONE NO. �Z"��-�� CONTRACTOR � � / a DESCRIPTION �� -vL `�� y � - � ❑ FOOTING ❑ PLUM FINA ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING �ECHANICAL FINAL O ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI C� SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � O a � O � W � Q � 2 W � W � � d W ❑WORKSATISFACTORY:PROCEED ''Y�fFROJECTCOMPLETE � ❑CORRECT WORK 8 PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W O ❑Ct�RRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ��CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor on site: � � �.. Inspector. ;��5�I-s White Copyllnspector's File Canary CopylSite Notice