HomeMy WebLinkAbout2008-00341 - gas line only CITY OF ORONO PERMIT NO.: 2oos-oo34i
2750 KELLEY PARKWAY
„ '�` ORONO, MN 55356- DATE ISSUEn: 10/28/2008
952 249-4600 FAX: 952 249-4616
ADDRESS, : 315 HOLLANDER RD
PIN : 25-118-23-43-0014
LEGAL DESC : HOLLY ACRES
: LOT 001 BLOCK 002
PERMTT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : GAS LINE ONLY
VALUATION : $ 400.00
NOTE:
GAS LINE FOR OUTDOOR GRILL
APPLICANT MECHANICAL 35.00
MCGUIRE& SONS PLUMB,HEAT&COOL STATE SURCHARGE MECH(VALUATION) 0.50
1424 3RD STREET S
MINNEAPOLIS,MN 55411- MAIL-IN FEE 1.50
(952)931-9676 TOTAL 37.00
OWNER
FAGRE,NATHAN&CONSTANCE
315 HOLLANDER 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
pertnits. 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 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.
I'(�C.�GL�. l l l l
Applicant Permitee Signature Date Issued ignature Date
SEPARATE PERMITS REQUIRED FOR WORK OTH THAN DESCRI D ABOVE.
- �db t��a53 � � 17-�
'` '`` }�� I 191 �i j
FOR CITY USE ONLY ��
� � � � City of Orono �
y ��� ��` P.O.F3ox 66 Date Received: Permit#
�� ��' 2750 Kclley Parkway
� +"�•'- � '� Crystal Bay,MN 55323 Approved By: Amount$:
��+ � _� a`;U (952)249-4600
'takasNo''`y�;
CITY OF ORONO—MECHANICAL PERMIT
(All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall)
GENERAL INFORMATION
1. You may apply for mechanical permits by mail or in person at the City offices. Applications will
be reviewed and a permit will be issued within two working days.
2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT
VALID UNTIL YOU RECE[VE A PERMIT. WORK MUST NOT BEGIN UNT1L THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Mechanical DesiQns—Complete calculations,details and specifications are required for each
heating,ventilation,humidification-dchumidification,and air conditioning installation including
heat loss/heat gain calculation,design temperatures,equipment ratings and identification as to
type,manufacturer and model. Data shall be presented on form provided.
4. When any new construction or remodeling is involved,a separate buiiding permit must be
obtained.
5. All work must be done in accordance with the Uniform Mechanical Code/State Building Code
requirements.
6. All work must be inspected(rough-in and final). Call(952)249-4600.
(24-48 hour notice required)
7. House Heating Test Record must be submitted before final.
TYPE OF PERMIT
Check All That A 1 )
❑� Residential ❑Commercial(Approval Required)
❑ New ❑Additional � Repairs ❑Replace
Job Site/Owner Information:
Site Address: 315 Hollander Rd
Owner: Nathan Fagre Mailing Address: 315 Hollander Rd
Wayzata 55391
City: Zip:
Home Phone: �y���;4�-�`'�2 Alternate Phone:
Contractor Information:
Contractor: McGuire &Sons/dba Benjamir�Contact Person: Cherie Pung 612-604-4285#�
Address: 1424 3rd St N State Bond#: 104824236
C��: Minneapolis Zip:55411 Expiration Date: 06/12/09
Phone: �952)931-9676 Alternate Phone: (612)604-4285
� 09/01/09
Insurance—Current:
1
1
�
* •.�
y. ■/^y �{k♦■ . . .,. ., ,.: ,�,
�C«3!'.'',k��4yR `E.......�3W�E\1������ ������� s ' ' C. '... , � B. � :,:k�
` s'�-y,4'?#'�-1�. /9 $ . �" . I�fH ,:X}'°�t;
� a.
/
Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official.
IS THIS GEOTHERMAL? ❑Yes Q No
HEATING SYSTEMS
Quantity:
Make:
Model:
FueL•
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H.Power
FIREPLACES
❑ Gas Factory Fireplace Brand Name:
❑ Wood Burning Fireplace
❑ Wood Stove Model No.:
❑ Wood Stove With Flue
VENTILATION
❑ No. Kitchen Exhaust duct recirculating cfrn
� No. Bath E�chaust(must have duct outside) cfm
� No. Other Fans: Locations cfin
FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHALL) .
❑ ❑ Removal
Fuel Oil: gallons � Underground ❑Inside ❑Outside
LP Gas: allons
Other:
GAS LINE ONLY
Q✓ Outdoor Grill ❑ Other/List What&Where:
2
7.D/20/2008 �f01N 14: 08 P.Ax 612 822 5408 .AJ.' e Mle�etez 1Plumbi�mQ �002/003
� . �-.
�
..
. '
;lii�!�'i,l�fq��; ;aii����t �:�tlm�������Bb����►S �Q� �h��;�,,, y�,��, �{�[•�y� J ��': , {��``` :� ,. � j``�'' �
� "'`-'1 ux c t
❑ Yes,-thiu scction appli�s
i
Thc replacet�nt vf a Rcsideniial fi:cturc or ap hR'si;ce that m�ts all thrcc of thc following rcquirarrwnts:
I1. Does not rcquire modification to clectrical o�gas scrvice.
� 2. ilas a f�of$300.U0 cnr Icss;cxcl�dinQ the cost of thc fixture or�pp�;aa¢e;�d
3. ls imptovcd,in�lled or r�placcd by ihe homeowrACr a�liccnsed contra�ctor.
Skip next scction,if tliis applizs; Cost of PeCmii $ 15.00
Statc Surchargc $ •5A
M�il-In Fce(Tf Appliutble) S 1.50
Tuty1 Permit poc $ 17.00
� '• �i*�•����r ik ���n1 ��1�{•�4�1:'�' A:9 ' ` 111i11d1�� � •Gr *r u • ,,,y�'�r` 4
• Tf above d�cs not apply;follow guidclincs bclow:
1. CONI'Y2ACT PRICE *is 1.25"/0 of o.uatruct price with a(Mfufmum Fce of$35.00)
` �DO•('O z.O1�5S
(conaac�P��) (mmimum s3s.pm
2. STAT�SURCI�A ItCk: '�*pdd tha Staie 131dg Codcs Div.Surcharge(MioimWm Fcc of 5.50)
_ x.0005 $
(oon�racl pria) (minimum S .50)
3. P05TAGF,&11ANDLING(nnly on M�il-la Applications) S 1.50
4. TOTAL PEItM1T FEE(Add Lines 1-3 AbovC) S
■ '� CONTRACT PRTCE or JOB COST mcons thc tic[uol or estimated dollar arr�owl[eha[,ged fa[thc
permitted w�rk incladi»g mal�risla,labor,proFt,ond ot,her fixcd costs. it is tl�c amount to bc charg�d
to the cuslomcz!'or t��e work clonu. 11'any material, equipmc�t,labor or iniatallstions s►Co furnisbecl br
the owne�c,I,�nant or any othec p,�rty, thc rcasonable marke��aluo of such items muyt be added to Lha
cstimated cost or contract price foc pemma� Ccc purposes. !n the evant that there is a dispuce on the
amo�mt of rl,e job co�t, thc Ciry may idquest thc submission of a sti�neQ capy of tbe acbual contract_
■ *+Thc STA'1'L SURCHARCsE is.0005 of the Building Department at(952)249-4600 fOr the p1'ICC.
��i,,�' 'H".��,;'�fj�' •, "'FqWY.IC+\'.'��1ArA %��r,l, t'� " ,1'r ' , n,�'1�I;�b��
The uncic.�rsigncd licrcby xpplics tv tliv City for issuance of a Meel'lanieal pc�mit,a�*Tecs to dp�1
work in stric� necordance with thc ordin�ces of the City and the regula.tions of ihe Stalc of
Minucsota, and ccrtifies that all statcmenu made on this app�icat�o� axe eomplelz, true and
COYYCCI.
� �
Applicant's Sip.11aiure: Datc: �a03/08
;•rt k�� •:.� 1�r:r.at'� P••'+•i i �.... � ��� 1 ���y .
``�::�'�.�t;-.�e�: �r�N�,:�:`"�. "�,� o
3