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Home My WebLink About2015-00617 - gas line only CITY OF ORONO * z 0 1 5 - 0 0 6 1 7 * 2750 KELLEY PARKWAY DATE ISSUED: OS/18/2015 • ORONO, MN 55356- � 952 249-4600 FAX: 952 249-4616 ADDRESS : 4215 NORTH SHORE DR PIN : 07-117-23-43-0006 LEGAL DESC : ORCHARD BEACH : LOT 002 BLOCK 000 PERMIT TYPE : MECHANICAL(<$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : GAS LINE ONLY NOTE: MOVE GAS LINE IS'FOR OUTDOOR GRILL APPLICANT MECHANICAL(<$500) 15.00 STATE SURCHARGE MECH(<$500) 5.00 HEINEN HEATING&A/C INC TOTAL 20.00 9155 NOVEMBER DR Payment(s) ST.JOSEPH,MN 56374- CREDIT CARD 4031 20.00 (320)363-7813 Minnesota State License#:mech-004545 OWNER WALDOCH, DOUGLAS&DIANE 4215 NORTH SHORE DR MOLJND,MN 55364- AGREEME1vT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances goveming this rype of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections ace requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. f�:� �..�,�,,,,, .�� .��-�- l�5 � �� " ��-- � � �c� ��i l��i Appli�t ermitee Signature ate Issued By Si nature Date FOR CTI'Y USE ONLY ' �O� City of Orono r + f��"` ��s— � � —� O P.O.Box 66 Date Received: �I Petmit# 2750 Ke]ley Pazkway ��-� � Crystal Bay,MN 55323 Approved By:� Amount$:� Phone(952)249-4600 Fax(952)249-4616 � � y � F 1 1"kFSHo�`�'G CITY OF ORONO-MECHANICAL PERMIT (All Commercial permits must be approved by the Building Official or Inspector and/or Fire Mazshall) GENERAL INFORMATION 1. You may apply for mechanical permits by mai] 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 RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Designs—Complete calculations, details and specifications are required for each heating, ventilation, humidification-dehumidification, 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 building permit must be obtained. 5. All wark 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 Ail That A 1 �Residential ❑ Commercial(Approval Required) ❑ New ❑Additional ❑ Repairs � Replace Job Site/Owner Information: Site Address: �� .�v r-?"�1 ,��'I�;a v� � ��'� F� Owner: � �,��,��,t.n c.l� Mailing Address: City: �c�v n C�, Zip: Home Phone: �2� ,1,-5'(:?- 3 tS��' Alternate Phone: � ,�c � :��/`�l i"�i� Contractor Information: . Contractor: ��2in �rt /�'y_��-/4�G,j,�� Contact Person: �o�,�et j`►�� Address: �� No��r•�►�i,�� ,��': State Bond#: ,/�/I t� CS p �'/�yS� City: S7� ��YI�� /t/�r�lZipS�.�J�xpirationDate: �" / '"' D�� o Phone: J�,� �- 36�' �� Alternate Phone: `—� cP�l.` 3�0 .-7�� - �'�a� ❑ Insurance-Current: .___- 1 �C'j h n�c.'�S��'1� .LnC'� MECHANICAL SYSTEMS BEING 1NSTALLED • Note: All Geothermal Systems will now require a Site Plan &Review by our Building Official. ' IS THIS GEOTHERMAL? ❑ Yes 4QNo � 1. HEATING SYSTEMS Quantity: �� Make: `� Model: �� Fuel: `� Flue Size: � Input BTUs: - - Output BTUs: �'� CFM: � COOLING SYSTEMS t._ Quantiry: Make: � Model: Tons: H. Power �' FIREPLACES ❑ Gas Factory Fireplace Brand Name: ❑ Wood Burning Fireplace ❑ Wood Stove Model No.: ❑ Wood Stove with Flue/Masonry VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfin ❑ No. Bath E�chaust(must have duct outside) cfin ❑ No. Other Fans: Locations �� FUEL STORAGE (Must be approved by Fire Marsha[l iJproposing to abandon tank in place.) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑ Inside ❑ Outside LP Gas: gallons Other: GAS LINE ONLY �- Outdoor Grill ❑ Other/List What&Where: �� r 2 ,� , _= o , - , . . � ,. , �. �.e �.� -„�� , ,. . ,. � ,�� '-�' �� i. �� -��.��`°��-�., �� .. , . ,r � , � ..� - � : � r��.: ;�� r�it�� .�� g��c ��tc��r�� t� �t��ie��s� a°'r��r� �a��rr��i�.�� i�� a� s�r��i�«� ��4E �� i��i�r?�nri�i �J�� f' ��j�..�.�.�. �:�� p�� P��a�'�3� � ��n� ��> ��"if��€.� �;�� " a� �.. �1.€�.'��€:1�� t � ��y}��;�� r�� i��.�� ;�� rF � i �� .X^.��C�1! . ��F �;�; ° �� 1��iC� �� ' �1"�� m��e°a� A F$ ��. �A�4ii$x� �� (H t L ��"V[d��Fi� '�A�,.��mw�� C�h!!P� �. wi �� C� �� r <" ,�� '�� 1�� r�� ,��` �. �� , � � - , _ � � � _ � � � � e � ; � �, � , _ ;° _. �_ � . .�. �"`��`��i��a ��%��i.��:�� c`��c�� ,, � � ��; s��'�;��4�� ,.,`"s.��t��'L��eB a��. �� ,� ��l��Q"'`is'� ts`�."�`�� V��`��; � � �� x� ��.�� `�"�'�� C��"l��;�� "�� "� �i:�� ,��1� � i.��; ��v�A�=�.�� ,�`�� C�� `��?��`,�:;��°" ��:�*��' �` d��$��+a�� .� �� '��+��'��'�� gt��q;.��'�,r��""``��.�:"��'��1 j: � � �' ��#�t�-�� ,� ��, � z�. �� : - �� 3, :��,A!�T . . _ ,,.1� . �'E.+i�Y t��'�f s �+--��*+^^y�.'y+,n^^• .b:--u....�.e...._.,,. ��...w..v.-o+�....�,,,...4,_. ,"S��.' . .--,�—�-�,-. , �.*:�. „ � , . , , .� ,� . „- , ,. � . � _-_.�.-s.,......,.,..,e..�,� ,- .;� . , .' � ,r , e � .. .i' i a , e�� . .' �. "' y,.. ,.� , . 5 0 � „ �.. f "?i � ,f :,1,'; � %� �c'Yi:'?r�a``Lh�"t��'{�:,.,�a:.�lt#�'f'�£#`�7',#�. �.r., �w,�..� � ,.� �� R ��" � ,s.,r�z �+�.;,� ^�v.:n ry�+ b�< � ' PERMIT FEE CALCULATI�N(S} BASED OFF -2002 STATE STATUE Yes,this section applies T e replacement of a Residential fixture or appliance that meets all three of the following requirements: 1. Does not require modification to electrical or gas service. 2. Has a total cost of$500.00 or less;excludine the cost of the fixture or appliance�ayd----�-- 3. Is improved, installed or replaced by the homeowner or licensed contractor. , ' �� Skip next section, if this applies; Cost of Permit t! $ 15.00 � State Surcharge ` $ 5.00 / Mail-In Fee(If Applicable) ; $ 2.00 '� Total Permit Fee � $�=`�� PERMIT FEE CALCULAT�ON(S)-JOBS OVER$SOQ.00 lf above does not apply; foliow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) x .0125 $ (contract price) (minimum 550.00) 2. STATE SURCHARGE x .0005 $ (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ■ * CONTRACT PRICE ar JOB COST means the actual or estimated dollar amount charged for the permitted work including materials, labor, profit, and other fixed costs. It is the amount to be charged to the customer for the work done. If any material, equipment, labor or installations are furnished by the owner, tenant or any other party, the reasonable market value of such items must be added to the estimated cost or contract price for permit fee purposes. ln the event that there is a dispute on the amount of the job cost, the City may request the submission of a signed copy of the actual contract. MECHANICAL PERMIT APPLICATION.AGRrEMENT The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all work in strict accordance with the ordinances of the City and the regulations of the State of Minnesota, and certifies that all statements made on this application are complete, true and correct. � Applicant's Signature: Date: � " �� 3 �'I c� ��`� 3 1/' DATE TIME CITY OF ORONO CALLED IN �j� INSPECTION N,�}�T�ICE /��f� SCHEDULED -%'-�—l�S' PERMIT NO. !�� S`VV�D��COMPLEfED ADDRESS �Z I 'rJ N � ��'� D� = OWNER TELEPHONE NO.�r��:�813 CONTRACTOR �� DESCRIPTION � �� ``� � ❑ FOOT�NG ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING � ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ ER HOOK-UP ❑ HARD COVER REMOVAL J ❑ DEMO-SITE ❑ PTIC INSTALL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEEf YOU: YES_NO v�i COMMENTS: `—� � �� a e� c�dd��^ l�.�e �o� ��cy� - � , C� o�.�LtS D/ �i 'f7�r�t s 5 � — V L S c�it G ` rt .� — o . � , / � _��/'�d!�� G�eS li�l L GY i' 'D�c,s� W � Q � 2 W � W � j d W ❑WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � /�ORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W - 0 v�CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL REfURN ❑STOP OfiDEH POSTED.CALI INSPECTOR O CITATION ISSUED �NSPECTION REQUIRED.CALL TO ARRANGE ACCESS. / � Cal1 forthe next inspection 2a hours in advance. (g52) 249-4600 OwnerlContractor on site: Inspector. w•� White Copy/lnspector's File Canary CopylSite Notice �! 7 QqT TIME CITY OF ORONO CALLED IN l INSPECTION NOTICE �"�� SCHEDULED _=��5 f.'30 PERMIT NO.¢��1-�U��1 COMPLEfED ADDRESS �� - �G1��- JJ/ OWNER TE EPHONE O CONTRACTOR � . � DESCRIPTION �-t ly ❑ FOOTING ❑ D O-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP w ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL J ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O � � O � W � Q � 2 W � W � J d W ❑WORKSATISFACTORY:PROCEED OJECT COMPLEfE � ❑CORRECT WORK 8 PROCEED I SUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDtT10N WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 h rs in advance. 95 249-460� OwnerfConVactor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice