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Home My WebLink About2014-00689 - gas line only CITY OF ORONO �, '� I�' � �� I!� * 20 1 4 - 00689 * 2750 KELLEY PARKWAY DATE ISSUED: 07/02/2014 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 840 OLD CRYSTAL BAY RD S PIN : 09-117-23-12-0002 LEGAL DESC : UNPLATTED 09 117 23 : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : GAS LINE ONLY VALUATION : $ 3,200.00 NOTE: GASLINE FOR POOL HEATER AND FIREPLACE APPLICANT MECHANICAL 50.00 STATE SURCHARGE MECH(VALUATION) 1.60 METRO GAS INSTALLERS TOTAL 51.60 685 141ST LANE NW Payment(s) ANDOVER, MN 55304 (763)754-7119 CHECK 14790 51.60 Minnesota State License#:mech-MB003162 OWNER HEIZMAN-WILLIAMS,JAMES WILLIMAS&HEIDI 840 OLD CRYSTAL BAY RD S 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 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 t. e r due cause. 7,..g____1/ / / / di- / 7 ,,:, ,,igt/ App icant Permitee ignature Date Issu.� :y Signature Date - Y USE ONLY City of Orono �U�p 9 �ofv- P.O Box 66 Date Receeci �Permit#�j 2750 Kelley Parkway / 0 (J Crystal Bay,MN 55323 Approved By: Amount$: Phone(952)249-4600 Fax(952)249-4616 . ti 'kESHO� �' `tCITY 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 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 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 Apply) 1 Residential ❑ Commercial(Approval Required) Z New ❑Additional ❑ Repairs ❑Replace Job Site/Owner Information: Site Address: 4/ 6gc(oOil Owner: •. < _ v Mailing Address: D�� 0,16P(01111#174fie City: OMo71i4 Zip: Home Phone: >•�_ 17-23-061--(9,3 Alternate Phone: 70— _O--OD 7 / Contractor Information: Contractor: . i &' ' Contact Person: � Address: ( D6- Nib 4 /V State Bond#: City: dZiOti Zip:,.5 /Expiration Date: Phone: 7a±750 77/9 Alternate Phone: o/i 4ff3 9-3 W-7---- i] -7----❑ Insurance—Current: 1 P . .;,x. 5'=. yi e a7,737' 717.yi7== ,t -11 Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official. IS THIS GEOTHERMAL? ❑ Yes ❑No HEATING SYSTEMS Quantity: Make: Model: Fuel: Flue Size: Input BTUs: Output BTUs: CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H.Power FIREPLACES 01 1646(1 Gas Factory Fireplace Brand Name: Wood Burning Fireplace ❑ Wood Stove Model No.: ❑ Wood Stove with Flue/Masonry VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfm ❑ No. Bath Exhaust(must have duct outside) cfm ❑ No. Other Fans: Locations cfm FUEL STORAGE (Must be approved by Fire Marshall if proposing to abandon tank in place.) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑ Inside ❑Outside LP Gas: gallons Other: GAS LINE ONLY / Outdoors ASI Other/List What&Where: / i �� 2 WIABITTPTIMW: i w E5 BlAW h.Y v g E f ;EjT " d i � �' : i. , a F.ti' .4 BM � Y A W" ❑ RZM Yes,this section applies The 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;excluding the cost of the fixture or appliance: and 3. Is improved, installed or replaced by the homeowner or licensed contractor. Skip next section, if this applies; Cost of Permit $ 15.00 State Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ WP'26? r a .. : ti , I£ .4-..k��g y t�Yi 4a i; .f .. If above does not apply;follow guidelines below: 1. CONTRACT PRICE * is 1.25%%contract price with a(Minimum Fee of$50.00) iV5 3cP0 x.0125 $ (contract price) (minimum$50.00) 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 or 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. In 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. q tr, i ,-kt iir X n �,E P.7R [fk�@'k a��2�8� 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. 0 > A licant s Si nature: e Date: / C7 Pp g .7 - 3 DATE TIME CITY OF ORONO CALLED IN 7 c:2- —/� INSPECTION NOTIC 0SCHEDULED -7- 3—/ / /..3 v q PERMIT NO. ----00 1 —01)('° / OMPLETED ADDRESS 13'424-0 / 51----AL-7t' --s- OWNER -SOWNER // TEL740N N /sem)-75¢=7//9 CONTRACTOR A�� 4 � Z�-� �''J —, 37. DESCRIPTION 'er—d-Lit___Q_. aA- f---Li. 0 FOOTING % UMBING FINAL ❑ EXCAV/GRADING/FILLING 4. Q ❑ POURED WALL MECHANICAL RI ❑ LAKESHORE/WETLANDS y 0 FRAMING ❑ CHANICAL FINAL ID TREE REMOVAL • 0 INSULATION ❑ WOOD BURNER/FIREPLACE 0 SITE INSPECTION Q 0 RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS ❑ FINAL 0 SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE 0 SEPTIC MAINT. ❑ FOLLOW-UP i ❑ DEMO-FINAL 0 SEPTIC INSTALL ❑ HARD COVER REMOVAL ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: cc W ccQ. W14t' cc d &K,‘......... u. W cc Q 2 W Z W cc d WCC WORK SATISFACTORY:PROCEED LIPROJECT COMPLETE W 0 RECT WORK&PROCEED 0 ISSUE CERTIFICATE OF OCCUPANCY CZI 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY ✓ BEFORE COVERING PERMANENT 0 CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO 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 a ance. (952) ' 9-4600 Owner/Contractor on site: ii / / r. P Ins actor i1 White Copy/Inspector's File nary Copy/Site Notice