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Home My WebLink About2010-00545 - gas line only CITY OF ORONO PERMIT NO.: 2010-00545 2750 KELLEY PARKWAY , �' ORONO, MN 55356- DATE IssuEn: 07/OU2010 ' 952 249-4600 FAX: 952 249-4616 ADDRESS : 2600 PHEASANT RD PIN : 21-117-23-23-0023 LEGAL DESC : PHEASANT LAWN : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : GAS LINE ONLY VALUATION : $ 470.00 NOTE: GAS LINE FOR OUTDOOR GRILL AND COOK TOP APPLICANT MECHANICAL 50.00 SPRING PLUMBING LLC STATE SURCHARGE MECH(VALUATION) 5.00 11473 KENYON COURT BLAINE,MN 55449- MAIL-IN FEE 2.00 (763)6147963 TOTAL 57.00 Minnesota State License#:066807 PM PAID WITH CC# 4012 OWNER HADDEN,TIMOTHY&JULIANN 2600 PHEASANT RD EXCELSIOR,MN 55331- 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 sepazate permits. All provisions of laws and ordinances goveming 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 comenenced 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 ca�se. G�C�ec� � l l ��7Y�1��( i l Applicant rmitee Signature Date Issued ignature te SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO . 6/30/10 03 : 49PM CDT Spring Plumbin� LLC —� ,Barb , , 9522494616 Pg ; 5 , ..� � �e cmr us�or�,x • ��`'p'��, City of Orono ,�7� �' �, Y.o.9ox 66 ' ' A�1�Rsoeiv�a: reea�it il i(��• �� 2730 Kellry Pmlcway � ► � �,yaw�y,�w ss.zas { �n�a ny: a�o�s: �_��'��;�, pnone�ss2�aa��oo rr��y�z�zas�.�oiu �„� CITY UF ORONO—MECHANICAL PERMIT CA�Comame�cial permita must bc q►�mvod by t}w Building O@icial os Iaspectos.orUu�Fire M�+aahall) G O TION 1. Yov mey appiy tbr mechanial permirs by mail or i1i peravcn at�s Cit,y ofwl�c�. .A,ppGcatioas wiil be reviewed end a�e�mit will be fsaued wi4�in�ro workiag days. 2. P�mit card�will be soat by retum mail after a revie�uv is completed. PElt1�IITS A,RR Np'� VALID UNTiL YOU RBCBiVB A PERNIIT, �,+�RKMUST Nb'i'B�G1N�7PPTII.Z'� P�BIVIIT CARD ls EQ��AN TA��OH B.iI'E. � 3. Mcchenionl Dcsiana—Complet'e calculstioais,de�sil�aud 6peaifiosticns ace roquired tbr wG6 heatiaK,ventilation�humidit�cation-dehumidifioation,and air condidonin�iastal4tion inciuding heat losa/heae gaia calculation�dodiga bo,n�p�rsturm,equipmont ratings and idantiFccation as to �3'Pe�maoufaaturer and model. D$ta shsll�b'e pre�en�d on forrn provided. 4. Whe�any aew coastruatioa or remodeling ia involv�d,e separete buiiding pocmit must bc obtsined. 5. All work must be done ia acoordan�ce with�the Uniform Mechanionl Codml$tate Building Coda requiremants, 6. All wp11c�qWt be iu�speded(rougb-;�a�a�ina��. can�9s2�za9.a600. (?A-4S uour nutice required) ' 7. HouSe Heacin�Test Record must be sub�uad bet'oare final. TYPE OF PFRMI'a' Check All That 1 �Reaidemtisl ❑Comrn�caal(Approval R,equiored) ; � ❑New ❑Additional'� Q Rcpairs � ❑R�Plsoe , ,V , , Job 9ite/Owner Iafonnation: 1 � (, 'i'; . , si�,�aaxe�: 2�00 PhAesant F�Oad � ' ��. Lecy Brothers � ��;�,g Aad,.eS$: 15012 Hwy 7 �ty: Minnetonka � � �;p; � ; 55Q12 , , , Home Phone: Alternate Phone: � Contractor Tnfarmativn: Contractor: Spring Plumbing � c�ta�r P�: Theresa Bialon Addreas: 11473 Kenyon Gpurt S�te Bond#: , 66084022 Blaine ' City: �P,55�4ae Expiration I7ate: �: (763) 614-7g63 " Phone: �. 'Altetnate Phone: � � ' ��m��=c��t: Yes � �r� ' � 6/30/10 03 : 49PM CDT Spring Plumbing LLC —> Barb 9522494616 Pg � 5 `� • � � MECgIA�NICAL YS1'�rIS.BEING INSTALLED � � � � Notc:All Gcothcrmal 9ystcros will naw rnquiro a�j�.a�&Review by our Building Offcial, IS THIS GEOTHERMAG? ❑Yes ❑No �wru�re sYs�nrs Qu�ry� tMlsko: ' � Model; ; Fuel: Flue Sisa -, Iaput BTUe: Dutput BTUs� CZ'M; COOLllV'G SY5T�M5 Q„satity- Make: Model: Tons: : fL Powor �rR�r.�� ,� �� C�as Fsctory Firmplaoe + . Brand Neme: Wood Burnin�Fueplace a ' Wood 3vove Model No.: Wood Sbave With Flue �1LATiQ�Y No. Kitchea Exhaust duc� recirouiating ofm No. Hath Sxhavse(mumt hsve duc!ou�ide) c�fa� No. Other Fans: i.ocations cfm FUEL STORAGE (Miwl be oppra►�e�by�Ti�a Maraholl�prapa�ing to abawdon tark rn p�x) � Tnstallation � Re�lfovBl ; Fuel Oit: gallons ❑ Und�rground ❑Insid� ❑Out�ide LP C9as: gallons Ot6�r: ��NLY � o�o�c�ui � or�i L�c wh�a�wti�e: Cook Top 2 6/30/10 03 : 49PM CDT Spring Plumbing LLC —> Barb 9522494616 Pg � 5 . . � � � �� PERIVIIT FE�•CALC[JLATIQN(5). � � � ' . . . � � � �. .�ASED�OFF-200� STAT',E'STATUE� � • • �� . . � Ycs,this seaion applies � T6e replscement of a Residential fixture or aoolianoe that meseS ali three of fi�e Followiqg roquiromecits: 1. �Amt requite modifiaasioa w sleetniml or ges seprviae. Z, Has a 1o38L4�L of�500.00 or leas;�JuQjpQ t,he cost of t�a�ixttue oc appiiance:and 3, ia improve,d�iAstalled or replaceB by the hou►oewner e�1ioa�ed contractor. Slcip naoct sectioa,if tbia applies; Cost of Pamit S 15•00 St�te SurohArga S s.00 Mail-in Foe(If Appli�ablv) S�QQ TotAl Permit Pbe S . `..PERMIr FEE•CALCU•LATTOltiT S. —.3OBS Oi/ER SS00.00" ' � ��pV!QO@$QOt El��y►;fO110W$1l1dQ1111�bAlOW: i. *its l.zs%of contract price wirh a(M;aimum Fe!or sSo.00) 470.00 ` X'o1�5 s 50.00 C��) C��n sso.00� 2. STATE SUBCR/1AGE **Add the Sffite Bldg Code Div.6urchnrgc(Miqimum P1ee of�.00) 47Q.00 x.0005 $O.Z'4 ; (uu�xecl�aice) (minimum S 5.00) 3. POSTAGE&HANDLllVG(Oniy on Meil-In Applicatioas) � 2_00 4. TOTAL PEBMIT FEE(Add Lira l-3 Above) S`52.24' � • CON'I�iACT PR1CS or JOB COST means th�actual or�tuoeted dollar amouz►t ohscgod for t6e pantittsd work inciuding mate�rials�labor,�ofit,ead othec fixed costs. It is the amoune m ba charged fio ths eu�tomer foc the worlc dv�e. If say n�ste�ial,equipn►ent,labar or i�bllstioas sre furniak�ed by the owner�benaat or any otl�er party,the�essonabJe merket value of such items must be addod to ths esri:nated ao3t o�eont�act priea foor penmuit fee putpases. Lr t6e eve�t that there�s a dispute on the amounc of tbe job cos�,the Ciry noay raque�t tt►e subm�issi�oia o£a sianed oopy o�the actusl eantrack • "'ihe STATE SURCFIARGTs ie.0003�fine��e ConvaCt Prir�e or s miaiawm of$5.W. � � �MECHAIVICAL PERNIIT APPLICAT�ON A�GREEMENT � T'he underaignad hereby applies to the City fo�issueace of s Meohanioal Permit, a�grees to do all work in sl�iot aaaordanoe wit]� the ord�nancas of the City and the regulati� of 4hc Statc of Minaesota, and certrf'ias that all statement� xnada orl this application erc aomplete, true and corrcct. , r ' 2 Applicant s Signatura: �� Date: J� �Q �R�st I�rr�n a � 7 Df�TE�o TIME ✓ CITY OF ORONO CALLED IN / INSPECTION NQ��E��sCHEDULED -�—� ri PERMIT NO. �� J COMPLETED ADDRESS o��D �� OWNER TELEPHONE NO. CONTRACTOR I a DESCRIPTION � `�'� °� � I � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOILOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATIOWREMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � 0. � � /�'� "`.� ' 0 � 0 � W � Q � 2 W � W � � � � W ❑WORK SATISFACTORY:PROCEED �pJECT COMPLETE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFOREC�/ERING PERMANENT O CORRECT UNSAFE COND►TION WITHIN HOURS. O PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.GALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (g52) 249-4600 OwnerlConVactor site: inspector. White CopyllnspectoPs File Canary Copy/SNe Notice