HomeMy WebLinkAbout2006-P09535 - gas line inspection PERMIT
�ITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: P09535
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Pernuts
(952) 249-4600 Date Issued: 1/17/2006
SITE ADDRESS: 2940 Fox St Unit#
Long Lake,MN 55356
PID: 04-117-23-31-0017
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Pernut Type: Mechanical Pernuts Permit Sub-type(s): Gas Line Inspection
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
Gas Line to future unit heater and instant hot water
FEE SUMMARY: Pernut Fee: $ 35.00 Valuation: $ 653.00
State Surcharge Fee: $ 0.50
Misc.Fee: $ 1.50
TOTAL FEE: $ 37.00
APPLICANT: Flare Heating&Air Conditioning OWNER: Dennis Backes
9303 Plymouth Ave N. Suite 104 7026 Brooklyn Blvd
Golden Valley,MN 55427 Brooklyn Ctr,MN 55429
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLICANT PERMITEE SIGNATURE SUED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
. 05��� I a 3 . �
���'� FOR CITY IfST ONLI'
"'d�'�` City of Oron
� $ `Y ��� P.O.Dox 66 D�tc Rcccived� Pcrmit#
`�:;;;, ,. ��'�' 2750 Kcllcy P�rkway
�`� p'� x• �' Crystnl I3ny.MN 55323 Approvcd Dy: Amount$:
�;+ �'����:��}.o��� (952)249-460I) —---- -
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CITY OF ORONO—MECHANICAL PERMIT
(nll Commcrcinl permits must bc npproved by thc Building Ofiicinl or Inspector andlor firc Mnrshall)
GCNCRAL INFORMAT(ON
I. You may apply for mechanical Nermits 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 revie�v is completed. PERMITS ARE NOT
VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED ON THE JOB S[TE.
3. Mechanical Desisns—Complete calculatio�is,details and specifications are required for each
heating,ventilation,humidification-dehwnidification,and air conditioning installation including
heat loss/heat�ain 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 finat). Call(952)249-4G00.
(24-48 hour notice required)
7. 1-iouse Heating Test Record must be submitted before final. ,
TYPE OF PERMIT
I (Check All That Apply)
�Residential ❑Commercial(Approv�l Required)
�New ❑ Additional ❑Repairs ❑ Replace
; .lob Site/Owner lnformation:
Site Address: ���V �
Owner: ,1/1�IiVl � � ��S Mailing Address:
�
�►ty: c r�,�,,� 7ip:
v
I-[ome Phone: Alternate Phone:
Contractor (nformation:
Contractor:�����' ` l.—�' '� ontact Person: f.-
�_ /
Address:��� (�i f",State Bond #:
City: �ol� V��� � Zip���xpiration Date:
Phone: �� '�'��--��� AlternatePhone:
❑ lnsurance—Current:
1
AER�VIIT'FEE CALCULATION(S)
BA5�D O�F - 2002 STATE STATU,E
� Yes,this section applies
The repfacement of a Residential fixture or appliance that meets all three of the followitig requirements:
1. Does not require modification to electrical or gas service.
2. 1-las a total cost of$500.00 or less;excludin�the cost of the fixture or appliance:and
3. Is improved, installed or replaced by the homeowner or licensed contractor.
SkiU next section,if this applies; Cost of Permit $ I 5.00
State Surcharge $ .50
Mai1-In Fee(If Applicable) � 1.Sa
Total Permit Fcc $ �
PERMIT FEE CALCULATION S -JOBS OVER$500:00 '
lf above does not apply;follow guidelines below:
1. CONTRACT PRICE * is I. 5%of contract price with a(Minimum Fee oi�35.OG�
b5on
-- X .��25 $ '3
(contr�ct pricc) (minimum$35.00)
2. STATE SURCHARGE ** A�the State Bldg Code Div.Surcharge(Minimum�ce of�.50)
�5� 4� x.0005 $ z 7%
(contr�ct price) (minimum$ 50)
3. POSTAGE&HANDLING(Only on Mail-ln Applications) $ I,50 _
�
_�
4. TOTAL PERMIT FEE(Add Lines I-3 Above) $ ._
■ * CONTRACT PR10E or JOB COST means the actual or estimated dollar amount charbed for the
permitted work includin�materials, labor,profit,and other fixed costs. lt is the amount to be charged
to the customer for the work done. lf�ny material,equipment, labor or installations are fim�ished 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.
■ **The STATE SURCHARGE is.0005 of the Building Department at(952)249-4G00 for the price.
1VIEGHANICAL PERMIT APPLICATCON AGREEMENT
The undersioned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all
work in strict aceordance with the ordinances of the City and the regulations of the State of
Minnesota, and certifies that all statements made on this application a�•e complete, true and
correct.
` fn^ „ Date:
Applicant's Signatur 1'V \ ' � -� ---
Reset Form ,
3
MECHANICAL'SYSTEMS BETNG'INSTALL�D
HEATIIVG SYSTEMS
Quantity:
Make:
Model:
Fuel:
Flue Size:
lnput BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
F I. Power
FIREPLACES
❑ Gas Factory Fireplace
❑ Wood Burning Fireplace
❑ Wood Stove
❑ Wood Stove With Flue
Brand Name: Model No.:
V ENTI LATI ON
❑ No. Kitchen Exhaust duct recirculating cfm
❑ No. Bath Exhaust(must have duct oiitside) cfm
❑ No. Other Fans: Locations cfin
FUEL STORAGE{MUST BE APPROVED BY FIRG MARSI-iALL)
❑ [nstallation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑inside ❑Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill � Other/List What Rc 11Jhere� �1,) I I � v ��+
�.wk�Y �v�l t v�5�'� tivb� w�n,� ,
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