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HomeMy WebLinkAbout2006-P10293 - gas line inspection � - PERMIT CITY OF ORONO 2750 Kelle�.:e'arkway - PO Box 66 Permit Number: p1o293 Cryst��l Bay, Minnesota 55323 Permit Type: Mechanical Permits (952) 249-4600 Date Issued: 9/6/2006 SITE ADDRESS: 2538 Sandstone La Unit# Long Lake,MN 55356 P��� 33-118-23-11-0017 DESCRIPTION: Proposed Use: Residential Permit Class: General Permit Type: Mechanical Permits Permit Sub-type(s): Gas Line Inspection DETAILS: Approved perresolution#: Separate permits required: NOTICES/REMARKS: Gas Line Only For Cooktop FEE SUMMARY: Perniit Fee: $ 35.00 valuation: $ 575.00 State Surcharge Fee: $ 0.50 Misc.Fee: $ 1.50 TOTAL FEE: $ 37.00 APPLICANT: Flare Heating&Air Conditioning OWNER: Dahlstrom Development LLC 9303 Plymouth Ave N. Suite 104 7745 Polaris Lane Golden Valley,MN 55427 Maple Grove,MN 55311 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. ,� � �1 �--�- �.�� ��?/I GC`'1 fZt � APPLIC T PERMITEE SIGNATURE ISSUED B SIGNATURE Copies: ]-File(Signatures Required), I-Applicant, l-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 ��� ��! ��� �'�f� �% ,,,:,��"'�,.., C'it,y of'Orm�o _-----__�_r��et�—ry"---_______._.. � �Q`�. 1'-P.Pnx G6 tisF ONt.�, ---- ( 275D Keiley Pnrk�on�� C7ntr Reeeit�rc(� �,� . ._--___. f'� ��F.µ j� l'1y4fAIBnY,.Ib1N553?i Pennitll ---____...-- .. 4, i.}`;:;rY,�� �� (9S2)249-4600 Appmvcd Flj- __._._�_... AliloUI11.R' ;� ,,;!" ---- —-------- -- Ci'�'X OF()RQi1i().-M�(;NAIViCA:I:PERMIT (A II Con�inerr.fnt pr..rmita muqi he APn��vr��,��e I.�tqltUq�Offfrinl rn fncnee!tnr nndlor Fire h�lnr.ihnll) —. - -- —___ (rF'NFR�1,L11�1FQ.R:�/1�----- --___.____r__._ _ -- - - -_.` _ -- -- — __-- _._ . ____ __. 1- Yr�u ma,y apply for mechanical pertl1jts by maif r�r in person at the C�f.y ofF�eq. Appticatio,�z��,;�� he revieWed and a.pertn�t will be issued witl�in f.wo�uorking days. 2- Permit eRrds vyi11 b�sent hy return ►�7eil a#}er a review is co�np]eted. PI�RM)T,�',hRE T1(]T' V�1I..ID r�T1.L 'YOtJ RFCF_.i�JE n PFRivJiT. 'Wo1�K tHU9T iVo�• a m� ; �G PE1�M�T�A.I�D�S POSTfi9�N THi' tnA a.T� `�, M�I�am�al De��a�.-- r_'omplete cale�ilations,detaila ttnil specifctttions are ret�uire.d Toi�eflc�a heating,vei�tilati�n;iiumidific�tinn,delSumidi�catin�,,r�n�l�ir conditioninR instRllsYjop lI1CIUdf1l�; I1P,�L In39IItB�ttlT,Rtil cA.ICIIIAtt011,4I(.'91Q,t1 t0}1'lCJErA1U1'P,3,equj����ettl.rAtin�s Ancl idCpt�f�Gatlpll€1,9 Lp t.,ype.manufaet�rrer and tnndel. Data gi�all I�e pre.9ented c,n (�rm provic(ed, '�. l��hen�nY new constructi��n<,r reltlodeling is involvecl,a sepftt•ate btiildilt��nit 1i7E19t he i�htained. .S. �lll tu�rk must i�e done in�ccordsu►ce vvat��xh�i./riifarm Mechanical�:odeJS�te Bulldin�C'ode reRuireme���s. G. A!1 w�rk�17U9#b�a119})ac,t6CI(lOqRll-I!1 8tld�lIlAI). C;:IiI(��.52�2,49-4�nn, (2�-dR I�m�r aotice�equired) "J. 1-loi�se I-le.�tinfi Tesk Record muqC he subi�lif,te8 l�efora Final, � • - _____ ___ .___`_ --- .__..__ ___._—..�._ �---- _ _-- -- ___._._ _ -------------- --._.,.--� "T`YPE�C)F PF?RMi'T _ (Check/1.11`That ApP�Y�___.�._._-,—____ �Residenti�l 1�Commercia((1�pprova! Required} ��P.w � nddici�n�i r_��BrEIiF,^, ��C�f�AeC 7� _.__. — -- �_ —.. — _ ------ 3 Ic�h S�te/(awa�ea It�formation ' ._. _ _-- -- -- .__ _ ---- __ _ --- ---..I . �;i kr Acldress;�'���i�/t 5��1���.-- _. _------------ ------- . 1 �1 � , • j �)wner,---�_�_ ���1�f Mailin�; ndclress; ��°/ v — --1��!/ � ��l � - ���,,.: _�Y_�_�_ ---- _---- ��,,: �.�5_��_.___.--- ___ �------ I-1oR�e 1'hone: .__-- ___----.- 11IY.ern�t�f'honE�: -------- —---_-- _. _.___ __. . _____— __ __ --- --_.._ � C;onti�ctc�i fnfar��naiian: (��;/ � (.:�ntac;t I'ersol�; `���� C�O1111'�C101'�1°,�)..�- - _.�-.,��� ._ �1�1���� �� r �ddress:��}U�Q��,M��_�P�, !� � St�t.e F3ond #� �____ }r; �^Q�� ,I 7. �_;X�iral:i(�Il I.)aLe: _ ---_ 4'�I ,..4 _—vU�'-- � _-- __ � Phe�ne: ������'__�_�_�. /\Itert��tr 1'hone: --- ----------- �.� #nsuranc�e .(:;�.�erent= � e � [ 'MK`�.�•:;:------ ;. ,, 1`.. �i i���,.;�,,•i�:::':';,;.t::�, _.i��l1'���'�:�l�i:i�i���i�',:�: r " . '--- � �i�:l•. '�;��,:f,.t..•.i. vl���'� r�r�;,��rrroc qv:��:n�s ��.�ur��::-:�.�:����°����� Q��anrity, -_. .......--- Make: ____-�---__..___ ......�____-____----_ � ._.:._ _.- _.---- -----__. (�ciel: _....__ ._.._ __..._ _.,_......_.. _. I'i�ei: ,._. _._._.....__-__-_.--_---- _.. .____.._..__....______.._.._ _.. h1e Si2e; �_Y._..._.._ , � ---_ __-- —_.— --______---------- .. __�___�______._. _—___..----- n�1.lt�7'�)3: —__._"- ��_.-.____..._------ _ •---------�----_ ._.... (3�zq�at HtTUs: _...___ -...__...____- ._...----•-... . ---...._. �,�, __.... �M: _�-----......._.____ ..���__...__�__--__ ___------------ . �'OnL�NG SY4'1'i;MS .... ..--------_--------. . Quantit,y; _..__��-----... ----____ _-_.__- 4ake: -----_.__...__.----_. _.�___�.._.------ - ___, . __.__ _.___------ Motie�; --__...--- -------� _.___.....______ ...--- ___....._..._____.___.-.----. ri'r.►�ls: ------..__- --�----- --_--____.....__.._ _----_ ------�__ I-1.:t�myer `-__.--_,._----.- ___._..___.. _____ 1�1�LQP�I,G R --- ---------.._-----.___. �] (:ies i'stctory Pieepiecc ❑ Wood I3urnin�g FPrerlace ,Q Wood Stovr � Wcx�d 9toye�+itat Fluf: Brend NAme: Model iiio._ Y�NTII ATinrt _ _�-------------. �..� No. ,_.._.__.__ . I�itchen Exhai�st . duci TVo. ._.._.___^ �ath Exh�tl.4t(t)'lust have Auct�etsidej _ ��ecircul�ting .. ._ ----cfm __ No. .._..---___ Other Fans; l..OcAtlnflS --.--- .rfm. -..__.___ . ' _.._..._..__. __,. .. m ��t1EL STORAC:�'(MIJST BE APPROVCD$Y F�1�E M�.R��-1r�[.C,) [� I►��.11ation [] Ctemnval R�el Oil: ,__ _.Ballons [� U1xletgrctund Q(n9i(le I,P C�as: ..___ --._...Ralloi�s ❑C�utside nthe�•: - [.:A$L1�E UNLY [.� thmloor c3ri!I [�( ('yther/1:.i9t�?yhat.�VNi�er�; - �?Y �� _. _ p-�_ � � . . �� .. q �� � � �; � =i ;� ���±,,:;�;� � �, i.�� �.7�t 1+ a�,,�.'iR +` `'�� i� . , m i�•r � � t�{ , . '.��'�' � i t r�i Far:��ll �I�'A =:�'f%:'C I i �'�� p �i�i .'v:�"u,; !l,Y, �� � ',� �'�" a:� '���. Yes,this s�tion app(i� . ' Tl��rep(ace�me»t nf a ResidendAi s;,.. �or a������„�,thett t»eets All three of the folioWl �. f)�.�'►eyqire tt�od't�"ication to el ��r�Nire�ner�: 2. J-1ae a �C09!of$SOO,pQ or ie `�cal or gas se�vice. 3. fs improvecl,insrnlled or r �IAce�"�llli�the cost of the fixt�.�re or a �) �lry th�homeovEnler nr licerr,v Al�linnce:end erl contractor. Skip nexc•secticm,lf thie spplies; E'.�st of Perm ff Stitte SurchArge �---�5•20 Mt�il-r»ree{lf AR��ir..��le) �"`-''Sn :j:�,,_r---. ,. 'I'e�nl Permit Ree �--=-t-5(? �,�.,�Gi;[..•:i.l�'�51 f,,l i�i+`% -----� ' ;%',;•.:�,::.t.::_. .i I',r�' M � �.LS� tf aFx�ve d�eg not a�ly;follow guidelines fje�� �W ,. N,:' �al{:;,;�:�• :: ;���.;�� , w: 1•. �GONT�►c�r r__�� �� i,y l.25"/n ot' contract price with n(M�nm Fee af�:3!9.Op) 39 �---�-_� x.Q12S fi � (r�,n»ncrn�icF�) • �_-_______-----_.. 2. STATESUR�"A�nr,� �p# ^ {mfniitinm�3S.itf1� Add tl�Sl�Ate Hld�{C'ocle niv. �urch$�e�Iklnimun�Fen ofF.50) o,G .---- ��-�_._ x .00�S �; .• �� (coflfMel��ri��:} -' �--- _� 3. 1'()SI'AtiE&.HA,NT)L.INf.;(Only on MAiI-fn Ahplications� R �minimum'R ,Soj____.._.. --_.�______�_tS�(�..._---._..___ 4. TOTA.i..FERiM1�'�PI.`F.(Ac{d Lines'1-3 Ahovej � �' � � n 'F C.:C) ------�.1. i N7'Rl1C"t' P�t)CF c�r 10(3 f;pST meanq che fsch�si nr --"""•-_-_ het�tttitted work includin,�mRter;atg, lalx,r ��mA� �O�IA�amount cha�ecl for r1►e tn the r.i.�stomer f�r the work done. �f ai�Y�at r�ial'�eqnlipment,�j h�r'instaUetlons Rte fltrn�shecl I�r �mt ta !�e chtu•�qed the owner, tenent or Ar1y qtl1er�>p�•ly�{��9n198bIC t11fti'IteT,V8IL1�!Of.4UCI1 I�CI1t3 I'11qg��A eqtimAted cost ar cont+�ct pr�oe f��. ��1� ,� �����4e� ttt tl�e event th�tt �� t°N�e Aq)ou)tt �f the.�pb c�,qt�the C.ilx�na3+ reqqa9t N1C �UbF1113.4i011 Of A 91 � � ,s a dispate o.a d�� Rn �pY of the actuaf aontract. " '�'�The STATP;5iJRCf1ARC1F is.pp05 n}���guildin�;!.)epRrtment At y52 24q,,,}r��for the � "i,;i` .,:��.:.;;,y�a;�,j�!,.;i:�,;> ' � � f�'ice. �� .. � �; :�.�; y...d.;�_.. . .�:'1 !i� •l I' 'i•t�;�' 'y ��i it:yf::'i���'��'�:�,`i�.�l���. w:fi I T'he �mde�•siqtt�d Itereby applies t� the�City for i�.suance oi'a:Mechenical Permft, Q r�es r.o 1+t�ork. i�t StTiet aeeordanee with tl�e cirdinane.es of'the ('i�.y ancl tlr� reRulatio118 & the ��� �� Mtnnrsara, and serti�fi�.s tli�t all siAtelTIB11f9 �nad� on tlais anPlicati�n are complete, true AT,ICI. e�l'zeCl:. �np�icant's Si�nature � . ._. ..__ n � _..._' H .i-.._ ...�r �, . _. -- ----..__._. . .. �--• �- — - _...... � ti:: ��� �' � � ;�` � , ,,. �, ;t,+tE!���E�"}+�:�},��Y;i,�`tf';fi .. � ��1{ifr`�<<! }.t �.I�..� � �S��S��Y}iti��i'(�"�I . � ' �;''� P,i;.��I�3�.+,�i�� ;���}�,�'�� u�E �