HomeMy WebLinkAbout2006-P10624 - gas line inspection CITY C'�F ORONO PERMIT
2750 Kelley Parkway- PO Box 66 Permit Number: P10624
Crystal Bay, Minnesota 55323 Permit Type:
Mechanical Permits
(952)249-4600 Date Issued: 12/8/2006
SITE ADDRESS: 2477 Shadywood Rd unit#
Excelsior,MN 55331
PID: 20-117-23-11-0027
DESCRIPTION:
Proposed Use: Religious
Permit Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Gas Line Inspection
DETAILS:
Approved per resolution#:
Separate pernuts required: .
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 62.50 valuation: $ 5,000.00
State Surchazge Fee: $ 2.50
Misc.Fee: $ 1.50
TOTAL FEE: $ 66.50
APPLICANT: Pfiffner Heating&AC OWNER: Baywind Christian Church(Mr.&Mrs. Svoboda
6301 Welcome Avenue 2477 Shadywood Rd
Brooklyn Park,MN 55429 Excelsior MN 55331
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 PERM[TEE SIGNATURE ISSUED BY SIGNATURE
Copies: 1-File(SignaturesRequired), 1-Applicant, 1-MonthlyReports, 1-Assessing,(IfSeptic, 1-Septic) Page 1
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.� :�� (952)249-4600
CITY OF ORONO—MECHANICAL PERMIT
(All Commeseial pettnits must be appmved by the Building�cial or Inspector and/or Fire Marshap)
�`TENEI�.A�.II�`�QRMATI(?I� <,
i. 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 complated. PERMITS ARE NOT
VALID UNTIL YOU RECENE A PERMIT. WORK MUST NOT BEC,a}l�i UNTIL THE
�ERMIT CARD I�POSTED QN THE JOB SITE.
3. �nical D�siens--Complete calculations,details and specificati�s are reqirired for each
heating,ventilation,humidificatian-dehumidification,mid air conditioning instailation including
heat loss/heai gain calculation,design temperatures,equipm�t ratings azui identification as to
type,manufacturer and model. Data shall be presented on form provided.
4. When any new constr►�ction or remodeling is involved,a sepazate building peTmit must be
obtained.
5. All work must be done in accordance with the Uniform Mechanical CodelState Building Code
requirements.
6. All work must be inspected(rough-in and final). Call(952)249-4604.
(24-48 hour aotice required)
7. House Heating Test Record must ba submitted before final.
; T�Y1�'�CJF P�.1t�T
��C�c�T�a�� 1
❑Residandal [{]Commercial(Approval Required)
❑New ❑Additional 0 Repairs O Replace
tob Site/�vvner fs�a�atio�:
Site Address: 24��shaaywooa Roaa
. Owner: Baywind Church Mailing Address: 2a��st,aaywooa Roaa
Clt}r: Navatre Z1�3:
Home Phone: Altemate Phone:
�o���r infor��: <
COntraetor: Pfiffner Heating&A/C Contact Person: PeII°Y�"�
�
Address: 6301 Welcottle Avenue No#26 State Bond#: �a7900�0io
C=�. Brooklyn Park Zl�: 55429 Expiratian Date: o9iio�o�
Phone: ��63)533-7516 �temate Phane:
� os�2�ro�
Insurance—Cturent:
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HEATING SYSTEMS
Quantity:
Make:
Model:
Fuel:
Flue Si�:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantiiy:
Make:
Model:
Tons:
H.Power
FIREPLACES
� Gas F�ctory Fireplace
Wood Burning Fireplace
❑ Wood Stove
[] Wood Stove With Flue
Brand Name: Model No.:
VENTILATION
❑ No. Kitchen Exhaust duct recirculating cfin
❑ No. Bath Exhaust(must have duct outside) cfm
❑ No. Other Fans: Locations cfm
•FUEL STO�GE(MUST BE APPROVED BY FIRE MARSHALL)
❑ Installation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside
LP Gas: gallons
Other:
GAS LINE UNLY
❑ Outdoor Grill [/� Other/List What 8c Where: new mafn line fior rooftop heating
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❑ Yes,ihis section applies
The replaceir�ent of a Resid�►tigl fixture or ac�uli�that meets all three of the foliowin,g requirements:
1. Do n t require modification to electrical or gas service.
2. Has a xotal cost of$500.00 or less;gxcludins the cost of the 8xture or appliance:and
3. Is improved,installed or replaced by the homeowner or licensed contractor.
Skip next section,if this applies; Cost of Permit $ lg•00
State Surcharge $ .50
Mail-In Fee(If Applicable) � 1,50
Totai Permit Fee S
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If above dces not appty;follow guidelines below:
1. CQNTRACT PRICE *is 1.25%of contract price witis a(Minimum Fee of 535.00)
5,�.� x.0125$ 62.50
(conkact ptice) {minimutn$35.00)
2. �TATE SURCHARGE •#Add�he State Bldg Code Div.Surcharge(Minimam Fee of 5.50)
S,OOo.bO x.0005 $ 2.50
(contract Price) (a�inanum S .50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $_ 1.50
66.58
4. TOTAL PERMIT FE�(Add Lines 1-3 Above) S
■ " CONTRACT PRICE or JOB COST means tha actual or estimated dollar amount charged for the
permitted work including materials,labor,profit,and other fixed costs. It is ihe amount to be charged
to the customer for the work done. If any material, equipment,labor or installations are fumished 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 pemvt fee purposes. In the event that there is a disgute on the
amount of the job cost,the City may request the submission of a signed copy of ihe actual contract.
■ "`*The STATE SURCHARGE is,f�05 of the Building Department at(952)249-4600 for the price.
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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.
12/OS/06
Applicant's Signature: ''t� Date:
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