HomeMy WebLinkAbout2004-P07682 - gas line inspection . . �
CITY OF ORO O PERMIT
N Permit Nu ber:
275�0 Kelley Parkway- PO Box 66 P07682
Crystal Bay, Minnesota 55�23 Permit Typ : Mechanical Permits
(952) 249-4600 Date Issue : �i6i2ooa
SITE ADDRESS: 213 Shevlin Dr
Wa ta,MN 55391
PID: 03-117-23-34-0004
DESCRI PTION:
Proposed Use: Residentia�
Permit Class: General '
Pernut Type: Mechanic�l Pernuts Pernvt Sub-type(s): Gas Line Inspecrion
DETAILS:
Approved per resolution#:
Separate pernuts required:
NOTICES/REMARKS:
FEE SUMMARY: PemutFee: $ 36.18 Valuation• $ 2,894.00
State�urcharge Fee: $ 1.45 �
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Misc. ee: $ 1.50
TOT FEE: $ 39.13
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APPLICANT: McGuire&S ns Plumbing,Heating&Coc OWNE ; Eric&Jennifer Martinuzzi
605 12th Aveltue S 2135 Shevlin Dr
Hopkins,MN 55343 Wayzata,MN 55391
TT�UNDERSIGNED HEREBY'�I QUESTS PERMISSION TO MAKE THE IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WO IN STRICT COMPLIANCE WITH ALL C TY OF ORONO ORDINANCES AND STATE OF
MINNESOTABUILDING CODE UIREMENTS.
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APPLICANT PERMITEE SIG ATURE ISSUED BY SIGNATURE
Copies: 1-File(Si¢nitures Requireda, 1-Applicant, 1-Monthlv Reuorts, 1-Assessin , 1-Finance Page 1
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F.tl. Bor. 56
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' Custo�er: P07682
' GER�6iTS - GEI�RAL
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i Plan Revi+e�►
; 1 @ U.00 (1.tK1
Mail in Fees
1 @ 1.`A 1.50
State 5urcharge
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� �131^gL
i 8 O.OG G.Ot1 '
Tnvestigati�n F�e �
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SUBTOTAL 39.13 !
TAX 0.GG !
TOTAL SALE 33.13 '
Check Received; 39.13 !
� CN�GE 0.00 �
, CtEAKt 03 T�S�i c?�382
` Jun-23=2004 11:39am From—CITY OF ORONO +9522494616 T-471 P.001/005 F-143
- " - • �tECEiVED
.�� ��2 ��� Jt�l. 6 2004
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�� � � APPLICATION FOR MECHANICAL PERMIT
CITY OF ORONO
Box 66 (2750 Kelley Parkwaq) � 3
Crystal Bay, MN 55323 �/l � �}� � ,
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GENERAL TN�ORM�1,'�ON
1. You znay apply for mechanical permits by mail or in person at the City offices. Applications will be
reviewed and a perniit will be issued within two worl�ng days.
2. Petmit cards will be sent by return mail after a review is completed.PERMITS ARE NOT VALID
UNTIL YOU RECENE A PERMIT.WORK MUST NOT BEGIN iJ1�TIL TI�E PBRMIT Ct�RD TS �
POSTED ON THE JOB SITE.
3. Mechanical Desi s-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. Identificarion of and spccifications for water heating
equipment shall also be provided.
4. When any new constcuction or remodeling is involved, a separate building permit must be obtained.
�. All work must be done in accordance with the Uniform Mechanical CodelState Building Code
requiiements. u
6. AIl work must be inspected(rough-in and final). Call(952) 249-�600. 2�-hour notice required. �y �
7. House Heating Test Record must be submitted before final. J��v���� �
IIIstructioIIs
Complete aIl items on this application_ Compute the permit fee. Sign and date the certific2tion.
INCOMPLETE APPLICATIOI�TS W]I.L NOT BE PROCESSED. If you have questions, call
(952) 249-4600.
Please check one:�] New ❑ Addition ❑ Repair ❑ Replace Q Residential ❑ Commercial
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Jo8 sYT�: 2/3 S S'�P✓�i� 1�� Z;p: s.5"3�'l —'
O�vner's lYame:�✓1 � l�� �'T �✓1 �. Phone Number: �SZ - �5� U�p yo '
Mailing Address: 2/3�S .✓ �'1 �' City: o�6n 0 Zip: SSM3�
Contractor's Name: Phone Number: gSZ-�3���t�o7�°
Mailing Address: City: Zip:
c uire ons
6�5 - 12th Ave So.
Hopk�hs, MN 55343 ' :
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T Jun-23-2004 11:39am From-CI?Y OF ORONO +9522494616 T-4T1 P.002/005 F-143
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SYSTEM DESCRiP'CI N . '
HEATING SYSTEMS �
Quantiry:
� Make:
Model:
Fuel:
Flue Size:
Input B'TUs:
Output BT[Js:
CFM: �
COOLING SYSTEMS I
Quantiry:
Make: ;
Model:
Tons:
H.Power
FIREPLACES GAS LINE ONLY
❑ Cras factory fi�eplace Tnstallin�a Gas Line Only ��
❑ Wood burning factory fireplace with flue � ��n,g„ �„z����
❑ Wood Stove . ;I J�.U�¢.
❑ Wood stove with flue
Brand Name ' Mo 1 No.
VENT'ILA'TION �
No. Kiiche�Exhaust duct recalcula ing cfm '
No. Bath E�Chaust(must have duct outside) cfm �
No. Other�ans:Locations cfm
FUEL STORAGE(MUST BE APPROVED BY FIRE HAL)
❑InsTallaiion or ❑Removal
❑Fuel oil: _�,gallons ❑ underground [] insid� []outside .
❑LP Gas: �gallons
❑ Other Gas op ' g
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� J�n-23=2004 11:39�m From-CITM OF ORONO +95224�4616 T-4T1 P.��3/005 F-143
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pE FEE CALC�JLATION�$1
2002 State Statute � ❑Yes This Section Applits
The replacement of a ria a 1' that all three of che foilowin�requiremenu:
1) Does n4t require snodification to elec�rical gas scrvice.
2) Has a tal cost of$500.00 or less;e cl " the cost of the fixture or appliance:
aad
3) Ts improved,installed or rcplaced by the ho owner or licensed contractor.
S1cip z�ext secuon; Cost of Peraut $ 15.00 �
, State Surcharge$ ���_
� Niail-In Fee $ 1.50 _
If abova does not appl�►,follow guidelines below:
1. Contract Price*is.0125%of job with a Minimum .00 ��'� �S
, � X .�125 $ ��Q� I 8
(conaact p 'ce) (minimum 535.00)
2. State Surcharge.**Add the State Building Code Divisi n a Minimum Fee of(S.50)
2�� X.000s $ � � 3�
(eonasc� rict) (minimum S.SO)
3.Postast and Aandline(Only mail-iu applications) �u. / $ 1.50
4.TOTAL PERMIT FEE (Add lines 1-3 above) $ r � `'
*CON'fRACT PRICB or]�OB COST means ihe aetual or estimaced doil amounc chazged for che pecmitetd work inctuding
materiala,labor,profit,�n�other fixcd eoscs.It is the amount co be ehsrg d to the euswmer for the work done.If any tna[erial,
equipment,Isbor,or inscsl�tion is�mished Dy�he owner,tenant or any cher psrty the reasonable matket value of sueh iums
must be added to she estim�ted cost or contracc price for parmic fee pu es.In the event that there is s dispu[e on[he amounc of
che job cos�,che Ciry may rkquesc che submission of a signed copy of che cual contract. .
••'Ihe STA'CE SURCHARGE is.0005 of the contract pricc undtr S I.00 ,000 or 5.50-whichever is greater.For valuations over
51,000,000 eall the Depa�tfnent of Inspectional Services for che price.
The undersigned hereby ap�plies to the Ciry for issuanee of a Mechanieal emvt,agrees to do all work in strict seeordance with
the ordinances of�he Ciry�nd�he regulacions of the Minneso�a S�a�e Bu ding Code,and cenifies�hat al[scaccmeacs made on chis
application are complete,nuc and correct.
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Applicants Signature:i '� Date: v
Approved By: Date:
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TIME "
CITY OF ORONO � I CALLED IN 6`
INSPECTION NOTICE SCHEDULED ' - �� %�
PERMIT NO. D 7 COMPLETED ly
ADDRESS � S S .r
OWNER CONTR.
TELEPHONE NO. 9S�. ' `7�3 I !�p�
� DESCRIPTION S
� 01 FOOTING 11 MEC ANICAL RI 18 EXCAV/GRADI G/FILLING
Q 02 FRAMING 13 MEC ANICAL FINAL 19 LAKESHOR ETLANDS
y 03 INSULATION 24/25 W OD BURNER/FIREPLACE 34 TREE REMOV
Z04 WALL BD. 12 WAT R HOOK-UP 17 SITE INSPECTI N
Q OS FINAL 14 SEW R HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPT MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER EMOVAL
v 10 PLUMBING FINAL 36 FOUNDATION/ EMOVAL
� OWNERICONTRACTOR TO MEET YOU:�YES_NO
� COMMENTS:
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W ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
� ❑CORRECT WORK 8�PROCEED ❑ ISSUE CERTIFICATE OF CCUPANCY
0 ❑CORRECT WORK,CAIL FOH REINSP CTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WIT IN HOURS. p pHOTO TAKEN
INSPECTOR WFLL RETURN
❑STOP ORDER POSTED.CALL INSPE OR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO A RANGE ACCESS.
Call for the next ins ion 24 hours in advance. (952) 24 -46��
OwnedContra sit - '
Inspector.
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