HomeMy WebLinkAbout2006-P09969 - gas line inspection '" PERMIT
CI'`T��OF ORONO Permit Number:
2750 Kelley Parkway- PO Box 66 P09969
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952)249-4600 Date Issued:
6/8/2006
SITE ADDRESS: 2050 Shoreline Dr Unit#
Wayzata,MN 55391
P��� 10-117-23-34-0014
DESCRIPTION:
Proposed Use: Residential
Pernut Class: General
Pernut Type: Mechanical Pernuts Pernvt Sub-type(s): Gas Line Inspection
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 35.00 valuation: $ 550.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 35.50
APPLICANT: Paul Tomas Plumbing,Inc. OWNER: Berta Kvamme
7801 Mississippi Ln 2050 Shoreline Dr
Brooklyn Park,MN 55444 Wayzata,MN 55391
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 QUIREMENTS.
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PLICANT PERMITEE SIGNATURE SSUED BY SIGNATURE
Copies: 1-File(SignaturesRequired), 1-Applicant, 1-MonthlyReports, 1-Assessing,(IfSeptic, I-Septic) Page 1
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� ' FOR CITY USE ONLY
,�Q�, City of Orono
P.O.Box 66 Date Received: Permit#
2750 Kelley Parkway
�O�3 ,;��.0 Crystal Bay,MN 55323 ' Approved By: Amount$:
����.o� (952)249-4600
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CITY OF ORONO—MECHANICAL PERMIT
(All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall)
GENERAL INFORMATION
1. You may apply for mechanical pernuts by mail or in person at the City offices. Applications will
be reviewed and a pernut will be issued within two working days.
2. Pernvt cards will be sent by return mail after a review is completed. PERMITS ARE NOT
VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Mechanical DesiQns—Complete calculations,details and specificarions are required for each
hearing,ventilation,humidification-dehumidification,and air conditioning installarion including
heat loss/heat gain calculation,design temperatures,equipment rarings and identificarion 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 pernvt 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 final). Call(952)249-4600.
(24-48 hour notice required)
7. House Heating Test Record must be submitted before final.
TYPE OF PERMIT
Check All That A 1
❑Residential ❑ Commercial(Approval Required)
❑New ❑Additional ❑Repairs ❑Replace
Job Site/Owner Information:
Site Address: o�� c5 �-�
Owner: Mailing Address:
City: Zip:
Home Phone: Alternate Phone:
Contractor Information:
Contractor: �L?.c.l.Q TUYI1G1a Contact Person: Gt�-�
Address:
7�b / ISS�SS l,p�l �1St�Bond #: a�� �'� ��a�
u
City: �1'` � O�c,. Zip:�l���xpiration Date: l7� �3 1 �6�
Phone: 6/ Z ��� SI 0� Alternate Phone: �P� �5 � � �f� y
�— Insurance—Current:
1
•i �
. /
!
4 � � , ;-.=MEGHANT'CAI:'SYSTEMS BETNG INS'T�ALLED J:
HEATING SYSTEMS
Quantity:
Make:
ModeL•
Fuel:
Flue Size:
Input BTtTs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H.Power
FIREPLACES
❑ Gas Factory Fireplace
❑ W�od Burning Fireplace
❑ Wood Stove
❑ Wood Stove With Flue
Brand Name: Model No.:
VENTILATION
❑ No. Kitchen Exhaust duct recirculating cfrn
❑ No. Bath Exhaust(must have duct outside) cfin
❑ No. Other Fans: Locations cfin
FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHALL)
❑ Installation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside
LP G • gallons
ther:
LINE ONLY
� Outdoor Grill Other/List What&Whete':
2
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: � PERMIT FEE"CALCLTLAT'�O�(S} � ; ,
BASED OFF=2002 STATE STATLTE 4. :` ' i '`
❑ Yes,this section applies
The replacement of a Residenrial fixture or appliance that meets all three of the following requirements:
1. Does not require modificarion to electrical or gas service.
2. Has 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.
Skip next section,if this applies; Cost of Pemut $ 15.00
State Surcharge $ .50
Mail-In Fee(If Applicable) $ 1.50
Total Permit Fee $
�� '<� PERMiT FEE'CALCULA�ZO�T S ==7QBS:QVER$500.OD �� . ��° �` :;"
If above does not apply; follow guidelines below:
1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$35.00)
55� � � X.o�2s$
(contract price) (minimum$35.00)
2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50)
x.0005 $
(contract price) (minimum$ .50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50
4. TOTAL PEItMIT FEE(Add Lines 1-3 Above) $
■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the
permitted work including materials, labor,profit, and other fixed costs. It is the amount to be charged
to the customer for the work done. If any material, equipment, labor or installarions are furnished 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 pernut 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)249-4600 for the price.
`MECHANICAL PERMIT APPLICATION AGREElVIENT :, :
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.
�i- �~ ��
Applicant's Signature: Date: �
3
D TIME "
CITY OF ORONO ALLED IN �
INSPECTION NOTICE SCHEDULED /D/a:�
PERMIT NO./�/)94G�f COMPLETED
ADDRESS aG1SZ� �S +�'L�
OWNER CONTR. f C�,cc.��4YK.A4 ��
TELEPHONE N0. ��a 5g� 8� V�
� DESCRIPTION _���"� `�"`�c `�� w/����
l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y
O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 OEMO-SITE 27 SEPTIC MAINT. 21 COMPLAtNT
"i 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATIOWREMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑�ORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPEGfaR YV{LL REfURN
❑STOP ORDER POSTED.CALI INSPECTOR �CITATION ISSUED
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the n t inspection 24 hours in advance. (g52) 249-4600
OwnerlC ract o t •
Inspector.
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