HomeMy WebLinkAbout2006-P10154 - gas line inspection � � PERMIT
CITY� QF �ORONO Permit ►vumber:
2750 Kelley Parkway- PO Box 66 P1o154
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued: 7/28/2006
SITE ADDRESS: 1525 Sixth Ave N [Init#
Long Lake,MN 55356
P��� 26-118-23-33-0033
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Gas Line Inspection
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
natural gasline for pool heater
FEE SUMMARY: Permit Fee: $ 35.00 valuation: $ 2,000.00
State Surcharge Fee: $ 1.00
TOTAL FEE: $ 36.00
APPLICANT: Owner/Self OWNER: S&S Morrison
� 1525 -Sixth Ave N
Long Lake,MN 55356
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
MINN S�T BUILDING CODE REQUIREMENTS.
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APPLICANT PERMITEE SIGNATURE [SSUED BY SIGNATURE
Copies: 1-File(Signatures Reguired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
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• t FOR CITY USE ONLY
O,¢��O City of Orono
P.O.Box 66 Date Received: Permit#'
�?: 2750 Kelley Parkway _
� >�,;� � Crystal Bay,MN 55323 Approved By: Amount$:
� ,�ya (952)249-4600
CITY OF ORONO-MECHANICAL PERMIT
(All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall)
GENERAL INFORIVIATION
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. Pernut 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 Desi�ns—Complete calcularions,details and specificarions are required for each
hearing,ventilation,humidification-dehumidificarion,and air conditioning installation including
heat loss/heat gain calculation,design temperatures,equipment rarings 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 pernut 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 fmal.
TYPE OF PERMIT
. Check All That A 1
�Residential ❑ Commercial(Approval Required)
�New ❑Additional ❑Repairs ❑Replace
Job SiteJ Owner Inforrnation:
Site Address: l�Z 5� l��� ��� /V r
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Owner: 5C�� � J ���� ����Mailing Address: �5 Z� 6 �"�- �.
City: L�Oh �--- _ Zip: s�3 ��j
Home Phone: ��� ��� ���� Alternate Phone: ��Z 5 D� 9�7,�
Contractor Information:
Contractor: ���� Contact Person: � � �,,��
Address: �a�� S�1�,�� State Bond #: ��,
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City: �5 z p y g Expiration Date: �,�1�
Phone: ���-3�3-�1�v� Alternate Phone: �`P 3- 3 q� ' O q !3
❑ Insurance-Current: ��v...
1 \ ����� ��4.�0�� .�,,�
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� 'r.:MEGHANICAL SYSTEMS B��NG 7.i�TST1A-LLED � -
HEATING SYSTEMS �o o� ��,r.
Quantity: �
Make:
ModeL•
Fuel:
Flue Size:
Input BTUs:
Output BTUs: � 0��
CFM:
COOLING SYSTEMS
Quanrity:
Make:
Model:
Tons:
H.Power
FIREPLACES
❑ Gas Factory Fireplace
❑ Wood Burning Fireplace
❑ Wood Stove
❑ Wood Stove With Flue
Brand Name: Model No.:
VENTILATION
❑ No. Kitchen Exhaust duct recirculating cfm
❑ No. Bath Exhaust(must have duct outside) cfin
❑ No. Other Fans: Locations cfm
FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHALL)
❑ Installation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑ Inside ❑ Outside
LP Gas: gallons
Other:
GAS LINE ONLY �r�.� �� �
� Outdoor Grill ❑ Other/List What&Where: �"S/i�- �r� �U9D/ ���
�r Ahj 9 y S !�e'���Se K�5/�O�h-o4�s�
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. r = ` PERMIZ'�'EE.CALCIJLAT�f7N(S} - , '; ,
. ' ; BASED QF�=2002 STATE:ST:ATTIE i"'` , � ..._', . �' . G
❑ Yes,this section applies
The replacement of a Residenrial fixture or appliance that meets all three of the following requirements:
1. Does not require modification to electrical or gas service.
2. Has a total cost of$500.00 or less;excludinQ 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 Pernut $ 15.00
State Surcharge $ .50
Mail-In Fee(If Applicable) $ 1.50
Total Permit Fee $
: PERIvIiT�FEE CALCULAT�O�`J S .=-'J�'JBS�OVER-$SOD.QO ," ��. ;';
If above does not apply;follow guidelines below:
1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$35.00)
� x.0125$ Z���
( ontract price) (minimum$35.00)
2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50)
Z J�0 x.0005 $ �� ��
contract price) (minimum$ .50)
3. POSTAGE&HANDLING(Only on Mail-In Applicarions) $ 1.50
4. TOTAL PERNIIT FEE(Add Lines 1-3 Above) $ Z'C r ��
■ * CONTRACT PRICE or JOB COST means the actual or estimated dollaz amount charged for the
pernutted 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 installations aze 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 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)249-4600 for the price.
MECHAN�ICAL PERMIT AFPLICATION AGREEMENT ;.
The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all
work in sfict accordance with t ordinances of the City and the regulations of the State of
Minnesota, and certifies that 1 ments made on this application are complete, true and
correct.
Applicant's Signature: Date: �` ��
3
� ` DAT T E
CITY OF ORONO CALLED IN � �
INSPECTION NO E `. SCHEDULED ' r" ,�
PERMIT NO. I COMP ETED
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ADDRESS t�J�� � ), 1 Ls�
OWNER ��C[J�- �uf�%;s,�u�CONTR. ��(;.1 Ylk�
TELEPHONE N0. �'��� ���' C�l O l d� C� �I �I..2,:0�
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� DESCRIPTION ��� S ��ti�
__...._......
01 FOOTING 1.Y�CHANICAL Rl "1 18 EXCAV/GRADING/FILLING
Q02 FRAMING 13 ME�RfQ AL J 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE tNSPECTION
Z
Q 05 FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑ ORRECT WORK 8 PROCEED r ISSUE CERTIFICATE OF OCCUPANCY
O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-460�
OwnerlContractor on site:
Inspector. �, �/���,,�
White Copyllnspector's File Canary CopylSite Notice