HomeMy WebLinkAbout2003-P06067 - gas line inspection �
' � PERMIT
CITY OF ORONO Permit Number:
2750 Kelley Parkway - PO Box 66 Po6o6�
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued: 2�2��2003
SITE ADDRESS: 2990 Somerset La
I.ong Lake,MN 55356
PID: 04-117-23-21-0011
DESCRIPTION:
Proposed Use: Residential
Pernut Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Gas Line Inspecrion
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 35.00
Valuation: $ 800.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 35.50
APPLICANT: Heating&Cooling Two Inc. OWNER: Frank&Stacey Castiglione
18550 County Road 81 2990 Somerset La
Maple Grove,MN 55369 Long Lake,MN 55356
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVENIENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
' � j
� /` � � �� � � ��
PLICANT RM EE SIGNATURE ISS D BY S[GNATURE
Copies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1
�'
r , _
i:i } '$
CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
GENERAL INFORMATION �
L You may apply for mechanical pernuts by mail ar in person at the City offices. Applications will be `g
reviewed and a permit will be issued within two working days. �
2. Permit 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 UNTII,THE PERMIT CARD IS
POSTED ON THE JOB SITE.
3. Mechanical Desi�ns -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. Identification of and specifications for water heating �
equipment shall also be provided. ;i
4. When any new construction or remodeling is involved, a separate building permit must be obtained. °
5. All work must be done in accardance with the Uniform Mechanical Code/State Building Code �A
requirements. ��
<;
6. All work must be inspected(rough-in and final). Call (952)249-4600. 24-hour notice required. ;;;
7. House Heating Test Record must be submitted before finaL ';:�
Instructions
��
Complete all items on this application. Compute the permit fee. Sign and date the certification.
INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call �:
(952) 249-4600.
Please check one: ❑ New ❑ Addition ❑ Repair ❑ Replace [,��Residential ❑ Commercial '"�`
;°�
.�
JOB SITE: �� � �` � SU l�Fr�S'eT L. 0.J. Zip: „�
Owner's Name: ,z=Y�K K L �,j-��,� ���,�,� Phone Number: ��
Mailing Address: —T City: Zip• '
:4
�
�
HEATING b COOL�IG?YYO INC.
Contractor's Name: 185���'a� Phone Number:
Mailing Address• ;L� 9-923�Ci Zi
�-�---� �' p' �
,�
� _ �
�
�'
i _ ? :;,z j �
�,
1 ''
. <i:
__ _� __ .� � �� � � __ . .... , .,'. �, _ . i ��`�u � . � ,.v ,�.
�> , ��
��.
; ,.
� , ;� , . .
SYSTEM DESCRIPTION �� _ :.
� , �
HEATING SYSTEMS �
Quantity:
,
Make:
Model:
Fuel:
Flue Size:
Input BTUs:
, Output BTUs:
CFM:
' COOLING SYSTEMS
' Quantity:
Make:
Model:
Tons:
H.Power
M�: �`' FIREPLACES GAS LINE ONLY
t: ;.-
❑ Gas factory fireplace �Installing a Gas Line Only
❑ Wood burning factory fireplace with flue
❑ Wood Stove
� � ❑
Wood stove with flue
Brand Name Model No.
VENTILATION
,.?�.,.:
No. Kitchen Exhaust duct recalculating cfm
No. Bath Exhaust(must have duct outside) cfm
No. Other Fans: Locations cfm
FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL)
❑ Installation or ❑ Removal .
� ❑ Fuel oil: gallons ❑ underground ❑ inside ❑outside
❑ LP Gas: gallons
❑ Other Gas opening
2
,� - ,
. _ �. . : . � � ,' ; : , � _ . _
�
PERMIT FEE CALCULATION(S) ,.
2002 State Statute ❑ Yes This Section Applies
The replacement of a Residential 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; excludine the cost of the fixture or appliance:
and
3) Is improved, installed or replaced by the homeowner or licensed contractor.
� Skip next section; Cost of Pernrit $ 15.00
State Surcharge $ .50 �,�
Mail-In Fee $ 1.50
If above does not apply, follow guidelines below: /"
1. Contract Price* is .0125%of job with a Minimum Fee of($35.00)
.�
�G �
0 �� x .0125 $
(contract price) (minimum$35.00)
2. State Surchar�e. ** Add the State Building Code Division a Minimum Fee of($ .50)
x .0005 $
(contract price) (minimum$.50)
3. Posta�e and HandlinE (Only mai[-in applications) $ 1.50
>�
4. TOTAL PERMIT 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 installation is 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 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 contract price under$1,000,000 or$.50-whichever is greater.For valuations over
$1,000,000 call the Department of Inspectional Services for the price.
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 Minnesota State Building Code,and certifies that all statements made on this
application are complete,true and correct.
, • N
Applicant's Signature;,��C/ ..__ Date: � 2 7 G�
Approved By: Date:
3
CrJ'" AJ E TIME V F
CITY OF ORONO CALLED IN �( �
INSPECTION NOTIC ''') SCHEDULED -c� '+
PERMIT NO. � / COMPLETED « /•�
ADDRESS 'Z�`� '�/ L% �.�Y}'�3�-�--=-�-�'f
OWNER CONTR.T�� �--r�.�C��_
�;_ Z..�1.�
TELEPHONE NO. -
� DESCRIPTION I�l�-C�
� 01 FOOTING 11 MECH NICAL RI 18 EXCA�//GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHOFE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 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:
a �Si� r T J
�
�
0
a
�
0
�
W
�
Q
�
Z
W
�
w
�
�
d
W� ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN
�NSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-46�0
OwnerlContra or n it .
Inspector.
White Copyllnspector's File Canary Copy/Site Notice