HomeMy WebLinkAbout2006-P09829 - gas line inspection PERMIT
CcTY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: po9829
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued: 5/3/2006
SITE ADDRESS: 1280 Spruce Pl Unit#
Mound,MN 55364
PID: 08-117-23-32-0027
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Mechanical Pernuts Permit Sub-type(s): Gas Line Inspection
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 35.00 valuation: $ 800.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 35.50
APPLICANT: Practical Systems OWNER: Gregory&Jeanne Gustafson
4342B Shady Oak Rd. 370 Golfview Rd#801
Hopkins,MN 55343 N. Palm Beach,FL 33408
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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APP ICANT PER " E SI A URE [SSUED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
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� ' FOR CITY USE ONLY �
�,��� City of Orono
P.O.Box 66 Date Received: Permit#
� /��.,;,�„ � � 2750 Kelley Parkway
(�., ;i�'��;a;�.. �/ Crystal i3ay,MN 55323 Approved By: Amount$:
\��^ ,'?�����.�o`/ (952)249-4600
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CITY OF ORONO—MECHAI�TICAL PERMIT
(All Commerciai permits must Ue approved by the Building Official or Inspector and/or Fire Marshall)
GENERAL 1NFORMATION
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 Designs—Complete calculations, details and specifications are required for each
heating,ventilation,hunudification-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.
4. When any new conshuction or remodeling is involved, a separate building permit must be
obtained.
5. All work must be done in accordance with the Uniform Mechanical Code!State Building Co�le
reqairements.
6. All woric must be inspected(rough-in and final). Call(952)249-4600.
(24-48 hour notice required)
7. House Heating Test Record must be subnntted before final.
TYPE OF PERMIT
� (Check All That Apply)
❑Residential ❑ Conunercial(Approval Required)
� New ❑ Additional ❑Repairs ❑ Replace
rJo'o Site/Owner Information:
Site Address: �c�- g� ` �,�D((�.f,� ��0`C �
Owner���Z�v�-S�"�t �,S[S� Mailing Address:
c�ty: (`�ro�o rn h. ss3(�y Z�p: ���.�� y
Home Phone: (c� 1� - ���,5-���S G Alternate Phone:
� Contractor Informatioii:
�.���j���
Cantractor: G� ' ontact Person:
Address: y��la�� Sh�ro�� Q�.� �t�te Bond#:
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Cily: ��'S Zip:�� Expiration Date:
Phone: �-�� 1I33 y��v � Alternate Phone:
❑ Insurance— Current:
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" :'a.��-��IECHAI�ICAI:SYSTEMS:BEIi�TG INSTAi;�ED ;:�. . ' '' ' �
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HEATING SYSTEMS
Quantity:
Make:
Model:
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
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) cfm
❑ 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
Outdoor Grill ❑ Other/List What&Where:
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, �— PERMIT FEE CALCULATION(S)
j BASED OFF - 2002 STATE STATUE
❑ Yes,this section applies
The replacement of a Residential fixture or appliance that meets all tlu�ee of the following requirements:
1. Does not require modification to elech-ical 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 Permit $ 15.00
State Surcharge $ .50
Mail-Ii1 Fee(If Applicable) � $ 1.50
Total Permit Fee $
PERMIT FEE CALCULATION(S)—JOBS OVER$500.00
If above does uot apply; follow guidelines below:
1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$35.00)
��b� � x .oi2s �
(contract price) (minimum�35.00)
2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50)
x .0005 $
(contract price) (minimum� .50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $
■ `" CONTRACT PRICE or JOB COST means the actual or estimated dollar 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 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 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.
MECHANICAL PERMIT APPLICATION AGREEIVIENT
The undersi�ied hereby applies to the City for issuance of a Mechanical Permit, agrees to do all
wor'_c in strict ar,cordance with the ordinances of the City and the regulations of the State of
Minnesota, and certifies that all statements made on this application are com�lete, true and
correct.
Applicant's Signature: �''�d'L. � Date: � � � 0�
3
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DATE TIME
�� CITY OF ORONO CAL�ED IN ��
INSPECTION NOT E �1 SCHEDULED 5`• S-- C�<r �'�'��-���
PERMIT NO. � =7` COMPLETED
ADDRESS ���� ���C�_ /��.
OWNER G'�"�9 G�'S�a-I^S'o�'J CONTR. ����f���--�
TELEPHONE NO. �n/ � D �J /,�, � C� �:'�.cJ�'l�c'
� DESCRIPTION C'�� S ��-�
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING ' 13 MECHANICAL FINAL 19 LAKESHORE/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
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� �`�ING FINAL / 36 FOUNDATION/REMOVAL
OWNE ONTRACTOR TO MEET YOU:�L YES_NO
� COMMENTS:
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� WORKSATISFACTORY:PROCEED PROJECTCOMPLETE
W ❑CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY
O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN
INSPECTOR WILL RETURN
❑ CITATION ISSUED
❑STOPORDER POSTED.CALLINSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call forthe ne t inspection 24 hours in advance. (952� 249-46��
OwnerlContrac ite:
Inspector.
White Copyllnspector's File Canary Copy/Site Notice