HomeMy WebLinkAbout2007-P00744 - gas line inspection ., .
PERMIT
CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: p11744
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Pernuts
(952) 249-4600 Date Issued:
12/11/2007
SITE ADDRESS: 2005 Sugarwood Dr Unit#
Long Lake,MN 55356
PID: 34-118-23-21-0011
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:
Gas Line for Fireplace
FEE SUMMARY: Permit Fee: $ 35.00 valuation: $ 700.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 35.50
APPLICANT: Welter&Baylock Inc. OWNER: Bill Bigley
2014 4th Ave. SW#3 16119 Ringer Rd
New Prague,MN 56071 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 REQUIREMENTS.
LIC T E SIGNATURE UED BY SIGNATURE
Copies: 1-File(Signatures Reguired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
FOR CITY USE ONLY
O,¢��� City of Omno ---- -- --
P.O.Box 66 Date Received: Permit#
2750 Kelley Par�way
a �`� x Crystal Bay,MN 55323 Appcoved By: Amount$:
�r�;�o*�� (952�2A9-4600
CITY OF ORONO-MECHANICAL PERMIT
(All Commerciai pemiits must be approved by the Building Official or Inspector and/or Fire Marshall)
GENERAL INFORMATION
1. You may apply for mechanical permits hy mail or in person at the City offices. Applications will
be reviewed and a pemut will be issued within two working davs.
2. Permit cards will bc; sent by retum mail after a review is completed. PERMITS ARE NOT
VALID tJNTIL YOU RECEIVF,A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERMIT CARD LS POSTED ON THE JOB STTE.
3. Mechanical I)esis.ns—Complete ealeulaUons,details and specifications are required for each
heating,ventilation,humidification-dehumidification,and au conditioning installation including
heat loss/heat gain calculation,design temperatures,eqaipment ratings and identification as to
type,manufacturer and model. Data shall be presented on form provided.
4. When any new construction or remodeling is involved,a separate building permit must be
obtained.
5. All work must be done in accordance with the Uniform Mechanicai Code/State Building Code
requirements.
6. All work must be inspected(rough-in and tinal). Call(952)249-4600.
(24-48 hour notice required)
7_ House Heating Test Record must be submitted before final.
TYPE OF PERNIIT
(Check All That A ply
�Residential ❑Commercial(Approval Required)
�ew ❑Additional ❑Repairs ❑Replace
Job Site/Owner Information:
Site Address: ��S 5u-a��,r t.t�Cx�d s- �(�•
Owner: l�,�-� �l Mailing Address: J�`� n��
City: �rm o��d �-� Zip: �"5 �3 S(o
Home Phone: Altemate Phone:
Contractor Informarion:
Contractor: ��- ��l�l�' uh Contact Person: �C��- 1'C��`�
Address: �'D� y��' S ��� StateBond#: "���� 337,�
City: �'�'^��t�l �tit. Zip: SZ°�� Expiration Date: ���'• 3/ ��'")
Phone: `�5 � 7��'S$ 6/ Alternate Phone: `��/`� v"�,�/ �7� �
� Insurance-Cunent:
1
MEc��cni,sYs�s smvGnlsT�.i.En
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 Bwning Firepiace
❑ Wood Stove
❑ Wood Stove With Flue
Brand Name: Model No.:
VENTILATION
❑ No. Kitchen E�ust duct recirculating cfm
❑ No. Bath Eachaust(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 Crrill � Other/List What 8�Where: �� � /na.r?'�/�A� F�►�
/
2
� . .
PERMIT FEE CALCUI,ATION{S)
BASED OFF-2002 STATE STAT[1E
❑ Yes,this section ap�lies
The replacement of a Residential fixture or appliance that meets all ttuee of the following requirements:
]. Does not require modification to electrical or gas service.
2. Has a total cost of 5500.00 or less;excl - the cost of the fi�cture or appliance:and
3. Is improved,installed or replaced by the lwmeowner or licensed contractor.
Skip next section,if this applies; Cost of Permit $ 15.00
State Surcharge $ .50
Mail-In Fee(If Applicable) $ 1.50
TeW Permit Fee $
PER�IlT FEE CALCULATIO S —JOBS OVER$500.00
If above does not apply;follow guidelines below:
1. CONTRACT PRICE •is 1.25•/.of conhact price with a(Mnimam Fee of$35.00)
''�b0 x.0125$ `?�•�
(contract price) (minimum 535.00)
2. STATE SURCHARGE •'A�the State Bldg Code Div.S�ucharge(Minimnm Fee of S.50)
��D x.0005 $ ��
(oontract price) (minimum$ .50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ -�-59"�
4. TOTAL PERNIIT FEE(Add Lines 1-3 Above) $ 3� �
■ * CONTRACT PRICE or JOB COST means the actual or esti�ted 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,equip�ent,labor or installations are fumished by
the owner, tenant or any other party,the reasonaWe market value of such items must be added to the
estimated cost or contract price for peimit 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 Bailding Deparhnent at(952)249-4600 for the price.
MECHANICAL PERI�IIT APPLICATION AC���ENT
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.
Applicant's Signature: �� Date: I�-����7
Reset Form
3
� ��� �
t �� � � DATE TIME
��� CITY OF ORONO CALLED IN Z Zi7' __s���
INSPECTION N TI E SCHEDULED jZ•� I•c�"I G^�n
PERMIT NO. � COMPLETED
ADDRESS �,� � G •
OWNER C TR. � 7�'
TELEPHONE N0. l�� ��U '�7�!�
� DESCRIPTION � � 1 '1
� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING
y ❑ FR,4MING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
O ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
_ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ PHOTOTAKEN
INSPECTOR WILL RETURN
❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
C INSPECTION REQUiRED.CALL TO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (952� 249-46��
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