HomeMy WebLinkAbout2005-P08367 - gas line inspection CITY �F ORONO PERMIT
2750 Kelley Parkway- PO Box 66 Permit Number: Pos36�
Crystal Bay, Minnesota 55323 Pe�mit Type: Mechanical Permits
(952) 249-4600 Date issued: iiisi2oos
SITE ADDRESS: 2108 Sugarwood Dr
L.ong Lake,MN 55356
PID: 34-118-23-21-0024
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Mechanical Pernuts Permit Sub-type(s): Gas Line Inspection
DE7AILS:
Approved per resolution#:
Separate pernuts required:
NOTICES/REMARKS:
Gas Lines to Fireplace and Dryer
FEE SUMMARY: Pernut Fee: $ 37.50 Valuation: $ 3,000.00
State Surcharge Fee: $ 1.50
Misc.Fee: $ 1.50
TOTAL FEE: $ 40.50
APPLICANT: Plumbing West,Inc. OWNER: Micheal&Jacqeline Ricks
23248 Walden Avenue 2108 Sugarwood Dr
Hutchinson,MN 55350 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
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPL[CANT PERMITEE SIGNATURE SSUED BY SIGNATURE
Conies: 1-File(SiQnitures Required), 1-Annlicant, 1-Monthlv Reports, 1-Assessin�, 1-Finance Page 1
CITY O�4Ftt3h�C? A�'PLiC.A.TIt�N F�R IviEC:�;iA�CAL PER�'
Box 6�fi {275t3 Keiley�arl�way)
Crysta�Ba�, I��532,3 '
G�.r�Cs�,Tto� .
1. Yflu may aPply for meo�xica2 p��aits by mail.or ut person at the City of�ices.AppIicatians�vil�be
�aeviewed aad a pen�it wi�1 be issu�t�witTain f�vQ worla�.g c�a.ys-
2. Fet�nit cards wiIl be sern by retttrn mail after a reviet�v is campl�ed,PERIvII'T5 A�tE N�T VALII� i
LT'KTTT.YQU RECfiIVE A.PTRR�f.WE3RK MUS'F AT T$E� '�'HE�'E�L�CT��1�IS � "
�'('�STED C3N T�iE,Tt3E SI?�. ;
3. Mechanicai Desiar�s-Camplete calcv�latians,details artd specificati�ns ar�re�uirec�fax each heating, '
venYilati4n,humidificatit�n-�zht�midificszion,and air cc�nditionatg�s2a11�Ii.on inaluding heat losslheat �
gain calculati�m,design temperatures,�quiPment ratmgs and identificatian as to type,man.ufactur�and
modeL Data shall be pre,sent�.on faim provic�et�. Identifica�ian of and specif ca�ons far a�t�r heating `
equipment sha�l also be provided.
4. When a�y new cons�ucti+�n or remodetir�is invalvec�,a s�parate buildiug pen�it must ts�abtain�,
5. AII Rrark must be don�in accordauce with tIze Uniform 3Vlechanicai CodeJ�te Bui�d.in�Code
r�quirernents,
�. A3i work must be izsspected(ratt�h-in and fnal}.Cal�(9S2}249-45t}Q.2�-�aur notice r�quaed.
7. xioatse�ie�riz�g Tesi Record m�zst�e subrniited before fma}.
Ir�str�
�t�mplete aI�it�ms on th�s application. Compute tke permi#fee, �i�a.rt��te�ie cerr.ifica.gion. F
INCOMPT�I'�APPZ..ICAT'I�NS Wl'�.L.Nt,��^$E PROG�S�EI�. If yott have quesfit�ns,call �
�952�24g-45fl(!. . ;
Please�heck o�e:[�N�r �Addition ❑Repair [�Re�3ace ,�,1 Resideutial '
- [.] Camme�cial
�r�,�s�: I o S�� �r �dt� D�-. �r n c� z��:
Cf�ner's�Ts�m�: .- GGI�i� 12�G�_ Phon�Iti umber: �]Sa. - �7 t-- �� �
��l�ug A{ddress: Sr►�..e� „ Cfl�: zip: ,..�
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� ���tractor's Name: l 1.(m 7/1 ��57 �hr�ne Number� - S� - d OC�
p, Maxliag Addr�s5:�3�yb' � Ql c�r/1 �U�. City: �-}u f �j�'�1.567'L �ip: ��.� --� :
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SYSTEM DESCItIP'1'ICIN - '
H�ATINt'r�Y$7'�MS '
�ua�'-��a�= �
Pdakc:
Mot3ei:
Fuet:
F7ue Size:
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Input BNs: � I
(httput�TUs: _ i
CFM:
CQOLING SYSTEMS
Qtisntiiy: �
i�ake:
�Sc�cl;
Tons:
F�I.�'o�
FIREPLA�ES +��.�€�Itii'E ONLY
Q �as factory fir�la�e �7nstalting a Gas Line Only I
�, Wood burni�,g factflr�r firepIace�riih fl�e � �!t 5 �i/z-G 5
❑ Wbod Stave
[] Wood stove wath�Iue / � �i r��/�rf
� tr� �rc/�r'
/
BTand Nazne lv�odel No.
VENTiLATI�14
2�0. Ki�chen Exhaust duct--- recatcu.la�ng cfrn �
No. $ath Exhaust�must have duct otttside) cfiu
��•� �do. d�ther�ans:Locations cfrn
� �3��.S7'C?1�AGE{MCJST BE Ap�ROVEr3 BY FIRE M.A�LSIiAZ.}
[�'1'nsta.11atian or ❑R.�mova3
❑�uel aiI: gallons ❑under�ound Q inside Qau�ic€e
�LP Gas: �ga2lans
❑(3tlser Gas t�pening
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PE�tMTT FEE�A�,CULATTt�N�jS� '
�40��tate S#atttte ❑�eS 1�`hfs Section Applfes - ,
The Te�ISCCmCrit O��R�Siderihal fixture or a�liAuce that�ts all fhcee Of th��a1��W2z2�reql:ireTil�liLS:
2} Does nor require modification to es�rical�gas s�rvice.
2) Ha�a total�ost�f$Sti�.O{}or�ess;exclu i� the cost of th�fixture ar app�iance:
��
3j Ia im�'n'avecl,installed oi r�gIaced by iht Iic�meown�r or licensed caniracsor. t
,
's
Skip raext s�cti�n; Cos�of 3�emait S i 5.00 '
. �tate S�zrcharge$ .54
1VI�ix-3x�F�e $ 1.50
If ahove c�aes not a�ply,ft�Iiow�.idelines below:
1. Contraet��e�is.t1�25°/a of job with a i1�lini�n�s�n JFee o#`($35.QiR� ;
,3,b� .�U x,(1I25 � 3 �7. sa ,
(cnntaact pric�} (minim�n$35.i't4)- .�,.
2.State SnrGttar�e.**Add the State Bui�ding C�de Division a ii�in�maun Fee�f f$ 541
3;oeo•oo x.Qo�s � � • �� ;
{con.traet price) (minimum$.SQ} €
3.Post�e aa�]E€andiia�{t1�dy rnaiI an appli�ar�a,3s} $ �.��
G.TC3TAI.,PERMT'Y'�'E�(Add lines 1-3 a�ove} �, �Q . J�� +
'CON'IRACT PRICE or J09 CC3S'I'trteans the actanI or�stimated dol3ar�punt charged for the pertrtitted work ir:ctuding
n�-iaEs,Isbar,profit,and csther fixed:osrs.Ic is the ameunr m be r.karge�co che customtr far dte wark done.If any tta�erial�
ecZuipment,iabot,ot instattatian is furnished by GhC awncr,tenant or any other party the reasor�abte m4rl:et value of�cte ituns
mnst be added to tht astimated casi ot�cptttrzct ptiec for petmit ftc gurposq,jn the event that�nere is a di513utc on t�:e a-nou��4f
the job cost,the Ciry t7s3y request thr submission of a sigr�eci copy of the�tuai coniraet
'""'T:ie STA'I'E SURGH.4T�G�is.QQOS af ihe cantracc grice undu SI,Q40,4t}fl or�S�-at�;ch-ver is�rzatrr.Fr,r va�uatiaas over
�1,4(1�1,Q(}Q ca13 the L�p�ttmeni of Inspertianal Services for the prie�.
"T'he undersigncd hereby agp?ies Lo t�e G�ty 4or issuaitze eFa�riechanir,�!Pec[€zi�agrees Io do aii wc�!n Sttiet accardahCe cvitit
the orctinances of the Ciry and#he reguiations of the Nfienescsra - ing Cocte,and cerrifies rhat a41 state�ents madc cn rhis
&PF;ication are eamptete,Aue ar.d Correct.
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AppliCailt's Sirnatu,re• 17ate; / - /�� ';
Appraved By: I?ate.
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� DAT TIME
CITY OF ORONO CALLED IN �
INSPECTION N TIC SCHEDULED a -O �% 0
PERMIT NO. O � COMPLETED
ADDRESS ��08 �-rr'i4��'��
OWNER CONT�t. �
TELEPHONE NO. l0l a� ao.3 Sd��
� DESCRIPTION y�`/r T�f v� `'`�'�'e
� 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 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
W ❑CORRECT WORK 8�PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ppHOTOTAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call tor the n t inspection 24 hours in advance. (g52) 249-4600
Owner/Con ite:
Inspector.
White Copyllnspector's File Canary CopylSite Notice
��� � �
� DATE G TIME �
CITYOFORONO P�� �r-/�—�cALLEDIN �d QD
INSPECTION NOTICE SCHEDULED _��� �✓I//
PERMIT NO. P 4 $ 3�-7 �• COMPLETED -
ADDRESS �/� FS S���� � �� �'
OWNER CONTR.r�u.�UlK�'i �t�-
TELEPHONE NO. �5�(/�— lo��—o�Q 3 S�7`
� DESCRIPTION r � � � �"`�-��'` � �
� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING �MECHANICAL FINAL ❑ LAKESHORENVETLANDS
y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE
❑ TREE REMOVAL
Z ❑ WA�L BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
� ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
_ ❑ PLUMBING Rt ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J �F'PLUMBING FINAL ❑ FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
y COMMENTS:
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� ❑WORKSATISFACTORY:PROCEED �'PROJECTCOMPLEfE
W ❑CORRECT WORK&PROCEED � ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFOREC�/ERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALI INSPECTOR �CITATION ISSUED
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 for the next inspection 2a hours in advance. (952) 249-4600
OwnerlContractor on site
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Inspector._�� 9�[ �
White Copyllnspector's Flle Canary CopylSite Notice