HomeMy WebLinkAbout2007 - P11291 - gas line inspection PERMIT
CITY OF ORONO
275G Kelley Parkway- PO Box 66 Permit Number: P11291
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued: 8/2/2007
SITE ADDRESS: 40 Wear La N Unit#
Long Lake,MN 55356
PID: 33-118-23-34-0010
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:
FEE SUMMARY: Permit Fee: $ 92.78
Valuation: $ 7,422.00
State Surcharge Fee: $ 3.71
TOTAL FEE: $ 96.49
APPLICANT: City View Plumbing&Heating OWNER: Hugh&Susan Hoffman
1880 B Wayzata Blvd W. 2935 Wear La N
P.O.Box 150 Long Lake MN 55356
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.
0111
APPLICANT PERMITEE SIGNA URE ISSUED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
FOR CITY USE ONLY
City of Orono Bate Received: Permit#
,O�' 1, P.O.Box 66
Q 2750 Kelley Parkway
1A.1`---;
s3� '� wk Crystal Bay,MN 55323 Approved ByAmount$.
1,if�t s (952)249-4600
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CITY OF ORONO—MECHANICAL PERMIT
(All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall)
I, GENERAL INFORIV. TIO
1. You may apply for mechanical permits by mail or in person at the City offices. Applications will
be 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 UNTIL THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Mechanical Designs—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.
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 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 final.
TYPE OF PERMIT
(Check All That Apply)
'Residential ❑Commercial(Approval Required)
//Q``New Additional 0 Repairs 0 Replace
Job Site l Owner Information: i
Site Address: LI 0 Ue a c
Owner: d w
i. WaMailing Address: 5 ►
Ci rQNn 0 Zip:
Home Phone: Alternate Phone:
Contractor Information: 1
-e Contact Person: GLI Yln I '
Contractor:C, '��e� �I� I_
Address: I SC) 4
cieikA State Bond#: 6•
City: LciP
VCP. Zi 53 6 Expiration Date: 6 30 o9-O0 g
�1p:
Phone: 95-g-1-1-3311°\J Alternate Phone:
Insurance—Current:
1
MINIERIMENIESIMANIMSYSTEMMISIMINSMEDIMEMENIE1111111111111E
HEATING SYSTEMS
Quantity:
Make:
Model:
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H.Power Q
FIREPLACES Ad n w toeAv .()) �C��� ±0
ei+❑ Gas Factory Fireplace x , / ' \
❑ Wood Burning Fireplace
❑ Wood Stove
❑ Wood Stove With Flue
Brand Name: Model No.:
VENTILATION
❑ No. Kitchen Exhaust duct recirculating cfm
gt No. Bath Exhaust(must have duct outside) 5C) 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 Q
El Outdoor Grill Other/List What&Where: 6.. )vC} ce
2
❑ 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;excluding 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-In Fee(If Applicable) $ 1.50
Total Permit Fee $
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If above does not apply;follow guidelines below:
1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$35.00)
o
7 Li x.0125$
(contract price) (minimum$35.00)
2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50)
x.0005 $
(contract price) (minimum S .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
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 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.
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: cr1)-1o�
dor
Reset Form
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3
• , MINNESOTA DEPARTMENT OF ABORTA&EPNARDUTTORYLABOR&INDUSTRY
Construction Codes and Licensing Division Construction Codes and Licensing Division
Commissioner of Labor and Industry
Commissioner of Labor and Industry Has Received and Filed a$25,000 Surety Bond,
Has Received and Filed a$25,000 Surety Bond, As Required by MS 326.992,for Work Regulated
• by the State Mechanical Code
As Required by MS 326.992, for Work Regulated To: Carl L.Milow Bond No: 14691650
by the State Mechanical Code City View Plumbing& MB ID:00734
Heating,Inc.
To: Carl L.Milow Bond No: 14691650 Effective Date Expiration Date
City View Plumbing&Heating,Inc. MB ID: 00734 71/2007 6/30/2008
1880-B West Wayzata Blvd.
P.O.Box 150
Long Lake MN 55356
Effective Date Expiration Date
7/1/2007 6/30/2008 • MBFormRC
P//336-
/001/29/
//3 36 P1/29/ Aeec] AT TIME 7
CITY OF DRONO CALLED IN
INSPECTION NOTICE SCHEDULED -07
PERMIT NO. COMPLETED
ADDRESS L9O WeaA.- &eL.-/ )Cl.►�
OWNER n CONTR. R'793
? 1%e€ -' t/
TELEPHONE NO. - ^`� Z 4473
DESCRIPTION ��^ u- -b� Ate am '
w 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
ct 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
• 04 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
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
IQ 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
• OWNERICONTRACTOR TO MEET YOU: YES NO
o COMMENTS:
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w WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
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❑CORRECT WORK&PROCEED E ISSUE CERTIFICATE OF OCCUPANCY
• ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
✓ BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the ne t inspection 24 hours in advance. (952) 249-4600
OwnerIContrantorp i e:
Inspector.
White Copy/Inspector's File Canary Copy/Site Notice