HomeMy WebLinkAbout2006-P10569 - gas line inspection PERMIT
CITY O� ORONO
Permit Number:
2750 kelley Parkway- PO Box 66 P10569
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued: 11/16/2006
SITE ADDRESS: 780 Bridgewater Dr Unit#
Long Lake,MN 55356
P��� 33-118-23-12-0024
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: $ 35.00 Valuation: $ 475.00
State Surcharge Fee: $ 0.50
Misc.Fee: $ 1.50
TOTAL FEE: $ 37.00
APPLICANT: Flare Heating&Air Conditioning OWNER: ZB Construction,Inc.
9303 Plymouth Ave N. Suite 104 10300 l Oth Ave.N.
Golden Valley,MN 55427 Plymouth,MN 55441
THE UNDERSIGNED HEREBY REQUESTS PERMISS]ON 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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APPLICANT PERMITFE SIGNATURE SSUED BY SIGNATURE
Copies: 1-File(Sig�iatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
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� City of Orono
�� �a� ' P.O.Box 66 Datc Received: Permit#
� 4 2750 Kelley Parkway
�a , ' � �'! Crystal Bay,MN�53?3 Approved By: Amoimt$�.
��fi � � c,`� (952)249-4600
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CITY OF ORONO-MECHANICAL PERMIT
(All Commercia�l pennits must be approved by the Building Otlicial or Inspectorand/or Fire Marshall)
GENERAL INFORMATION
I. You may apply for mecha�ical permits by mail or i�i person at the City offices. Applications will
be reviewed and a permit will be issued within two workiil�days.
?. Permit cards wi!I be sent by return mail after a review is completed PERivIITS ARE NOT
VALID UNT1L YOU RECEIVE A PERM[T. WORK IVIUST NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Mechanical Desi�ns—Complete calculations,details and specitications are required for each
heating,ventilation,humidification-dehumidifiication,and air conditionii�g installation including
heat loss/heat gain calculation,design temperatures,equipment ratinbs and identification as to
type,manufacturer and model. Data shall be presented on fiorm 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.
G 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 subinitted before fi��al.
TYPE OF PERMIT
(C�heck All Tllat A ly)
� Residentia( ❑ Commercial(Approval Rcquired;
�New ❑ Additional ❑ Repairs ❑ Replace
Job Site/Owner Information:
Site Address: I��� I"��'�1���U�1/ 1/V l U�,
Owne� ��..{�✓t� Mailing Address: � ��U���S
c�ty: ' (�?�� , z�p:
�s3s�- ��
Home Phone: Alternate Phone:
Contractor Information:
Contractor:����-H�� � �(i�Contact Person: �� � ,�''" -'
Address:��'� � 'V1 �, i"'State Bond #:
City: �p� � � �p���'�Expiration Date:
Phone: �j '� � � � � �, Alternate Phoi�e:
❑ Insurance-Current:
1
' MECHANICAL SYSTEMS BEING INSTALLED �
HH:��TING SYSTEMS
Quantiry:
Make:
�lodel:
Fuel:
flue Size:
Input BTUs:
Output BTUs:
C'P M:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H. Power
1�IREPLACES
❑ Gas Factory Fireplace
❑ Wood Burning Fireplace
❑ Wood Stove
❑ Wood Stove With Flue
Brand Name: Model No.:
�'ENTILATION
❑ No. Kitchen Gxhaust duct recirculating cfin
❑ No. [3ath Exhaust(must have duct outside) cfin
❑ 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 Gritt � Other/List What 8c Where: � �/'�� �G't
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2
i PERMIT FEE CALCULATION(S) �
BASED OFF - 2002 STATE S"I'nTUE
❑ Yes,this section applies
The replacement of a Residential fixture or applia��ce tl�at 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;exdudin�the cost of the fixture or appliance: and
3. Is improved, installed or replaced by the l�omeowner or licensed contractor.
Skip next section, ifi this applies; Cost of Permit $ I 5.00
State Surcharge $ .50
Mail-In Fce(IfApplicable) $ I.50
Total Permit Fee $
� �ERMIT FEE CALCULATION{S -JOBS OV�R$5��00.00
If above does not apply;follow guidelines below:
I. CONTRACT PRICE * is 1.25% f coi�tract price with a(Minimum Fee of$35.00)
o�� /� ( �3�
x .0I25 $ ��� �7
(contract pricc) (minimum$3�.00)
2. STATE SURCHARCE �* Add he State Bldg Code Div. Surcharge(Minimum Fee of'�.�0)
� nj U
/, x .0005 $ � ��
(contract price) (minimum$ .�0)
3. POSTAGE&HANDLING(Only oi� Mail-In Applications) $ 1.50
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4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ �1 � /
■ CONTRACT PRICE or .IOB COST means the actual or estimated dollar amount charged for the
�ermitted work including materials, labor, profit, and other tixed costs. It is the amount to be charged
to Che customer for the work done. If any material, equipment, labor or installations are furnished by
tl�e owner, tenant or any other party, the reasonable inarket value of such items must be added to the
estimated cost or contract price for pennit 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 sig��ed copy of the actual contract.
■ "* The STATE SURCHARGG is.0005 of the Building Department at(952)249-4600 for the price.
MECHANICAL PERMIT APPLICATION AGREEMENT
The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all
�vork in strict aceordance with the ordinances of the City and the regulations of the State of
Minnesota, and certities that all statements made on this app►ication are eomplete, true and
cocrect.
Applicant's Signature: � Date: �' ��7
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