HomeMy WebLinkAbout2006-P10246 (mechanical-gas line inspection) � PERMIT
CITY OF ORONO Permit Number:
�750 Kelley Parkway- PO Box 66 P10246
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued:
8/21/2006
SITE ADDRESS: 3650 Casco Ave Unit#
Wayzata,MN 55391
P��� 20-117-23-31-0043
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: Pernut Fee: $ 15.00 valuation: $ 300.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 15.50
APPLICANT: Steinkraus Plumbing Inc. OWNER: Mr. &Mrs. Gersovitz
112 E. Sth St., Suite 101 3650 Casco Ave
Chaska,MN 55318 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.
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APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
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a FOR CITY USE ONLY
,���, City of Orono
P.O.Box 66 Date Received: Permit# '��L��/(r
��;;;�,,, � 2750 Kelley Parkway �
a ''�7�,��� Crystal Bay,MN 55323 Approved By: Amount$: S� 5�'
��^����n;}.�c� (9�2)249-4G00
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CITY OF ORONO-MECHANICAL PERMIT
(All Commercial pennits must be apUroved by the Building Official or[nspector and/or Fire Marshall)
GENERAL INFORMATION
1. You may apply for mechatucal pemuts by mail or iil person at tl�e City offices. Applications will
be reviewed and a permit will be issued within two working days.
2. Pernut cards will be sent by retum mail after a review is completed. PERMITS ARE NOT
VALID UNTIL YOU RECEIVE A PERNfIT. `VORK MUST NOT BEGIN LTivTIL THE
PERIVIIT CARD IS POSTED ON THE JOB SITE.
3. Mechanical DesiQns—Complete calculations, detaits and specifications are required for each
heatin�, ventilation,hunudification-deliunudification, and air conditioning installation including
heat loss/heat gain calculation, design temperatures, equipment ratinas and identification as to
type, manufacriirer and model. Data shall be presented on forni provided.
4. When any new consnuction or remodeling is involved, a separate building pernut must be
obtained.
5. All work must be done in accordance with the Uniforni Mechanical Code/State Building Code
requirements.
6. All�vozk must be inspected(rough-in and final). Call(952) 249-4600.
(24-48 hour notice required)
7. House Heating Test Record must be subrrutted before fmal.
TYPE OF PERMIT
(Check All That Apply)
�esidential ❑ Coiru�lercial(Approval Required)
❑ New ❑ Additional ❑ Repairs ❑Replace
Job Site / O�vner Infornlation:
Site Address: �6�/ ��C o .�/�
O�vner:6�►^�5� V���Z— Maili��gAddress:
City: �r0�0 _ Zip:
Home Phone: Alternate Phone:
Contractor Information:
Contractor:S!��'�k��P��'*' ���� Contact Person: J��'��
Address: 12- Sr� st- ���.,�� I b I �1 `l �
� r ' State Bond �: �
City: ������ Zip3-7��Y E�piration Date: � � -`� � �� �
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Phone: �S ��3�' ��U �Z� Alternate Phone:
❑ Insurance -Cun-ent:
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MECHANICAL SYSTEMS BEING'INSTALLED .
HEATING SYSTEMS
Quantity:
Nlake:
Model:
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Toils:
H.Power
FIREPLACES
❑ Gas Factory Fireplace
❑ ti�lood Eurning F::eplace
❑ 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 ❑ UnderQround ❑ lnside ❑ Uutside
LP Gas aallons �
Other:
GAS LINE ONLY
❑ Outdoor Grill Other,�List What&�Vhere: ��V �����'�
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PERMIT FEE CALCULATION(S)
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 electrical or gas service.
2. Has a total cost of$500.00 or less; excludin.�the cost of the fixture or appliance: and
3. Is improved,installed or replaced by the homeowner or licensed conn-actor.
Skip next section,if this applies; Cost of Permit $ 15.00
State Surcharge $ .50
Mail-In Fee(If Applicable) $ 1.50
Total Permit Fee $ / �,,��
PERMIT FEE CALCULATION(S) —JOBS OVER $500.00
If above does not apply; follow guidelines below:
1. CONTRACT PRICE * is 1.25%of conh�act price with a(Minimum Fee of�35.00)
x.0125 $
(contract price) (minimum�35.00)
2. STATE SURCHARGE ** Add the State Bldg Code Div. Stucharge(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) $
■ * CONTR.ACT 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 peinut 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 AGREEMENT
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 Signatur • Date: ���� �� �
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�j I O DAT TIME �J/
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CITYOFORONO P10'��,r,�� CALLEDIN 'a��
INSPECTION NOTIC,`E 1 i 'i SCHEDULED -��"�:D'v(� /C�:<z��
PERMIT NO.��U��iS� IU Z'!� COMPLETED
ADDRESS ��/�C� � ia S�C'� �L
OWN ER CONTR. �'��� s�k t'�uS I un.b .
TELEPHONE N0. � ��-�n � /� ���� y5 y3
� DESCRIPTION
� 01 FOOTING 11 MECHlt`NICAL 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
= PLUMBI_�NG�j�31_ 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W WORK SATISFACTORY:PROCEED I_� PROJECT COMPLETE
� ❑CORRECT WORK&PROCEED r' ISSUE CERTIFICATE OF OCCUPANCY
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� ❑CORRECT WORK,CA�L FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR -� CITATION ISSUED
❑ INSPECTION RE�UIRED.CALL TO ARRANGE ACCESS.
Ca11 for the ext inspection 24 hours in advance. (952� 249-4600
OwnerlCon r site:
Inspector.
White Copyllnspector's Fi Canary CopylSite Notice