HomeMy WebLinkAbout2006-P09899 - gas line inspection PERMIT
CI�iY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: Po9899
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600
Date Issued: 5/24/2006
SITE ADDRESS: 2920 Casco Pt Rd Unit#
Wayzata, MN 55391
PID: 20-117-23-31-0033
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: $ 250.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 35.50
APPLICANT: Practical Systems OWNER: Mr. &Mrs.Frank Pichelman
4342B Shady Oak Rd. 2920 Casco Point Rd
Hopkins,MN 55343 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 C1TY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLICANT PER SI NATURE ISSUED BY S[GNATURE �
Copies: 1-File(Signatures Reguired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
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� � FOR CITY USE ONLY
/���,�` City of Orono
`�'\ P.O.Box 66 Date Received: Permit#
/��;,� � 2750 Kelley Parkway
.� �ji�•'J;r?�: � Gystal Bay,MN 55323 Approved By: Amount$:
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CITY OF ORONO –MECHANICAL PERMIT
(All Commercial pennits must be approved Uy the Building Official or Inspector and/or Fire Marshall)
GENERAL 1NFORMATION
1. You may apply for mechanical peinuts by mail or in person at the City offices. Applications will
be reviewed and a permit will be issued within two working days.
2. Pernut cards will be sent by retuin inail after a review is completed. PERMITS ARE NOT
VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERMIT CA.RD IS POSTED ON THE JOB SITE.
3. Mechanical Desi�ns—Complete calculations, details and specifications are required for each
heating,ventilation,humidification-dehumidification, and air conditionin�installation including
heat loss/heat gain calculation, design temperatures, equipment ratings and identification as to
type, manufacturer and inodel. 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 Unifoim 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 ❑ Conunercial(Approval Required)
❑ New ❑ Additional ❑Repairs ❑ Replace
Job Site/ Owner Information: �
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Site Address: � �'
Owner:�CY(�,fi�(J �I(�'�Q II�/1�_ Mailing Address: �t.�
City: Zip: .�_�.3%�
Home Phone: C��- ��I-Cl'V/ Alternate Phone:
Contractor Information: �
Contractor: Kline Corp. -son:
— DBA: Practical Systems
4342B Shady Oak Road
Address: _ Hopkins, MN 55343 #�
952-933-1868
City: __r. �.�,N..u�...�. Date:
Phone: Alternate Phone:
❑ Insurance– Current:
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MECHANICAL SYSTEMS BEING 1NSTALLED �
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 Burning Fireplace
❑ 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 ❑ Underground ❑ Inside ❑ Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill �'� Other/List What&Where: !1� � /1'�1�
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PERMIT FEE CALCULATION(S) �
i BASED OFF - 2002 STATE STATUE
❑ Yes,this section applies
The replacement of a Residential fixture ar appliance that meets all tlu�ee of the following requirements:
l. Does not require modification to elecr:ical 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 conh�actor.
Skip next section,if this applies; Cost of Permit $ 15.00
State Surcharge $ .SO
Mail-In Fee(If Applicable) $ 1.50
Total Permit Fee $
PERMIT FEE CALCULATION(S) -JOBS OVER$500.00
if above does not apply; follow guideinies below:
1. CONTRACT PRICE * is 1.25%of conn�act price with a(Minimum Fee of$35.00)
��� � G'J
x.0125 $_ ,3�
(contract price) {minimum y3�.00)
2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50)
��� � x.0005 $ �v
(contract price) (minimum� .50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50
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4. TOTAL PERMIT F�E(Add Lines 1-3 Above) $ -�
■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the
pemutted�a�ork 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 installa;ions are furnished by
the owner, tenant or any other party, the reasonable market value of such items inust be added to the
estimated cost ar 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.
� MECHANICAL PERMIT APPLICATION AGREEMENT —�
The undersigned hereby applies to the City for issuance of a Mechanical Permit, ag-rees 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.
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Applicant's Sib ature:�, �, � Date: �- � �� _
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