HomeMy WebLinkAbout2006-P10608 - gas line inspection PERMIT
CITY OF ORONO
2750 Kel�zy Parkway - PO Box 66 Permit Number: P10608
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Pernuts
(952;�249-4600 Date Issued:
12/1/2006
SITE ADDRESS: 1280 Bracketts Pt Rd unit#
Wayzata,MN 55391
PI D: 11-117-23-32-0019
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: $ 15.00 va�uation: $ 0.00
7 �
State Surcharge Fee: $ 0.50 � `� ��� �'�" ��� �����
���.� �%�- ,�at' �c:
Misc.Fee: $ 1.50
/� � c.�, �Z/��/cCr%
TOTAL FEE: $ 17.00
APPLICANT: Kleve Heating&Air OWNER: Rob Johnson
6365 Carlson Drive Suite G 1280 Bracketts Pt Rd
Eden Priaire,MN 55346 Wayzata, MN 55391
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAI,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 PH;RMI'1'GE SIGNATURE 1 ED BY SIGNA'PURt:
Copies: 1-File(SignaturesReguired), 1-Applicant, 1-MonthlyReparts, 1-Assessing,(If Septic, 1-Septic) Page 1
FOR CITY USE OIYLY
g0� City of Orono
� Date Received: Permit#
O Q` P.O.Bo�66
� 2750 Kelley Parkway
��2� C stal Ba MN 55323 Approved By: Amount$:
� I �+.� �' Y.
��Fj�h�,;� (952)249-4600
CITY OF ORONO—MECHANICAL PERMIT
(AlI Commercial permi�s must be approved by the Building Official or Inspector and/or Fire Marshall)
GENERAL INFORMATION
1. You may apply for mechanical permiu by mail or in person at the City offices. Applications�vill
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 PER��IIT. WORK N1UST NOT BEGiN UNTIL THE
PERMIT CARD 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 includin,
heat loss/heat�ain calculation,design temperatures, equipment ratines and identification as to
type, manufacturer and model. Data shall be presented on form provided.
4. �Vhen any new construc[ion or remodelin� is involved, a separate buildine permit must be
obtained.
5. Alf work must be done in accordance with the Uniform i�techanical Code!State Buildin�Code
requirements.
6. All work must be inspected(rou�h-in and final). Call (952) 2�t9-�600.
(2�3--i3 hour notice requi�ed)
7. House Heatin�Test Recerd must be submitted before final.
TYPE OF PERI�IIT i
(Check All That A lti')
� Residential ❑ Commercial (.�pproval Required)
❑ New ❑ Additional ❑ Repairs ❑ Replace
Job Site / Owner Information:
S ite Address: � 2 �� �r� C "Q'�� ���r�� � oad
Owner: r 1flb T�o hn5or� tilailin� Address:
Citv: Zip:
�Iome Phone: Alternate Phone:
Contractor Information:
Contractor:KlPVP F�t-c� � A��' Inc Contact Person: r�ha rl PnP r�auc-k:
Address: 636� Carlson Dr . Ste CState Bond #: Rr,r—�F,i 1 h5
Citv: Eden Prcirie Zip: 55346Ezpiration D�te: 8/14/06
Phone: 952-941 -4211 AI[ernate Pllone: 952-345—i 242
❑ [nstirance — Current:
1
�.f D/- ^ '-1'!'�' �F).'• f! ih. .,, . .� ... j ,` ry, ����.
;;��'�'����:�*�.,, ��'W�;�IEGHANICA.L}�SYS_�Iv1S.:BEING�II�STALLED �`�'�, ,,
f fj.�.y2 � A '�'"`4S 4.ti r .J;.� f�{M .�t. r}'..
'HEATING SYSTEMS
Quantity:
Make:
Model:
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEtiiS
Quantitv:
ti(ake. —
tilodel:
Tons:
H. Powe;
FIREPL.aCES
❑ Gas Factory Fireplace
❑ Wood Burnine Firepface
❑ Wood Stove
❑ Wood Stove 1�Vith Flue
Brand Name: tilodel tio.:
VENTILATION
❑ No. E�itchen Exhaust duct recirculating cfrn
❑ No. Bath Exhaust (must have duct outside) cfm
❑ ;�`o. Othe;Fans: Locations cfrn
FL EL STOR.aGE (�IUST BE APPROVED B�" FIRE :�I.�RSH:\LL)
❑ Installation ❑ Remo�al
Fuel OiL �allons ❑ linder��round ❑ [nside ❑ Outside
LP Gas: ��allons
Oth�r:
G:�S (.IN[ OtiLY
❑ Outdour Grill � Oth�r ' List ��"h:tt �� �1'h�rc: �a � � { �l. �(� Q�n�rat��
c./ 9
�
J �
, ^��,?5 t',y, }r�ti f�� �,ti ��S�ERMIT FEE GALCLTLATION(S)`;� ' , +-, ° r � ,, ;';
^Y i Aa- �.�.�,,.:� . . . .a�7� �t�. ' � : r�:-.� <. � ���"_ �C f� i� �.
• ` �.';� , �..,�,�;}"��.`;;1_ `_`,��BASED:bFF ;.2002 STATE STATUE ,f. ' ' : � -
r �-; _
❑ Yes,this section applies
The replacement of a Residential fi�cture 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; excludin�the cost of the fixture or appliance: and
3. Is improved, installed or replaced by the homeowner or licensed contractor.
Ship next section, if this applies, Cost of Pem�it $ 15.00
State Surchar�e $ .50
l�laif-In Fee(If Applicable) � 1.�0
Total Pcrmit Fce S
PERMIT FEE CALCUI�ATION S -JOBS OVER $�00.00
If above does not apply; follow Quidelines belo�v:
I. CO\TR.-�CT PRICE ' is I.?�°b of contract pric°° ��•ith a(�Iinimum Fce of 53�.00)
� �oo�� . o�,; S��5.D0
(contrac:pnc�� (min,rnum>;�u0j
2. ST.aTE St?RCH.aRGF " .Add the State Bld�� Code Di`'. Surchar�e (�iinimum Fce ofS.�O)
� ��,� x .000� S . �J O
(cor,[;�c:pric�) Iminimum 5 �ul
3. POSTAGE � HANDLING (Onl� on tilail-(n .�pplications) S 1.=�
�3. TOTAL PERIIIT FEE (.�,dd Lines l-3 .-�,bo�e) S v�' �
• ` COti'TR.�CT PRICE or 10E3 COST means the actual or estimated dollar amount charged for the
permitted �vork includin� materia(s, labor, profit, and other fized costs. It is the amount to be char�ed
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 re�onable 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 si�ned cop� of the actual contract.
• **The STATE SliRCH.�RGE is .000� of the Building Department at(9��) 2�49-�600 for the price.
� � � � � � :- ��_'� MECF-Ir1NICAL�PERI�IIT APFLICATION AGtn�EE��1EI�'T
The undersiened kr�ceby��pplies to the Citv for issuance of a Mechanicai Permit, a��rees to do all
work in strict accordance ���Il tkle ordinances of the Ciry and the re«ulations of the State of
Ntinnesota, a�}d certi6es that'all statements e on this application are co���plete, true and
correct. ! �
___�__ (
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Appiicant's Si�nature: � Date:
�. � Reset Form �- • ,
. � . .. . j
�� �
��-�-
DATE , TIME
CITY OF ORONO� �I��,Q� CALLED IN _�
INSPECTION N ICE �f SCHEDULED c � � ),'�
PERMIT NO. "� 7 COMPLETED
ADDRESS ���f �
OWNER CONTR. ,
TELEPHONE NO. �
� DESCRIPTION
l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FIL�ING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS 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
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAI � 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEEf YOU: YES_NO
� COMMENTS•
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GW�ORK SATISFACTORY:PROCEED 3�PROJ ECT COM PLETE
�
� ❑ ORRECT WORK&PROCEED r ISSUE CERTIFICATE OF OCCUPANCY
W
0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. CPHOTOTAKEN
INSPECTOR WILL RETURN
❑ CITAT�ON ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the nex inspection 24 hours in advance. (J52� 249-46��
OwnerlContr n s e:
Inspector. .
White Copyllnspector's File Canary CopylSite Notice