HomeMy WebLinkAbout2005-P08430 - gas line inspection PERMIT
CITY OF ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: Poa43o
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued: 2i9�2oos
SITE ADDRESS: 114 Chevy Chase Dr
Wayzata,MN 55391
PID: 36-118-23-41-0035
DESCRI PTION:
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:
Gas Line Only-Cook Top
FEE SUMMARY: PermitFee: $ 15.00 Valuation: $ 0.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 15.50
AppL�CANT: Area Wide Plumbing(See Comments) �WNER: Christopher&Elizabeth McLean
9989 190th St. 114 Chevy Chase Dr
Silver Lake,MN 55381 Wayzata, MN 55391
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE TI-�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.
ti � �—�- �j C. Ce /1
, �w � ��
,� ��,��.�,�
APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE
Copies: 1-File(Si�nitures Required). 1-Applicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1
CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
GENERAL INFORMATION
1. You may apply for mechanical permits by mail or in person at the City offices. Applications will be
reviewed and a pennit will be issued within two working days.
2. Permit cards will Ue 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 Ue presented on form provided. Identification of and specifications for water heating
equipment shall also Ue 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-hour notice required.
7. House Heating Test Record must be suUmitted Uefore final.
Instructions
Complete all items on this application. Compute the permit fee. Sign and date the certification.
INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call
(952) 249-4600.
Please check one: ❑ New ❑ Addition ❑ Repair��ce,�Residential ❑ Commercial
� � r�ti � �� 5 �
~ k �
" �- � �tr ;��, , Lu o ���
JOB SITE: � `� �� t��v � � ��as� k� ,,• � � Zip:
Owner's Name: Phone Number:
Mailing Address: City: Zip:
Contractor's Name:�rt� �•��c !���u�.�, N 1 phone Nu}�ber:���`'� I a�2 5��� �
Mailing Address: �39 i?� j -`�i6 � � - City: S• �y<� �t < Zip: •5,s�'��
1
�
� u �
'i L,I ii. I��IIIIII �i pl�� uil��II� � Yi I, �i.; �,� i IIIIi: I II�I !�5��,!I inl I J�� � h:f. IGI d J���",. " ° �I^ � ` i li FI;,.
i ,u��,,I�I Ili Ehs«,��!i �w�.�i.ii� ��I� i,,�i �d.:...� i � � �� � � p
��x+! ��ir��. .,�W�kilii�t,ntixl�����m�VYo�lnlc,.l.lfH�Pn�Fe��'���.��.�'�'��n.,l���,�r,. � . ,I ,,., , �. :s.9.;�;��. �w.'�u.��.�.,?yl�,l�ii.,�U��la�!�.�Pl��ll�v��u.�'�..�1,Ic�. ��_'�«"��^`a �,.� "�.. .4.i, � -i�a��� �i;+. ..��71.i��'
�
SYSTEM DESCRIPTION •
HEATING SYSTEMS
Quantity:
Make:
Model:
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H.Power
FIREPLACES GAS LINE ONLY
❑ Gas factory fireplace � Installing a Gas Line Only
n Wood Lurnina f?�tr„-�,_f,_renlace with flue i /
❑ Wood Stove a J r � o c�' rv ��
❑ Wood stove with flue
Brand Name Model No.
VENTILATION
No. Kitchen Exhaust duct recalculating cfm
No. Bath Exhaust(must have duct outside) cfm
No. Other Fans:Locations cfm
FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL)
❑ Installation or ❑ Removal
❑ Fuel oil: gallons ❑ underground ❑ inside ❑outside
❑ LP Gas: gallons
❑ Other Gas opening
2
.., x �� � �; � �
4�' �. �( .;'� �.s,iti�.,�,�1.h',nw�. i'o,o.s.f..�,.V�ii�' rie?'�,.. _,.h.; �` . .:d, v. ' -'�i 'i. ,�n. ,. ��_ �I �in�? , ��; �. , r� . � F
PERMIT FEE CALCULATION(S)
2002 State Statute �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 ar less; excludin�the cost of the fixture or appliance:
and
3) Is improved, installed or replaced by the homeowner or licensed contractor.
Skip next section; Cost of Permit $ 15.00
State Surcharge $ .50
Mail-In Fee $ 1.50
If above does not apply, follow guidelines Uelow:
1. Contract Price* is .0125%of joU with a Minimum Fee of($35.00)
x .0125 $
(contract price) (minimum$35.00)
2. State Surchar�e. ** Add the State Building Code Division a Minimum Fee of($ .50)
x .0005 $
(contract price) (minimum$ .50)
3. Posta�e and Handling (Oiily mail-in applicatio�is) $ 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 installation is 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 contract price under$1,000,000 or$.50-whichever is greater.For valuations over
$1,000,000 call the Department of Inspectional Services 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 Minnesota State Building Code,and certifies that all statements made on this
application are complete,true and correct.
, � � .� � �
Applicant s Signature: Date: �
Approved By: Date:
3
, � i ', :
,.
� � �. , � _ . p �, .;�. w�..��; „4t,.. ,� ..��. � , � .� ,��; ��� ., � ,�_ � � �.��
i i
L� � �'� DATE TIME �
CITY OF ORONO / CALLEDIN ��IC7��
INSPECTION NOTICE v �°�S�EDULED �?�� / C��lJ
PERMIT NO. ��S��D cornP�ETEo
ADDRESS �l � C f� L-"�.� �_�1_P �,�P .
OWNER CONTR. �YPC� Lc>��1�_
TELEPHONE NO. �5a ` ��� '=5a�� � ��y��•
����
� DESCRIPTION � � L %Yt� � �Gt-cvr�Lj ,�'
� Ot FOOTING 11 MECHANICAL RI 18 E CAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Z
Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
? 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:�YES_NO
� COMMENTS:
�
W
a
J � ^ �
O
�. '
�
O
�
W
�
Q
�
Z
W
�
W
�
�
d
W _ WORKSATISFACTORY:PROCEED [_1 PROJECTCOMPLETE
W ❑ CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY
0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑ CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
❑ CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 for the ne t i spection 2a hours in advance. (J52� 249-4600
Owner/Contr o n s e �
Inspector.
White Copyllnspector's File Canary CopylSite Notice