HomeMy WebLinkAbout2006-P09786 - gas line inspection PERMIT
�ITY OF ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: P09786
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued: 4/24/2006
SITE ADDRESS: 100 Ferndale Green Unit#
Wayzata, MN 55391
P��� 36-118-23-44-0009
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Mechanical Permits Pern,it Sub-type(s): Gas Line Inspection
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/RFMARKS:
Gas line to outdoor grill
FEE SUMMARY: Pernut Fee: $ 35.00 valuation: $ 800.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 35.50
APPLICANT: Practical Systems OWNER: Shawn&Bradford Pleimann
4342B Shady Oak Rd. 100 Ferndale Green
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 CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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PLICANT � .; IGA(ATURE ISSUED BY SIGNATURF.
Copies: 1-File(SignaturesRequired), 1-Applicant, 1-MonthlyReports, 1-Assessing,(IfSeptic, 1-Septic) Page 1
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FOR CI'1'Y USE ONLY
� �` City of Orono
� iO¢�`Y�i� P.O.Box 66 Datc Rcccived: _ Pcrmit# -
2750 Kcllcy Parkway
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x� � �;, Crystal Bay,MN 55323 Approved By: Amount$:
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CITY OF ORONO–MECHANICAL PERMIT
fAll Commcrcial permits must bc approvcd by thc Building Official or Insncctor andior Firc Marshall)
GENERAL INFORMATION
I. You may apply for mechanical permits by mail or in person at the City offices. Applications will
be reviewed aiid 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 PERMIT. WORK MUST 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 conditioning installation including
heat loss/heat gain calculation,design temperatures, equipment ratings and identification as to
type,manufacturer and model. Data shall be presented on form provicled.
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 Uniforn�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 A 1
'�.Residential ❑Commercial(Approval Required)
❑ New ❑ Additional ❑ Repairs ❑ Replace
Job Site/Owner Infonnation:
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SiteAddress: ���L' ��-k,(��L(,��:' �-��I��-�-"��
Owner: ����1����i ���(;1�����,�U � Mailing Address:
city: �� ?,1;.��t.. z�p: ��Gj �� 1
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Home Phone: �1�� ��_� .�� -�r� Alternate Phone:
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Contractor Information:
Contractor: "-�-`��` n---�-n:
— Kline Corp.
Address: DBA: Practical Systems
4342B Shady Oak Road
Hopkins, MN 55343
City: — g52-933-1868 `'
Phone: Alternate Phone:
❑ Insurance–Current:
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MECHANICAL SYSTEMS BEING INSTALLED � �
HEATING SYSTENIS
Quantity: — -- --- —
Make:
Model:
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTENIS
Quantity:
Make:
Model:
Tons:
H. Power
FIREPLACF,S
❑ 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:
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PERMIT FEE CALCULATION(S)
BASED OFF - 2002 STATE STATUE
❑ Yes,this section applies
The replacement of a Residential tixture 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;J the cost of the fixture or appliance: and
3. Is improved, installed or replaced by the homeowner or liceused contractor.
Skip next section, if this applies; Cost of Permit $ I5.00
State Surcharge $ .50
Mail-In Fee(If Applicable) $ 1.50
Total Permit Fee $
PERMIT FEE CALCULATION S -JOBS OVER�500.04
If above does not apply;follow guidelines below:
I. CONTRACT PRICE * is L25'%o of contract price with a(Minimum Fee of$35.00)
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� x .0125 � ')�� `�.�
(coritract pricc) (minimum$35.00)
2. STATE SURCHARCE **Add the State Bldg Code Div. Surcharge(:�Iinimum Fee of�.50)
� � � �� x .0005 � � �
(confract pricc) (minimum$ .50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ I.50
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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 far 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 �ermit 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 sib ed copy of the actual contract.
■ ** The STATE SURCHARGF,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 applicatioi� are complete, true and
correct.
Applicant's Signature:`,. :�' j Date: ��� ��
Reset Form
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DATE - TIME
CITY OF ORONO CALLED IN ��y-�
INSPECTION N TIC `'��% SCHEDULED " �Gj � �[.)%C2?
PERMIT NO. , ( U COMPLETED
ADDRESS /UG� /��,/� c'I�Gti�� �'—/'�Yi')
OWNER CONTR. __Yl.=-cc-74'c�(�S��S .
TELEPHONE N0. G/ �=� �..3�3 I�2,�
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� DESCRIPTION ���:5� /�f'1�- -- �'� � /
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lL 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINA� 19 IAKESHORE/WETLANDS
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Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING fil 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� �NORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
W ❑ CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑ CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN
INSPECTOR WILL RETURN
❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
C INSPECTION REQU�RED.CALL TO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. �95Z� Z49-46��
OwnerlContractor on site:
Inspector. �./ L�l r�� lJ S
White Copyllnspector's File Canary CopylSite Notice