HomeMy WebLinkAbout2005-P09190 - gas line inspection PERMIT
CITY O� ORONO
Permit Number:
2750 Kelley Parkway- PO Box 66 P09190
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued: 9/16/2005
SITE ADDRESS: 4460 Forest Lake Landing Unit#
Mound,MN 55364
P��� 07-117-23-24-0015
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Mechanical Pernuts Permit Sub-type(s): Gas Line Inspection
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
3 Gas Lines-cooktop,dryer,fireplace(LL)
FEE SUMMARY: Permit Fee: $ 35.00 Valuation: $ 750.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 35.50
APPLICANT: Thompson Plumbing OWNER: Paul&Ida&Peter Martinson
15001 Minnetonka Ind.Rd. 4460 Forest Lake Landing
Minnetonka,NIN 55345 Mound,MN 55364
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.
_�
PPL ANT iTEE SIGNATURE UED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, l-Septic) Page l
f �
FOR CITY USE ONLY
�jj`"�'`y��, City of Orono �
�� `�'� 1 P.O.Box 66 � Date Received: Permit# � �
��;, � �� 2750 Kelley Parkway
� ,�`����r,� ��� Crystal Bay,MN 55323 Approved Qy: Amount$:
�i��:�,},.�' (952)249-4600
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CITY OF ORONO—MECHANICAL PERMIT
(All Commercial permits must be approved by the Building Of�ficial or Inspector and/or Pire Marshall)
GENERAL 1NFORMATION
L You may apply for mechanical permits by mail or in person at the City offices. Applications will
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 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 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.
(24-48 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 Information:
Site Address: �-�{(��� �p-� �_ �,c..�1.�._ �7�li�r�-��.—�r
Owner:� I,,GV�t,�rv�� �oc.��.�Y.-Y 1�,1�lailing Address:
City: Zip:
Home Phone: Alternate Phone:
Contractor Information:�r�� � �
Contractor�� �;,,��r,:�����r:.�nn n Contact Person: �',r�.r,c._ /1��=,�h
Address: �5��i (Y�}{�,;,l:�cl�a�s�t���..k_�i State Bond #: �J' '�(q� " g�
City: �l'1��n�F'.�k..; Zip:���'Expiration Date: (:�'� "S� -'G-�
Phone: �1��-- �l'�'�- '��`�I� Alternate Phone:
❑ Insurance—Current:
1
•
3 �
> � MECHANICAL SYSTEMS��EING INSTALL�D�'�
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.:
V ENTILATION
❑ 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: ���
�� ..�c��.-t-4 Q -- (st-�I e„�.
2 �— c���.e,K.� � �,.�, -�:���
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� � PCRM17� FCf�CALCULATION(S) � �
BASED ()FF ?002 STATE STATUE
❑ Yes,this section appli�s
The replacement of a Residential fi� •e or a liance that meets 1 three of the following requirements:
1. Does not require modificatio to electrical or s service.
2. Has a total cost of$500.00 or I ;excludin e cost of the fixture or appliance: and
3. Is improved, installed or replaced y the h eowner or licensed contractor.
Skip next section, if this applies; � \Cost of Permit $ 15.00
State Surcharge $ .50
I�I�J-In Fee(If Applicable) $ 1.50
� Tota��Rermit Fee $
� PERMIT FEE CALCtTLATI(?N(S)—JOBS OUER $�00.00 � �; �`�
lf above does not apply; follow guidelines below:
1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$35.00)
A �
'�1 �c��` X .o�as $ 35• c�
(contract price) (minimum$35.00)
2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50)
� ����� .
x .0005 $ • `J(~j
(contract price) (minimum$ .50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ ���
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 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 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.
r„ MECHANICAL PERMIT APPLICATION AGREEME;NT -�
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 Signature�T 1/C� !'�1 Date: �` /' L�!
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