HomeMy WebLinkAbout2004-P07416 - gas line inspection PERMIT
C ITY O F O RO N O Permit Number:
2750 Kalley Parkway - PO Box 66 Po�416
Cr�ystal Bay, Minnesota 55323 Permit Type: Mechanical Pernuts
(952) 249-4600 Date Issued: ai22�2o04
SITE ADDRESS: 1695 Fox Street
Wayzata,MN 55391
P I D: 03-117-23-44-0003
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Gas Line Inspection
DETAILS:
Approved per resolurion#:
Separate permits required:
NOTICES/REMARKS:
Gas Line for BBQ
FEE SUMMARY: Permit Fee: $ 35.00 Valuation: $ 800.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 35.50
APPLICANT: McGuire& Sons OWNER: Mr. &Mrs. Cathcart
605 12th Avenue S 1695 Fox Street
Hopkins, MN 55343 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.
�� ` ' ,
-�� �,� /-1 �2�
APPLIC T LRMITEESIGNATURE SUEDBYSIGNATURE
Covies: 1-File(SiQ�iitures Required), 1-Aoplicant 1-Monthlv Reports, 1-Assessing. 1-Finance Page 1
O�r04-20�2 :16a� =rom-CI'Y OF ORONO �95224G4616 T-562 P DOd/0�6 F-412
�; / �,`� ����'�� �
�
CI OF ORONO APPLICATION FOR MEC:HANICAL PERMIT
� Box (2750 Kellcy Parkway)
�' ' Crys'�1 Bay, MN 55323
�� ;
1. Y 1 raay apply for mechanical pamits by mail or in person ac the City offices. Applications will be
r 'ewed and a permit wilt be issued within two working days•
?. P�it cards will be sent by return m�il afta a review is completed. PERMITS ARE NOT V�ALID
�T�1-I'IL yp�(J RECEIVE A PER�tTT.WORK NNST NOT BEGIN
ancT�D ON TF�JOB SITE.
3, l�f�icbani� Desitt�-Complete calculations, details and sp�cifications are required for each heating,
�.i vtqrilation,humidiflcation-dehumidification,and air conditioning installation includin�h�at loss/heat
' g calculatian� design temperanues,equipment ratings and idenrification as to rype, manufacnirer and
el.Data shall be ptesented on forru provided.Identification of and spe�ifications for waur heating
ipment shall also be provided.
4, �any new construction or remodeling is involved, a separate building permit must be obtained_
5. work must be done in accordance with the Unifotm Mechanical Code/Scate Buildin�Code
y r ' emenu.
6. work must be inspected(rough-in and final). Call(952)249-4600. 24-hour notic.�required.
7. use Hearing?est Record must be submittad before final.
;4 �
:
,
Ins ctions
, .
`` Co ' lete all items on this application. Compute the permit fee. Sign and date the certification.
' INC�MPLETE AYPLICATIONS WII.,L NOT BE PROCESSED. Tf you have questions, call
� (9��'j 249-4600.
.� �
Plcase check one�New ❑ ?�ddition ❑ Repair ❑ Replace Q Residential ❑ Commercial
, ,
',
� � � � ��1
°' JO ��SITE• �Cr'�� r 4',I� ��' Zip: ,,� �`
; " 'l
O r's Name: _ � L�^ --� '��'f" P6one N�mber: �' '" �." ` '
,�
Ma 'ng Address: �-��.� �/'' .�=' City: ����� Zip: ��
� 's ame���U�re & SOf1S Phone Number: ��`� `�����������
Co ractoz N
� Ma 'ng Address: - 12th AVe SO. City: Zip:
,
� kins, MN 55343
�
.�
,
:r �
�.:
' 1
4
�i
^ .
I �
`
�� D�r01-2��2 :ltani Fro�-CITY OF ORCMO +9S224ot616 T-S62 P 005/006 F-412
;� �
y
r
, �
f l
� �A'I"�NG SYSTEMS
Q�
� .
'� Make;
«�:
� Mod
�' Fuel:
r
Y
Flue S(ze:
�
[nput BTUs:
�,
Output BNs: '
+i
CF. �
`
CO G SYSTEMS
�
��
Qu
I Mak
r
Mo
:� `���
i� To�
H.P�er
I.A $
Gas f$ctory fireplace
� Wood burning factory fireplace with flue
' Wood Stove
�'� � Wood stovo with flue
,
�� , Brand Nam� Model No.
TI N
.
� Kiteben Exhaust duct recalculating cfm
; Bath Exhaust(must have duct outside) cfm
t o: Othea•Fans: Locations cfm
�
�
S O GE(NNST BE APPROVED BY FIRE MARSHAL)
� �.
Installation or ❑ Removal
+� Fuel oil: _,_gallons ❑ underground ❑ inside ❑autside
�'� LP Gas: ga ns -
� Other�,� % !'�J f/' Gas opening
, �,�
�� ,�-�.-- r ��� z
� �
�
�,
,
��
'�' N
D�c-04-2��2 1��1Tpm Fram-CITY OF ORONO +9522404616 T-561 P.006/006 F-412
i
7 •
��� .. ,s .
�' 4
E CULATION�
200 te Statute ❑ Yes Thi�Section Applies
The �aCement of a Residential fixturr or_a�pliance that meets all three of the following requiremenu:
�
1) �;nat require modification to electric�l or gas service.
� ' '� 2) Has a toral cost of$500.00 or lcss; excludine the cost of the fcxture or appliance:
�
j ��
� 3) Is improved, installed or replaced by the homeowner or licensed eontractor.
,
�� 1' Slcip next section; Cost of Permit $ 15.00
� '� Staze Surchar�e$ .50
Mail-In Fee $ 1.50
�
If abc�v�does noc apply, follow guidelines below:
;, l. Cbntract Price* is .0125% of job with a Minimum Fee oi($3s•ool � �� c,
� � �� ��� x .0125 $ � '-'
� ,
�.: � (contract price) (minimum$35.00)
i.
2. S � Surch e. ** Add the State Building Code Division a Minimam Fee of(S.501
;� ,�' '����i � ���
R ' ''" �' x.0005 $ `�
' (contract price) (minimum S.50)
3. sta e aad Iiandlin (Only niai!-in applications) $ 1.50
�,
�, �' r. r�C1
1"� 4. T� TAI.PERMYT FEE(Add lines 1-3 above) � � `-� �
' �
3^
•C . TRACT pRICE or JOB COST mesuv nc�actuol or estimated dollar amount chargcd for the permincd work including
ma als,labor,profi�,�nd other fixed cosu.!t is thc amount to bc chacged to thZ customcr for the worlc donc.IP ony maccrial.
tq ' ent,labor,or installadon is furnishtd by che owner,tznan�or any other party�he reasonable market value of such itcros
mus��be addcd to ihe e�timated cost or conuae[price for ptrmi[fee purposes.In thc eve�[that thcrc is a dispute on the amount of
thr}pb cost,thc Ciry may request the submission of a signed copy of thc ac[uai conaset.
.�
•'T'ke STATE SURCF(ARGE is.0005 of the conttact price undcr$t,000,000 or$.50-whichtver is greater,For vafuazions over
'' $1,000,000 cali che Der�artmrn�of[nspcction,�l Serviccs for the prict.
Tht�ndersigned hercby applia to the Ciry for issuancc of a Mechanies►1 Permit,agrtes to do all wor1:in sirict accordance with
thc dtdinanccs of the Ciry and tht regulations of the Minnesota,State Buitding Codc,and cer�ifics�ha[all statemcnts made on this
appl'uation arc completc,�tue and cocrect.
f,; ;; `���� ,_� �
�
��
. --t'�
�
_ Date; �
�� A licant's Signarure. t
A rovod By. Date:
� ! � 3
I �X
;i
N
�
I
�
/ T c.� TIME �
CITY OF ORONO C LED IN Lll ��l� /
INSPECTION NOTICE SCHEDULED L3 � %�� S
PERMIT NO. /�O COMPLETED
ADDRESS � �-O �� ��
OWNER CO TR. � �
TELEPHONE N0. ��� �� 3/ ^ � � � �o
� DESCRIPTION � / ' "���` � C�� ��
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FR,qMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
� 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 RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:�YES_NO
� COMMENTS:
�
a c �
�
J
O
�.
�
O
�
W
�
Q
�
Z
W
�
W
�
�
d
W� WORK SATISFACTORY:PROCEED I_� PROJECT COMPLETE
W ❑ CORRECT WORK&PROCEED Cl ISSUE CERTIFICATE OF OCCUPANCY
� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ,_� pH0T0 TAKEN
INSPECTOR WILL RETURN ❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the ne t inspection 24 hours in advance. (J52� 249-4600
OwnerlContra ite:
Inspector.
White Copyllnspector's File Canary CopylSite Notice