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HomeMy WebLinkAbout2005-P08467 - gas line inspection � ' PERMIT C I TY O F O RO N O Permit ►vumber: 2750 Kelley Parkway - PO Box 66 P08467 Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits (952) 249-4600 Date Issued: 2�24i2oos SITE ADDRESS: 2220 French Creek Cr Wayzata,MN 55391 PID: 10-117-23-32-0004 DESCRIPTION: Proposed Use: Residential Permit Class: General Permit Type: Mechanical Permits Permit Sub-type(s): Gas Line Inspection DETAILS: Approved per resolution#: Separate pernuts required: NOTICES/REMARKS: gas line for fireplace FEE SUMMARY: Permit Fee: $ 35.00 Valuation: $ 0.00 State Surcharge Fee: $ 0.50 Misc.Fee: $ 1.50 TOTAL FEE: $ 37.00 APPLICANT: West Side Plumbing,Inc. OWNER: Robert&7eanne Fayfield 9735 Shady Oak Drive 2220 French Creek Cir Chaska,MN 55318 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. `D�L�""� (/+'�-' ��1'l-(�oQ—r� APPLICANT PF,RMITEE SIGNATURE SSUED BY SIGNATURE Conies: 1-File(Sigriitures Required), 1-Applicant, 1-Monthlv Reports, 1-AssessinQ, 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 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 Designs-Complete calculations, details and specifications are required for each heating, ventilation,humidification-dehumidification, and air conditioning installation incladinb heat loss!heat gain calculation,design temperatures,equipment ratings and identification as to type, manufacturer and model. Data shall be presented on form provided. Identification of and specifications for water heating equipment shall also be 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. 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 Replace �Residential Commercial JOB SITE: �'�,� d �=�e�c�� C��%�'� �� Zip: Owner's Name: � ,�J�`�'At�tJ� Fh�yF�'"c� Phone Number: ���3-Cj�y- (;,�)�� MailingAddress: ���� F��(vt:.�y G1e City: c_'.�i2C���; Zip: C'2 T►�= Contractor's Name:lN��T Si►�e �lUmb� �� Phone Number. ��.�..�:�.- �I<<3 �:� I C'`/ Mailing Address: �t�`!3� s N��j a A�. City: L,I'y i��`��:rt Zip: S�3/� 7 i� 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 or 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 below: 1. Contract Price* is 1.25%of job with a Minimum Fee of($35.00) x A125 $ .�J ,O� (contract price) (minimum$35.00) 2. State Surchar�e. ** Add the State Building Code Division a Minimum Fee of($ .50) X .000s $ ; �G (contract price) (mi�imum$.50) 3. Posta�e and Handlin�(Only mail-in applications) $ 1.50 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ 3 '�],Q� *CONTRACT PRICE or JOB COST means the a�tual or estimate�do11N�,�um chargeu ror tne 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 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 che conVact price under$1,000,000 or$.50-whichever is greater.For valuations over$1,OOQ000 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 correc� l 1 % Applicant's Signature: ���'�'� Date: �—,�c�-�e(J�-f Approved By: '�/ � Date: 5"t �lT c �-.� c e,.�S� � ►3or.h� c�+.� � i�r 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 factory fireplace ����'� �� `�� Wood burning factory fireplace with flue Wood Stove Wood stove with flue Brand Name Model No. VENT[LATION 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 or outside LP Gas: gallons Other Gas opening ,-� �-li2 iV� �' DATE 7C TIME CITY OF ORONO CALLED IN � � �� INSPECTION NOTIC,� / scHEou�Eo �- �-l�S %�?/��lil PERMIT NO. .Yl%��I Li � COMPLETED ADDRESS ���.�G r'j.G �.� �'�_v�� C:�2. OWNER CONTR. __��',zyT������— ��vK.�,'� TELEPHONE NO. ��'�c� " 7�c� '�yd � — �---/��� � DESCRIPTION ;i�"4Z G1.� �" l�''��u.g,Z. �//S�c� F��-Jc:ili�+ �� � 01 FOOTING �1 MECHANICAL RI 18 EXCAV/GRADING/FILLING � Q 02 FRAMING � 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS rv y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL l�f�� Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 P�UMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � w e � J O >. � O � W � Q � Z W � W � j d W ORKSATISFACTORY:PROCEED fl PROJECTCOMPLETE � ❑ CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑ CORRECTUNSAFECONDITIONWITHIN HOURS. J PHOTOTAKEN INSPECTOR WILL RETURN � CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the ne i spection 24 hours in advance. (952� 249-46�� OwnerlContra si e: Inspector. White Copyllnspector's File Canary CopylSite Notice (�� DATE TIME " CITY OF ORONO � CALLED IN l �� � INSPECTION NOTICE,f�� SCHEDULED Ca—g-�S : 0 4�( PERMIT NO. �p�I v� COMPLETED ADDRESS � � r��l2<_ �� ' < �`,�. OWNER CONTR.��Z.-S��r�e.. ��t/�,� TELEPHONE NO. ��a �7LD� `J y� C�'��P �JZ.-�ef' � DESCRIPTION � iSU� � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 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 J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PL�$j�j�� 23 SEPTIC FINAL 35 HARD COVER REMOVAL �� 36 FOUNDATION/REMOVAL � OW A TO MEET YOU: ES_NO O �n . � W a � ��'��. � €�.L�7 ✓ � �� � P � � 0 � W � Q � z W � W � j d � WORKSATISFACTORY:PROCEED CI PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED '- ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CA�L FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑ CORRECTUNSAFECONDITIONWITHIN HOURS. �; pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED C INSPECTION REQUIRED.CALI TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952� 249-460� OwnerlContractor on�ite: ��Inspector. � �� White Copyllnspector's File Canary CopylSite Notice