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:
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❑ CORRECTUNSAFECONDITIONWITHIN HOURS. J PHOTOTAKEN
INSPECTOR WILL RETURN
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❑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�
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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
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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
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� ❑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