HomeMy WebLinkAbout2005-P08950 - gas line inspection � - ► PERMIT
CITY OF ORONO Permit ►vumber:
2750 Kelley Parkway- PO Box 66 P08950
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Pernuts
(952) 249-4600 Date Issued:
7/12/2005
SITE ADDRESS: 1290 French Creek Dr Unit#
WAYZATA, MN 55391
PID: 10-117-23-32-0011
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Gas Line Inspection
DETAILS:
Approved perresolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 15.00 Valuation: $ 300.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 15.50
APPLICANT: Northridge Plumbing Co., Inc. OWNER: K F&J S TEMPERO
6960 Madison Avenue W. 1290 FRENCH CREEK DR
Golden Valley,MN 55427 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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AP ICANT RMITEE SIGNATllRE � ISSUED BY SIGNATURE
Copies: 1-File(Signatures Reguired), 1-Applicant, 1-Monthly Reports, l-Assessing,(If Septic, 1-Septic) Page 1
.
►
FOR CITY USE ONLY
���`0'�\` City of Orono �.,
,/OT `rO�.. P.O.Box 66 Date Received: /-'L�';i� Pertnit# � �S�
2750 Kellcy Pazkway
`�� •�i''h• Crystal Bay,MN 55323 Approved By: Amount$: /S•5�
'r�` y�� (952)249-4600
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CITY OF ORONO—MECHANICAL PERMIT
(All Commercial pemuts must be approved by the Building Official or Inspector aad/or Fire Marshall)
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 retum mail after a review is completed. PERMITS ARE NOT
VALID UNTIL YOU RECENE A PERMIT. WORK MUST NOT BEGW UNTTL 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 calcularion,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 fmal). 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 AC�dI'eSS: 1290 French Creek Drive
Owner: Johnson Mailing Address: �290 French Creek Drive
Clty: Orono Zip:
Home Phone: Alternate Phone:
Contractor Information:
COIltI'aCt01': Northridge Plumbing Co. COritaCt PCI'SOri: Darwin Baack
6960 Madison Ave.West 2033808
Address: State Bond#:
Golden Valley 55427 07/13/06
City: Zip: Expiration Date:
Phone: (763>s91-isso
Alternate Phone:
�e;���:.-�t <�'��.��.;��t 1�` I
� Insurance—Current: °�-��;�: - �-��� �
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MECHANICAL SYSTEMS BEING INSTALLED
HEATING SYSTEMS
Quantiry:
Make:
Model:
Fuel:
Flue Size:
Input BTUs:
Output BTCJs:
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.:
VENTILATION
❑ No. Kitchen E�chaust duct recirculating cfm
❑ No. Bath EJchaust(must have duct outside) cfin
❑ No. Other Fans: Locations cfm
FUEL STORAGE(MUST BB 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: d'yer
2
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PERMIT FEE CALCULATION(S)
BASED OFF -2002 STATE STATUE
� 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 apptiance:and
3. Is improved,installed or replaced by the homeowner or licensed contractor.
Skip next section,if this applies; Cost of Permit $ 15.00
State Surcharge $ .50
Mail-In Fee(If Applicable) $ 1.50
Total Permit Fee $fi6:60' E rJ.�f�!
PERMIT FEE CALCULATION S)-JOBS OVER$500.00
If above does not apply;follow guidelines below:
1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$35.00)
�
"�jtJG.�° x.0125$
(conttact price) (minimum$35.00)
2. STATE SURCHARGE **Add the State Bldg Code Div.Surcharge(Minimum Fee of 5.50)
x.0005 $
(contract price) (minimum$ .50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) S
• * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the
pe�nitted 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.
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 application are complete, true and
correct.
�
ApplicanYs Signature: �� � � ��`� `� :�, Date: �����'-���
Reset Form
3
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DATE � TIME
CITY OF ORONO CALLED IN _ ?�
INSPECTION NO CE SCHEDULED �
PERMIT NO. �1 COMPLETED
ADDRESS O C���' �v
OWNER CONTR./'��1Y7��t�,�`t�Y�C� �
TELEPHONE NO. ��D 3 �9�— lS��
� DESCRIPTION ` /�' ����
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
� 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 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINA� 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W ORK SATISFACTORY:PROCEED 17 PROJECT COMPLETE
� CORRECT WORK 8 PROCEED :i ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑ CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETIJRN
❑STOP ORDER POSTED.CAIL INSPECTOR r' CITATION ISSUED
C INSPECTION REQUIRED.CALI TO ARRANGE ACCESS.
Call forthe n �inspection 24 hours in advance. (J52� 249-46��
OwnerlContr�k�n i e:
Inspector.
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