HomeMy WebLinkAbout2004-P07884 - gas line inspection ' " PERMIT
C ITY O F O RO N O Permit Number:
2750 Kelley Parkway - PO Box 66 Po�ssa
Crystal Bay, Minnesota 55323 Permit Type: Me�hani�at Permits
(952) 249-4600 Date Issued: g�2s�2ooa
SITE ADDRESS: 525 Hunter Pass
Wayzata,MN 55391
PID: 25-118-23-31-0006
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Gas Line Inspecrion
DETAILS:
Approved per resolution#:
Separate pernuts required:
NOTICES/REMARKS:
replaced part of gasline-air test by pool heater
FEE SUMMARY: Permit Fee: $ 35.00 Valuation: $ 300.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 35.50
APPLICANT: Sunburst Heating&Air Conditioning Inc. �WNER: Mark&Susan Stobel
1556 Oakways Road 525 Hunter Pass
Wayzata,MN 55391 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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APPLIC T PE S ATURE ISSUED BY SIGNATURE
Conies: 1-File(SiQnitures Reouired), 1-Anvlicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1
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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 pennit will Ue 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, desig�i temperatures, equipment ratings and identification as to type, manufacturer and
model. Data shall be presented on foi7n 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 pei-�nit must Ue oUtained.
5. All work must Ue done in accordance with the Uniform Mechanical Code/State Building Code
requirements.
6. All worlc must Ue inspected (rough-in and final). Call (952) 249-4600. 24-hour notice required.
7. House Heating Test Record must be suUmitted Uefore 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 ❑ Conunercial
JOB SITE: �?2S I--�U�T�- T �S� Z� ;
Owner's Name: r ,S �d , Phone Number: -7(�,5 ��(� -(��y
Mailing Address: �� �� � �` City: C��'C�'1 O �(Y�(�� Zip:
Contractor's Name:��,�-Y1.r-,��- }-�'��� .�, Phone Number: �1 s�� � ���� �
Mailing Address: f�-�(o �1f��,'r,,v_ City: Zip: � �
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SYSTEM DESCRIPTION •
HEATING SYSTEMS
Quantity:
Make:
Model:
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLINC SYSTEMS
Quantity:
Make:
Model:
Tons:
H. Power
FIREPLACES GAS LINE ONLY
❑ Gas factory fireplace � Installing a Gas Line Only
❑ Wood Uurning factory fireplace with flue � �
❑ Wood Stove �.z�l�+�� �.� �� �=e.� �(�E
❑ Wood stove with flue Q.�., I
-A i d' Te 5f �� 1 `-",
Brand Name Model No.
�/�2�•�
VENTILATION
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 ❑outside
❑ LP Gas: gallons
❑ Other Gas opening
2
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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; excludinQ the cost of the fixture ar appliance:
and
3) Is improved, installed or replaced Uy the homeowner or licensed contractor.
Skip next section; Cost of Pennit $ 15.00
State Surcharge $ .�0
Mail-In Fee $ 1.50
If above does not apply, follow guidelines Uelow:
1. Contract Price* is .0125% of joU with a Minimum Fee of($35.00)
� ��C� x .0125 $
(contract price) (minimum�35.00)
2. State Surchar�e. ** Add the State Building Code Division a Minimum Fee of(� .50)
x .0005 $
(contract price) (minimum� .50)
3. Postage and Handlin� (Only��zail-i��i applicatio�rs) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 aUove) $
*CONTRACT PRICE or JOB COST means the actual or estimatcd 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 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
thejob cost,the City may request the submission of a signed copy of the actual contract.
**The STATE SURCHARGE is.0005 of the contract price under$1,000,000 or$.50-whichever is greater.For valuations over
�1,000,000 call the Department of Inspectional Services for the price.
The undersigned hereUy 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 correct.
Applicant's Signature: - Date: �J� �
., (
Approved By: � " Date:
3
DATE TIME V
CITY OF ORONO CALLED IN � Sr-
INSPECTION NOTICE SCHEDULED ��G t�'-f iU��0/f�l
PERMIT NO. PO���l� COMPLETED
ADDRESS - � c.�i�-/ -7t /`�c�SS
OWNER CONTR. �U�bUr �- � C-
TELEPHONE NO. ��� `I 7C� ��3S/
� DESCRIPTION �S �"� �T�%'
� 01 FOOTING ECHANI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPIACE 34 TFEE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 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
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� �WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑CORRECT WORK R PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CI�RRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECTUNSAFECONDITIONWiTHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL RETI}RN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 for the next in ection 24 hours in advance. (J52� 249-4600
Owner/Contr sit :
Inspector. CJ"v'
White Copyllnspector's File Canary CopylSite Notice