HomeMy WebLinkAbout2000-P03372 - gas line inspection PERMIT
�IT� OF ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: Po33�2
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(612) 249-4600 Date Issued: 12i�i2oo
SITE ADDRESS: 275o t{elly Ave
EXCELSIOR,MN 55331
PID: 21-117-23-23-0038
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Gas Line Inspection
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 35.00 Valuation: $ 1,930.00
State Surcharge Fee: $ 0.97
TOTAL FEE: $ 35.97
APPLICANT: AL'S MASTER PLUMBING OWNER: JOHN L KOZAR ETAL
3041 ALDRICH AVENUE S 2750 KELLY AVE
MINNEAPOLIS,MN 55408 EXCELSIOR MN 55331
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL]MPROVEMENTS 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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r APPLICANT PERMITEE SIGNATURE I�SUED BY SIGNATi.JRE —
Copies: City,Applicant,Assessor, 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 permit will be issued within 2 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 instailation including 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. �11 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 249-4600. 24-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 249-4600.
Please check one: New Addition Repair Replace
Residential Commercial
JOB SITE: .;� 75-c� /L'�:�_� �, r�� � Zip:
Owner's Name: -����-- .5r��_�c_Y-J %��_- z�.-�,.�_ Telephone Number:
Mailing Address: ��w,,� City: Zip:
Contractor's Name: /-��.�,vL����,�L_�;�,�..;,.,,�,_�. Telephone Number: �.,� ��,_z 5��`� �
Mailing Address: .>` ��/ /4c-�j�t�cr��J�.� ��. City: �z��t_< Zip: ;�5��i��=
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SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantit}':
Make:
Model:
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H. Power �
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FIREPLACES - ��� i''-�Ii�V� �l�C- �•.. C.>/�} C.���.�c., i-��-� ` �'`
Gas factory fireplace � � L��i� � T� �L-���+w� c� �--
Wood burning factory fireplace with flue ��v� ��� �1 vv+5 u�� <-'-�-�-`"�
Wood Stove , - +c_c,�v�,.t;; c� � ;� F,v�.� ���e�.-,
Wood stove with flue ;�- ���'�����s� r� �`�>'�-�'�
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Brand Name Model No.
VENTILATION
No. Kitchen E�aust ducted recirculating cfm
No. Bath Exhaust (must be ducted outside) cfm
No. Other Fans: Locations cfm
FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL)
Installation Removal
Fuel oil: gallons underground inside outside
LP Gas: gallons
Other Gas opening
PERMIT FEE CALCULATION
1. 1.25�� of Contract Price* or N,[inimum Fee ($35.00) �_
/j�% �� �-
' x .0125 $ �
(contract price)
2. State Surchar�e. ** Add the State Building Code Division , , �,
Surcharge to each permit. _ / `%" -'; ` x .0005 $
or $.�0, whichever is greater (contracc price)
3. PostaQe and Handlin� (Only mail-in applications) $ 1.50
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4. TOTAL PERMIT FEE (Ac�d lines 1-3 above) $ ' "? �% '
* CONTRACT PRICE or JOB COST means the actual or estimated 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 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 .00OS 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 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 Buildina Code, and certifies that all statements made on this application are complete, true
and correct. �� �'� � 1 , -�� � ��
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Applicant'sSiQnature:j / '�,t�/ �/ ' 1c��-�---� Date: �� �7 �`�
Approved By: Date:
CITY OF ORONO CALLED IN �',,�-T��� TUYIE���
C"
INSPECTION NOTICE SCHEDULE� '
PERMIT NO. �' b�� 7� COMPLETED �' Z' '�"' � . '� ��
ADDRESS '
OWNER CONTR. /�i�7�/Z/`�/cun,s,�
TELEPHONE NO. � /� "��� —��`�� J
� DESCRIPTION ��/� �--e� �' �� �-��
l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 IAKESHORE/WETLANDS
�
O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
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
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= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Z OWNERICONTRACTOR TO MEET YOU:_YES_NO
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� COMMENTS:
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� �VORKSATISFACTORY:PROCEED �PROJECTCOMPLETE
w�❑CORRECT WORK&PROCEED f.' ISSUE CERTIFICATE OF OCCUPANCY
� Ci CORRECT WORK,CA�L FOR REINSPECTION TEMPORARY
� BEFORECOVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-46��
OwnerfContr r on site:
Inspector/ �����-� ,l
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