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Home My WebLink About2003-P06061 - gas line inspection CITY OF ORONO PERMIT 2750 Kelley Parkway - PO Box 66 Permit Number: Po6o6i Crystal Bay, Minne�ota 55323 Permit Type: Mechanical Permits (952) 249-46�0 Date Issued: 2�2s�2oo3 SITE ADDRESS: 1045 Linden La Mound,MN 55364 P I D: 07-117-23-13-0095 DESCRI PTION: 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: Installing Gas Line&Duct Work for 2nd Floor FEE SUMMARY: Permit Fee: $ 37.50 Valuation: $ 3,000.00 State Surcharge Fee: $ 1.50 TOTAL FEE: $ 39.00 APPLICANT: Owner/Self OWNER: Mr. &Mrs. Terrance Johnson MN 1045 Linden La Mound MN 55364 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK 1N SI'RICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. � �j�_ ��yi'�ce� /�2� , APPL[CANT NERMITEE SIGNATURE ISSUED BY SIGNATURE Copies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessin�, 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 pernut will be issued within two working days. 2. Pernut 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, 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. �Vhen 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-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 (95�) 249-4600. Please check one: ❑ New [�] Addition ❑ Repair ❑ Replace ❑ Residential ❑ Commercial JOB SITE:�py j L.1►'1 c� � i-� �-Arl� �� Zip: S�� Owner's Name: ` n�S� Phone Number: (��-��-r� ��c��D�� Mailing Address: � ay-, L�n��,y� ��, City: G��.Z,�— Zip: ��,-_� l��,ro�. �S'a.- ��-a3S�l , Contractor's Name: �pV+•� Qt,.lru�L Phone Number: Mailing Address: City: Zip• � ' 1 `� ; . ;i :. - � � � . .� F:. ; �. f;� I _ __,� �:w �Yti , � � �R' �.: �s �� . �,,.,. ,� �,.> � �� SYSTEM DESCRIPTION . � �:>� � ��` HEATING SYSTEMS '� Quantity: '`�s ,� Make: `� Model: ' � Fuel: `� �;:x Flue Size: ��.: F,.;; k�`'' Input BTC1s: D oU`�B�:v�'k ar. d.. �rtvur� ,�4d.d.cF,, CFM: COOLING SYSTEMS �; Quantity: � � Make: �' '�=� Model: �'; Tons: t H.Power `< °� FIREPLACES GAS LINE ONLY q� ¢; �as facto fire lace + �; rY P �Installing a Gas Line Only ` ❑ Wood burning factory fireplace with flue �,,-. ; ❑ Wood Stove ��'; ❑ Wood stove with flue �� ,<�� '�� Brand Name - Model No. VENTILATION No. Kitchen Exhaust duct recalculating cfm No. Bath Exhaust(must have duct outside) cfin 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 � ;� �'�' ' , � ,.� �, _ ,. , �� : , � � . �� ,,, . . , . �, , , �a , •.� -< . ..-; ., ;:. , t � . . . . )�.. �. � .. ... . . _ y . ,.a,. .��.�F13� �.. ��Ar� , . . _ ......,. . .. da.n.3.:''._� ..t.So,.�._ . ��.._, �� . . .,a>:ss._a. ._. _. ex.a«I s,. .. . .. 'i � . � � , � .. .. � .. � . , . . . , __ t:. � . . . .. _. *- , 'e � , . , ' . .. '. -., -�. , . , a, . . ._ ,. . . . .; ,. . . , -: .. u.�.�. .,,.. . .. . � . .,� , .-,, PER'VIIT FEE CALCULATION(Sl 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. � kt Skip next section; Cost of Permit $ 15.00 State Surcharge $ .50 ;�; Mail-In Fee $ 1.50 ;� �.: Y If above does not apply, follow guidelines below: ,ti 1. Contract Price* is .0125% of job with a Minimum Fee of($35.00) 3 oC�O X .o12s $ 3 ?� S� (contract price) (minimum�35.00) 2. State SurcharEe. ** Add the State Building Code Division a Minimum Fee of($ .50) ;� 3 ov u X .000s $ I . s"O (contract price) (minimum$.50) 3. Postage and Handlin� (Only mail-in applications) $ 1.50 h ;a a � ,,y 4. TOTAL PERMIT FEE (Add 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 is fumished 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 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 Building Code,and certifies that all statements made on this `� application are complete,true and correct. � � � � Applicant's Signature: Date:�•��O„3 � �: Approved By: Date: i� � 3 r, F � �`� ` 4 >� � � � � � � � �� : �.� �- � � � � � ; a` � � ' � �� r� . � . . . . . . �, r. �� P p�bv P�� DATE TIME � CITY OF ORONO ��fnn. CALLED IN �I (O3 '� , � � INSPECTION N TICE `1�fi��SCHEDULED S a-�-��'' PERMIT NO. O COMP EfED ADDRESS t�� Cd �2 OWNER CONTR. TELEPHONE N0. �' � a 7 � C�C�, � DESCRIPTION � Ot F00TI_ NG\ �� MECHANICAL RI ; 18 EXCAV/GRADING/FILLING �02 FRAMIN� 13 MECHANICAL FINAL 19 IAKESHORE/WETLANDS '' 03 IN&ULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 05 F�NAL 14 SEWER HOOK-UP O6 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT v 07 DEMO-_FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP �09 PLUMBING RI � 23 SEPTIC FINAL 35 HARD COVER REMOVAL r"10 PLUMBING FINAL v 36 FOUNDATIOWREMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO v�, COMMENTS: � W a J O � � O � W � Q � 2 W � W � � � O W� RKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFOREC�/ERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. O PHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next ins tion 24 hours in advance. (952) 249-46�� OwnerlContractor on site: inspector. White Copyllnspector's File Canary CopylSite Notice