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HomeMy WebLinkAbout2008-P12021 - gas line inspection � w PERMIT CITY OF ORONO Permit Number: 2750 Kelley Parkway- PO Box 66 P12021 Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits (952) 249-4600 Date Issued: 5/2/2008 SITE ADDRESS: 2870 Little Orchard Way Unit# Wayzata,MN 55391 PID: 09-117-23-21-0008 DESCRIPTION: Proposed Use: Residenrial Pernvt Class: General Permit Type: Mechanical Pernrits Pernvt Sub-type(s): Gas Line Inspection DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: Gasline for pool heater and venting FEE SUMMARY: Permit Fee: $ 35.00 valuation: $ 750.00 State Surcharge Fee: $ 0.50 TOTAL FEE: $ 35.50 APPLICANT: Blue Water Plumbing OWNER: Kevin&Paige Amsler 5026 Alpha Road 2870 Little Orchard Way Princeton,MN 55371 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. �_ ..�-'r ..... APPLICANT PERMITEE SIGNATLR2E ISSUED BY SIGNATURE Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 , � FOR CITY USE ONLY O¢D�O City of Orono ; P.O.Box 66 Date Received:' Permit# 2750 Kelley Parkway � �. '�.� Crystal Bay,MI�55323 Approved By: Arnount$: ��Q$y (952)249-4600 CITY OF ORONO—MECHANICAL PERMIT (All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall) GENERAL INFORMATIOI�T 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. 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 Designs—Complete calculations, details and specificarions are required for each hearing,ventilation,humidification-dehumidification,and air conditioning installation including heat loss/heat gain calculation, design temperatures,equipment ratings and idenrification 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 pernut 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 fmal. TYPE OF PER1k�IIT :� � _ � n � � � (Check 1��1'��at A 1, ' `� � ` � � ���: �Residential ❑ Commercial(Approval Required) Q New ❑Additional ❑Repairs ❑Replace Job Site!Owner Information: Site Address: �� �� [.��7��f_� �7l'h�. 1N Owner: /�t►y/j� Ah����r Mailing Address: City: C��OhC� Zip: Home Phone: �� -���a y��i Alternate Phone: Contractor Information: � Contractor: l� nnbi�+ Contact Person: -� 1-�r'c.c�h� Address: 6 lta�c c State Bond#: � '� City: ��' . d!` Zip:�37�Expiration Date: Phone: ��3 `�6^ �$��J�/ Alternate Phone: 7e�_3'' �3�j —�' I f�� ❑ Insurance—Current: 1 ,� _ HEATING SYSTEMS Quantity: Make: Model: FueL• Flue Size: Input BTLJs: Output BTUs: 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 Exhaust duct recircularing cfm ❑ No. Bath Exhaust(must have duct outside) cfm ❑ No. Other Fans: Locations cfm FUEL STORAGE(MUST BE 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: �C.7b1 1-���� � r��n�-��� 2 � , � ❑ 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,if this applies; Cost of Pernut $ 15.00 State Surcharge $ .50 Mail-In Fee(If Applicable) $ 1.50 Total Permit Fee $ If above does not apply; follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$35.00) ZSQ.Qd x.0125$ (contract price) (minimum$35.00) 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.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) $ ■ * CONTR.ACT PRICE or JOB COST means the actual or esrimated dollar amount charged for the pernritted 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 pernut 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 Deparhnent at(952)249-4600 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 State of Minnesota, and certifies that all statements made on this application are complete, true and correc�. Applicant's Signature:�i�� Date: ,��, � �� 3 DAT�_O� TIME � CITY OF ORONO CALIED IN _-.� INSPECTION N ICE SCHEDULED fD••oD PERMIT NO. �f�D�� COMPLETED ADDRESS a�l 7IJ I_��"L� DNCL-�c-O� ��_ OWNER CONTR.�LGcQ L� �-Q. - TELEPHONE NO. Z�3 a�6 ���� � DESCRIPTION CJ� � �u- ��_- �-' 1"v� � ❑ FOOTING � MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHOREM/ETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE Q ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT � ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ WARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO v�, COMMENTS: � W a � J O � ��rt��S T �rr�s l t n1 e o A!' (_-t-2 � T W � Q � 2 W � W � � � WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑ ORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOH REINSPECTIOF{ TEMPORARY V BEFORECOHERING PERMANENT ❑CQRRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR O IIVSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor on site: Inspector. L � � White Copyllnspector's File Canary CopylSite Notice � I� � A E TIME V CITY OF ORONO CALLED IN s �� �� INSPECTION�DT SCHEDULED � � PERMIT NO.7� COMPLETED ADDRESS O OWNER �$ � _ CONTR.�l ��h� � TELEPHONE NO. �d�'►�i – / �D�J ��J� � �D _ � DESCRIPTION . � ►'LG�C — �a- � ❑ FOOTING ECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING MECHANICAL FINAL p LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � O DEMO-SITE ❑ SEPTIC MAfNT. ❑ COMPLAINT � ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP ? ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL v ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a o /VI A�t a .M e�es 7e�� p � � 0 � W � Q � 2 W � W � � J W ORKSATISFACTORY:PROCEED �ROJECT COMPLETE J O W ❑ RRECT WORK&PROCEED ❑VSSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN INSPECTOR WILL RETURN �STOP ORDER POSTED.CAII INSPECTOR ❑CITATION ISSUED ❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on s' e: Inspector. f White Copyllnspector's File Canary CopylSite Notice