HomeMy WebLinkAbout2004-P07667 - gas line inspection PERMIT
CITY C�,�F ORONO
2750 I�elley Parkway- PO Box 66 Permit Number: Po�66�
Crystal Bay, Minnesota 55323 Permit Type: Me�hani�al pe�ts
(952) 249-4600 Date Issued: ��i�2oo4
SITE ADDRESS: 3065 North Shore Dr
Wayzata,MN 55391
PID: 09-117-23-32-0001
DESCRIPTION:
Proposed Use: Residential
Pernut Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Gas Line Inspection
DETAILS:
Approved per resolution#:
Separate pernuts required:
NOTICES/REMARKS:
Gas Line for Gas Grill
FEE SUMMARY: PermitFee: $ 35.00 Valuation: $ 800.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 35.50
APPLICANT: Allied Fireside(See Comments) OWNER: Cody&Nancy Edwards
DBA: Fireside Hearth&Home 3065 North Share Drive
2700 Fairview Wayzata,MN 55391
Roseville,MN 55113
TNE 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 BUILDII�G�O E REQ IREMENTS.
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A PL[CANT PERMITEE SIGNATURE ISSU BY SIGNATURE
Conies: 1-File(Si¢nitures Required), 1-Applicant. 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 permit will be 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 R�CENE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS
POSTED ON THE JOB SITE.
3. Mechanical Designs -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 ty�e, 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 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 Ue inspected (rough-in and final). Call (952) 249-4600. 24-hour notice required.
7. House Heating Test Record must Ue suUmitted 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
(952) 249-4600.
Please check one: ❑ New ❑ Addition ❑ Repair Replace ❑ Residential ❑ Commercial
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JOB SITE: � �� C�c/� � 1� Zip:
Owner's Name: � J � ,Q Phone Number:
Mailing Address: Z. j�.- City: Zip:
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Contractor's Name:f - � ��,P//S� Phone l�umber: �'S/ -�,�3 %CS/,�
Mailing Address; � ��G; ��r���'� City: �'c��'���.�' Zip: 5: 1
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SYSTEM DESCRIPTION • '
HEA'�iNG SXSTEMS
Quantity:
Make:
Model:
Fuel:
Flue Size:
Input BTLTs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H.Power
FIREPLACES GAS LINE ONLY
❑ Gas factory fireplace ❑ Installing a Gas Line Only
❑ Wood burning factory fireplace with flue
❑ Wood Stove r ( � f� /,
❑ Wood stove with flue (��`4-- C�"��'� h �L
C��,l� �- �
Erand Name `j'�� Model No.
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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
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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 or appliance:
and
3) Is improved, installed or replaced by the homeowner or licensed contractor.
Skip next section; Cost of Permit $ 15.00
State Surcharge $ .50
Mail-In Fee $ 1.50
If aUove does not apply, follow guidelines below:
1. Contract Price* is .0125% of job with a Minim tii Fee of $35.00
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� �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. Posta�e and Handling (Only nzail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 aUove) $
*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.1t 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
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 th�City for issuance of_a echanical Permit,agrees to o all work in strict accordance with
the ordinances of the City a�ths,regulatio�s of the mnesota tate Building Code,an ce ifies that all statements made on this
application are complet�;true and`�orrecC. � l,��, / '
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Applicant's Signatu�: z '�'" Date: � �
Approved By: Date:
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