HomeMy WebLinkAbout2004-P07668 - gas line inspection CITY OF ORONO PERMIT
2750 Kelley Parkway - PO Box 66 Permit Number: Po�66s
Crystal Bay, Minnesota 55323 Pet-mit Type: Mechanical Permits
(952) 249-4600 Date Issued: �ili2oo4
SITE ADDRESS: 4315 North Shore Dr
MOUND,MN 55364
PID: 07-117-23-43-0028
DESCRIPTION:
Proposed Use: Residential
Pernut Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Gas Line Inspection
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 35.00 Valuation: $ 800.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 35.50
APPLICANT: Allied Fireside(See Comments) OWNER: R&M WILLIAMS
DBA: Fireside Hearth&Home 4315 NORTH SHORE DR
2700 Fairview MOUND MN 55364
Roseville,MN 55113
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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PLICANT PERMITEE SIGNATURF. [SSUED BY SIGNATURE
Copies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Renorts, 1-Assessin�, 1-Finance Page 1
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. C�TY OF ORONO APPLICATION FOR MECHANICAL PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
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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�CEIVE 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 fo�n 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. 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 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
(952) 249-4600.
Please check one: ❑ New ❑ Addition ❑ Repair Replace ❑ Residential ❑ Commercial
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JOB SITE• `�
'�C� � �l �f—' Zip:
Owner's Name: Phone Number: �j���-�— �� _ �jf�.',' �
Mailing Address: City: Zip•
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Contractor's Name: Phone N ber: -�,�% --6���-%��,/� }
Mailing Addressr�7C�L� �/�1ft= City: �;C,� ` Zip• .,�%/ �
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SYSTEM DESCRIPTION • '
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HEr�TING SYSTEMS
Quantity:
Make:
Model:
Fuel:
Flue Size:
Input BTiJs:
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;1
Wood stove with flue � � , 4
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Brand Name Model No.
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; excludin�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 Minimum Fee of($35.001
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'i��� 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 mail-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.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. [n 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$],000,000 or$.50-whichever is greater.For valuations over ?
$1,000,000 call the Department of Inspectional Seryices for the price.
The undersigned hereby applies-to-Ihe Ctty for�issuanc �RQechanical Permit,agrees to�a,all work in strict accordanc�,with
the ordinances of the City and the re'gdlatiqns c�f the i esota tate Buildjng Code,an�certi �es that all statem�ts made on this
application are compl�;true and coXrect.i `�, / � �
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A licant's Si ature: - � �.� � � C '�' '�
pp � gn Date: �
Approved By: Date:
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`7"�� TIME v
DATE
CITY OF ORONO CALLED IN ���Z�DC�
INSPECTION NOTICE SCHEDULED �1����;� .
PERMIT NQ��- 7L�(r? � COMPLET�.
ADDRESS � �� f� ��� �� K� E`�
OWNER CONTR. �i�'�����-
TELEPHONE NO. Cl��— .�Cc�� ' (Gt�'(G� /��<.'t �`�`:.
� DESCRIPTION ���"`"� /��- --f'1.��, f;��
ly� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
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Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
W 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
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� OWNERICONTRACTOR TO MEET YOU: YES_NO
� COMMENTS:
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GW WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
� ❑ ORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑ CORRECT WORK,CALL FOR REINSPECT�ON TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
C INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Ca11 for the next ins ection 24 hours in advance. (J52� 249-4600
OwnerlContractor on ' e:
Inspector.
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