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Home My WebLink About2002-P05192 - gas line inspection � PERMIT CI�TY OF ORONO Permit Number: 1750 Kelley Parkway- PO Box 66 Posi92 Crystal Bay, Minnesota 55323 Permit Type: Me�hani�al Pe�ts (952) 249-4600 Date Issued: sii�i2oo2 SITE ADDRESS: 2715 Pence La Excelsior,MN55331 PID: 21-117-23-32-0007 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: Gasline and Hook up BBQ Grill FEE SUMMARY: Permit Fee: $ 15.00 Valuation: $ 200.00 State Surcharge Fee: $ 0.50 Misc. Fee: $ 1.50 TOTAL FEE: $ 17.00 APPLICANT: Kleve Heating&Air OWNER: Steven Synder& Sherryl Stern 13075 Pioneer Trail 2715 Pence La Eden Priaire,MN 55347 Excelsior, MN 55331 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. ,'% � ,",�� ',� 4�'i�2�ryci r,�,,/' � � / L L / A PLICANT PERMITEE SIGNATURE �i��DB SIGNATURF. Copies: 1-File(SiQnitures Required). 1-Applicant, 1-Monthlv Reports, 1-Assessing, 1-Finance Page 1 . � �. ' �E��'�D .'JAN 2 2 ZflQ� � �_.� ,��__ . .___... 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 LJNTIL YOU RECEIVE A PERNIIT. 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 losslheat gain calculation, desib temperatures, equipment ratings and identification as to type, manufacturer and model. Data shall be presented on form provided. Identification of and specifications for�vater heating equipment snali aiso 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 be inspected(rough-in and final). Call (952)249�600. 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. Ii�ICOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call (952) 249-4600. Please check one: ❑ New �ddition ❑ Repair ❑ Repla idential ❑ Commercial JOB SITE: �� p� D y�r��,� Zip: +S � Owner's Name: `.��,5 �, , Phone Number: � • 4 71•�1�-5��- Mailing Ac�drPss: ��„�L ^ity: Zip. Contractor's Name��,,,p }�f/kL�/J�_. Phone Number: _� — Mailing Address: ��'�� ;a n`� City: 5- ip: SS� CE 7 1 ,� r a SYSTEM DESCRIPTION HEATING SYSTEMS C�� XJ�� I�� J J Quantity: Make: Model: Fuel: Flue Size: Input BTUs: Output BTUs: CF:�4: COOLING SYSTEMS Quantity: Make: Model: Tons: H.Power FIltEPLACES ❑ Gas factory fireplace ❑ Wood burning factory fireplace with flue ❑ Wood Stove ❑ Wood stove with flue Brand Name Model No. VENTILA'I'ION No. Kitchen E�chaust 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 ❑ underb ound ❑ inside ❑outside ❑ LP Gas: gallons ❑ Other Gas opening 2 � PERMIT FEE CALCULATION(S) 2002 State Statute ❑ Yes This Section Applies The replacement of a Residential fixture or a�pliance 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; escludins 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 $ ]5.Q0 State Surcharge$ .50 Mail-In Fee $ 1.50 If above does not apply, follow guidelines below: �� 1. Contract Price* is .0125% of job with a Minimum Fee of(�3�.00) (5 , °� Y .0125 $ (contract price) � (minimum$3�.00) 2. State Surchar�e. ** Add the State Building Code Division a Minimum Fee of(� .50) Y.0005 $ • �Ci (contract price) (minimum$.�0) 3. Postaae and Handtina(Only mail-in applications) $ 1.50 11 .o�o 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ ,�! `CUN"fIZACT PRICE or JOFs COST means the actual or estimated dollar amount charged for the permitted work including materiais,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 pzrmit 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-�vhichever 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 afl work in strict accordance with [he 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. 5-_\�r��' Applicant's Signatur� � � �,� Date: y, ' `—.(CZ Approved By: Date: . ^ � DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTI � ' SCHEDULED ___�� < PERMIT NO. ��C�OJMPLETED ,� ADDRESS c�" �CS c-�� OWNER CONTR. TELEPHONE NO. � — � DESCRIPTION ��Lf�/`C�. �jr � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FR,4MING 13 MECHANICAL FINAL 19 LAKESHOFE/WETLANDS y 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 v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP � 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � WNER/CONTRACTORTOMEETYOU YES_NO � O M E TS: � � � � � � � �� Q 0 � � W � Q � Z W � W � � � O W� ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W�RRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOfl REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. O PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR 0 CITATION ISSUED ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice