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Home My WebLink About2007-P11776 - gas line inspection � ti PERMIT CITY OF ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: p11776 Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits (952)249-4600 Date Issued: 12/27/2007 SITE ADDRESS: 380 Silver Meadow Dr Unit# Long Lake,MN 55356 PID: 33-118-23-42-0005 DESCRIPTION: Proposed Use: Permit Class: General Permit Type: Mechanical Pernuts Permit Sub-type(s): Gas Line Inspection DETAILS: Approved per resolution#: Separate pernuts required: NOTICES/REMARKS: FEE SUMMARY: Pernut Fee: $ 15.00 Valuation: $ 0.00 State Surcharge Fee: $ 0.50 TOTAL FEE: $ 15.50 APPLICANT: OWNER: Shawn&Ann Cadwallader 380 Silver Meadow Dr Long Lake,MN 55356 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. APPLICANT PERMITEE SIGNATURE 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 ,�0� City of Orono P.O.Box 66 Date Received: Permit# ��;;��,a � 2750KelleyParkway �� '��`' � Crystal Bay,MN 55323 Approved By: Amount$: �^��.�o (952)249-4600 CITY OF ORONO —MECHANICAL PERMIT (All Commercial permits must be approved by the Building Official or li�spector and/or Fire Marshall) GENERAL INFORMATION 1. You may apply for mechanical pernuCs by mail or in person at the City offices. Applications will be reviewed and a permit will be issued within two working days. 2. Perniit 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. 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)249-4600. � (24-48 hour notice required) 7. House Heating Test Recard must be submitted before final. TYPE OF PERMIT (Check All That Apply) [t�Residential ❑ Commercial(Approval Required) ❑ New ❑Addirional ❑ Repairs [�Replace Job Site/ Owner Information: . Site Address: 3 �� ,Sl �V� j`'"l�'�-c�t.J �✓ ; /'� �i Owner: ��W� (.,c-;�i,.,��CCJc'�/ MailingAddress: " s`w`c c�ty: ��v� o z�p: 5 S�� Home Phone: l�•�' �� b� �S��- Alternate Phone: �� 3�� C� l� Contractor Information: s��,-F Contractor: Contact Person: Address: State Bond #: City: Zip: Expiration Date: Phone: Alternate Phone: ❑ Insurance— Current: 1 .� � MECHANICAL SYSTEMS BEING INSTALLED � HEATING SYSTEMS Quantity: Make: Model: Fuel: Flue Size: Input BTUs: 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 recirculating cfm ❑ No. Bath Exhaust(must have duct outside) cfm ❑ No. Other Fans: Locarions cfm FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHALL) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑ Inside ❑ Outside LP Gas: gallons Other: GAS LINE ONLY \'�� 1 ❑ Oyt{door Grill �f Other/List What&Where: ��`S �� '� a ��S Co��p _ � �— _._.__.—=-' � '�c /1 i�� ,51<��, 2 . . PERMIT FEE CALCULATION(S) �� BASED OFF-2002-STATE�STATUE �� / � Yes, this section applies The replacement of a Residential fixture ar 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; excludine 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 Permit $ 15.00 State Surcharge $ .50 Mail-In Fee(If Applicable) $ 1.50 Total Permit Fee $ = PERMIT FEE�CALCULATI4N(S}'-70BS OVER$500.00 ��-�� If above does not apply;follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$35.00) x .0125$ (contractpnce) (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) $ ■ * 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 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 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 Building Department at(952)249-4600 for the price. �� ,1�ECHAI�tICAL PERMIT�PLICATION AGREEMENT ' 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 correct. ' �� l A licant s Si ature: G' /" I l,` pp � � Date: 3 � � �`-�' ATE TIME v CITY OF ORONO CALLED IN INSPECTION N TICE SCHEDULED 4-� PERMIT NO. COMPLETED _ ADDRESS c� �O �/!Lh°iL- , OWNER s SGIu� ��/�lllf�NTR. TELEPHONE N0. 7 J�� —��-' �� DESCRIPTION � ❑ FOOTING MECHANICAL RI p EXCAV/GRADING/FILLING Q p FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORENVEfLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT v ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP i ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO ��., COMMENTS: � W C � � O a � � O � W � Q � Z W � W � � � O W� ❑ RKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W CORRECT WORK&PROCEED ' ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTIOIJ TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ppHOTOTAKEN INSPECTOR WlLL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑IIVSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the ext inspection 24 hours in advance. (g52) 249-46�� OwnerfCon site: Inspector. White CopyMspect File Canary CopylSite Notice