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HomeMy WebLinkAbout2007-P00744 - gas line inspection ., . PERMIT CITY OF ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: p11744 Crystal Bay, Minnesota 55323 Permit Type: Mechanical Pernuts (952) 249-4600 Date Issued: 12/11/2007 SITE ADDRESS: 2005 Sugarwood Dr Unit# Long Lake,MN 55356 PID: 34-118-23-21-0011 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: Gas Line for Fireplace FEE SUMMARY: Permit Fee: $ 35.00 valuation: $ 700.00 State Surcharge Fee: $ 0.50 TOTAL FEE: $ 35.50 APPLICANT: Welter&Baylock Inc. OWNER: Bill Bigley 2014 4th Ave. SW#3 16119 Ringer Rd New Prague,MN 56071 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. LIC T E SIGNATURE UED BY SIGNATURE Copies: 1-File(Signatures Reguired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 FOR CITY USE ONLY O,¢��� City of Omno ---- -- -- P.O.Box 66 Date Received: Permit# 2750 Kelley Par�way a �`� x Crystal Bay,MN 55323 Appcoved By: Amount$: �r�;�o*�� (952�2A9-4600 CITY OF ORONO-MECHANICAL PERMIT (All Commerciai pemiits must be approved by the Building Official or Inspector and/or Fire Marshall) GENERAL INFORMATION 1. You may apply for mechanical permits hy mail or in person at the City offices. Applications will be reviewed and a pemut will be issued within two working davs. 2. Permit cards will bc; sent by retum mail after a review is completed. PERMITS ARE NOT VALID tJNTIL YOU RECEIVF,A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD LS POSTED ON THE JOB STTE. 3. Mechanical I)esis.ns—Complete ealeulaUons,details and specifications are required for each heating,ventilation,humidification-dehumidification,and au conditioning installation including heat loss/heat gain calculation,design temperatures,eqaipment ratings and identification as to type,manufacturer and model. Data shall be presented on form provided. 4. When any new construction or remodeling is involved,a separate building permit must be obtained. 5. All work must be done in accordance with the Uniform Mechanicai Code/State Building Code requirements. 6. All work must be inspected(rough-in and tinal). Call(952)249-4600. (24-48 hour notice required) 7_ House Heating Test Record must be submitted before final. TYPE OF PERNIIT (Check All That A ply �Residential ❑Commercial(Approval Required) �ew ❑Additional ❑Repairs ❑Replace Job Site/Owner Information: Site Address: ��S 5u-a��,r t.t�Cx�d s- �(�• Owner: l�,�-� �l Mailing Address: J�`� n�� City: �rm o��d �-� Zip: �"5 �3 S(o Home Phone: Altemate Phone: Contractor Informarion: Contractor: ��- ��l�l�' uh Contact Person: �C��- 1'C��`� Address: �'D� y��' S ��� StateBond#: "���� 337,� City: �'�'^��t�l �tit. Zip: SZ°�� Expiration Date: ���'• 3/ ��'") Phone: `�5 � 7��'S$ 6/ Alternate Phone: `��/`� v"�,�/ �7� � � Insurance-Cunent: 1 MEc��cni,sYs�s smvGnlsT�.i.En 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 Bwning Firepiace ❑ Wood Stove ❑ Wood Stove With Flue Brand Name: Model No.: VENTILATION ❑ No. Kitchen E�ust duct recirculating cfm ❑ No. Bath Eachaust(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 Crrill � Other/List What 8�Where: �� � /na.r?'�/�A� F�►� / 2 � . . PERMIT FEE CALCUI,ATION{S) BASED OFF-2002 STATE STAT[1E ❑ Yes,this section ap�lies The replacement of a Residential fixture or appliance that meets all ttuee of the following requirements: ]. Does not require modification to electrical or gas service. 2. Has a total cost of 5500.00 or less;excl - the cost of the fi�cture or appliance:and 3. Is improved,installed or replaced by the lwmeowner or licensed contractor. Skip next section,if this applies; Cost of Permit $ 15.00 State Surcharge $ .50 Mail-In Fee(If Applicable) $ 1.50 TeW Permit Fee $ PER�IlT FEE CALCULATIO S —JOBS OVER$500.00 If above does not apply;follow guidelines below: 1. CONTRACT PRICE •is 1.25•/.of conhact price with a(Mnimam Fee of$35.00) ''�b0 x.0125$ `?�•� (contract price) (minimum 535.00) 2. STATE SURCHARGE •'A�the State Bldg Code Div.S�ucharge(Minimnm Fee of S.50) ��D x.0005 $ �� (oontract price) (minimum$ .50) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ -�-59"� 4. TOTAL PERNIIT FEE(Add Lines 1-3 Above) $ 3� � ■ * CONTRACT PRICE or JOB COST means the actual or esti�ted 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,equip�ent,labor or installations are fumished by the owner, tenant or any other party,the reasonaWe market value of such items must be added to the estimated cost or contract price for peimit 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 Bailding Deparhnent at(952)249-4600 for the price. MECHANICAL PERI�IIT APPLICATION AC���ENT 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. Applicant's Signature: �� Date: I�-����7 Reset Form 3 � ��� � t �� � � DATE TIME ��� CITY OF ORONO CALLED IN Z Zi7' __s��� INSPECTION N TI E SCHEDULED jZ•� I•c�"I G^�n PERMIT NO. � COMPLETED ADDRESS �,� � G • OWNER C TR. � 7�' TELEPHONE N0. l�� ��U '�7�!� � DESCRIPTION � � 1 '1 � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING y ❑ FR,4MING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS O ❑ 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 Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W C � � O >. � O � W � Q � Z W � W � � WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR C INSPECTION REQUiRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952� 249-46�� -�rlContractor on�ft� � '`'� - Canary CopylSite Notice