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Home My WebLink About2004-P07781 - gas line inspection PERMIT CITY FR N O Permit Number: 2750 Kelley Parkway- PO Box 66 P07781 Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits (952) 249-4600 Date Issued: 8/3/2004 SITE ADDRESS: 1085 Tamarack Dr Long Lake,MN 55356 PID: 26-118-23-31-0017 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 Only FEE SUMMARY: Permit Fee: $ 35.00 Valuation: $ 0.00 State Surcharge Fee: $ 0.50 TOTAL FEE: $ 35.50 APPLICANT: Marsh Heating&Air Conditioning(See Cc OWNER: Charter&Holly Pihl 6248 Lakeland Avenue N. 1085 Tamarack Dr Minneapolis,MN 55428 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. APP NT PERMITEE SIGNATURE SUED BY SIGNATURE Conies: 1-File(Si-anitures Required). 1-AuDlicant. 1-Monthly Reports. 1-Assessine. 1-Finance Page 1 Aug-02-2004 10:18am From-CITY OF ORONO +9522494616 T-643 P.002/006 F-014 CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT Box 66 (2750 Kelley Parkway) Crystal Bay, MN 5532.3 QEtMAL INFORM TION 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 RECEIVE A PERMIT.WORK MUST NOT DEMN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Desi s-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 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 be inspected(rough-in and final). Call(952)249-4600.24-hour notice required. 7. House Beating Test Record must be submitted before final. Instructions Complete all items on this application. Compute the permit fee. Sign and date the certification. INCOMPLETE APPLICATIONS WU_L NOT BE PROCESSED.If you have questions,call (952) 2494600. Please check one: Lin New ❑ Addition ❑Repair []Replace M Residential Commercial JOB SITE: Zip: Owner's Name: -Er: e- Phone Number: Mailing Address: /0—.?5 1 a 1v11L+-c-it �' City: Contractor's Name: Iti��rs Phone Number: Mailing Address: Aw City: g , ip:. S,SY 'K 1 Auv02-2004 10:18am From-CITY OF ORONO +9522494616 T-643 P.003/006 F-014 SYSTEM DESCRIPTION HEATING SYSTEMS Quantity. Mike: - Model: --- Fuel: Flue Size: Input$T US: 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 ❑ Wood stove with flue 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 C]outside ❑LP Gas: gallons ❑Other Gas opening 2 Aug-02-2004 10:18am From-CITY OF ORONO +8522464616 T-643 P.004/006 F-014 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$500.00 or less;excluding the cost of the fixture or appliance: and 3) Is improved,installed or replaced by the homeowner or licensed contractor. Skip next section; Cost of Permit S 15.00 State Surcharge$ 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(535.00) x.0125 $ (contract price) (minimum$35.00) 2. State Surcharge. **Add the State Building Code Division a Minimum Fee of($.SO) X.0005 $ (contract price) (minimum$.50) 3.Postage and Handling(Only ntail-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,ind 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.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. *w The STATE SURCHARGE.is.0005 of the contract price under 51,000,000 or S.50-whichever 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 all work in strict accordance with the 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. Applicant's Signature: Date: Approved B)r Date: 3 Aug-02-2004 10:19am From-CITY OF ORONO +9522494616 T-643 P.006/006 F-014 Sec.13.04 RIGHTS OF SUB-TECTS OF DATA Subd. 1, Type of data. The rights of individual or,whom the data is stored or to be stored shall be as Set forth in this sxCOd; Subd.2. Information rtgrurcd to be given todxvidual. An individual asked to supply Prit'am or coofidenfW dati concerning himself shall be informed of: (a)the purpose and intandcd use of the requested data within the Collecting§tau ageacy,political subdivision,ar snrewide systew: (b)whether ht may refuse or is legally rcquircd W supply the requested dam:(e)any known evasequcwx arising from his supplying or refusing to supply private or confidential data:and(d)the idca6ry of other persons or entities authorized by state or federal law m receive the dart. This regiuirorncat shall not apply when an individual is asked rn supply investigative data,pursuant to Section 13.82,Subdivision 5,to a law cnfortetnent officer. The commissioner er revenue may Place the nonce reggirrd under this subd'vision in the'ndividual int me mx or proe tax refund stNCriO instead of o those arms. Subd.3. Access to data by indlridual. Upon request to a responsible authority,as individual shall be informed whether he is the subjeat of stored data on individuals.and whether it is classified as public,private or confidential. Upoa his farther request,an individual who is the subject of stored private or public data on individuals shall be shown the dam without any charge to him and;if he desims,shall be informed of the content and mewing of that data. After an individual has been shown dse private data and informed of its meaning.the data neect not be disclosed to him for Six months thereafter unless a dispute or action pursuant to this section is pending or additional data on the individual has been collected or created. The responsible authority shall provide copies of the private orpublic dam upon request by the individual subjcet of the dam. The responsible 9uthOrity may require the raquestizlg person to pay the actual costs of making.certifying,acid compiling the copies. The responsible authority shall comply immediately,if possible,with any request made pursuant W this subdrvtsion,or within flue days the daie of the request,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot Comply with the request within that time,he shall so inform the individual,and may have an addidonal five days within which to Comply wids the tequest,excluding Saturdzys, Sundays and legal holidays. Subd.4.•Procedure wbcd data Is not accurate or eomptetc. An individual may contest the accuracy or eompirmuss of public or rivate dais concerning humsclf. To exercise this right,an individual shall notify in writing the responsible authority describing the nature of the disazrceme mr- The responsible authority shall within 30 days either: (a)correct the data found to be inaccurate of iacomplcte and attempt w notify past racipients of itsaccurase or incomplete dart,including rocipicnu named by the individual;or(b)notify the individual that he believe3 the data tri be corrcCL� DWA in dispute shall be disclosed only if the irdividual's statement of disasteemeat is included with rhe disclosed dam. The determination of the responsible axitharlty may be appealed pursuant to the provisions of the administrative procedure act relating m contested Cases. DATA PRIVACY ADVYSORY In accordance with M.S. 13.04, Subd.2, "Rights of Subjects of data",we would like to inform you that your request for a permit or license from the City of Orono or any of its departments may require you to furnish certain private or Confidential information. You are Aotified that: c I. 'the information you furnish will be used to determine your qualification for the permit or license requested. , You may refuse to supply data, but refusal may require that the City deny the pertnir or license. 2 2. '1 o information may be shared with other local,state or federal agedcies to the extent necessary ess ecessary to proc the permit or license. 4. If your requested permit or license requires Council action to approve, some information may become public. 5. You have certain rights under M:S. 13,04 (available upon request) to review private data on yortrsclf. (. Your full name is required to process this application or permit. PC? First Muddle Lass dress 06 City Stara Zip Phone • I Vuladenstandrights as stated above. Aug-02-2004 10:18am From-CITY OF ORONO +9522494616 T-643 P.005/006 F-014 CREDENTIAL CERTIFICATION APPLICA'T'ION C1{I"Y OF ORONO 2794 Kelly parkway, P.O. Box 66 Crystal Bay, MN $5323 Phone: 249-4600 Business: �a �, y AIR�;Phone: 7 Q_66 mainess and Home) . Address: ;qB r rl•6.,d Ave , /V, City:16„IYroe'J V"' .. r' State: Tp: Tpe of License Held: Master Plumber House Mover Other State License No. _ ExpirationAate Have you ever had a license revoked?. k"O - When Wim NOTE: The City does not have a special bond form to use. Proof of Workers Compensation insurance coverage is required for all contractors. Check kind of trade applying for: Septic Contractor (Required: MPCA Individual Sewage Treatment Systems License) House Mover (Required: $2,000 Bond, 10-50-100,000.Insuranee) Mechanical (Required: Copy of$25,000 State Bond& 10-50-100,000'Insurance) Plumber (Required: $2,000 Bond, 10-50-100,000 Insurance OR a copy of the State Plumbing InsuranceMond) Municipal connections (sewer/water) 'Yes �No �T Fire Sprinkler Installers (Required: $2,000 Bond, 10-50100,000) Work shall not commence until this application has been approved and required permits are issued. Please indicate any other persons authorized by you to apply for • ermits: 0 AL S i i9 , The undersigned hereby makes application to the City of Orono, Minnesota, for credential certification as indicated above, subject to the laws of the State of Minnesota and the Ordinances of the City of Orono. All applications are subject to a ten (10) day approval period. . If disapproved, written notice will be sent. Signature. l Date: 2— 0 , TE�wOu TIME CITY OF ORONO CALLED IN / INSPECTION NO E SCHEDULED - O PERMIT NO. 216677D COMPLETED ADDRESS �0 gS —7-c--a y-c:I, OWNER CONTR. -0-r'9.h y� TELEPHONE NO. 3,, �vCo J DESCRIPTION 1 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL v 10 PLUMBING FINAL 36 FOUNDATIOWREMOVAL OWNER/CONTRACTOR TO MEET Yoq—/ YES_NO COMMENTS: a C_ W � a cc 0 W C Q 2 W Z W QC d 4acc /WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractgg site: Inspector. 1 White Copy/Inspector's iie Canary Copy/Site Notice