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Home My WebLink About2017-00042 - gas fireplace � 4 � CITY OF ORONO 2750 KELLEY PARKWAY * 2 0 1 7 - 0 0 0 4 2 * DATE ISSUED: OU18/2017 ORONO,MN 55356- (952 249-4600 FAX: (952)249-4616 ADDRESS : 485 STUBBS BAY RD N PIN : 32-118-23-24-0003 LEGAL DESC : UNPLATTED 32 118 23 : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 1,053.00 NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. ADDITIONAL-GAS FIREPLACE(KOZY HEAT) APPLICANT MECHANICAL 50.00 GLOWING HEARTH AND HOME STATE SURCHARGE MECH(VALUATION) 0.53 100 ELDORADO DRIVE MAIL-IN FEE 2.00 JORDAN,MN 55352 TOTAL 52.53 (952)495-2927 Payment(s) Minnesota State License#:mech-MB005786 CHECK 24339 52.53 OWNER WILL,JOHN&JOCLYN 485 STUBBS BAY RD N LONG LAKE,MN 55356- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and dces not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction suthorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. r . .-,, �-� ��> ►�1'�':� ► I �t�+ �:_.� _ ,c �_ ��_�._, �1�� , , ,�Y,, 1 Applicant Permit e ignature Date Issued By Si ature Date f � FOR CITY USE ONLY City of Orono / /� �7 � �-ONO P.O.Box 66 Date Received""�7 Permit# �j �'Gl'7 �(�� 2750 Kelley Parkway � Crystal Bay,MN 55323 Approved By: � Amount$: r'�z • , Phone(952)249-4600 Fax(952)249-4616 y��.� �.`�� CITY OF ORONO-MECHANICAL PERMIT kEs N n� (All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall) GENERAL INFORMATION l. 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 BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Desiens—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 wark must be inspected(rough-in and final). Call(952)249-4600. (24-48 hour notice required) 7. House Heating Test Record must be submitted before final. TYPE OF PERMIT Check All That A 1 ) � Residential ❑ Commercial(Approval Required) [Backflow Device: ❑ AVB ❑ PVB] ❑ New �Additional ❑ Repairs ❑ Replace Job Site/Owner Information: Site Address: _ �! ��J �7'��1 D� � tll,� �. V/�Oi'�tl f l�VIN �5 ��Q � �T�I�.� k1� l l �1�,� J�� b� ��,y !� Owner: Mailing Address: City: v��J Zip: J S 3 �� Home Phone: �1,Q�3 ��5 p" 5 5 S 7 Alternate Phone: Contractor Information: Contractor: �' �� ' �r� `� He d`-``��-�' Contact Person: J�� '�,J I�ICY1�.�- Address: �� c��Y 4 c�p l�'r State Bond #: �� O� S 7 �� QY�GL� ��• --�-� City: �ip: ' � ��Expii•ation Daie: pZ, < � Phone: �Sa- l�2` ��,�� Alternate Phone: � Insurance -Current: �� 1 I �� . . �� ' MECHAT�tICAL SYSTEMS BEING INSTALLED � ` � '' ' Note: All Geothermal Systems will now require a Site Plan& Review by our Building Official. IS THIS GEOTHERMAL? ❑ Yes �No � ��A��"S'4�TEMS �r"1 Quantity: � � Make: KQ' � Model: � � � J�J Fuel: 6 Flue Size: � � J � Input BTUs: Output BTUs: J v 0�� CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H. Power FIREPLACES ,�-- Gas Factory Fireplace Brand Natne: �� y ldCu/� ❑ Wood Burning Fireplace ��- � �� (^ ❑ Wood Stove Model No.: J ❑ Wood Stove with Flue/Masonry VENTILATION ❑ Na Kitchen Exhaust duct recirculating cfin ❑ No. Bath E�chaust(must have duct outside) cfin ❑ No. Other Fans: Locations cfin FUEL STORAGE (Must be approved by Fire Marshall if proposing to abandon tank in place.) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑ Inside ❑ Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill ❑ Other/List What&Where: 2 c . � ' PERMIT� ,:�� CALCULA.:. - - r � �e� �� : x�.. k.��Q� .�� =.ti 1. CONTRACT PRICE * is l.25%of contract price with a(Minimum Fee of$50.00) ��r6 53 X .oi2s $ � � t (contract price) (minimum�50.00) 2. STATE SURCHARGE �' x.0005 $ � �_ (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 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. � �� MECHANICAL PERMIT APPLICATION 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. Applicant's Signature: Date: � � 3 c � � C�i� DATE TIME CITY OF ORONO cnLLED IN INSPECTION NOTIC� scHEnULED �1 �� PERMIT NO. `� '��oMPLETED ADDRESS _ �� '/�r OWNER TELEPHONE NO. �_ ��l�Z, CONTRACTOR '�� DESCRIPTION � ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FI AL �� Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING� "j ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL � , Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION � � Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS �/Y � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT �-�� Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP �c _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL J ❑ DEMO-SITE ❑ TIC INSTALL 2 dWNERlCOKTRACTOR TO MEET YiOU• YES_NO � COMMENTS: J W - 3 � �� o _ � �. �� \ v�� . � ` ' OO � .1 � Q � � W � j � VMORK SATiSFACTORY:PROCEED ❑PROJECT COMPLETE W ❑ RRECT WORK�PROCEED ❑ISSUE CERTIFlCATE OF OCCUPANCY 0 ❑WRRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECONERINO PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. D PHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP OR�ER POSTED.CALL INSPECTOR O INSPECTION REWIRED.CALL TO ARRANGE ACCESS. Csq for the next inspectlon 24 hours in ad�►ance- (952) 249-4600 o��,��L i��t«: � {� WINb CcVYMspeCt�'S Flte C�nary CoprlSlb Notie�