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Home My WebLink About2002-P05404 - gas fireplace CITY C�F ORONO PERMIT 2750 Kelle�� Parkway - PO Box 66 Permit Number: Pos4o4 Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits (952) 249-4�00 Date Issued: �ii2i2oo2 SITE ADDRESS: 525 Sussex Circle L.ong Lake,MN 55356 P I D: 04-117-23-32-0012 DESCRIPTION: Proposed Use: Residential Perniit Class: General Pernut Type: Mechanical Pernuts Pernut Sub-type(s): Gas Fireplace DETAILS: Approved per resolution#: Separate pemuts required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 35.00 Valuation: $ 1,000.00 State Surcharge Fee: $ 0.50 TOTAL FEE: $ 35.50 APPLICANT: Guyers Builders Express OWNER: Jon&Susan Campbell 13405 15th Avenue N 525 Sussex Circle Plymouth,MN 55441 Long Lake,MN 55356 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICI'COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. % � , ,, �- ,�G��' / r �" ,�t= ��' ��t-�'"�z- �� APPLICANT PERMITEE SIGNATURE ISS D B SIGNATURE ` Copies: 1-File(SiQnitures Required), 1-Apvlicant, 1-Monthlv Renorts, 1-Assessin�, 1-Finance Page 1 :� „ ,� :� f� . r' ,� CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT � Box 66 (2750 Kelley Parkway) �� Crystal Bay, MN 55323 ;:�� ; GENERAL INFORMATION `� 'Y � 1. You may apply for mechanical pernuts 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 r� UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEG1N 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-dehutnidification, 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 wark must be done in accordance with the Uniform Mechanical Code/State Building Code rj requirements. ''� 6. All work must be inspected(rough-in and final). Call(952)249-4600. 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. `� INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call � (952) 249-4600. � � �i ,�; Please check one: �New ❑ Addition ❑ Repair ❑ Replace ❑ Residential ❑ Commercial �; :�; -� � JOB SITE: �� ,�Sv�S�� Zip: �; Owner's Name: Phone Number: Mailing Address: City: Zip: � , �:; � �: r � � Contractor's Name: �� c� � I�/L-�� '`T Phone Number: ,�_�l%�� Mailing Address: - o ' l�' �t City: r��*�,� Zip: �,�c�t[� 1 `.<`;� _;� �4i � ,- ��, , - . , , � � ' . � . . . � , � 4 � - !. 7 „ r �_� . . . . . . . . �:,.� •�" = . .. -" •c , �. .. " �''� .�"`•. , � � �- . . . , ' . , � � - . � , �� ` :.: , � . � . . - `� �� , .. � .. . . ., . . �. . � , �' ,3t .:u:� �.�,.�.� "�� . . ... . . � . .. . . _ . .. . . . :. .� . .. ... ..,.. ._ • . ,. .._ .. . ._�,.._� ,. .,, .. .;_.�_x _e _.a,.. �.._ � �.,��:,.w�L` �' i:: _ r� a �; � �'_,... . . .. .- �; 1 SYSTEM DESCRIPTION HEATING SYSTEMS Quantity: Make: Model: Fuel: Flue Size: Input BTUs: Output BTUs: CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H.Power FIREPLACES GAS LINE ONLY '� Gas factory fireplace ❑ Installing a Gas Line Only 4,;., ❑ Wood burning factory fireplace with flue ❑ Wood Stove ��' ❑ Wood stove with flue .,,. ,;� �' �/, Brand Name�G'��-��-r/�-� Model No.��D��y/_��,� VENTILATION �,`=' -F 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 ❑outside ❑ LP Gas: gallons ❑ Other Gas opening 2 ,,.5, u. � . . . .. �. � � . .. . 9 . . . � . ,. � ..'�a � � � . . . . . ... . � . . . . _... .. ,. i�.r. , .. . - � • . . ... , � . ... . .. . . . . � .. . .. . _. `� � . .� :.,E `;S • 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; excludin�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 $ 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($35.00) :�; ' � .Ej x .0125 $ � (contract price) (minimum$35.00) � .� 2. State Surcharge. ** Add the State Building Code Division a Minimum Fee of($ .50) .� � x .0005 $ (contract price) (minimum$.50) 3. Posta�e and Handlin� (Only 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 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. **The STATE SURCHARGE is.0005 of the contract price under$1,000,000 or$.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. J Applicant's Signature: � �L��— Date: – �� Approved By: Date: 3 ; �: .. � . . . � � . .�� . . . . . .. � �.. . .�, � . . . . . . _ ,�.. . � .: .�.... , ... y .... �,: . � , . DATE TIME CITY OF ORONO O�ALIED IN INSPECTION NOTIC no� SCHEDULED � _� PERMIT N0. � COMPLETED ADDRESS 5�'rJ ��-SS��L �P�• , OWNER CONTR. � TELEPHONE NO. � �Q � ' D q� ^ � � � � DESCRIPTION � � 1""�Cf , �� W 01 FOOTING 11 MECHANICAL RI 18 EXCAb/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y ' O 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 Q6 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT v 07 DEMO-FINAL 15 SEPTIC INSTALI. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES�NO v�, COMMENTS: � W a j O � � O � W � Q � 2 W � W � � d W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ppHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-46�� OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice