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Home My WebLink About2004-P07374 - gas fireplace .. PERMIT C.�TY OF ORONO Permit Number: 2750 Kelley Parkway - PO Box 66 P07374 Crystal Bay, Minnesota 55323 Pe►'mit Type: Mechanical Permits (952) 249-4600 Date Issued: 4i�i2oo4 SITE ADDRESS: 29go susseX xa L,ong Lake,MN 55356 P I�: 04-117-23-31-0015 DESCRIPTION: Proposed Use: Residential Permit Class: General Permit Type: Mechanical Permits Permit Sub-type(s): Gas Fireplace DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: PernutFee: $ 41•88 Valuation: $ 3,350.00 State Surcharge Fee: $ 1.68 TOTAL FEE: $ 43.56 APPLICANT: Countryside Heating&Cooling OWNER: scott Weisberg&Claudia Mitchell 6511 Hwy 12 2980 Sussex Rd Maple Plain,MN 55359 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. ,�-- . � ��z� �� t �, APPLICANT PERMITEE SIGNATURE 1 SUED BY SIGNATURE Copies: 1-File(Sienitures Repuired), 1-Applicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1 ,,� �, �,�Zc:'� l 4 ♦� � CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT Box 66 (2750 Kelley Parkway) Crystal Bay, MN 55323 GENERAL INFORMATION 1. You may apply for mechanical permits by mail or in person at the City offices. Applications will be reviewed and a pei7nit wi11 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 RECENE 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. Identification of and specifications for water heating equipinent 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 Heating Test Record must be submitted before final. Instructions Complete all items on this application. Compute the permit fee. Sign and date thc certification. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call (952) 249-4600. Please check one: New �� Addition Repair Replace -•---- -___ _ _-- Residential �� Commercial i�� - JOB SITE: r� / �� S�S� K-�'/4� Zip: ��.5 � Owner's Name: �✓[-.�_S/,�L,:�'G— Phone Number: f'}.� -�j�-�G� �j Mailing Address: �5��'�' �a SFXh v� City: �/'�✓`'�� Zip: S'�'�.S"� Contractor's Name: v � � Phone Number: �?�3'"T�^1�� Mailing Address: �S/i / � /y City: �� L�r.✓ Zip: ��,3J� , ` 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 factory fireplace Wood burning factory fireplace with flue Wood Stove Wood stove with flue Brand Name C�=�r� � �'L-�' Model No. �''�-° f�' �-�:�-� � Gt.�: ��a T�-� VENTILATION No. Kitchen Exhaust duct recalculating cfm No. Bath Exhaust(must have duct outside) cfin No. Other Fans: Locations cfm FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL) Installation or Reinoval Fuel oil: gallons underground inside or outside LP Gas: gallons Other Gas opening i . � 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 � 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) -�� ' c�x .0125 S � D � (contract pricc) (minimum$35.00) 2. State Surcharge. ** Add the State Building Code Division a Minimum Fee of($ .50) c"� '�:3�C`�. X .000s � I - �� (contrac[price) (minimuin$.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,tlie 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$I,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 ul �ons of the Minnesota State Building Code,and certifies that all statements made on this applicati co nd correct. A licant's Si nature: � �` ��—� Date: � � �� rr � Approved By: Date: Reset Form `�� ✓ �' ' 0 TE TIME CITY OF ORONO CALLED IN ��Z"" INSPECTION N SCHEDULED _�� :00 PERMIT NO. COMPLETED ADDRESS O OWNER CONTR. TELEPHONE NO. �6 3 �f 19 ��o d v �C�5 � � � DESCRIPTION `� ° � 01 FOOTING /�MECHANICAL RI 18 EXCAV/G ADING/FILUN Q 02 FRAMING �13 MECHANICAL FINAL 19 LAKESH RE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 05 FINAL 14 SEWER HOOK-UP O6 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT � 07 DEMO-FINA� 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATIOWREMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � � ��t�� 0 � � 0 � W � Q � z W �C W � j d W� WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITH�N HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION RE�UIRED.CALLTO ARRANGE ACCESS. Call forthe ne t inspection 24 hours in advance. (952� 249-4600 OwnerlContractoye� e: � � Inspector. White Copyllnspector's File Canary Copy/Site Notice R ✓ DATE TIME CITY OF ORONO CALLED IN ��+Z 'Q`'� INSPECTION NOT CE SCHEDULED __�7',�U_�y � PERMIT NO. � � COMPLETED --^� ADDRESS ��D SIISS-e.��C�. OWNER CONTR.� S,�'�4 �• TELEPHONE N0.�(� 3 Y 7 ��oC�� DESCRIPTION � • � 01 FOOTING 11 ME ICAL 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHAN FINAL 19 LAKESHORE/WEfLANDS i y 03 INSUTATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 05 FINAL 14 SEWER HOOK-UP O6 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT v 07 DEMO-FINAL 15 SEPTIC INSTALL 22 FOLLOW-UP i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATIOWREMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES�O c�., COMMENTS: � a j ' 0 � a� 0 � W � Q � W � W � � O W� ORKSATISFACTORY:PROCEED ❑PROJECTCOMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CAII INSPECTOR ❑INSPECTION RE�UIRED.CALI TO ARRANGE ACCESS. Call forthe nex inspection 24 hours in advance. (952) 249-46�� OwnedContra �i : Inspector. White Copyllnspector's File Canary Copy/Sfte Not�e