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HomeMy WebLinkAbout2016-00257 - gas fireplace CITY OF ORONO * 2 0 1 6 — 0 PJ 2 5 7 2750 KELLEY PARKWAY DATE ISSUED: 03/18/2016 ORONO,MN 55356- (952)249-4600 FAX: (952)249-4616 ADDRESS 1025 TONKAWA RD PIN 08-117-23-24-0003 LEGAL DESC CARLWOOD LOT 002 BLOCK 001 PERMIT TYPE MECHANICAL PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE FIREPLACE-GAS VALUATION $ 3,500.00 NOTE: NEW:2 GAS INSERTS FOR EXISTING FIREPLACES APPLICANT MECHANICAL 50.00 STATE SURCHARGE MECH(VALUATION) 1.75 TWIN CITY FIREPLACE STONE CO INC MAIL-IN FEE 2.00 6521 CECILIA CIR EDINA,MN 55439- TOTAL 53.75 Payment(s) (952)941-2685 Minnesota State License#:mcch-MB682977 CHECK 20533 53.75 OWNER ANDRDA MESSINA,HUGH NEESON& 1025 TONKAWA RD 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 does 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 authorized 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 ormance with the State Building Code.This permit may be I ked for due cause. L, pplic�rtt Permitee Signature Date Issued By Signature Date FOR CrrY USE ONLY City of Orono .0 �Oi V P.O.Box 66 Date Received'� alp Permit#2-f - Z 2750 Kelley Parkway 7 Crystal Bay,MN 55323 Approved By: "Amomt Phone(952)249-4600 Fax(952)249-4616 tiFlq �1k, CITY OF ORONO—MECHANICAL PERMIT kFS H O (All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall) GENERAL INFORMATION 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 BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Dgk=—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 work 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 Apply) Residential ❑Commercial(Approval Required) [Backflow Device: ❑AVB ❑PVB] New �V�4 ❑Additional El Repairs El Replace Job Site/Owner Information: Site Address: 11/ / ti _tV��- A Owner: N tt,l - ��1 e SGL- Mailing Address: City: © ypyw Zip: Mme- )b S fzv V_evisLOvl f3LA& S Home Phone: 0162- W-1 (00-0) Alternate Phone: Contractor Information: Contractor: W i V, V f A Cif,, Contact Person: ( sl Gt eTle Address: ( 42� 1 �fii lc-t. (A V-A L State Bond#: City: ?Q�A VI.G-- Zip:5,54go) Expiration Date: Z01('0 Phone: qq2 4-4q- 4 25 Alternate Phone: EK Insurance—Current: 1 Note:All Geothermal Systems will now require a Site Plan&Review by our Building Official. IS THIS GEOTHERMAL? ❑Yes ❑No HEATING SYSTEMS Quantity: Make: Model: Fuel: Flue Size: Input BTUs: Output BTUs: CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H.Power FIREPLACES 12 Gas Factory Fireplace Brand Name: ❑ Wood Burning Fireplace El Wood Wood Stove Model No.: � V ❑ Wood Stove with Flue/Masonry VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfin ❑ No. Bath Exhaust(must have duct outside) cfin ❑ No. Other Fans: Locations cfin FUEL STORAGE (Must be approved by Fire Marshall if proposing to abandon tank in places) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill ❑ Other/List What&Where: 2 I. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) b 0 x.0125$ �� - 00 (contract price) (minimum$50.00) 2. STATE SURCHARGE /� J"/ D D x.0005 $ (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ r9 ■ * 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 famished 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 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 �