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Home My WebLink About2016 - 00652 - gas fireplace CITY OF ORONO I I 1 1 1 1 1 I II 1111111111111'1111111 * 2 0 1 6 - 00 6 5 2 2750 KELLEY PARKWAY DATE ISSUED: 06/07/2016 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2610 WEST LAFAYETTE RD PIN : 21-117-23-24-0043 LEGAL DESC : SHORE HILLS : LOT 011 BLOCK 000 PERMIT TYPE : MECHANICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 2,500.00 NOTE: (1)MENDOTA GAS FIREPLACE APPLICANT MECHANICAL 50.00 STATE SURCHARGE MECH(VALUATION) 1.25 TWIN CITY FIREPLACE STONE CO INC MAIL-IN FEE 2.00 6521 CECILIA CIR EDINA,MN 55439- TOTAL 53.25 (952)777-4125 Payment(s) Minnesota State License#:mech-MB682977 CREDIT CARD 9659 5 7 y S 53.25 OWNER ENQUIST,CYNTHIA 2610 WEST LAFAYETTE RD EXCELSIOR,MN 55331 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 conformance with the State Building Code.This permit may be revoked at any time for due cause. t 1 • ' • , Pe-C h � ? l Applicant Permitee Signature J Date Issuedy signature Date Jun 0616 01:10p Twin City Fireplace 9529422093 p.1 . 4, OR ITY USE ONLY Ci of Orono �jj i /^, P:Box66 DateRece�i" ; ��2 permit it ��&' �� v 2750 Kelley Parkway `-• /1/' rot,.. Crystal Bay,MN 55323 Approved By: Amount$:s ) 3 `> Phone(952)249-4600 Fax(952)249-4616 I4KFs H O G CITY OF ORONO-MECHANICAL PERNIIT (All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall) GENERAL INFORMATION I. 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. a_ Mechanical Designs—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) esidential ❑Commercial(Approval Required) [Backflow Device: ❑AVB ❑PVBI ❑New ❑Additional ❑Repairs [ eplace Job Site/Owner Information: f Site Address: 1/Le t 0 �' . 1 I, 1e. p...,,,ct,2i Owner: 1 f (1LI St- Mailing Address: at/l/FL- City: V City: Zip: Home Phone: *7.---2-,t2.- rrifeie Alternate Phone: q Z 2. J L EP Contractor Information: Contractor: 111"1/j 1,�64 411hlt1?p (-Contact Person: '>J f 7 1 vc•Irtae-it Address: 2 I tZ i i VC, V--i - imitate Bond#: IV 12.9 7 7 City: G !1,1- (._.- Zip: , Expiration Date: `P i I(_,� Phone: C1.2" 777- `7t12 S Alternate Phone: t Z --q -I 1 `-`2 65 M Insurance-Current: li /eS I Jun 06 16 01:10p Twin City Fireplace 9529422093 p.2 a • MECHANICAL SYSTEMS BEING INSTALLED Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official. IS THIS GEOTHERMAL? ❑Yes ❑No HEATING SYSTEMS Quantity: Make: N't�L I\ D Model: Fuel: C_)6(/i Flue Size: Input BTUs: 44 t 0 00 output BTUs: CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H.Power FIREPLACES �} Gas Factory Fireplace Brand Name: le(- :, "—J ❑ Wood Burning Fireplace ❑ Wood Stove Model No.: ❑ Wood Stove with Flue/Masonry VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfm ❑ No. Bath Exhaust(must have duct outside) cfm ❑ No. Other Fans: Locations - cfm FUEL STORAGE (Must be approved by Fire Marshall ifproposing to abandon tank in place.) ❑ Installation ❑ Removal Fuel Oil: gallons 0 Underground ❑Inside ❑Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill ❑ Other/List What&Where: 2 Jun 061601:10p Twin City Fireplace 9529422093 p.3 • w PERMIT FEE CALCULATION(S) BASED OFF-2002 STATE STATUE 0 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,if this applies; Cost of Permit $ 15.00 State Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ PERMIT FEE CALCULATION(S)-JOBS OVER$500.00 If above does not apply;follow guidelines below: I. CONTRACT PRICE *is 1.25%of contractVppT �� price with a(Minimum Fee of$50.00) _ 0 - V� x.0125$ 3 �J ( (contract price) (m>ttmum$50.00) 2. STATE SURCHARGE 0'6 x.0005 $ (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 r < — C• 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ '3 J • * 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. / ft� Applicant's Signature: Al� Date: r t 3 J c-x.„..7---\-- / DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE ,SCHEDULED I b PERMIT NO. _i( O(c5COMPLETED /D ADDRESS 2 co I w. L a_- Q-jL' E-+ OWNER - TELEPHONE NO. &�'� - 32-S- 25Y3 CONTRACTOR —77A-.) /11 C /?�q �e • DESCRIPTION r 1 re( )C. cc P W 0 FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL 1/.. ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL ❑ RADON SLAB 0 MECHANICAL RI 0 SITE INSPECTION Q 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS 1, ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT Q 0 FINAL 0 WATER HOOK-UP 0 FOLLOW-UP _IQ 0 AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL . ❑ DEMO-SITE 0 SEPTIC INSTALL 2 OWNER/CONTRACTOR TO MEET YOU: YES NO y COMMENTS: • Lu 3�l�CrZ /,tom �/AlsCier j APS e e/e0W3'. - CC " 74; i/We, G s' j•9f "bc,�. /..t_s - I 6/4/e,s / Sol,Pere..,, cr, - q -t c:5-6-- d KS cc I 3c),5Q � - 6 4 -zs ' 1146,./ge.C. W CC CIIQ ^} WORK-SATISFACTORY:PROCEED ❑PROJECT COMPLETE CC W IICORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN INSPECTOR WILL RETURN CI CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next ins 4 hours in advance. (952) 249-4600 Owner/Contractor on site: , U bL Inspector. /�/-%,- White Copy/Inspector's File Canary CopylSlte Notice