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Home My WebLink About2009-00628 (mechanical-gas fireplace) , CITY OF ORONO PERMIT NO.: 2009-00628 , , 2750 KELLEY PARKWAY ORONO, MN 55356- DATE IssuEv: 09/29/2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 2447 CARMAN ST PIN : 20-117-23-12-0014 LEGAL DESC : NAVARRE : LOT 007 BLOCK 002 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RES[DENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 750.00 NOTE: GAS FIREPLACE COMFORT GLOW MODEL NO.CTDV36NRA NATURAL GAS DIRECT VENT APPLICANT MECHANICAL 50.00 BLUTH,JILL 2201 WEST DREAM DRNE STATE SURCHARGE MECH(VALUATION) 0.50 NORTH MANKATO, MN 56003- MAIL-IN FEE 2.00 (507)625-6986 TOTAL 52.50 PAID WITH CC# 2843 OWNER BLUTH, JILL 2201 WEST DREAM DRIVE NORTH MANKATO, MN 56003- AGREEMENT AND SWORN STATEMENT Thc 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 shali be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced wi[hin 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 revoke at any�time for due cau e. / / (J' � ,� / G �., �' C�° Applicant Permitee Signat Date Iss By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. , , ti � ITY E ONLY /i,¢��\ City of Orono G�� 0 P.O.Box 66 Date Received: `ermit# (�%��:.. . � 2750 Kelley Parkway �' p{'x� �� Crysta(Bay,MN 55323 Approved By: � Amount$: `'`� ��`,.y,o�� (952)249-4600 �j. Z .o ��o$� CITY OF ORONO-MECHANICAL PERMIT (All Commercial permits must be approved by the Building Official or Inspector and/or Pire 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 wili 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 Desi�—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 A 1 ) ❑Residential �Commercial (Approval Required) ❑New ❑Additional ❑Repairs �Replace Job Site/Owner lnformation: �� <, � --� Site Address: �� .""� �I {��,,�.,�(�/�;"�� } � l .. ��-�� ., �1.�� '�` �-� a��;� l C�r �'`� ►'� Owner: � � Mailing Address: �� :� �„` ,� ., � �-- , � City: r ' �� `��! -� ^ 7ip: J -'C` �'''� � ��,,.� � ��-. ✓ Home Phone: �-'`f `� �- '� ''� l"s� I 'A(ternate Phone: �U/ ��'�� (,�� R . � � Contractor Information: Contractor: �..� � <� �'f Contact Person: Address: State Bond#: City: Zip: Expiration Date: Phone: Alternate Phone: ❑ Insurance-Current: � �..C.'f' `�`�-.�C-°�.t IJ 1�t V�1�' , � s.. � y �' �' �iGC C„�,� .,�.)) ��i��,, � '�",�`� �� ... ,� 1 , � MECHANICAL SYSTEMS BEING INSTALLED Note: All Geothermal Systems will now require a Site Plan& Review by our Building Official. IS TffiS GEOTHERMAL? ❑ Yes ❑No HEATING SYSTEMS Quantity: Make: Model: Fuel: Flue Size: [nput BTUs: Output BTUs: CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H. Power FIREPLACES -p �� Gas Factory Fireplace Brand Name: `_ ��' l ,�r� ) ,� Wood Burning Fireplace �.z _ r L-{�(,� � Wood Stove Model No.: �� ❑ Wood Stove With Flue 1 / VENTILATION /�� S �' `-�- ;�:' ► j�. �C�.�'` `,f w, � 1 : ❑ 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 Marshal!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 , . l PERMIT FEE CALCULATION(S) BASED OFF -2002 STATE STATUE ❑ 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, if this applies; Cost of Permit $ l 5.00 State Surcharge $ .50 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: 1. CONTRACT PRICE * i�.25%of contr�ct price with a(Minimum Fee of$50.00) ��,/pt (�� x .0125 $ (contract price) (minimum$50.00) 2. STATE SURCHARCE ** Add the State Bldg Code Div. Surcharge(Minimum 1�'ee oT$.50) ___ _ x .0005 $ (contract price) (minimum$ .50) 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. ■ **The STATE SURCHARGE is.0005 of the Building Department at(952)249-4600 for the price. 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. .v.�.. _ � Applicant's Signatur . Date: � � � Reset Form 3