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Home My WebLink About2001-P04709 - heating system gas fireplace � I�'Y F RONO PERMIT C O O Permit Number: 2750 Kelley Parkway - PO Box 66 Poa�o9 Crystal Bay, Minnesota 55323 Per'mit Type: Ivlechanical Permits (952) 249-4600 Date Issued: 12i>>i2oo1 SITE ADDRESS: 2760 Deer Run Tr E L,ong Lake,MN 55356 PID: 04-117-23-13-0009 DESCRIPTION: Proposed Use: Residential Permit Class: General Permit T e: Mechanical Permits Permit Sub-type(s): Heating Systems YP Gas Fireplace DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SU1111MARY: Permit Fee: $ 35.00 Valuation• $ 2,475.00 State Surcharge Fee: $ 1.24 Misc. Fee: $ 1.50 TOTAL FEE: $ 37.74 APPLICANT: Woodland Stoves& Fireplaces OWNER: Paul Borchert 1203 Washington Ave. S. 202 South Main St Minneapolis, MN 55415 Le Sueur,MN 56058 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 REQU[REMENTS. G�/ �� APPL CANT PERMITEG SIGNATURE I EDBYSIGNATURE Copies: 1-File(Sienitures Required). 1-Applicant 1-Monthlv Reoorts, I-Assessine, 1-Finance Page 1 /�-j�-�O(�/ . - �c ��,�, � CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT Box 66 (2750 Kelley Parkway) Crystal Bay, MN 55323 GENERAL L�IFORMATION l. 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 2 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�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 equipment shall also be provided. 4. When any new construction or remodeling is involved, a separate buildizg 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 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 249-4600. Please check one: New Addition Repair Replace Residential Commercial JOB SITE: ' � � �? ,- Zip: Owner's Name: , Telephone Number: Nlailing Address: City: (`,.-'�; vt� Zip: Contractor's Name:' ° ' Telephone Number: (2�' —3��l��Q rp Mailing Address: �' ^ City: Zip: �'�' < � SYSTENI 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 �� i Brand Name � � � Model No. �� C�� - , �i u'S L 9`, �7� �� VENTILATION No. Kitchen Exhaust ducted recirculating cfm No. Bath E�aust (must be ducted outside) cfm No. Other Fans: Locations cfm FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL) Installation Removal Fuel oil: gallons underground inside outside LP Gas: gallons Other Gas opening PERMIT FEE CALCULATION 1. 1.25% of Contract Price* or Min'mum Fee 35.00� � x .0125 $ ,� (co tract price) 2. State Surcharge. ** Add the S ate Buildin Code Division Surcharge to each permit. � � x .0005 $ ,� or $.50, whichever is greater ( oncract price) 3. Postaae and Handlin� (Only mail-in applications) $ 1.50 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ �� 7'� . � * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted work inciuding materiais, labur, proiit, and oiher fi;:ed costs. It is th;.a:nount to be charbed to*he customer for the work done. If any material, equipment, labor, or installation 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 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. Applicant's Signature: �� ,, � � ,( � - Date: t��.�_��/�/� Approved By: Date: / DATE TIME CITY OF ORONO CALLED IN INSPECTION��J_ SCHEDULED / �l � PERMITNO. � 0/ COMPLETED Z� � 3- d� ADDRESS � � �'Z � � OWNER CONTR. �� `�' TELEPHONE N0. �� " � � -'�'�a�C. — �ns�� DESCRIPTION G�2. � �� 01 FOOTING 11 MECHANICAL RI 18 CA�// ADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/VJETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPIACE 34 TREE REMOVAL Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q O5 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 HAFD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES NO � Q COMMENTS: � W a �� j - � C_ � O � � O � W � Q � 2 W � W � � d W� RKSATISFACTORY:PROCEED �ROJECTCOMPLEfE W ❑CORRECT WORK&PROCEED SSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTIONRE�UIRED.CALLTOARAANGEACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-46�� OwnedContractor on site: inspector.�1,�/ :�� White Copylinspector's File Canary CopylSite Notice