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Home My WebLink About2004-P08258 - gas fireplace PERMIT CITY OF ORONO 2750 Kelley Parkway - PO Box 66 Permit Number: Po82sg �'r,�sta'� Bay, Minnesota 55323 Per'mit Type: Mechanical Permits (952) 24�-4600 Date Issued: i2�6i2oo4 $�TE Q��(�E$$: 4470 Forest Lake Landing Mound,MN 55364 P I D: 07-117-23-24-0040 DESCRI PTION: Proposed Use: Residential Permit Class: General Permit Type: Mechanical Permits Permit Sub-type(s): Gas Fireplace DETAILS: Approved per resolution#: Separate pernuts required: NOTICES/REMARKS: FEE SUMMARY: PerniitFee: $ 35.00 Valuation: $ 1,100.00 State Surcharge Fee: $ 0.55 TOTAL FEE: $ 35.55 APPLICANT: practical Systems OWNER: Steve&Jeanne Prawer 4342B Shady Oak Rd. 4470 Forest Lake Landing Hopkins,MN 55343 Mound, MN 55364 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. , � � , �� 2 � " �� APPLICANT PERMITEE SIGNA'fURE � SSUED BY SIGNA"fURG Copies: 1-File(SiQrtitures Required). 1-Applicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1 - 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 Uy mail or in person at the City offices. Applications will be reviewed and a pennit will Ue issued within two working days. 2. Permit cards will Ue sent Uy 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 Designs - Complete calculations, details and specifications are required for each heating, ventilation,humidification-dehuinidification, and air conditioning installation including heat loss/heat gain calculation, design temperatures, equipinent ratings and identification as to type, manufacturer and model. Data shall Ue presented on form provided. Identification of and specifications for water heating equipment shall also Ue provided. 4. When any new construction or remodeling is involved, a separate building permit must be obtained. 5. All work must Ue done in accordance with the Unifoim 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 Ue subinitted Uefore 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 (952) 249-4600. Please check one: ❑ New ❑ Addition ❑ Repair ❑ Replace ��Residential ❑ Commercial JOB SITE: L�y�� --�,'�' � ' ,��- '� : Zip: -S S�(�Cj- Owner's Name:�;�2 �/� ;;-�� .,,�� Phon�r: ��5� _ �7 z/`�`�'7 Mailing Address: �c�.��,� City: Zip: Contractor's Name:��.j� Zy�,, / 5�� {-t'��S Phone Number: �'s Z�'33-�3'�-.� MailingAddress:t,/3�./Li3 5�:..cl�/ �4��'�,c� City: /�i��=�,�� Zip: SS3:�3 , 1 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 LINE ONLY � Gas factory fireplace ❑ Installing a Gas Line Only ] Wood burning factory fireplace with flue ❑ Wood Stove ❑ Wood stove with flue ,�, � � Brand Name//%> i ��t r L Model No.�/�/�X�,��'->�� r�/L% VENTILATION No. Kitchen Exhaust duct recalculating efm No. Bath Exhaust(must have duct outside) cfm No. Other Fans: Locations cfm FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL) ❑ Installation or ❑ Removal ❑ Fuel oil: gallons ❑ underground ❑ inside ❑outside ❑ LP Gas: gallons ❑ Other Gas opening � � 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 elecn•ical 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 Uy the homeowner or licensed contractor. Skip next section; Cost of Permit $ 15.00 State Surcharge $ .50 Mail-In Fee $ 1.50 If aUove does not apply, follow guidelines Uelow: 1. Contract Price* is .0125% of joU with a Mi► 'mum Fee of($35.00) � � ? 0�� x .0125 $ (contract price) (minimum$35.00) 2. State Surchar�e. ** Add the State Building Code Division a Minimum Fee of'($ .50) x .0005 $ (contract price) (minimum$.50) 3. Postage and Handlin� (O»ly�nai!-in applicatioits) $ 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�vork 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. (n 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�� 1.�`'.�1L-1� Date: � �n �� Approved By: Date: 3 �([/ .�i � DATE TIME " CITY OF ORONO (/ CALLED IN �Zl� O INSPECTION NOTICE SCHEDULED � � d � �,�'L PERMIT NO. �D g�J COMPLETED �/ � ADDRESS �Lf 7 D T O`�S� �� L� OWNER CONTR. � TELEPHONE NO. �' �� DESCRIPTION /� �� 01 FOOTING 11 MECHANICAL I 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL � 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Z Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTI FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL Z OWNERICONTRACTOR TO MEET YOU: YES_NO � COMMENTS: � W a � � O a � O � ti � Q � Z W � W � j d W� �ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W CORRECT WORK&PROCEED = ISSUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-46QQ Owner/Contractor Inspector. White Copyllnspector's File Canary CopylSite Notice