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Home My WebLink About2009-00503 - gas fireplace CITY OF ORONO PERMIT NO.: 2009-00503 � 2750 KELLEY PARKWAY . ORONO, MN 55356- DATE ISSUEv: 08/18/2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 3580 FREDERICK ST PIN : 20-117-23-12-0019 LEGAL DESC : NAVARRE : LOT 000 BLOCK 002 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 2,000.00 NOTE: 1 KOZY HEAT GAS FIREPLACE INSERT APPLICANT MECHANiCAL 50.00 WALTER MECHANICAL, INC. STATE SURCHARGE MECH VALUATION 1.00 1169 E.CLIFF ROAD � � BURNSVILLE, MN 55337 MAIL-IN FEE 2.00 (952)895-1992 MISC FEE 0.00 TOTAL 53.00 OWNER NEWTON, LAVAY 3580 FREDERICK ST WAYZATA, MN 55391 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 Buiiding Code. "I'his permit is for only the work described and does not grant permission for additional or related work which requices 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 aze reques[ed in conformance with the State Building Code.This permit may be revoked at any time fer due dause. / ��-(.� �. / / / / Applicant Permitee Signature Date Issued By gnature ate SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E. � n � ' , /��"�i _ FOR CITY USE ONLY 1��/ ✓-_ '" ;�� - �, City of Orono /�'0`1�` � P.O.Box 66 Date Received: Pem�it# ��>;, �� 2750 Kelley Parkway `,� 11{'�`f �� Cryatal Bay,MN 55323 Approved By: Amouat S: 'y��%�y� j� (952)249-4600 ��`��.�'/ CITY OF ORONO—MECHANICAL PERMIT (All Commercial peimits must be approved by the Building Official or Inspector and/or F've MaTshall) GENERAL INFORMATION 1. You may apply for mect�anical pennits by mail or in person at the City offices. Applications will be reviewed and a pennit 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 P�RMIT CA.RD IS�'OSTED ON THE JO$SIT�. 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,manufachu�er and model. Data shali be presented on form provided. 4. When any new construction or remodeling is involved,a separate building peimit must be obtained. 5. All work must be done in accordance with the Uniform Mechanical Code/State Buitding Code requirements. 6. All work must be inspected(rough-in and final). Call(952)249-4600. (24-48 6our 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 �Replacej C,'�J��(�ti`Y- � Job Site/Owner Information: �_, i Site Address: ��? ' , `- �I� (`��' I l.-� _�)'t�'-k {--�_ Owner�� '�i�i. '�� -"f��.i � �i:��% Mailing Address: ?��.�. I j �� t� `)i i��_ City: Zip: Home Phone: � . �� , i � � ' Alternate Phone: Contractor Information: � ', �• � � -� � l t��.�� i�L'�o�nt�t Person: ' - � `. �-C�. -�=�� Contractor: � �, �,. , ;' �,�( � Address: '"��:�t �� C�.''�_ StateBond#: �-��,.� ' `�`'' ��5 City: ��'�'�,��! I , '�� _� Zip� �'X,;`�`��xpiration Date: ` ��-'�-�`` `� � � i �! �' ,� �� , i �,,�`��;1� ,� ,�i Phone: � �'��r/� ��' ' � ��`�``� �� Alternate Phone: .,;�� ! / ��"r� / [] Insurance—Current: �� %�=Y 1 ` � MECHANICAL SYSTEMS BEING INSTALLED Note: All Geothermal Systems will now require a Si e P &Revi w by our Building Official. IS THIS GEOTHERMAL? ❑Yes Q No HEATING SYSTEMS Quantity: Make: Modet: Fuel: Flue Size: Input BTUs: __ ___ __—__._ Output BTUs: CFM: COOLING SYSTEMS Q�tity: Make: Model: Tons: H.Power FIREPLACE� {� Gas Factory Fireplace ,� �, r Brand Name: `.,.; �:_ '�- \ i--�� ,`t. ❑ Wood Buming Fireplace � ❑ Wood Stove Model No.: l��/��--��=A'�`}'�} � � (� X �—' ❑ Wood Stove With Flue YENTILATION ❑ No. Kitchen Exhaust duct recirculating cfm ❑ No. Bath Exhaust(must have duct outside) cfin ❑ No. Other Fans: Locations cfm FUEL STURAGE (Must be approued by Fire MashaA ijproposing to abandon tank in plac�) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑Inside �Outside LP Gas: gallons Other: GAS LINE ONLY ,,. ❑ Outdoor Grill Q Other l List What&Where: �1 �-' �� -��'��C`� � �'1 ��%Y� 2 � � • v t � s f PERMIT FEE CALCULATION(S) BASED OFF -2002 STATE STATUE ❑ Yes,this section applies The replacement of a Residentiai 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;excludins the cost of the fixture or applisnce:and 3. Is improved,installed or replaced by the homeowner or licensed contractor. Skip next�ction,if this applies; Cost of Pertnit $ 15.00 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 *is 1.25%of contract price with a(Minimum Fee of$50.00) �.1 LC.� _ x A125$ '�`-' L� - (contract price) (minimu 550.00) ; � �--/ 2. STATE SURCAARGE *•Add the State Bldg Code Div. Surcharge(Minimum Fee of 5.50) �f`�. X.000s s 1 . �;�� (contract price) (minimum S .SO) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 �r- � 4. TOTAL PERNIIT FEE(Add Lines 1-3 Above) $ , t` �' �� • ' CONTRACT PRICE or JOB COST meens 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 petmit fee ptu�poses. 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 Depazhnent 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 certif`ies that all statements made on this application are complete, true and correct. +. / �` �/ 7 �� A licant's Si nature: . � /� , /��j/ ��_" Date: �'1 l � � PP g Reset Form 3 ,�rj� � D T q TIME �/ CITY OF ORONO -- CALLED IN � O( INSPECTION NOTIC �j/f�f SCHEDULED fd:DD PERMIT NO. � ��-^�✓" COMPLETED ADDRESS �5�� OWNER CONTR. ?� TELEPHONE NO. J — I- 8�� D � DESCRIPTION � � ❑ FOOTING ❑ MECHA I AL RI ❑ EXCAV/GRADING/FILLING � ❑ FRAMING ❑ MECHA AL FINAL ❑ LAKESHORE/WETLANDS O ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J FINAL ❑ FOUNDATION/REMOVAL OWNERIC RACTOR TO MEET YOU: /�YES_NO � COMMENTS: � w a � � O � �.'•�� yt SQ � �t' � �� ( 5'� r r�S I ; ,�l/ Q W � Q � Z W � W � � d ,' WORKSAT�SFACTORY:PROCEED C7 PROJECTCOMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR � INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (J52� 249-46�� Owner/Contractor on site: Inspector. l . T� �S White Copyllnspector's File Canary Copy/Site Notice