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HomeMy WebLinkAbout2016-01348 - gas fireplace � CITY OF ORONO � 0 1 6 - 0 1 3 4� 2750 KELLEY PARKWAY DATE ISSUED: 10/2U2016 • ORONO, MN 55356- _� (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 81 HACKBERRY HILL p�� : 33-118-23-44-0014 I,EGAL DESC : DANIELS LONG LAKE HEIGHTS : LOT 008 BLOCK 002 PERMIT TYPE : MECHANICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 2,500.00 NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. GAS FIREPLACE APPLICANT MECHANICAL 50.00 STATE SURCHARGE MECH(VALUATION) 125 WALTER MECHANICAL, INC. MA[L-IN FEE 2.00 1013 E.CLIFF ROAD#101 BURNSVILLE, MN 55337 TOTAL 53.25 (952)895-1992 Payment(s) Minnesota State License#:mech-MB003448 CHECK 6178 53.25 OWNER STANKEVITZ,GEOFFREY&JENNIFER 81 HACKBERRY HILL LONG LAKE,MN 55356- 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 docs not grant permission for additional or related work�vhich requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specitied herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of die 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. � � /OlH l / V Applicant Permitee Signature Date Issued By Sign re Date -� .�t �C��L.1� L � � �ECEIVED F�IT USE ONLY '' —'� � City of Oron /� �/, /— • '' �O� P.O.Box 66 Date Receivedu Permit# v`��t� � 2750 Kelley Park 7 � Crystal Bay,MN��B 21 1016 Approved By: Amount$ � i Phone(952)249-4600 FaY(952)249-4616 �F �� ��ITY OF ORONO lqkFSHv��� TTY OF ORONO-MECHANICAL PERMIT (All Commeroial permits must be approved by the Building Official or Inspec[or and/or Fire Mazshall) 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 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. 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) [Backflow Device: ❑AVB ❑ PVB] �v ❑ New ,�Additional /%��' ❑ Repairs ❑ Replace � " ` G Job Site/Owner Information: Site Address: � 1 ��lv`` r�' 4 L �' ��� v `� � 1 `� �� , � Owner �;�'�i�� � � �� L�( ��"� Mailing Address: ��(,��111_ ���5 J 1/`� City: Zip: Home Phone�' ���� ����' "�� �% Alternate Phone: Contractor Information: Contractor�rV�� � �/�/ I v�,���j{�`�I��`�tact Person: ��(�`� �,��f�� l� Address:� ` � V V� • �YC�.���. l�� 1��State Bond#: � l��(�C.��� `t c� �' , �'� I���/- i'; �,��,� City: �,�.�Y ����1 ��`�. Zip-`�7�JE�piration Date: � �`�'�� ,�� /� ��C ; - C� .. � _ � - Phone: ��I� `� ,'S �`� ��( � �� Alternate Phone: ��� ` � 7 �`' �� �' � � ❑ Insurance-Current: 'u�� � 1 � r. r 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: Model: Fuel: Flue Size: Input BTUs: Output BTUs: CFM: COOL[NG SYSTEMS Quantity: Make: Model: Tons: H. Power FIREPLACES ll ., \ � Gas Factory Fireplace Brand Name: l�� �� � I� `at��l'1�� ❑ Wood Burning Fireplace ❑ Wood Stove Model No.: l�Vr L �S �- Z ❑ Wood Stove with Flue/Masonry VENTILATIOIY ❑ No. Kitchen E�chaust duct recirculating cfin ❑ No. Bath E�chaust(must have duct outside) cfm ❑ No. Other Fans: Locations ��n FUEL STORAGE (Must be approved by Fi�e Marshall 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 ` � � . PERMIT FEE CALCULATIONS 1. CONTRACT PRICE * is 125%of contract price with a(Minimum Fee of$50.00) ��J"�� � � .� � x.0125 $ �L,� • � � (contract price) (minimum$50.00) / 2. STATE SURCHARGE � �� 2� �J x.0005 $ I � contract price) 3. POSTAGE&HANDLING (Only on Mail-In Applications) $ 2.00 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 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 o�the City and the regulations of the State of Minnesota,and certifies that all statearfents ma�1e a'r�th�is appl' ation are complete,true and correct. , - �� ,��r, / " l v - Gf�� > Appl�cant s S�gnature:; � Date: � / � l 3 � � � J DATE TIME CITY OF ORONO cnLLED IN �� '�" �� INSPECTION�-�Q, T CE SCHEDULED /v7 � �� y'-3G' PERMfT NO:'"� —�/'� � COMP ED ADDRESS �� �� " ����� � OWNER T LEPHONE O.�/� ' "�1y�d7�C� CONTRACTOR ���t � � DESCRIPTION � �'� � "�"" � CZL�� ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ v ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OMfNERlCONTRACTOR TO MEET YW:_YES_NO � COMMENTS: _ � C� G�r " S ��V o ✓��t 1�c3 - -• � � — a ��% eS"� l� ' � ° -S�KG� )/- � - /.� W / !-- v • Q ' U/�iL I— • � � /ItSC �� /✓l�/� ���/�S ? ryi�r5• �. �. ��,�, - G lp�rA��+- � U e� /�t.� �er �5��'i5 ' j Jr-,�,5� in5 a(( �JCv SpGG 5 � ���K SATISFACTORY:PROCEED U PROJECT COMPLETE � ❑ ECT VMORK 3 PHOCEED ❑ISSUE CERTIFlCATE OF OCCUPANCY 0 ❑CORRECT NfORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CONERIN(i PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN INSPECTOR WFLL RETURN ❑STOP ORDEH POSTED.CAIL INSPECTOR �GTATION ISSUED ❑INSPECTION REOUIRED.CALL TO ARRANGE ACCESS. Cs8 for the next inspection 24 hours in advance. (952) 249-4600 OwneNContractor on sRe: Inspector: � WM Anapector's File Cen�ry CopylSite Notles