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Home My WebLink About2015-01257 - gas fireplace CITY OF ORONO * 2 0 1 5 - 0 1 z 5 7 * 2750 KELLEY PARKWAY DATE ISSUED: 09/29/2015 ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 2560 KELLY AVE PIN : 20-117-23-11-0007 LEGAL DESC : REG.LAND SURVEY NO.0088 : LOT 000 BLOCK 000 PERMTT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 1,500.00 NOTE: THIS IS A SECOND NEW GAS FACTORY FIREPLACE(HEAT N'GLO) APPLICANT MECHANICAL 50.00 STATE SURCHARGE MECH(VALUATION) 0.75 CARTER CUSTOM CONSTRUCTION&FP MpIL-IN FEE 2.00 3276 FANUM ROAD#400 VADNAIS HEIGHTS,MN 55110- TOTAL 52.75 (651)653-0190 Payment(s) Minnesota State License#: CHECK 10019 52.75 mech-MB004750,BUIL-BC632066 OWNER International Ministerial Fellowshi P.O.BOX 100 NAVARRE,MN 55392- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable Ciry approvals,and the State Building Code. This permit is for only the work described and dces not grant permission for additional or related work which requires 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 requested in conformance with the State Building Code.This permit may be �1 _, revoked at any time for due cause. (�� a,�1 ��.� � '� ��--`� 9 a� �:. Applicant Permitee Signature Date Issued By Signa e Date k w � ,/ FOR CITY iJSE UNLY /� �O A T City of Orono ��q�� U J � t i�!� P.o.Box 66 Date R,eceived� Pertoit#��'"" 2750 Kelley Parkway Crystal Bay,MN 55323 Appmnved By: ��As�unt S:� Phone(952)249-4600 Fax(952)249-4616 y� �.�� CITY OF ORONO-MECHANICAL PERMIT 1 K�s H�� (All Commercial pemuts must be approved by the Building Official or Inspector and/or Fire Marshall) CTENERAL INFORMATION , 1. You may apply for mechanical permits by mail or in person at the City offices. Applications will be reviewed and a peimit 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 Designs—Complete calculations,details and specifications are required for each heating,ventilarion,humidification-dehumidificarion,and air conditioning installation including heat loss/heat gain calculation,design temperatures,equipment ratings and idenrification 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 �tesidential ❑Commercial(Approval Required) �New ❑Additional ❑Repairs ❑Replace Job Site/Owner Information: Site Address: � �� / �'�(/�. Owner�,V y� Mailing Address: I �1JI 1�� " t I c��y: �Gl� z�p: 5�J l0 Home Phone: �� `' � Alternate Phone: r �� Contractor Inforinatia�: �i1Jl, Contractor: � Contact Person: �1n 1'l 1�-�il� Address: �11'� � �l�yv�� State Bond#: � City: �(�...�1�` U�� Zip�� Expiration Date: � �I � `x Phone: �5�-��✓^�� Alternate Phone: ��1�D"�� ❑ Insurance-Current: �� v`-��,�� 1 ` � . . ;��I�.t�;�'�'��I��'��'��:�;��} Note:All Geothermal Systems will now require a Site Plan&Review by our Building Official. IS THIS GEOTHERMAL? ❑Yes ❑No HEATING SYSTEMS Quantiry: Make: Model: Fuel: Flue Size: Input BTUs: Output BT[Js: CFM: COOLING SYSTEMS Quantiry. Ma1ce: � Model: Tons: H.Power FIREPLACES ,. � Gas Factory Fireplace BFand Name: tX/1,�� ❑ Wood Burning Fireplace ❑ Wood Stove Model No.: � ❑ Wood Stove with Flue/Masonry �t��l 5��t�- �1�1-�, VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfin ❑ No. Bath Eachaust(must have duct outside) cfm ❑ No. Other Fans: Loca6ons cfin FUEL STORAGE (Must be approved by Fire MarshaU if proposing to abandon tank in plae�) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside LP Gas: gallons Other. GAS LINE ONLY , ❑ Outdoor Grill ❑ Other 1 List What&Where: 2 . � �' � ❑ Yes,this secrion applies The replacement of a Residential fixture or a�pliance 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;excluding 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 $ 15.00 State Surcharge $ 1.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ If above does not apply;follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) I "✓ '� " x.0125$ �V � (contract price) (minimum 550.00) 2. STATE SURCHARGE x.0005 $ (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applicarions) $ 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 chazged 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 undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do a11 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. Applicant's Signature: Date: 1 (�-" t� 3 ..� _� � �- /=� TIME CITY OF ORONO - �� ED IN �� INSPECTION NOT SCHED o /- - ' PERMIT NO. S 61ZJr'�o E� ADDRESS �s OWNER LEPHO E NO �s� S3-��1`v CONTRACTOR t- ��Z�� - � DESCRIPTION r � C'v`� W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING y ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT J INAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ v ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERlCONTtiACTOR TO MEET YOU:_YES_NO � COMMENTS: e �, � a� - / 0 ��n�.s/f« ^'—�Q-'� cJ��C$ � � �f��J� G6�'`�"��LZ � �/��s �� O W � � Q � 2 ¢ � �^ � j � /wt�f -ti r!� � ❑WORKSATISFACTORY:PROCEED (,'�OJECTCOMPLEfE W ^�1.'pBSECT VYORK R PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WFLL RETURN ❑STOP OROER POSTED.CALL INSPECTOR O CITATION ISSUED ❑INSPECTION REOUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-460� OwnerlContra r on site: � Inspector. � '`^' Copyllnspector's File Canary CopylSke Notiee �� DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED `� PERMIT NO. �—_DI S-�IZS� COMPLETED ADDRESS 2'�� ' ,� OWNER TELEPHONE O. �3� CONTRACTOR � � � DESCRIPTION �� "�G� �� , l� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL � Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINA� ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP �4 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ SEPTIC IN ALL Q OWNERICONTRACTOR TO MEET YOU:_YES O � COMMENTS: �j�l� L�� '�, W a � � O >. � O , � - W � < Q � � � � W � � J d W RKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE � ❑ RRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECWERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 ho rs in advance. (952) 249-46�0 OwnerlConVactor on site: Inspector. White Copylinspector's File Cenary CopylSite Notice