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Home My WebLink About2016-01259 - gas fireplace t t CITY OF ORONO * 2 0 1 6 — 0 1 2 S 9 * 2750 KELLEY PARKWAY DATE ISSUED: 10/04/2016 ORONO,MN 55356- (952)249-4600 FAX: (952)249-4616 ADDRESS : 1820 LAKEVIEW TER PIN : 27-118-23-42-0012 LEGAL DESC : LONG LAKE COUNTRY CLUB ADDN : LOT 007 BLOCK 001 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. HEAT-N-GLO GAS FIREPLACE APPLICANT MECHANICAL 50.00 STATE SURCHARGE MECH(VALUATION) 1.25 GLOWING HEARTH AND HOME MAIL-IN FEE 2.00 100 ELDORADO DRIVE JORDAN,MN 55352 TOTAL 53.25 (952)495-2927 Payment(s) CHECK 23724 53.25 OWNER KOKESH,DAN&JAMMIE 1820 LAKEVIEW TER 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 dces not grant permission for additional or related work which requires separate permiu. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction suthorized 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 are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. s� 1� � �( Applicant rmitee ignature Date Issu By ' ature Date ` T City of Orono ��Q�� 1 � . g-01�r P.O.Box 66 RECEIVED '��e� � ::�� y,� ;2Sl � 2750 Kelley Parkway� �� Crystal Bay,MN 55323 >A�px�vetl Am��'��, Phone(952)249-4600�(�?�2��6 �' �`� ��,t G�� '�k�SHo4� CI'��E�—MECHANICAL PERMIT (All Commercial p m t be approved by the Building Official or Inspector and/or Fire Marshall) �T�R�L:TS�T�' '�`I�� , < 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 cazds will be sent by return mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MiJST NOT BEGIN UNTIL THE PERNIIT 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. 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. P k 4 A � > ' T'Y'P��OF'F�R�'� z .� , -, . . ��, � : .' . �;` . . ��.�T1�.�:. � . < , � . Residential ❑Commercial(Approval Required) [Backflow Device: �AVB ❑PVB] New ❑Additional ❑Repairs ❑Replace c�3 �i��%��?�Y.�t ��C%�L. Site Address: Owner: D��c)�!'� �4(�Iailing Address: ��D� cJt-C/� City: I V V C V�� Zip: �, Home Phone: /�D�j'�7 1 " �3�� Alternate Phone: .:��ar��aa�ii.. Contractor�C i n ��}Z(�'l�ontact Person: �'l,� Address: �(�l� � ��State Bond#: �I��[°'s`�� City: � Zip5�5�piration Date: _ � , � Phone: "I�e�-�/c� � ��,�(D Alternate Phone: � Insurance—Current: � 2� S��Z2 �(� 1 � ' 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: COOLING SYSTEMS Quantity: Make: Model: Tons: H.Power FIREPLACES � Gas Factory Fireplace Brand Name: �� LZ C�.J ❑ Wood Burning Fireplace �Cn ��`/p/ ❑ Wood Stove Model No.: ��- ❑ Wood Stove with Flue/Masonry VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfin ❑ No. Bath Exhaust(must have duct outside) cfrn ❑ No. Other Fans: Locations �� FUEL STORAGE (Must be approved by Fire 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 � `� , 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) �� r tJ(J x.0125$ �� ,� (contract price) (minimum$50.00) 2. STATE SURCHARGE � � a �� . � X.000s $ - a c�ontr�t p��, 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMTT FEE(Add Lines 1-3 Above) $ r �� ■ * 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. 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 certifies that all statements made on this application are complete,true and correct. �ad� /fo Applicant's Signature: Date: 3 �-�--� �� ✓ E TIME CITY OF ORONO CALLED IN �� INSPECTION TIC �HEDULED / - � --�Lr2-`= PERMIT NO. O ' f / COMPLET ADDRESS � �-� OWNER EL PHONE NO� �'� � '� CONTRACTOR ' '� DESCRIPTION � ly ❑ FOOTING ❑ DEMO- INAL S C FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING �j ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL 2 ❑ RADON SLAB �b1�CHANICAL 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 _ J ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERlCOI�ITMCTOR TO MEET YiOU:_YES_NO y COMMENTS: W �� .'�L ��4.. T j � � s✓ s1 � v��G : �,.� � � c7�-� S��; �2 �.�e � G ��c,�a.� ce � -�-a ° ��,�. b� . �� d ��, �,�- W � Q � 2 � W � J � �NORKSATISFACTORY:PROCEED ❑PROJECT COMPLEfE W ❑CORRECT VMORK 3 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT VYORK,CALL FOR REINSPECTION TEMPORARY V BEFORECONERINf3 PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR Wlll RETURN ❑STOP ORDER POSTED.CALI INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call br the next inspection 2a hours�n advance. (952) 249-46�0 OwnerlContractor site: Inspector:�9 �L • White CopYAnsPector's Fil� C�mry CopYlSit�Notks DATE T1ME Y CITY OF ORONO cnLLED IN �_�_�i�-�� INSPECTION NOTICE �'f SCHEDULED � - �� l�� PERMR NO.��C/ ��" - COMPLETED ADDRESS � �a�� G�P U I�� C:�.� OWNER T LEPHONE NO. CONTRACTOR � ry � DESCRIPTION `� ty ❑ FOOTINCa ❑ 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 FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT � ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ � ❑ DEMO-SITE ❑ SEPTIC INSTALL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � �� ,e c f� l�Q+'1 j � o , ' .t;l � v o a ✓� v L �J.� �. — � � -� O s � ��n. '� c- v � � W OC ^ � � n /.r � W W OC J � ❑VMORK SATiSFACTORY`.PROCEED ECT COMPLETE W �OORRECT WORK 3 PROCEED 1 ERTIFlCATE OF OCCUPANCY 0 ❑CORRECT WORK,CAII FOR REINSPECTION TEMPORARY V BEFORE CONERINf3 PERMANENT O CORRECT UNSAFE CONDITION WITHIN H��- ❑p►�OTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPEC710N REQUIRED.CALL TO ARRANGE ACCESS. CaH for the next inspection 24 hours in advance. (952) 249-4600 Owne�lContractor on site: Inspector: WMt�CopyAnapactor's Filo C�nary CopplSHs NoNa