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Home My WebLink About2014-00022 - gas fireplace 6 , CITY OF ORONO * z 0 1 4 - 0 0 0 z z * 2750 KELLEY PARKWAY DATE ISSUED: OU08/2014 ORONO, MN 55356- (952 249-4600 FAX: 952 249-4616 ADDRESS : 1840 LAKEVIEW TER PIN : 27-118-23-42-0010 LEGAL DESC : LONG LAKE COUNTRY CLUB ADDN : LOT 005 BLOCK 001 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 4,000.00 NOTE: (2)KOZY HEAT GAS FACTORY FIREPLACES APPLICANT MECHANICAL 50.00 STATE SURCHARGE MECH(VALUATION) 2.00 PRACTICAL SYSTEMS MAIL-IN FEE 2.00 4342B SHADY OAK RD TOTAL 54.00 HOPKINS,MN 55343 (952)933-1868 Payment(s) CREDIT CARD 0961 54.00 OWNER MERNIK, WILLIAM&LISA 1840 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 does 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 revoked at any time for due cause. C 1 ! , �' �/ Applicant Permitee Signature ate Iss d By Signature Date 9529331869 14:30:16 01-08-2014 2/4 FOR CFTY USE ONLY �O A'O City of Orono �y P.O.Box 66 Date Reccived: Permit# 3750 KeElcy Parkway Crystal aay,MN 55323 Approved By: Amovni$: Phone(952)249-A600 far(952)249-4616 yF �. . !�'�'ESHU��G CITY OF ORONO-MECHANICAL PERMIT (All Commercial pertnits must be approved by the Building Official or Inspcclor antUor�ire Maishall} GENERAL INFORMATION 1. You may apply for mechanica[permits by mail or in person at the City o�ces. Applications will be reviewed and a permiE will be issued within Iwo working days. 2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VAL1D UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Designs—Complete calcukations,details and specifications are required for each heating,ventilation,humidification-dehumidification,and air conditioning installation including heat toss/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 buiIding permit must be obtained. 5. All work must be done in accordance with the CJniform Mechanical Code/State Buiiding Code requirements. 6. All work must be inspected(rough-in and finaO. Call(952)249-4600. (24-48 hoar notice required) 7. House Heating Test Record must be submitted before final. TYPE OF PERMIT Check All That A 1 ��Residential ❑Commercial(Approva)Required) ❑New �Additional ❑Repairs ❑Replace Job Site/Owner Information: Site Address: (`C�`�C; 1...L��t�-�.v`;r::.v� f.v..C' Owner. �.�;`��. ��`��..,••ri� �< Mailing Address: !�;�l u L.�"ti Lc.�'��..,,,; i a�_.�'' city: �-c'�.�� L��.�. zip: J` -::j r.. � .S > :.�� Home Phone: �i S�-�f 7 L- �-��i�l�C:% Alternate Phone: ContracEor Information: <r- / I ( Contractor: -��(�c�.;�]�t.4�( ��.;;T 4-CvL�i� Contact Person: �-1�:=:L'l.� .�-- .��vt:�C.41 c..�.. � Address: �3`ra L; J J�„��.��Ckx� j,�.a State Bond#: y'v��,��<�>�:`�`�! C:;% ` ` ��i3 City: �---JG�J!c c�:'i:, Zip: �)'1� Expiration Date: `i ��% 1 ►`� v Phone: �i�S��`�l�j� 1�'C,�� Alternate Phone: ❑ Insurance-Current: __N��.��,c%�z�°>�.-�;! �_�.c,r 1 C:�("�iC:>C:%�7 C;>1c.� 9529331869 14:30:33 01-08-2014 3/4 _; MECT�ANICAL SYSTEMS sEING INSTALLED Note:All Geothermal Systems will now require a Site Plan&Review by our$uilding Official. IS THIS GEOTAERMAL? ❑Yes 0�10 HEATING SYSTEMS Quantity: Make: Model: Euel: Flue Size: Input BTUs: Output BTUs: CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H.Power FXREPLACES � Gas Factory Fireplace ��.> Brand Name: �C:�Z.C. •-�t:_�>:� ❑ Wood Burning Fireplace ❑ Wood Stove Model No.: ,.�<'��c:i�.��v. -�c�2 -3 C� ❑ Wood Siove with Flue/Masonry VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfm ❑ No. Bath Exhaust(must have duct outside) cfm ❑ No. Other Fans: Locations cfin FUEL STORAGE (Must be approved by Fire Marshal/if proposing to abandon tank in p1ac�) ❑ Installation ❑ Removal Fuel Oil: gaIlons ❑ Underground ❑Inside ❑Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill ❑ Other/List What&Where: � 9529331869 14-30:45 01-08-2014 4/4 1 , . PERMIT FEE CALCULATION{S) BASED OFF-2002 STATE STATUE ❑ Yes,this section applies The replacement of a�esidenti�l fixture or appliance that meets all three of the following requirements: i. Does not require modification to electrical or gas service. 2. Has a total cost of$SOO.QO or less;ex�luding the cost of the fixture or appliance:and 3. Is improved,installed or replaced by the homeowntr or licensed contractor. Skip next section,if this applies; Cost of Permit $ 15.00 State Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 '1'otal Permit Fee $ PERMIT FEE CALCULATION S —JOBS OVER$500:U0 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 VI,.iC�f�,`L7 X.o�25.D �..J�.l. �..�� (contract price) (minimum 550.00) 2. STATE SiJRCHARGE ��a «-C%�'�"" x.0005 $ � .C>C::> (contract price) 3. POSTAGE&HANDLI�JG(On(y on Mail-In Applications) $ 2.00 4. TOTAI.PERMIT FEE(Add Lines 1-3 Above) $ >L1• �>L� ' * CONTRACT PRICE or JOB COST means the actua! 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 fumished by the owner,tenant or any other party,the reasonable market vatue 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, d�e City may request the submission of a si�ned copy of the actual contract. IVIECHANICAL PERIv1IT 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 certifies that all statements made on this application are complete, true and conect. ( . Lf l ( ' Applicant's Signature��:��J.1-��:�-<(� ��L.�J�_.-!�'L,�`_ Date:� r �`; j � 3 5�— �D TIME ✓ CITY OF ORONO CALLED IN INSPECTION NO I /�I� SCHEDULED a-�O-/ D:B PERMIT NO �^�' �� COMPLETED �_ ADDRESS �d 't Q �'�� OWNER l�bQ- TELEPHONE NO. ��z �7�0�� CONTRACTOR /t��C� �'�' � DESCRIPTION ��`- -" v�'0 /�� ` 'x`'`'� � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWEfU1NDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNERIFIREPLACE ❑ SfTE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL � SEPTIC INSTALL O HARD COVER REMOVAL v BING RI ❑ FOUNbATION/REMOVAI 2 OWN NTRACTOR TO ET YOU: YES NO y COMMENTS: a c745 /i�tc a�? �u� - �o�� /� �`U,�osc; o — 1/�n�c — �'�Go r�rlC¢1 - �� P��_ � - Fin,�.( i�t��l,oer �.t��.-es , W �DCG� w�' �Drd�etl e�ec�rsct��.a-S� � �Q 2 " �v r ✓'e� �- ,�2 r►.�rt �',ic�,c� � W � j O W� ❑WORK SATISFACTORY:PROCEED �tBOJECT COMPLETE ��CARRECT WfORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WRHIN HOURS. p pHOTO TAKEN INSPECTOR W{LL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-46�� OvvnedContractor on site: ��Sc� Inspector: 4[hr� � Whits Copyllnspector's Ffle Canary CopylSfte Notice