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Home My WebLink About2007-P11121 - gas fireplace PERMIT CITY OF ORONO Permit ►vumber: 27�0 Kelley Parkway- PO Box 66 P11121 Cry�tal Bay, Minnesota 55323 Permit Type: Mechanical Pernuts (952) 249-4600 Date Issued: 6/14/2007 SITE ADDRESS: 1015 Linden La Unit# Mound,MN 55364 PID: 07-117-23-13-0093 DESCRIPTION: Proposed Use: Residential Permit Class: General Permit Type: Mechanical Pernuts Permit Sub-type(s): Gas Fireplace DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Pernut Fee: $ 35.00 Valuation: $ 2,200.00 State Surcharge Fee: $ 1.10 TOTAL FEE: $ 36.10 APPLICANT: Countryside Heating&Cooling OWNER: Thora Ericksmoen&Sapa Mary Carlson 6511 Hwy 12 1015 Linden La Maple Plain,MN 55359 Mound MN 55364 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. , 4,._� j�� '`--� -'�-'� �SYY1 Cc F 7 /�/"� APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing(If Septic, 1-Septic) Page 1 � FOR CITY USE ONLY . �0� City of Orono � S � O Q P•O.Box 66 Date Received: Permit# 2750 Kelley Parkway � � 3. ,;`� t� Crystal Bay,MN 55323 Approved By: Amount$: �o�,o�' (952)249-4600 CITY OF ORONO–MECHANICAL PERMIT (All Commercial permits must be approved by the Building Official or Inspector andJor Fire Marshall) GENERAL INFORNIATION ` 1. You may apply for mechanical permits by mail or in person at the City offices. Applicarions will be reviewed and a pernut will be issued within two working days. 2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Desi�ns—Complete calculations,details and specifications are required for each heating,venrilation,humidification-dehumidification,and air conditioning installation including heat loss/heat gain calculation,design temperatures,equipment ratings and identification as to type,manufacturer and model. Data shall be presented on form provided. 4. When any new construction or remodeling is involved,a separate building pernvt must be obtained. 5. All work must be done in accordance with the Uniform Mechanical Code/State Building Code requirements. 6. All work must be inspected(rough-in and final). Call(952)249-4600. (24-48 hour notice required) 7. House Heating Test Record must be submitted before final. TYPE OF PERMIT (Check All That A l ) . �Residential ❑Commercial(Approval Required) _ � ❑ New ❑Additional ❑Repairs ❑Replace Job Site/Owner Information: . Site Address: / d � S L—i � c! � � L.o� � � Owner: ��;Ksr.,o,� n Mailing Address: S��m� City: O�o Y`� Zip: �S�a'� Home Phone: G��"3�$"6�3 a Altemate Phone: Contractor Information: Contractor: �oN�'f"�s.d� r1fG-�ao�•� Contact Person: ��'�"''� n' � �`"� Address: Gf�� ""y '�" State Bond#: � �p,,��1�,ti f�f`t' City: Zip:� Expirarion Date: Phone: 76 3' ��J� 6`"� Alternate Phone: ❑ Insurance– Current: 1 ,�� ''� ` `� '� =1VI�CHA�IC��SYS�'E11xIS;BEi?�C''r��ISTA� °E3� �; � `:�,�, :� � . , � HEATING SYSTEMS � Quantity: Make: Model: Fuel: Flue Size: Input BTUs: Output BTUs: CFM: COOLING 5YSTEMS Quantity: Make: Model: Tons: H.Power FIREPLACES �.� Gas Factory Fireplace ❑ Wood Burning Fireplace ❑ Wood Stove ❑ Wood Stove With Flue Brand Name: �'��Q�" n� ��° Model No.: ��' 'SsU"�� VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfm ❑ No. Bath Exhaust(must have duct outside) cfm ❑ No. Other Fans: Locations cfm FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHALL) ❑ Installation ❑ Removal Fuel Oil: gallons � ❑ Underground ❑Inside ❑Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill ❑ Other/List What&Where: 2 � . . , �. y T�';y � � -�.i�� {�,r� ,�,",; ��` a $ �L'�\�1��{✓1'1��,.�.i��1��{;�� ,� r? �, � �; 6�' �1�' � t'. � .� . ' ��'� �� ., ..,�`� ��,';�'" BASE�OFF°°,. �OU�S'�`A:`�E S'�,ATUEs �� `�. ,;;� ,�' � ,� , .. � �' �� ❑ Yes,this section applies The replacement of a Residential 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;excludinQ 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 Pernut $ 15.00 State Surcharge $ .50 Mail-In Fee(If Applicable) $ 1.50 Total Permit Fee $ ..: ��PERMTT�:FEE�C:A.LCCSLA:`TI�N�S)=:JOBS 0�1�R$S�U0.00;" : ;.�� If above does not apply;follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of 535.00)_ ' �ab� � X.oi2s$ �.ST (contract price) (minimum$35.00) 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50) � ��a� i� x.000s $ � � (contract price) (minimum$ .50) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50 �� /o i 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ • * CONTR.ACT PRICE or JOB COST means the actual or esrimated dollar amount charged for the pernutted 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 pwposes. 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 Department at(952)249-4600 for the price. ' 11rfECHANIGAL:PERIVIIT.APPLICATIQN.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 correct. Applicant's Signature: Date: ��y� � 3 �� DATE �IME n�� CITY OF ORONO CALLED IN I� INSPECTION NOTICE SCHEDULED �� 3� (� PERMIT NO. I � I L+ COMPLETED ADDRESS 1b1� L,111 '� (�,�y� � OWNER CONTR. f�IC.I1(�rC� ��l ic Il��.Y TELEPHONE NO. �Z � _�� C��' � DESCRIPTION � ��- lL 01 FOOTING 11 ME HANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT � 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING R� 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � c'� �� (1'�" 0 a � 0 � W � Q � Z W � W � � d W WORKSATISFACTORY:PROCEED PROJECTCOMPLEfE � Q CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CA�L 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. Call for the n t inspection 24 hours in advance. (J52� 249-46�� OwnerlCont ite: inspector. White Copylinspector's Fil Canary CopylSite Notice