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Home My WebLink About2010-00484 - gas fireplace ' . CITY OF ORONO PERMIT NO.: Zoiaooa8a � 2750 KELLEY PARKWAY ORONO, MN 55356- DATE IssuEn: 06/15/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 1280 LYMAN AVE PIN : 35-118-23-34-0014 LEGAL DESC : LYMAN WOODS : LOT 001 BLOCK 001 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCT[ON TYPE : F]REPLACE-GAS VALUATION : $ 2,300.00 NOTE: GAS FACTORY FIREPLACE - SPARK-FIRE RIBBON-SLIM 46" APPLICANT MECHANICAL 50.00 SELECT MECHAN[CAL SERVICES INC. STATE SURCHARGE MECH(VALUATION) 1.15 6219 CAMBRIDGE ST ST. LOUIS PARK,MN 55416- MAIL-IN FEE 2.00 (952)926-4488 TOTAL 53.15 OWNER HANSON, HARLAN&MARCIA 1280 LYMAN AVE WAYZATA,MN 55391- 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 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 authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days a[any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in c nformance with the State Building Code.This permit may be rev e t i e for e�ause. � �`" �� `�/ ��./ / �� Applicant Permi ignature Date Issu By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. FOR C1TY USE ONLY O�p� City of Orono � P.O.Box 66 Date Received; ACrmit# 2750 Kelley Parkway ��r Crystai Bay,MN 55323 Approvui By: Amount$: 0` (952)249-4600 CITY OF ORONO—MECHANICAL PERMIT (All Commercial permits must be approved by the Building Official or Inspector and/or Fire Mazshall) GENEitAL INFORMATIQN 1. You may apply for mechanical perrnits by mail or in person at the City offices. Applications will be reviewed and a permit wiil be issued within two working days. 2. Permit cards will be sent by retum mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECE[VE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Desiens—Complete caiculations,details and specifications are required for each heating,ventilation,humidification-dehumidification,and air conditioning installation including heat loss/heat gain calculation,design temperatures,equipment ratings and identification as to type,manufacturer and model. Data shall be presented on form provided. 4. When any new construction or remodeling is involved,a separate building permit must be obtained. 5. All work must be done in accordance with the Uniform Mechanical Code/State Building Code requirements. 6. All work must be inspected(rough-in and final). Call(952)249-4600. (24-48 hour notice required) 7. House Heating Test Record must be submitted before final. ,TYPE OF PERMIT Check All T'natA 1 �Residential ❑Commercial(Approval Required) ❑New �Additional ❑Repairs �Replace 1a�5ite/4�er'Tnforntation: Site Address: '�� !d�'^� � Owner: `��ll�� Mailing Address: (�� L`��r✓� City: t/��'2./k'CYL Zip: ��$/ Home Phone: Alternate Phone: Cant�r�uetor Infarn�at�on: Contractor: ��1.�"�(��-� Contact Person: ��L.Z`— ��.A�.D Address: �Pa�°l ��`l�-�Gt:� State Bond#: ��.. �3 0�1� City: STI�ot�S faM�—Zip: It� Expiration Date: Rllo��o Phone: �sa�� Alternate Phone: �J�`a�.f� ��s`) ❑ Insurance—Current: ��7�24 i �f Y��.��g� :. - rY. :r;L� .� _. , � Note: All Geothermal Systems will now require a Site Plan& Review by our Building Official. IS THIS GEOTHERMAL? ❑ Yes �to 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: 5��{-�- ❑ Wood Burning Fireplace � Wood Stove Model No.: �I,L.B ��tS�,� �V ❑ Wood Stove With Flue ��LM �(�•� VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfm ❑ No. Bath Exhaust(must have duct outside) cfrn � No. Other Fans: Locations cfrn FUEL STORAGE (Must be app�oved by Fire Marshal!if proposing to abandon tank in p[ace.) � Installation � Removal Fuel Oil: gallons ❑ Underground �Inside �Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill ❑ Other/List What&Where: 2 � . . „�_ � ❑ 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;excludine 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 $ .50 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$50.00) �� x.0125$ � � (contract price) (minimum$50.00) 2. STATE SURCHARGE **Add the State Bidg Code Div. Surcharge(Minimum Fee of$.50) x.0005 $ /<�S (contract price) (minimum S .50) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines I-3 Above) $ v �� /� ■ * 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 STATE SURCHARGE is.0005 of the Building Department at(952)249-4600 for the price. 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: � ��"�4� g �sx•a��t.;�,a�� u 9k'��d' „ .,,t�,.;,� . .., .' �', a, � 3 ,-� �� ✓ /�, DATE TIME CITY OF ORONO CALLED IN L`� � �U INSPECTION NOTICE SCHEDULED � PERMIT NO. -�� OMPLETED ADDRESS � � OWNER L PHONE NO. �!a �1��7� CONTRACTOR • N � DESCRIPTION � d �- �� ( � � � ❑ FOOTING ❑ PL BING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO v�, COMMENTS: � W C j O �. � O � W � Q � 2 W � W � � � ❑WORKSATISFACTORY:PROCEED ROJECTCOMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ I UE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFOREC�IERING PERMANENT ❑CORRECT UNSAFE COND�TION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (g52) 249-46�� OwnerlContractor site: Inspector. White Copyllnspector's File Canary CopylSite Notice