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Home My WebLink About2003-P07108 - gas fireplace Y • PERMIT CITY OF ORONO Permit Number: 2750 Kelley Parkway- PO Box 66 Po�ios Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits (952) 249-4600 Date Issued: i2�is�2oo3 SITE ADDRESS: 1180 North Arm Dr Mound,MN 55364 PID: 07-117-23-14-0067 DESCRIPTION: Proposed Use: Residential Permit Class: General Permit Type: Mechanical Permits Permit Sub-type(s): Gas Fireplace DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 36.05 Valuation• $ 2,884.00 State Surcharge Fee: $ 1.44 TOTAL FEE: $ 37.49 APPLICANT: Countryside Heating&Cooling OWNER: Brad&Marcia Pankonin 6511 Hwy 12 1180 North Arm Dr 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. ��,a'� �9'e^22'�G APPLICANT PERMITEE SIGNATURE I ED BY SIGNATURE Couies: 1-File(SiQnitures Required), 1-Atmlicant, 1-Monthlv Reports, 1-Assessin¢, 1-Finance Page 1 . � FIREPLACES ✓ Gas factory fireplace Wood burning factory fireplace with flue Wood Stove Wood stove with flue Brand Name /��/'� /✓ L� �-�' Model No. .�r��'��'c' �' - ��- VENTILATION No. Kitchen Exhaust ducted recirculating cfm No. Bath Exhaust (must be ducted outside) cfm No. Ot'.ier Fans: Locations cfm FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL) Installation Removal Fuel oil: gallons underground inside outside LP Gas: gallons Other Gas opening PERMIT FEE CALCULATION 1. 1.25% of Contract Price* or Minimum Fee ($35.001 _._, _ , ;�%,�}`��, c/<' x .0125 $ � � . C' � (contract price) 2. State Surchar�e. "* Add the State Building Code Division �/ Surcharge to each permit. ��_�'�, �� x .0005 $ � ' � / or $.50, whichever is greater (contract price) 3. Postage and Handlin� (Only mail-in applications) $ 1.50 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 charged to the customer for the work done. If any material, equipment, labor, or installation 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 far 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 contract price under$1,000,000 or $.50 -whichever is greater. For valuations over S1,000,000 call the Department of Inspectional Services 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 Minnesota State Building Code, and certifies that all statements made on this application are complete, true and correct. ., � Applicant's Signature: � � � Date: l�- � � 4� Approved By: Date: �^ 5��4 "�" M � CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT Box 66 (2750 Kelley Parkway) Crystal Bay, MN 55323 GENERAL INFORMATION 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 2 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, 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. Identification of and specifications for water heating equipment shall also be 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 249-4600. 24-hour notice required. 7. House Heating Test Record must be submitted before final. Instructions Complete all items on this application. Compute the permit fee. Sign and date the certification. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call 249-4600. Please check one: ✓ New Addition Repair Replace Residential Commercial JOB SITE: %/ �l! /✓ r� ,�-r��'' Zip: 5�3 S-� Owner's Name: ,��,.r,� P�-.✓Ko,V;�/ Telephone Number: Mailing Address: �/d� �i/� �i�! ,c�/'� �� City: d�'�.ti� Zip: ��'� Contractor's Name: Cv;;��h�s,�� ,� �� Telephone Number: ��.�-��-i��° � Mailing Address: (, S�// hc��i j r City: /'ii�'��" �i��r'�ip: SS�.�-s i SYSTEM DESCRIPTION HEATING SYSTEMS Quantity: Make: Model: Fuel: Flue S ize: Input BTUs: Output BTUs: CFM: ;� COOLING SYSTEMS Quantity: `� Make: '' ;w Model: Tons: � H. Power '" � � �} `-t . i `� f n:� � � ��.�.e....y. ,�.,w.r.�w..4x,..s.x..u..._ _ _., s�:..�� .�: r,� . ,_ v_,.� _. 4,.._ ...,, . . .. . . .....,�_ .._ .,�,� s,� .. _�..5�.4 u.,�... _�,......,Y.., '"� ._.,.. . ✓ DATE TIME CITY OF ORONO CALLED IN � '___�� INSPECTION NOTICE SCHEDULED .2' O• � ' PERMIT NO. R'� 'S 16 g COMPLEfED ADDRESS � 1�C7 �O 2T{�-1 �7 �•iNt le • OWNER IV�G r.� �i�,CU CONTR.�.DUn� 5�� TELEPHONE NO. �_�o� �I '�I �J � C�9' � DESCRIPTION ��. � � 01 FOOTING 11 MECHANICAL RI 78 EXCAV/GRADING/FILUNG Q 02 FRAMING 13 MECH AL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD B EPLACE 34 TREE REMOVAL Z U4 WALL BD• 12 WATER HOOK-UP 17 SITE INSPECTION Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL v BING FINAL 36 FOUNDATIOWREMOVAL OWNE ONTRACTOR TO MEET YOU: YES_NO . � MMENTS: 7 63 �-( l�� W a J O a � O � W � Q � 2 W � W � � d W� WORKSATISFACTORY:PROCEED ❑PROJECTCOMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOH flE1NSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WFLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for xt' s ion 24 hours in advance. (952) 249-4600 OwnerlContra n sit Inspector. � Whita CopyAnspecta's Flle Canary CopylSite Notfce � " DATE TIME ✓ CITY OF ORONO CALLED IN �`/ INSPECTION N TICE SCHEDULED ��- -Q. .'��. PERMIT NO. � COMPLETED ADDRESS I�g� � �1'►'l �r OWNER CONTR. � TELEPHONE N0. ?c�3 �� I100 a � DESCRIPTION � 1�� — ��U� �Jl�C�.D - � 01 FOOTING 11 MEC NICAL RI 18 EXCAV/GRADING/FILLING �" Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD• 12 WATER HOOK-UP 17 SITE INSPECTION Q OS FINAL 14 SEWER HOOK-UP O6 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATIOWREMOVAL � OWNERICONTRACTOR TO MEEi YOU:_YES_NO � COMMENTS• a � �K � � � 0 � C -2� c.K� P� 0 k W aC Q � W � W � � W �yWORKSATISFACTORIFPROCEED ❑PROJECTCOMPLETE W❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT O CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the n xt inspection 24 hours in advance. (g52) 249-4600 Owner/Contr o ite: Inspector. v White Copyllnspector's le Canary CopylSite Notks