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Home My WebLink About2004-P08164 - gas fireplace y PERMIT CITY OF ORONO Permit Number: 2750 Kelley Parkway - PO Box 66 P08164 Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits (952) 249-4600 Date Issued: 11/8/2004 SITE ADDRESS: 4515 North Shore Dr Mound,MN 55364 PID: 07-117-23-31-0006 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: $ 45.20 Valuation: $ 3,616.00 State Surcharge Fee: $ 1.81 TOTAL FEE: $ 47.01 APPLICANT: Automatic Garage Door&Fireplace, Inc. OWNER: Ian&Stephanie Barbour 8900-109th Ave N-#1000 4515 North Shore Dr Champlin,MN 55316 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. APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE Copies: 1-File(Sienitures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing, 1-Finance Page 1 r � ` 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 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 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(952)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 (952)249-4600. Please check one: N�-New ❑Addition ❑Repair ❑ Replace❑Residential ❑ Commercial JOB SITE:HSI S & hh;LL Zip:C� `kco L4 Owner's Name. Phone Number:qS'� _Q11—OS2V Mailing Address: L4LA,00 City: — Zip: SS'31*1 Contractor's Name: Phone Number:=7�,,3-��'! Mailing Address: 9�: 9' _ City: Zip: 1 5 O Ir SYSTEM DESCRIPTION HEATING SYSTEMS Quantity: µ Make: Model: Fuel: Flue Size: Input BTUs: Output BTUs: CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H.Power FIREPLACES Gas factory fireplace Wood burning factory fireplace with flue ❑ Wood Stove ❑ Wood stove with flue, Brand Name fY\,r-J-AR,Q Model No. 0 Pa3 VENTILATION No. Kitchen Exhaust duct recalculating cfin No. Bath Exhaust(must have duct outside) cfin No: Other Fans: Locations cfin FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHAL) ❑Installation or I ❑Removal ❑Fuel oil: gallons ❑underground ❑ inside ❑outside ❑ LP Gas: gallons ❑Other Gas opening 2 PERMIT FEE CALCULATION(S) 2002 State Statute ❑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;excluding the cost of the fixture or appliance: and 3) Is improved, installed or replaced by the homeowner or licensed contractor. Skip next section; Cost of Permit $ 15.00 State Surcharge$ .50 Mail-In Fee $ 1.50 If above does not apply,follow guidelines below: 1. Contract Price* is.0125%of job with a Minimum Fee of($35.00) ',� LQ1� x.0125 $ (contract price) (minimum$35.00) 2. State Surcharge. **Add the State Building Code Division a Minimum Fee of($.50) x.0005 $ (contract price) (minimum$.50) 3.Postage and Handling(Only`nail-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 is 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 contract price under$1,000,000 or$.50-whichever is greater.For valuations over $1,000,000 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: Approved By: Date: 3 IVDATE TIME CITY OF ORONO CALLED IN )s-& INSPECTION NOTICE SCHEDULED 1 -l-748 PERMIT NO. COMPLETED ADDRESS yS�J �()�Tf� ;��0�/ OWNER CONTR.. /4L'Z_0 1k0-Zic � < TELEPHONE NO. DESCRIPTION 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS 03 INSULATION 24/25 WOOD BURN R/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 Lul 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL OWNERICONTRACTOR TO MEET YOU:_YES NO COMMENTS: cc W W CC O cc O W W cc Q Z W W cc O WWORK SATISFACTORY:PROCEED i PROJECT COMPLETE W W ElCORRECT WORK&PROCEED ISSUE CERTIFICATE OF OCCUPANCY O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. r, PHOTO TAKEN INSPECTOR WILL RETURN -i CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next'nspection 24 hours in advance. (952) 249-4600 Owner/Contractpr.ff it _ Inspector. 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