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Home My WebLink About2004-P07536 - gas fireplace PERMIT CITY OF ORONO 2750 Kelley Parkway - PO Box 66 Permit Number: P07536 Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits (952) 249-4600 Date Issued: 5/26/2004 SITE ADDRESS: 4535 North Shore Dr Mound,MN 55364 PID: 07-117-23-31-0007 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: $ 35.00 Valuation: $ 2,173.00 State Surcharge Fee: $ 1.09 TOTAL FEE: $ 36.09 APPLICANT: Automatic Garage Door&Fireplace, Inc. OWNER: Jeffrey&Ethel Gustafson 8900-109th Ave N-#1000 5958 Handscrabble 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. r APPLICANT PERMITEE SIGNATURE ASUED BY SIGNATURE Conies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessin2, 1-Finance Page 1 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: �GNewEj Addition ❑Repair ❑Replace ❑ Residential ❑ Commercial JOB SITE: f"f a L�" Zip: c� I Owner's Name: . a Q_ Phone Number: 955 Mailing Address:'/-'/.?0 City 4a /` _. Zip: S S�gy Contractor's Name: pc��i- 0a 101leI Phone Number: -7(,o3- S7 Mailing Address: �Q� ",_aCity: _ V _Zip: �$9� v 1 SYSTEM DESCRIPTION HEATING SYSTEMS Quantity: Make: Model: Fuel: Flue Size: Input BTUs: Output BTUs: CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H.Power FIREPL�CES Gras factory fireplace ❑ Wood burning factory fireplace with flue ❑ Wood Stove ❑ Wood stove with flue nn�� Brand Name [� "3'� Model No. VEIL IU4TION 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 ❑Removal ❑Fdel 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) x/°73 x.0125 $ 3500 (contract price) (minimum$35.00) 2. State Surcharge. **Add the State Building Code Division a Minimum Fee of(S.50). Q/'73 x.0005 $ /' 09 (contract price) (minimum$.50) 3.Postage and Handling(Only mail-in applications) $ t, - 4.TOTAL PERMIT FEE(Add lines 1-3 above) $ 3 C0_ Q 9 *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: s O&Ie 7 1 Approved By. Date: 3 v DATE TIME CITY OF ORONO ED IN INSPECTION NOTICE SCHEDULED 6, /O PERMIT NO. 62 °-7-5-3 4P COMPLETED ADDRESSS S /V• -G�rez OWNER CONTR. TELEPHONE NO. 3r,5 -2L.,, - DESCRIPTION 01 FOOTING 11 MECHANICAL RI 18 EXCAWG ADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z04 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 RI 23 SEPT FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL OWNER/CONTRACTOR TO MEET YOU: YES—NO COMMENTS: W a cc J O cc O W CC Q Z W z W CC O WW WORK SATISFACTORY:PROCEED 1-1PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next ins ction 24 hours in advance. (952) 249-4600 Owner/Contractor on Inspector_ White Copy/Inspector's File Canary Copy/Site Notice