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Home My WebLink About2004-07731 - gas fireplace CITY OF ORONO PERMIT NO.: 2004-07731 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: 07/2112004 (952)249-4600 FAX: (952)249-4616 REPRINTED ON 10/14/2010 ADDRESS 270 NORTH SHORE DR W PIN 06-117-23-23-0019 LEGAL DESC IDYLLVALE FARM LOT 002 BLOCK 001 PERMIT TYPE MECHANICAL PRE 7/1/2008 PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE FIREPLACE-GAS APPLICANT PERMIT FEE SCHEDULE 35.00 AUTOMATIC GARAGE DOOR&FIREPLACE STATE SURCHARGE(VALUATION) 0.50 8900-109TH AVE N- CHAMPLIN,MN 55316 TOTAL 35.50 OWNER TASTAD,JOHN M&KIMBERLEY 210 NORTH SHORE DR W MOUND,MN 55364- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according too 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 governing 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 at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. Applicant Permitee Signature Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. PERMIT CITY OF ORONO Permit Number: 2750 Kelley Parkway - PO Box 66 P07731 Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits (952) 249-4600 Date Issued: 721/2004 SITE ADDRESS: /0 North Shore Dr W Mound,MN 55364 PID: 06-117-23-23-0018 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: $ 982.00 State Surcharge Fee: $ 0.50 TOTAL FEE: $ 35.50 APPLICANT: Automatic Garage Door&Fireplace,Inc. OWNER: Lundgren Brothers Const. 8900-109th Ave N-#1000 545 E. Indian Mound Champlin,MN 55316 Wayzata,MN 55391 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 PERM ITEE SIGNATURE ISSUED BY SIGNATURE Conies: 1-File(SiQnitures Required), 1-Avnlicant, I-Monthly Reports, I-Assessine, I-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 Desi-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: ,New ❑ Addition ❑ Repair ❑ Replace ❑ Residential ❑ Commercial JOB SITE: Z(0 �'o�Tt► S/� � Zip: 5.�3 6q Owner's Name: 1_w,-10 0i5v 9Aos _6;rv&T, Phone Number: 9'52-- Y-�3- r23i Mailing Address: '93 S- E. w,442,,17-A RWO City: Zip: '76-3-S71- zs 5 Contractor's Name: Phone Number: - _ , Mailing Address: City: Zip: /0?� �Vr a C0-6*A,WV 1 or ' Z SYSTEM DESCRIPTION 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 Wood burning factory fireplace with flue ❑ Wood Stove ❑ Wood stove with flue Brand Name Model No. QUA VENTILATION No. Kitchen Exhaust duct recalculating cfm No. Bath Exhaust(must have duct outside) cfin No: Other Fans: Locations cfm FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHAL) ❑ Installation or ❑ Removal ❑ Fuel oil: gallons ❑ underground ❑ inside ❑outside ❑ LP Gas: gallons ❑ Other Gas opening 2 PERMIT FEE CALCULATIONS) 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) p� o0 _Lu� 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 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 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: ",� r�� Date: -71-/10 Approved By: Date: 3 q&v V CITY OF ORONO CALLED IN /Z-lI TIME INSPECTION NOTICE SCHEDULED3 -� PERMIT NO.' r)'7-7 3 1 COMPLETED ADDRESS2_7'_ �/C A-11 an C)r f' !D/Z OWNER �7 CONTR. � }Z,c7-�Y✓L'a- `C/�,,� TELEPHONE NO. ` 7(P 72-1& P DESCRIPTION 01 FOOTING 11 MECHANICAL RI 4 EXCAWGRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS ti 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 RI 23 SEPTIC-FINAL 35 HARD COVER REMOVAL v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL OWNER/CONTRACTOR TO MEET YOU:_YES INO COMMENTS: ac W CL cc O O cc O W CC Q Z W z W rc d W0"Z_w__O. RK SATISFACTORY:PROCEED F1PROJECTCOMPLETE W RECT WORK&PROCEED F1ISSUE CERTIFICATE OF OCCUPANCY C) 11CORRECT WORK,CALL FOR REINSPECTION TEMPORARY U BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN El CITATION ISSUED ElSTOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the ne t inspection 24 hours in advance. (952) 249-4600 Owner/Contr I ite: Inspector. White CopylInspector's File Canary Copy/Site Notice