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2018-00246 - gas fireplace
CITY OF ORONO I S I I� I I� 1111 11311111 1 1111 * 2 0 1 8 - 00246 * 2750 KELLEY PARKWAY DATE ISSUED: 03/06/2018 ORONO,MN 55356- (952)249-4600 FAX: (952) 249-4616 ADDRESS : 2610 MAPLERIDGE LA PIN : 21-117-23-21-0009 LEGAL DESC : REG.LAND SURVEY NO. 1468 : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 5,547.00 NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. HEAT N GLO FIREPLACE INSTALLATION GASLINE FOR OUTDOOR GRILL APPLICANT MECHANICAL 69.33 THE FIREPLACE PROFESSIONALS STATE SURCHARGE MECH(VALUATION) 2.77 5297 KAHLER DRIVE NE MAIL-IN FEE 2.00 ALBERTVILLE,MN 55301 TOTAL 74.10 (763)238-9036 Payment(s) Minnesota State License#:mech-MB004932 CHECK 5262 74.10 OWNER JANVIK,ROBERT&BIANCA 2610 MAPLERIDGE LA EXCELSIOR,MN 55331- 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 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. ymxie. qo c /i/27 Applicant Perr3tiTee Signature Date Issued By iature Date FOR CITY USE ONLY A T City of Orono i RECEIVED r V{\ P.O.Box 66 Date Received: Permit tl V 2750 Kelley Parkwayp Crystal Bay,MN 55323 Approved By: Amount$: MAR Q 2 U Phone(952)249-4600 Fax(952)249-4616 �\ � CITY OF ORONO \�q e�' CITY OF ORONO-MECHANICAL PERMIT kEsH09- (All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall) GENERAL INFORMATION I. You may apply for mechanical permits by mail or in person at the City offices. Applications will be reviewed and a Hermit will be issued within two working days. 2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NO- 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. 4. When any new construction or remodeling is involved,a separate building permit must be obtainer 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 That Apply) Residential ❑ Commercial(Approval Required) [Backflow Device:0 AVB (J PVB] 0 New jJ Additional 0 Repairs ❑Replace I Job Site/Owner Infformation: Site Address: ©/O /17, //l rtiejr_ L/ 1C Owner:I o� ,\At�v. Mailing Address. S/9/71e t—itN: r)(000(700 LIn: 53-33 Home Phone: Alternate Phone: Contractor information: //�� Contractor: /Ir�/ � rvtCS.VatA Rlpillt�CC Person: Jiisou 14 A Lc( o ) Address: -5-927.../A4/e(1/.UL State Bona IT: /72A6 610)'1 f3 City: d/Iv./�e Zip: / Expiration Date: (90:›C') Phone: 763 pJ"*).7K Alternate Phone: insurance-Current: ) -dol S MECHANICAL SYSTEMS BEING INSTALLED I Note:All Geothermal Systems will now require a Site Plan&Review by our Building Official. IS THIS GEOTHERMAL? ❑Yes ❑No HEATING SYSTEMS Quantity: Matte Model: Fue: flue Size: Input BTu s Output BTUs: GEN:. COOLING SYSTEMS Quantity Make: Mode: Tons: H. l'owe: FIREPLACES AL �/ 1 �.5.=Toryy rirepiace Lsrana Name:: /17;11 i Gih Li Wood Burning Fireplace i i Wood Stove iviodei iNu.. gQ) (`L.))C IJ Wood Stove with Flue/Masonr VENTILATION Li No. Kitchen Exhaust duct recirculating efm io. Bath Exhaust(must have duct outside) cfm J No. Other Fans: Locations cf n FUEL STORAGE (Must be approved by Fire Marshall if proposing to abandon tank in place.) Installation El Removal Fuel Oil: gallons ❑ Underground ❑ Inside I I Outsic- LP Gas: ealtonc Other: GAS LINE;:d..,..._ Outdoor /;, ./ Outdoor Grill ❑ Other/List What&Where: PERMIT FEE CALCULATIONS 1. CONTRACT PRICE *is 1.25%of contract- mice with a(Minimum Fee of 550.00) Jmo-�4/!-Q0 , 125$ contract puce) (minimum$50.00) 2. STATE SURCHARGE 55417 00 x.0005 01, 77 contract once) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.0t 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ 79 /7 • * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged tor m: permitted work including materials, labor,profit.and other fixed costs. It is the amount to be charged o 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. MECHANICAL PERMIT APPLICATION AGREEMENT 1 The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do a . 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: "O I `g/ / 0 DATE TIME CITY OF ORONO CALLED IN INSPECTION , • E SCHEDULED `I2- 3 1O g'36 PERMIT NO.- 0 I 00 - COM,LLETT D / ADDRESS [ l 'l / " 3"--' OWNER . TELEP O E NO. 3 CONTRACTOR �� a • /a '55/ox &�S 3A. . - DESCRIPTION F/61 t - ' W ❑ FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL Q ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING • 0 FOUNDATION DRAIN TILE 0 PLUMBING FINAL 0 TREE REMOVAL sa Z ❑ LATHE 0 MECHANICAL RI 0 SITE INSPECTION Q ❑ FRAMING 0 MECHANICAL FINAL 0 RATED WALLS Is ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT Q ❑ FINAL 0 WATER HOOK-UP 0 FOLLOW-UP ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL ❑ DEMO SITE 0 SEPTIC INSTALL 4 4 /04 ?j,'I `f Z OWNER/CONTRACTOR TO MEET YON.:_YES_NO i �/ C�� / y COMMENTS: 64 1'4 d— capper- / v. / 40 d° • • CC O --a•i' 7'01 5 4,001.k 0 0 41 c5•eke- ... g ke- cc g- V w / _ O km CC 64) P.A. D4 Po(&/ . z ✓'evb%7s O fie#^Cs5 - 6k. - Lu,... -D �1, e -fop D.( F'•,a. � ee.c.ifr, Ilb OPt vA,.. ilier Lu 0 WORK SATISFACTORY:P ED PROJECTMPL O W defISQJFECT WORK&PROCEED 0 ISSUE CERTIFICATE OF OCCUPANCY O0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY Li BEFORE COVERING PERMANENT O CORRECT UNSAFE CONDITION WITHIN HOURS. p PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OwnedContractor on site: Inspector. / ? — Whits Copyllnspector's File Canary CopylSlte Notice e 1 D S.t.±_ \/ DATE TIME v CITY OF ORONO CALLED IN INSPECTION IjincE SCHEDULED ""j5--I Y 03 -3(,l ) PERMIT NO. (-,F , COMPLETED _ ADDRESS c 2C,/O J OWNER 1 TEPVONE NO. A' 0 • - .. CONTRACTOR 7tit ca. l / Oks Slo i1 is 66 DESCRIPTION W 1.. ❑ FOOTING 0 D O-FINAL 0 SEPTIC FINAL Q ❑ POURED WALL 0 PLUMBING RI ❑ EXCAV/GRADING/FILLING Q 0 FOUNDATION DRAIN TILE 0 PLUMBING FINAL 0 TREE REMOVAL ❑ LATHE 0 MECHANICAL RI 0 SITE INSPECTION Q 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT Q ❑ FINAL 0 WATER HOOK-UP 0 FOLLOW-UP W ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL . ❑ DEMO-SITE 0 SEPTIC INSTALL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO COMMENTS: Gs r 1 s1 'Fd A./4�1 c. 4l '4S cc Lct f-Il. OA- lio%/. so ?�+^ o L t SH p e d f roper c 0 W cc Q 2 w cc Lir RKSATISFACTORY:PROED ❑PROJECT COMPLETE IX W 0 CORRECT WORK&PROCEED 0 ISSUE CERTIFICATE OF OCCUPANCY Ca 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. 0 PHOTO TAKEN INSPECTOR WILL RETURN 0 STOP ORDER POSTED.CALL INSPECTOR CI CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: Inspector: 4 0 h 'R White Copy/Inspector's File Canary Copy/Site Notiee