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Home My WebLink About2016-01251 - gas fireplace • CITY OF ORONOII 21 j1ij1 'Ill 2II 1 I1I 11 2750 KELLEY PARKWAY DATE ISSUED: 10/03/2016 ORONO,MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1380 ORONO LA PIN : 02-117-23-34-0012 LEGAL DESC : REG. LAND SURVEY NO. 1350 : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 4,000.00 NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. MENDOTA FV41 GAS FIREPLACE APPLICANT MECHANICAL 50.00 STATE SURCHARGE MECH(VALUATION) 2.00 TWIN CITY FIREPLACE STONE CO INC MAIL-IN FEE 2.00 6521 CECILIA CIR EDINA,MN 55439- TOTAL 54.00 (952)777-4125 Payment(s) Minnesota State License#:mech-MB682977 CHECK 21300 54.00 OWNER Luke Beltnick Revocable Trust BELTNICK,LUKE&ELENA 3018 EMERSON AVE S MINNEAPOLIS,MN 55408- 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 goveming 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. (--Yika,(Le,d) Applicant Permitee Signature Date Issued By ignature Date I.1 -I CITY USE ONLY • �Oi V2750f OronoRECEIVED Date Recei -' I Permit ,� ' - O KelleyParkway Crystal Bay,MN 55323 .t n v Approved By: Amount$: Phone(952)249-4600 F 5� 9/41/1 CIT0-MECHANICAL PERMIT CAKES H Otst (All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall) 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. 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. (24-48 hour notice required) 7. House Heating Test Record must be submitted before final. TYPE OF PERMIT (Check All That Apply) Residential 0 Commercial(Approval Required) [Backflow Device:0 AVB 0 PVB] 0 New 0 Additional 0 Repairs 0 Replace Job Site/Owner Information: Site Address: 13) 0 Q yo lit D L v1e Owner: S e 1+1(1 k C _ Mailing Address: sC � City: Zip: Home Phone: Alternate Phone: Contractor Information: ; ; Contractor: a.o � i L � '11 16-Contact Person: v [-11 Sciiceiy Address: L- I 'C VL C ifLA State Bond#: Ve676 7-7 City: .E64 I VVI__ Zip:5f 3 xpiration Date: `Y i ' io Phone: C;f�2_. 777r `1 Z' Alternate Phone: Z ""1"'T ) —2-10^ 65 54 Insurance-Current: \ii P s 1 • MECHANICAL SYSTEMS BEING INSTALLED Note:All Geothermal Systems will now require a Site Plan&Review by our Building Official. IS THIS GEOTHERMAL? ❑Yes ❑No HEATING SYSTEMS Quantity: Make: Model: Fuel: Flue Size: Input BTUs: Output BTUs: CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H.Power FIREPLACES ,f Gas Factory Fireplace Brand Name: I /�e V o ❑ Wood Burning Fireplace � ❑ Wood Stove Model No.: I vI4 I ❑ Wood Stove with Flue/Masonry VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfm ❑ No. Bath Exhaust(must have duct outside) cfm ❑ No. Other Fans: Locations - cfm FUEL STORAGE (Must be approved by Fire Marshall if proposing to abandon tank in place.) ❑ Installation 0 Removal Fuel Oil: gallons 0 Underground ❑Inside ❑Outside LP Gas: gallons Other. GAS LINE ONLY ❑ Outdoor Grill 0 Other/List What&Where: 2 ❑ 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,if this applies; Cost of Permit $ 15.00 State Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ If above does not apply;follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) +(700* D0 x.0125$ S 0 • C7 0 (contract price) (minimum$50.00) 2. STATE SURCHARGE /) - 0 0 x.0005 $ !� (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 40115 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ " D • * 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 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. 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 State of Minnesota, and certifies that all statements made on this application are complete, true and correct. Applicant's Signature: Date: q 3 I_. C� DATE TIM ✓CITY OF ORONO CALLED IN / INSPECTION NOTICE L�I. SCHEDULED b l ! l-7 -31 PERMIT NO. e4 0.11p- COMPLETED ADDRESS ) 3 a () I-one OWNER TELEPHONE NO. i509 '17'7 //7S • DE R p jO f' Lr"ch Q /` r r l` W r 1U ❑ FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL Q ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING ❑ FOUNDATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL • ❑ RADON SLAB 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 ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL v• ❑ DEMO-SITE 0 SEPTIC INSTALL Q OWNER/CONTRACTOR TO MEET YOU: YES_NO c0 COMMENTS: I in C_ 1't"P xr ft( CU/NIS trN`� R. nip/e....-74e-d72,4 O'' ' qJ cc w CC CC W 0 WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE CC ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY CI ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY (.) 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 inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: ff Inspector. White Copy/Inspector's File Canary CopylShe Notice