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Home My WebLink About2013-00153 - gas fireplace � ' . CITY OF ORONO * Z 0 1 3 - 0 0 1 5 � 2750 KELLEY PARKWAY DATE ISSUED: 03/06/2013 ORONO,MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1342 REST POINT CIR PIN : 07-117-23-31-0022 LEGAL DESC : REST POINT PARK LAKE MTKA : LOT O10 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 1,500.00 NOTE: MAJESTIC GAS FACTORY FIREPLACE-MODEL NO. DVBR36 GASLINE FOR FIREPLACE APPLICANT MECHANICAL 50.00 ALTENHOFEN,MARK&DEANNE STATE SURCHARGE MECH(VALUATION) 0.75 1342 REST POINT CIR MOLJND, MN 55364- TOTAL 50.75 OWNER ALTENHOFEN,MARK&DEANNE 1342 REST POINT CIR MOLJND,MN 55364- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable Ciry approvals,and the State Building Code. This permit is for only the wark described and does not grant permission for additional or related work which requires sepazaRe permits. All provisions of laws and ordinances goveming this type of wc�rk shall be compied with whether or not specified herein.This permit will I 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. 1'he applicant is responsible for assuring all required inspections aze reques d' confo c with the State Building Code.This permit may be r o r e cause. `.3� � 3i �� 1.� licant ermitee gnature Date Is d By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. F C USE ONLY City of Orono �` �D�O P.O.Box 66 Date Recei Permit# �-i�� c5� 2750 Kelley Parkway Crystal Bay,MN 55323 Ap,proved By: ' Amount$: �� Phone(952)249-4600 Fax(952)249-4616 a � y� : lqkESHO��G CITY OF ORONO—MECHANICAL PERMIT (All Commercial permits must be approved by the Building Official or Inspector and/or Fire Mazshall) GENERAL INFORMATION 1. You may apply for mechanical permits by mail or in person at the City offices. Applications will be reviewed and a permit will be issued within two working days. 2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3, Mechanical Desiens—Complete calculations,details and specifications are required for each heating,ventilation,humidification-dehumidification,and air conditioning installation including heat loss/heat gain calculation,design temperatures,equipment ratings and identification as to type,manufacturer and model. Data shall be presented on form provided. 4. When any new construction or remodeling is involved,a separate building permit must be obtained. 5. All work must be done in accordance with the Uniform Mechanical Code/State Building Code requirements. 6. All work must be inspected(rough-in and final). Call(952)249-4600. (24-48 hour notice required) 7. House Heating Test Record must be submitted before final. , TYPE OF PERMIT (C `eck Al1 That A 1 �Residential ❑ Commercial(Approval Required) ❑ New ❑Additional ❑ Repairs [$�Replace Job Sfite/ Owner Information:; Site Address: 13�z- R�5-k' �", G�r�.l� Owner: �a�-1�E, �2o�v�v�.� �lk�,�n o�e� Mailing Address: t 342 RE st P�• !��c� City: �?rd,�.o Zip: ��(.04 _ Home Phone: a��2- 412-�25�7 Alternate Phone: Cont�actor Information: > Contractor: Contact Person: Address: State Bond#: City: Zip: Expiration Date: Phone: Alternate Phone: i ❑ Insurance—Current: ' 1 ...::,,.t �.. . . ,...... _ ,.. .,. . . .. . ::... .� ..�„?- ... , U � �. , ., _ . , ,., .�. . a • � Note: All Geothermal Systems will now reyuire 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 � Gas Factory Fireplace Brand Name: Yh0.\eSf'IC� ❑ Wood Burning Fireplace ❑ Wood Stove Model No.: Dv 3 R 3!0 ❑ Wood Stove with Flue/Masonry VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfin ❑ No. Bath Eachaust(must have duct outside) cfm ❑ No. Other Fans: Locations cfin FUEL STORAGE (Must be approved by Fire Marshall if proposing to abandon tank in p[ace.) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑ Inside ❑ Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill ❑ Other/List What&Where: 2 �. J , � . , , ,:, . � . , � �.� �� , �� , , � , � . _ , _�� F � � � �z :� , � . y , . , . � . ❑ 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;excludine 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 $ ; d �� . d . ,_ �. . , . �; � _� � , �_� . . � .� r . �. �:a_ �� . . �.a � �w �., r .. , �_ .. � If above does not apply; follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) � O� x.0125$ Sa`� contract price) (minimum$50.00) 2. STATE SURCHARGE � x.0005 $ .�5 (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ �2'�S ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted work including materials, l�bor,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. �� .� � �. � _ � � ,�� 3 w �y, , � � � , A . . u ,. , ,. � , �. . a ....,r .. , ,..` ` ��, w ,, ,w�. ..; ,. The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all work in strict accordance with the o�'dinances of the City and the regulations of the State of Minnesota, and certifies that all sta.�ements made on this application are complete, ixue and correct. ' Applicant's Signature: Date: ��(o� I?j 3 �— D TIME V CITY OF ORONO CALLED IN � / INSPECTION OTICE SCHEDULED — <—� a-�� PERMIT NO ��3`aD�S-3 COMPLETED ADDRESS �3�� p�� l� l �� OWNER �E�� TELEPHONE NO. gS2-' �7Z'725� CONTRACTOR �: DESCRIPTION �� re/�%- ��--�� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: a w a o � e � � '� � 1 �'M�Q. � � -� � � � ; � Q � z W � W � j d W ❑WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT �CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WFLL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CAllTO ARRANGE ACCESS. Cat1 forthe next inspection 24 hours in advance. (952� 249-4600 OwnerlContractor on site: Inspector. � / White Copyllnspector's File Canary CopylSite Notice J� � ��' (� AT _ TIME � CITY OF OKVNO CAlLEO W 7- � �� INSPECTION ICE SCHEDULED �1��` � �� PERMIT NO. � G~ � MPLETED ADDRESS OWNER LEPHONE NO.��`��- 7�5/ CONTRACTOR `�G�� DESCRIPTION 1� ��--�=�.L=Y � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAI O ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL � ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � ar 0 3 c� t � �' � �t�- a �. - � 0 � W � Q � Z W � W � � � � WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑C RECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cal1 for the next inspection 24 hours in advance. (952� 249-46�� OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice