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Home My WebLink About2011-00093 - gas fireplace � CITY OF ORONO PERMIT NO.: 2011-00093 2750 KELLEY PARKWAY � ORONO, MN 55356- DATE�SSUED: 02/10/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 1350 REST POINT LA PIN : 07-117-23-32-0039 LEGAL DESC : SUBD REST POINT PARK LAKE MTKA : LOT 021 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 2,500.00 NOTE: HEAT N GLO 750 TR APPLICANT FIRESIDE HEARTH&HOME MECHANICAL 50.00 2700 FAIRVIEW AVE STATE SURCHARGE MECH(VALUATION) 5.00 ROSEVILLE,MN 55113 MAIL-IN FEE 2.00 (651)633-2561 MISC FEE 0.00 Minnesota State License#: 20512060 TOTAL 57.00 OWNER HOXIE, MIKE ' 1350 REST POINT LA MOUND, MN 55364- AGREEMENT AND SWORN STATEMENT The work for which this pertnit 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 separat� 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.� %�ZGl,G� � i i i i Applicant Permitee Signature Date Issued ignature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E. , FOR CITY USE ONLY ,¢�� City of Orono O O P.O.Box 66 Date Received: Permit# , 2750 Kelley Parkway .� �"'*• ; Crystal Bay,MN 55323 Approved By: Amount$: ��a '��'�•�� o � Phone(952)249-4600 Fax(952)249-4616 �'Raaxo�'� CITY OF ORONO—MECHANICAL PERMIT (All Commercial permits must be approved by the Building Official or[aspector 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 cazds will be sent by return mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIIY UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Desi�ns—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 construcrion 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 A 1 �Residential ❑ Commercial(Approval Required) �New ❑ Additional ❑ Repairs ❑Replace Job Site/Owner Information: Site Address: � /�3 SO �es� �o i�-f �r► Owner: Mailing Address: /3S� �s� po:��Lr� City: ��ono Zip: �531�� Home Phone: Alternate Phone: Contractor Information: Contractor: Contact Person: liearth 8�Home Technologies,Inc. Address: State Bond#: dba Fireside Hea►cn R H�me Lic�nse 20512060 ?7C1� N. Fairview Ave. City: Zip: Expiration Date: �'��e�•;iie, MN 55113 Phone: Alternate Phone: ❑ Insurance—Current: 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 ,� Gas Factory Fireplace Brand Name: Ncc.� n(�1 a ❑ Wood Burning Fireplace ❑ Wood Stove Model No.: 7SO ��Q ❑ Wood Stove with Flue/Masonry VENTILATION ❑ Na Kitchen Exhaust duct recirculating cfm ❑ No. Bath Exhaust(must have duct outside) cfm ❑ No. Other Fans: Locations cfin FUEL STORAGE (Must be approved by Fire Marshal!ijproposing to abandon tank in p[ac�) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑ Inside ❑ Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill ❑ Other/List What&Where: 2 • PERMIT FEE CALCULATION(S) BASED OFF - 2002 STATE STATUE ❑ 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;excludin�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 Percnit $ 15.00 State Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ 22.00 PERMIT FEE CALCULATION S -JOBS OVER$500.00 If above does not apply;follow guidelines below: l. CONTRACT PWCE * is 1.25%of contract price with a(Minimum Fee of$50.00) �o7S(TD.U7� x.O125$�� 0.� (contract price) (minimum$50.00) 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$5.00) �'�� a7j'UD•�r� x.0005 $5.00 (contract price) (minimum$5.00) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $�� S 7• � • * 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 STA7'E SURCHARGE is.0005 times the Contract Price or a minimum of$5.00. MECHANICAL PERMIT APPLICATION AGREEMENT T'he 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. ApplicanYs Signature: �� Date: o� �j / Reset Form 3 �V� DAy E TIME � CITY OF ORONO CALLED IN a'' /� INSPECTION OTICE Q SCHEDULED ;:� // �/-.� PERMIT NO.�`��'BDD / � COMPLETED i ADDRESS !3 SO /�rca..r C�- GYL�� OWNER TELEPHONE IV�O.�Z �Z 5�72 CONTRACTOR l�J P�Q� ' � DESCRIPTION __�� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE O 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 J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEE7 YOU:_YES_NO � COMMENTS: � W 0. � � O � � O ' � W � Q � 2 W � W � � � d� � W/�Q WORK SATiSFACTORY:PROCEED ❑ PROJEC#COMPLETE � �. W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CL'RTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the next inspection 24 hours in advance. �952) 249-4600 Owner/Contractor on sit Inspector. � � White Copyllnsp�ctor's File Canary CopylSite Notice