HomeMy WebLinkAbout2008-P00084 (Fireplace) � � CITY OF ORONO PERMIT NO.: 20o�000s4
2750 KELLEY PARKWAY
ORONO,MN 55356- DATE ISSUED: 07/23/2008
952 249-4600 FAX: 952 249-4616
ADDRESS : 2180 ABINGDON WAY
PIN : 03-117-23-24-0012
LEGAL DESC : N/A
: LOT 000 BLOCK 000
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIREPLACE-GAS
VALUATION : $ 8,500.00
NOTE: (2)GAS FACTORY FIREPLACES-BRAND HEAT-N-GLO-MODEL NO. ESCAPE 42 AND ESCAPE 36
GASLINE BY OTHER CONTRACTOR.
APPLICANT
MECHANICAL 106.25
HEARTH&HOME TECHNOLOGIES STATE SURCHARGE MECH(VALUATION) 4.25
2700 FAIRVIEW AVE TOTAL 110.50
ROSEVILLE,MN 55113
(651)633-2561
Minnesota State License#:20512060
OWNER
GAGE,RICK&BRITT
2180 ABINGDON WAY
LONG LAKE,MN 55356
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 sepazate
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 aze
requested in conformance with the State Building Code.This permit may be
revoked at y time for due cause.
;�.���-� �i �3i o p � 7i�3 id!�
Applicant Permitee Signature Date Is d By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
i
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� � �3�crir�us�Qr��� :
O,¢p�,O City of Orono
P.O.Box 66 Date Receiveti: Perm�t# .
2750 Kelley Parkway
� �. � !� Crystal Bay,MN 55323 Approved By: Amount$:
��4ya� (952)249-4600
CITY OF ORONO—MECHANICAL PERMIT
(All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall)
G�NERAL INFOR1V1�1TIO1�T
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 TAE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Mechanical Desi�ns—Complete calcularions,details and specificarions are required for each
heating,ventilation,humidificarion-dehuxnidification,and air conditioning installation including
heat loss/heat gain calcularion, design temperatures,equipment ratings and identification as to
type,manufacturer and model. Data shall be presented on form provided.
4. When any new constnzction 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�otice required)
7. House Heating Test Record must be submitted before final.
;�. TYY�"E�°OF��PERNIiT� .:
G�'�ek A�;That A ly ;
�Residential ❑Commercial(Approval Required)
�New ❑Addirional ❑Repairs ❑Replace
�ob Site/O�vxier Information: `
Site Address: o?I S� A ��„G o�o n w�`—/
Owner:�_o�;a� ��✓t o�v.�•e•.� Grq��iling Address:
City: Zip:
Home Phone: �p/�-`�f L � ��7� Alternate Phone:
Contractor Information; �.
, � Ma. i
Contractor: Contact Person: dF����
�, s�t
27'00 N. FdrvNw
Address: State Bond#: ' ssi g33 2s�et���a•
City: Zip: Expiration Date:
Phone: Alternate Phone:
❑ Insurance—Current:
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�IEATING SYSTEMS
Quantity:
Make:
ModeL•
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
ModeL•
Tons:
H. Power
FIREPLACES
p� � Gas Factory Fireplace
Wood Burning Fireplace
❑ Wood Stove
❑ Wood Stove With Flue
Brand Name: 1�th� �+ L I o Model No.: ES �aP e �� �
L �' �s�,Pe 3�*
VENTILATION a, y � �K e �� ����f�
c on�r«G�o r'
❑ No. Kitchen Exhaust duct recirculating cfm
❑ No. Bath Exhaust(must have duct outside) cfin
❑ No. Other Fans: Locarions cfm
FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHALL)
��'►�mo►11 r!�►r�
� S ����+�I��llation ❑ Removal
0�0! sa���� �
�vll wrir�i8� y! {�:;;i
+%'«� �!� ,��+�r+�ue1 Oil: gallons ❑ Underground ❑ Inside ❑ Outside
'�'�r �-`LP Gas: gallons
Other:
�GAS LINE ONLY
❑ Outdoor Grili ❑ Other/List What&Where:
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❑ 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 $ .50
Mail-In Fee(If Applicable) $ 1.50
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$35.00)
� gJ� •� x.0125$
(contract price) (minimum$35.00)
2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50)
x.0005 $
(contract price) (minimum$ .50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $
■ * CONTRACT PRICE or JOB COST means the actual or esrimated 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 pariy, the reasonable market value of such items must be added to the
estimated cost or contract price for pernrit 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 Building Department at(952)249-4600 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 State of
Minnesota, and certifies that all statements made on this application are complete, true and
correct.
Applicant's Signature: i��� Date: � � 3 O
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