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Home My WebLink About2015-00524 - gas fireplace CITY OF ORONO * Z 0 1 5 - 0 0 5 Z 4 * 2750 KELLEY PARKWAY DATE ISSUED: OS/04/2015 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 673 SANDSTONE CIR PIN : 33-118-23-I1-0039 LEGAL DESC : STONEBAY : LOT 036 BLOCK 001 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATTON : $ 1,000.00 NOTE: SUPERIOR FIREPLACE APPLICANT MECHANICAL 50.00 STATE SURCHARGE MECH(VALUATION) 0.50 HAGEN FIREPLACE SOLUTIONS TOTAL 50.50 435 FAIRVIEW AVE N Payment(s) LJNIT 2 CHECK 2254 50.50 ST PAUL,MN 55104- (612)839-7595 Minnesota State License#: mech-MB680260 OWNER Stonebay Builders LLC 14870 BROCKTON LANE DAYTON,MN 55327- 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 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. � ^ � %" �� •.--- �f - "�(,�l�„ � � J�j \ `-�\(,�- �-,.7 � / ( / / � Applicant Permitee Signature ate Issued By Signature Date � w FOR CITY USE ONLY _I � � City of Orono e�� - �/'� P.O.Box 66 Date Received: Permit# �' V 2750 Kelley Parkway �J • Crystal Bay,MN 55323 Approved By: Amount$: Phone(952)249-4600 �ax(952)249-4616 � � � � e� � .,��.�.��j��.�' CITY OF ORONO—MECHANICAL PERMIT .,.v�, (All Commercial pennrts must be approved by the Building Official or Inspector ancUor Fire Marshall) GENERAL INFORMATION l. 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 DesiQns—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. b. 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: � , , r j Site Address: (;> � � �..%�ir�t��-f-vn P ��C= ` �� Owner:�'��.� mC; Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor Information: Contractor� i'%��r��r� '~��j`t4�r �)c�l�t�+.: �ontact Person: �e�,�� Address: t� ::�'� �°��/��w �� State Bond#: �� '� City: `?t. ��-�� Zip:��1 i3�� Expiration Date: `� �.�`7� ! c��3�(ri Phone: � l.�'��''�'7� �✓ Y Alternate Phone: ❑ Insurance—Current: 1 �.��.MECHANICAL SXSTEMS BEING INS'P' . �ED 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: Fue(: F►ue Size: Input BTUs: Output BTUs: CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H.Power FIREPLACES � �, Gas Factory Fireplace Brand Name: �i�� 'L1�I C;S' Wood Burning Fireplace /� n ❑ Wood Stove Model No.: /�).r�� G�.� ❑ 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 hy Fire Marshu!!if proposing to abandon tank in place.) ❑ 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 a�pliance 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 � PERMIT FEE CALCIJLATION(S)-JOBS OVER$500.00 �� If above does i�ot apply;follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) C�' � � ��u� X .o�zs $ (contract price) (minimum$50.00) 2. STATE SURCHARGE x .0005 $ (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged far 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. �"�'�.=��,,_�`'-MECHA1vICAL PERMIT APPLICATION AGREEMENT�- 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 stateinents made on this application are complete, true and correct. � _._-- Applicant's Signature: .- �� ,r- Date: � 3 �2 �.'� jO��DATE TIME � CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED `� � - � PERMIT NO.1��-(�1G5�� COMPLETED ADDRESS �� S�'.�Ytc� S't�{'1SZ C f� OWNER TELEPHONE NO. � (a+��5 CONTRACTOR Il� la � \ �; DESCRIPTION W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL , Q ❑ POURED WALL ❑ PLUMBING RI � ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ PROGRESS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL J ❑ DEMO-SITE ❑�TIC INSTALL ❑ FOUNDATION/REMOVAL Z OWNERICONTRACTOR TO MEET YQU: Y O --•� �--�-- � � COMMENTS: � W a � J O � � O � W � Q � 2 W � W 2 � GW ❑WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � ❑CORRECT WORK 8 PROCEED O ISSUE CERTIFICATE OF OCCUPANCY w O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca�1 for the next inspection 24 urs in a 52) 249-4600 r OwnerlContractor on site: Inspector. ' i White Copyflnspector's File CanaFy CopylSfte Notice