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Home My WebLink About2010-00160 - gas fireplace ' � CITY OF ORONO PERMIT NO.: 2oiaooi6o ! 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: 03/18/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 1910 SHADYWOOD RD PIN : 17-117-23-24-0020 LEGAL DESC : SHADY-WOOD : LOT 031 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 0.00 NOTE: HEAT N GLO 6000C GAS FP APPLICANT MECHANICAL 50.00 FIRESIDE HEARTH&HOME STATE SURCHARGE MECH(VALUATION) 0.50 2700 FAIRVIEW AVE ROSEVILLE,MN 55113 MAIL-IN FEE 2.50 (651)633-2561 TOTAL 53.00 Minnesota State License#:20512060 OWNER MCMANUS,JAMES&MEGAN 1910 SHADYWOOD RD WAYZATA,MN 55391- 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 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 aze requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. ��'Y(�l� �- l l � Applicant Permitee Signature Date Issued y i ature te SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOV . � R ' FOR CITY USE ONLY O¢D�,O City of Orono P.O.Box 66 Datc Received: Permit# 2750 Kelley Parkway � r'''• � Crystal Bay,MN 55323 Approved By: Amount$: , ' '� •�o` (952)249-4600 .,��i1t1R04..`� CITY OF ORONO—MECHANICAL PERMIT (All Commercial permits must be approved by the Building Officiai 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 retum mail after a review is completed. PERMITS ARE NOT VAL1D 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,humidificarion-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 pertnit must be obtained. 5. All work must be done in accordance with the Uniform Mechanicai 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 ❑ Reptace r Job Site/Owner Information: Site Address: � 9 !d .s��-ay w�ca� F-vL Owner: Mailing Address: 1 g/v .5�•��y w'�'�' � �� City: ��on o Zip: SS35 L� Home Phone: Alternate Phone: Contractor Information: Contractor: Contact Person: Fjearcn�&Home Techno�c9ies,Inc. ome License 20512060 Address: State Bond#: 2�0o N. Fairview Ave. 651/633-2561 City: Zip: Expiration Date: 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 HEATINC 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: N i a� �(� (n ❑ Wood Burning Fireplace a Wood Stove Model No.: �i�� G ❑ Wood Stove With Flue VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfm ❑ No. Bath Exhaust(must have duct outside) cfm ❑ No. Other Fans: Locations cfm FUEI.STORAG E (Must be approved by Fire MarshaU ijproposing to abandon tank in place.) ❑ Installation � Removal Fuel Oil: gallons ❑ Underground a 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 Residentiai fixture or appliance that meets ati three of the following requirements: 1. Dces 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 Permit $ 15.00 State Surcharge $ .50 Mail-In Fce(If Applicable) $ 2.00 Total Permit Fee S PERMIT FEE CALCULATION S -JOBS OVER$500.00 If above does not apply;follow guidelines below: 1. CONTRACT PRICE '�is 1.25%of contract price with a(Minimum Fee of$5(l.Otl) ,� �(fjJ�'�JO x.0125$ ,.5�•!JO (conYract price) (minimum$50.00) 2. STATE SURCHARGE **Add the State Bidg Code Div.Surcharge(Minimum Fee of$.5@) �!/'ut�• w x.0005 $ �• G� _ ...____. (contrack price) (minimum$ .50) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMTT FEE(Add Lines 1-3 Above) $ -�3. U'C7 ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted work including materials, labor, proftt,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 STATE SURCHARGE is.0005 of the Building Department at(952)249-4600 for the price. MECHANICAL PERMIT APPLICATION AGREEMENT The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do atl 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: .3 / 7 C) Reset Form 3 TIME ✓ � 3- CITY OF ORONO CALLED IN INSPECTION NOTICE �/b�SCHEDULED -Z — �%� PERMIT NO. o?�/D '" COMPLETED ADDRESS �9�� Lll-��G� OWNER TELEPHONE NO.�Z �� '�� CONTRACTOR G� — !-`�%dy2�� DESCRIPTION �� ''"'r� � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICALRI ❑ LAKESHORENVETLANDS � ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARO COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATIOWREMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO c� COMMENTS: � W C o � C� �� i r �'S-�- b� � � 0 � W � Q � a W � W � � o�RKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑ RRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 �CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFOREC�/ERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WFLL RETURN ❑STOP ORDER POSTED.CALI INSPECTOR �CITATION ISSUED ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Cail for the next inspection 2a hours in advance. (952) 249-4600 OwnedContractor on site: Inspector._�� White Copyllnspector's File Canary CopylSHe Notice