The URL can be used to link to this page

Home My WebLink About2011-00137 - gas fireplace • CITY OF ORONO PERMIT NO.: 2011-00137 2750 KELLEY PARKWAY , r ORONO, MN 55356- DATE�SSUED: 02/28/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 1980 SIXTH AVE N PIN : 27-118-23-42-0004 LEGAL DESC : UNPLATTED 27 ll 8 23 : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 4,000.00 NOTE: 1 WOOD BURNING FIREPLACE HEAT N GLO BIRMINHAM 36 APPLICANT MECHANICAL 50.00 FIRESIDE HEARTH& HOME STATE SURCHARGE MECH(VALUATION) 5.00 2700 FAIRVIEW AVE ROSEVILLE, MN 55113 MAIL-IN FEE 2.00 (651)633-2561 MISC FEE 0.00 Minnesota State License#:20512060 TOTAL 57.00 OWNER PIERPONT,JUDY&JIM 1980 SIXTH AVE N 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 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�'or due cause. `;�y� �� i i Applicant Permitee Signature Date Issued By i nature D SEPARATE PERMITS REQUIRED FOR WORK OTHE HAN DESCRIBED AB E. � � FOR CITY USE ONLY ,¢�� City of Orono P.O.Box 66 Date Received: Permit# � �� 2750 Kelley Parkway .� � "*• � ' Crystal Bay,MN 55323 Approved By: Amount$: '�t� '"�;',�• �.o`,�.� Phone(952)249-4600 Fax(952)249-4616 i'�rpxo�v CITY OF ORONO—MECHANICAL PERMIT (All Commercial permits must be approved by the Building Official 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 witt�in 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 Designs—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 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 ❑Replace �� Job Site/Owner Information: SiteAddress: � � $� CoH�� l�P Owner: P� e r p o n e Mailing Address: f 5 d�o CoK�-�y �� Cp City: L o n ti l..y I�e Zip: .Ss3S"�o Home Phone: �— Alternate Phone: 7l03- y 7 fl- loSo 2 Contractor Information: Contractor: Contact Person: �-_ � me ec no ogies,Inc. dba Fireside Hearth & Home Address: State Bond#: ��Cense 2osi2oso roseviile, MN 55113 f59/633-2561 City: Zip: Expiration Date: Phone: Alternate Phone: ❑ Insurance—Current: 1 � . . , � iV�ECIiAiV��.`�'� .- �S$�7�t3��..� �w :',, ' 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 Qnantity. 1Vlake: Model: Tons: H.Power FIREPLACES ❑ Gas Factory Fireplace Brand Name: �C�.� n�s(o Wood Burning Fireplace Wood Stove Model No.: �� t n�l n q�..M 3 G ❑ Wood Stove with Flue/Masonry VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfin � ❑ No. Bath Ext�aust(must have duct outside) cfm ❑ No. Other Fans: Locations cfm FUEL STORAGE (Must be ypproved by Fire Marshall iJ'proposing to abandon tank in plac�) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Crrill ❑ Other/List What&Where: 2 �. . . . e. � , ;��':�`.��` r B��t3��`�^��"i��:�'�.�, ❑ 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;exclu ' 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 $ P�T�EE CALCUL-A��N � -,��4��ER��t3�3 `° �: : If above dces not apply;follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$30.0t1) �7 ��. � x.01255 ��•� (contcact price) (mi.imam 550.00) 2. STATE SURCHARGE **Add the State Bldg Code Div.Sutcharge(Minimum Fee of$5.00) 7 ��' � x.0005 $ S.v� (contract price) (mieimem S 5.00) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ .�7.�� ■ * CONTRACT PRICE ar 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 fiunished 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 ach�al contract. ■ **The STATE SURCHARGE is.0005 times the Contract Price or a minimum of$5.00. ' ��1��'� : : � , ;. ,;.��i��"�:: ` ; 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: ��►�—� Date: .? � / � �� 3 I� C C� D TE TIME `� CITY OF ORONO CALLED IN � �� / INSPECTION NOTICE SCHEDULED � � PERMIT NO. ao�i-oa�37 COMPLETED ADDRESS ��O a��IL� � OWNER TELE ONE NO.��J� g 3��v CONTRACTOR�o ��-� . �: DESCRIPTION � �"'`� � ❑ FOOTING ❑ PLU ING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREM/ETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q p 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:�if5_NO � COMMENTS: � W a � J O � � O � W � Q � Z W � W � � / d W� RK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑ ORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECANDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALLTOARRANGE ACCESS. Cati for the next inspection 24 hours in advance. (952) 249-4600 Owner/ConVactor on site: ' r Inspector. � t ��r White Copyllnspector's Ffle Canary CopylSite Notice