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Home My WebLink About2009-00074 - gas fireplace �, � CITY OF ORONO PERMIT NO.: 2009-000�4 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 02/23/2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 2550 SIXTH AVE N PIN : 28-118-23-41-0005 LEGAL DESC : WILLOW RUN : LOT 004 BLOCK 001 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 1,523.00 NOTE: 1 HEAT&GLO 6000GIPI GAS FP PRINTED WITHOUT ISSUING BECAUSE THE CHECK HE HAD WAS WRITTEN FOR OLD FEES. HE WILL HAVE A CHECK SENT ON THURS 2/19 AND AT THAT TIME WE CAN ISSUE THE PERMIT AND SEND IT WITH WILLIE FOR THE INSPECTION EARLY NEXT WEEK. BARB APPLICANT MECHANICAL 50.00 FIRESIDE HEARTH&HOME STATE SURCHARGE MECH(VALUATION) 0.76 2700 FAIRVIEW AVE ROSEVILLE,MN 55113 TOTAL 50.76 (651)633-2561 Minnesota State License#:20512060 OWNER RICE,EDWARD&TERESA 2550 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 dces 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 any time for due caese. `l'_/_I�,A.t.� �iW l l l l Applicant Permitee Signature Date Issued By 'gnature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED A VE. . '� FOR C[TY LSE O�LY" � /�� City of Orono ,� � �� P_0 Box So � �a.e ,�d. Pzm�![$ � � �� '-;u Ke�ie�Pa;k��va�. �� ` >�� C��stsi 3��.�[V_�i,� i .-�,pero �ed�4;� �mount� �'� � ;E � \� < <;+y°�� '-'�� iSu�J � I �IREHft�P c��rY o� oRa�o- �I�cx�vl��L e�a��lr {_a'.1 Commerc:a;pemu:�:rus�5e appro�:ed'oy:he Building Otficiaf or[nspecror ann�or Fire�[ar�hal!1 ' GE�E2�L [tiFORtiI�TION I 1. Y"ou may apply for mechanical permits by mail or in person at the Ciry orfices. .�pplications wi11 bz re��ie�ved and a permit wiil be issued within two working da�s. ?. P�rmit cards �Nill be sent by rztum maii after a r�vie�,v is completzd. PEEL�([TS .�RE NOT V_�LID L�iT[L Y"OC; RECEIVE .� PER��IIT. W ORK LI[,'ST NOT BEG[� L'`TIL THE PER�ITT C�.RD [S POSTED O� THE JOB SITE. 3. �techanical Desi�ns—Complete calculations, details and specificacions are requir�d for each heating, ventiiation, humidirtea�ion-dehumiditication, and air conditionin� insta(lation includin� heat loss,�hea� �ain calcu(a�ion. desi�n temperatures, equipment ratings and identificstion as to c�pe, manufacturer 3nd model. Da�a shall bz pr�sen�ed on torm providzd. 4. ��hen any r,e�v consrruction or remodelir.g is invo(ved, a separate buildin� permi�must be obtained. �. .all work must bz done in accordance with the �niCorm�techanical Code Srare Buildin�Code requiremen�s. 6. �I1 work must be inspzcted(rough-in and Final). Call (9�2) ?49-4600. (2-1-48 hour notice required) 7. House He3tins Test Record must be submitted before tinal. TYPE OF PEI��tIT � � (Check�11 That Apply�) � i I Residzntial ❑ Commercial (-�ppro�a( fZequiredj � Ne�.a� � �ddirional ❑ Rapairs ❑ Replaee Job Site O��ner Information: � Site �ddress: �� G ��'�-• Owner: ��. '�Iailin� �ddress: Cit��: Zip: Home Phone: �p a��`� - ��`� �ltemate Phone: ' Contractor Information: i � p � _ Contractor: Hearth 8 Home Technologies,enc. Contact Person: i License 20512060 .�ddres�: 2�0o N. Fafrview Ave. State Bond =: 651/633-2581 Cit��: Zip: Expiration Date: Phone: .al�emate Phonz: J � In�urancz —Current: ( ' �IECH.-�LIC�L SYSTE�IS BEI�G ItiST:�LLED ! HE.aT[�G S�STE�fS Quan�it_. _ 4take_ 1�Iode f: FueL F(ue �ize: Input BTUs: Ou�ut BTL�s: CF�L COOLI�G 5�5TE1(S Quanrity- �iake. �tode!: Tons: H. Power F(REPLACE� � Ga� Factory Fireplace ��ood Buming Fireplace ❑ ��ood�rove ❑ �ti��od S�o�e Wi�h F(uz Brsnd�ame: � ylodel N�o.: lQl��Ch.l-t� �ENT[L.aT[O�� ❑ �o. Kirchen Exhaust ducc recircufa�in� cfm ❑ �o. Ba�h E.rhaust(must have duct ou�side) cfm ❑ �o Othzr Fans: Loca�ions cfm FC�EL STOR.�GE ��I��T BE .�PPEtO�-ED BY FIRE �tAR�H.�LLj � IJ [n�ta(la�ion fZemo��ai Fue! Oi'� ;alfons ❑ ��ndzrground ❑ (n�ide ❑ Out�ide LP Gas: gaflons Other: �.a� C.[�E O�LI !_,l Ou�uoor Grifi ❑ Ocher Lis� �Vha�� her��. , �, PERNIIT FEE C�aLCL�L.-�TIO�(S) ' B�SED OFF - 7_002 ST�TE ST:�TLE ❑ Yes, rhis section applies The replacement ot a Residential fi.rture or appfiance that meets a(1 three of the follow�in�requirements: 1. Does not require modifica�ion to electncal or Qas service. 2. Has a total cost of��00.00 or less; excludintr the cost of the tixture or appliance: and 3. [s improved, installed or replaced by the homeowner or licensed contract�r. Skip next section, if this appfies; Cost of Permit � 1�.00 State Surcharge � �0 Ntail-[n Fee (IT Applicable) � 1.�0 Total Permit Fee $ PERi�iIT FEE CALCUL�qTIOrt(S)-JOBS 0�'ER ��00.00 Ir abo��e does not apply; follow guidelines below: 1. CO�TRaCT PRICE * is 1.?�°�o of contracc pnce with a(�Vlinimum Fee of$35.00) � S��OJ x.012� � �i�.l� l�on[racr pnce) �:minimum�3�00) 2. ST.a-CE SliRCH.�RGE *` :�dd the Sta[e Bld�Code Div. Surcharge(tiiinimum Fee of 5.�0) x .0005 � r S � �contract pnce) (minimum� .50) 3. POST.-�GE & HANDLING(Only on [�1ail-[n Applications) � ��d'� 4. TOT.aL PE2�1[T EEE I:�dd Lines 1-3 .-�bovel � ��.� � �` CO�+TR:�CT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted work includin� matenals, labor, profit, and other fixed costs. It is the amount to be charged to the customer for �he work done. If any matenal, equipment, labor or installations are furnished by thz o��ner. tenant or any other party, the reasonable markzt value of such items must be added to the estimated cost or contract price for permit fee purposes. [n the event that there is a dispute on the amount ot the job cost, the City may request the submission of a �igned copy of the actual contract. � ** The SL�TE SliRCHARGE is .000� of the Bui(din� Department at 1;9�21 ?49-�600 for the pnce. ' MECE-IaNICAL PEIZ'�IIT APPLICATION AGREE��IENT � The undersi�ned hereby app�ies to the City for issuance of a �Izchanieal Permit, agrees to do all work in strict accordanca w�ith the ordinances of the City and the regu(ations of the State of �linnesota. and czrtities that a(1 statements made on this application are comple[e, true and correct. I F :�pplicant's SiJnatur�: Dat�: