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Home My WebLink About2011-01493 - gas fireplace � CITY OF ORONO PERMIT NO.: 2011-01493 � 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUEn: 1U30/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 2550 SIXTH AVE N P[N : 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 : $ 800.00 APPLICANT MECHANICAL 50.00 MICHALS HHH, INC. STATE SURCHARGE MECH(VALUATION) 0.40 P.O. BOX 814 TOTAL 50.40 ANOKA, MN 55303 �) OWNER RICE, EDWARD&TERESA 2550 SIXTH AVE N LONG LAKE, MN 55356- AGREEMENT AND SWORN STATEMENT The work for which this permik 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 additionai 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[ime after work has commenced. The applicant is responsible for assuring all required inspections are requested in confor�nance with the State Building Code.This permit may be � revo d at n i f due cause. �� -��--- //��G' � /�� ' �,-r,,�..x_�<� �/�:�� / � � Applicant Permitee Signature Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. r � � ° �R�IZ'�1'��E Ok�L�' r r • �,�p�,� City of Orono �` ,' � � �; � �� _ P.O.Box 66 Aate�I�ecet�+ed >< �Petmi�# �j 2750 Kelley Parkway � � � � � Crystal Bay,MN 55323 �A�prgz�ed By ; �tpoi�t5t$ � �` ��E /�� `y Phone(952)249-4600 Fax(952)249-4616 - =r t•= ;'` �j CITY OF ORONO-MECHANICAL PERMIT (All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall) GENE�AI;Il�Fo��C��= : �_. p s, ..:; w ;� 1. You may apply for mechanical permits by mail or in person at the City offices. Applicarions 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 Desiens—Complete calcularions,details and specificarions are required for each heating,ventilarion,humidification-dehumidification,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 construction or remodeling is involved,a separate building pernrit 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 notice required) 7. House Heating Test Record must be submitted before final. � , �� '��=�F�.'��T�T ` � °� _; �e�k�1'�T"hat�1; �l � � �� Residential ❑ Commercial(Approval Required) ❑New ,�Addirional ❑Repairs ❑Replace .��b��/C��uer�c��ti�n . > _�, „ .. _ _ � Site Address: �� .�1 S'j Owner: � ! e LP Mailing Address: City: Zip: Home Phone: Alternate Phone: ��n�tc��r rT�orn�at��z� : : Contractor: �`�ri l��S �/'��J�"G Contact Person: �/�l/� � f}-rl,��"'' Address: ��/Jd� �/y State Bond#: �I oZ �� City: 2 /��- Zip:��L Expiration Date: �� Ss3 t� �o i� Phone: Alternate Phone: ��- ,/qi-�!�/� �b ❑ Insurance-Current: � ,�/�-p,�r� 1 1 r � . � Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official. IS TffiS GEOTHERMAL? ❑ Yes ❑No HEATING SYSTEMS Quantity: Make: Model: � Fuel: h �Flue Size: Input BTLTs: � Output BTIJs: CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H.Power FIREPLACES �' Gas Factory Fireplace Brand Name: �/_�1'/ ti'� J ❑ Wood Burning Fireplace ❑ Wood Stove Model No.: �j-� /'h�� hl� ❑ Wood Stove with Flue/Masonry VENTILATION ❑ No. Kitchen Exhaust duct recircularing cfm ❑ No. Bath Exhaust(must have duct outside) cfm ❑ No. Other Fans: Locations cfm FUEL STORAGE (Must be approved by Fire Marshall if proposing to abandon tank in place.) ❑ Installarion ❑ Removal Fuel Oil: gallons ❑ Underground ❑ Inside ❑ Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill ❑ Other/List What&Where: 2 r � ' � � ' ❑ 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 Pernut $ 15.00 State Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 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$50.00) �� °� X.oi2s$ (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 esrimated dollar amount charged for the pernutted work including materials, labor,profit, and other fixed costs. It is the amount to be char�ed to the customer for the work done. If any material, equipment, labor or installations are fiuvished 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 bhe amount of the job cost, the City may request the submission of a signed copy of the actual contra,ct. The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do �11 work in strict accordance with the ordinances of the City and the regulations of the State Qf Minnesota, and certifies that all statements made on this application are complete, true a�d correct. Applicant's Signature Date: �� ` 1 II 3 �— !� DAT TIME � CITY OF ORONO CALLED IN �_ INSPECTION NOTICE SCHEDULED � �'� �� PERMIT NO.�D��oi y9 3 C, pi pLETE➢ � ADDRESS 4� �D s�-y'�'� �ho OWNER TELEPHONE NO.��a 7�9 ��a CONTRACTOR �� /��S �: DESCRIPTION �� n-� � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � J O a � O � W � Q � Z W � W � � d �s W� ❑WORK SATISFACTORY:PROCEED �ROJECT COMPLEfE W ❑ CORRECT WORK&PROCEED ❑ ISSUE CEFTIFICATE OF OCCUPANCY 0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR W4LL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR D INSPECTION REQUIREO.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-46�� Owner/Contractor on site Inspector. White Copyllnspector's File Canary Copy/Site Notice