HomeMy WebLinkAbout2018-00525 - gas fireplace CITY OF ORONO
2750 KELLEY PARKWAY * 2DAT0 1 8 - 0 0 5 1
E ISSUED: 04/26/22 01
ORONO,MN 55356-
(952)249-4600 FAX: (952)249-4616
ADDRESS 3740 TOGO RD
PIN 17-117-23-31-0023
LEGAL DESC TOWNSITE OF LANGDON PARK
LOT 000 BLOCK 010
PERMIT TYPE MECHANICAL
PROPERTY TYPE RESIDENTIAL
CONSTRUCTION TYPE FIREPLACE-GAS
VALUATION $ 4,459.00
NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION.
HHT GAS FIREPLACE AND GASLINE
MODEL ESCAPE-120-F
APPLICANT MECHANICAL 55.74
FIRESIDE HEARTH&HOME STATE SURCHARGE MECH(VALUATION) 2.23
2700 FAIRVIEW AVE MAIL-IN FEE 2.00
ROSEVILLE,MN 55113 TOTAL 59.97
(651)633-2561 Payment(s)
Minnesota State License#:mech-20512060 CREDIT CARD 4616 59.97
OWNER
EMERY,DARYL&KRISTI
3740 TOGO 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 are
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
Applicant Permitee Signature Date Issued By SijKature Date
04-25—'18 13:33 FROM— T-839 P0001/0004 F-323
FOIL CITY t'SC ONLY
City of Orono
V P.U.Box 66 Etc Recciwcl: Permit i
Q 2750 Kelley hrk%%'A%
Crystal Day,hIN 55323 Approwd By: Aniottut 5:
Phony(952)249.4600 fax(952)349-•1616
F ;
fstio� CITY OF ORONO—MECHANXCAL X'XrRAMIT
(All Commeainl permits must be approved by the building Official or Inspector and/or Fire Marshall)
GENERAL INFORMATION
I. You may apply for mechanical permits by mail or in person at the City offices. App]ications will
be reviewed and a permit will be issued within two working days.
2. Permit cards will be sent by rearm mail after a review is completed. PERNWITS ARE NOT
VALID UNTIL YOU P.ECEIVE A PERMIT. WORK MUST NOT B£GIN UNTIL TME
PERMIT CARD IS POSTED ON THE JOB SITE. V�
3. Mechanical Designs—Complete calculations,details and specifications are required for each
heating,ventilation,hutnidificotiot-dehumidification,and air conditioning installation including
heat loss/heat gain calculation,design temperatures,equipment ratings and identification as to
type,manufacturcr and model, Data shall be presented on form provided.
a. when any new construction or remodeling is involved,a separate building pennit must be
obtained.
S. All work must be done in accordance with the Uniform Nfechanical Code/State Building Cole
requirements.
6. All work must be inspected(rough-in and final), Call(952)249-4600.
(24-18 hour notice required)
7. House Heatiu;Test Record must be submitted before Final.
TYPE OF PERMIT
Check All That A I y)
I)M`idential ❑Commercial(Approval Requiredj1
❑NcwAdditiona] f.T;ep4l.rs ❑Replace
Job Site/Owner Information:
Site Address d
7Ag-j ffj
�/
owner:` Q"'r) C r 6 MailingAddress, Qt+I G If.S Sr i
City. Zi
Hone Phone:` fD�Z` —<Nq Alternate Phone:
Contractor(nfornintion:
Contractor: FIRESIDE HEARTH& HOME Contact Person: Pm 4x'"
Address: 2700 Fairview Ave N State Bolin#:13C652656, MB662572,PC662571
City: Roseville, MN Lil):55113 Expiration Date:
Phone: 651-�:g Alternate Phone:
❑ InsuranCe—Current:
I
04-25-'18 13:33 FROM- T-839 P0002/0004 F-323
MECHANICAL SYSTEMS BEING INSTALLED
Note. All Geothermal Systems will now require a ajte Plan R Review by our BUilding Official,
IS THIS GEOTHERMAL? ❑Yes ❑No
HLA'riNG SYSTEINIS
Quantity:
\lake-.
Model:
Fuel:
Flue Size:
Input BTUs:
Output B-fus:
CFM:
COOLING SYSTEMS
Quantity;
Make:
d Iocle l:
Tons:
hI.Po«-er
FIREPLACES J�V)Jyod ;�,s -�-gra 1i�>✓
Gas Pagtory Fireplace; Brand Namc: r7�1
Wood Btitrning Pireplttce
❑ Wood Stove Model No.:
❑ Wood Stove with Flue/Masonry
MENTI LATION
❑ No. Kitchen Exhaust duct rccircuiating cfiu
❑ No. Bath E,%hatist(must havc duct outsidc) cfin
❑ 'No. Other Fans: Locations ctrl
I-UL•'L STORAGE (,llusr lie npprr»eJ by fire rNursGnl!if prr)pOsinh 1n«Ln«dnir Irriik i��place.)
❑ Installation ❑ Removal
Fuel Oil: gAllotts ❑ Under round ❑Inside ❑Outside
LP Gas; gallons
Other:
GAS UNL'O\Ll'
❑ Outdoor Grill ❑ Other/Lis(Whnt&Whcre:
2
04-25-'18 13:34 FROM- T-839 P0003/0004 F-323
i
PERMIT FEE CALCULATION(S)
BASED OFF-2002 STATE STATUE
[� Yes,this section applies
The replacement of a Residential fixture or aonliance that meets all three of the following regvirctnentss
I. D_O require modification to electrical or gas service.
2. Has a total cost of$500.00 or less;excluding the cost of the fixture orapplianee:and
3. Is unproved,installed or replaced by the homeowner or licensed contractor.
Skip next section,if this applies; Cost of Permit $ 15.00
State Surcharge S 5.00
Mail-In Fee(If Applicable) $w 3.00
Total Permit Fee S
PERMIT FEE CALCULATION(S)—JOBS OVER$500.00
If above does not apply;Follow guidelines below:
I. CONTRACT PRICE k is 1,25%ofcontract price with a(,Mininnun Fee of$50.09)
x.0125'x.
(co rac price)' DiinihiantMAO)'
2. STATESURCHARGE 9YT x,0003 $.
(costtact price)
3. POSTAGE R HANDLING(Only on Mail-In Applications) $_ am
4. TOTAL PER\IIT PEE(Adel Lines 1.3 Above) S S-7 Jc
y " CONTRACT PRICE or 10B COST means the actual or estimated dollar amount chnrged for the
permitted work including materials,labor,profit,anti other fixed costs. It is the amount to be charged
to the custaner for the work done. [rally material, equipment. labor or installations are furnished by
the owner,tenant or oily 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 rhat there is a dispute on the
amount of tht job cost, the City may request the submission of a signed copy of die actual contract
MECHANICAL 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 Statements made oil this application are complete, true 111(1
Correct.
Applicant's SignattlYe: Date:
3