HomeMy WebLinkAbout2008-00062 - gas fireplace CITY OF ORONO PERMIT NO.: 2008-0002
2750 KELLEY PARKWAY I
` DATE ISSUED: 07/17/2008
ORONO
� , MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS : 1075 TONKAWA RD
PIN : 08-117-23-13-0002
LEGAL DESC : AUDITOR'S SUBD.NO.217
: LOT 006 BLOCK 000
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIREPLACE-GAS
VALUATION : $ 11,290.00
NOTE: 2 GAS HEAT N GLO FIREPLACES
1 WOOD BURNING FIREPLACE
APPLICANT MECHANICAL 141.13
HEARTH&HOME TECHNOLOGIES STATE SURCHARGE MECH(VALUATION) 15.65
2700 FAIRVIEW AVE TOTAL 16.78
ROSEVILLE,MN 55113
(651)633-2561 1
Minnesota State License#:20512060
OWNER
FRY,JIM&KAREN
2659 CASCO PT RD
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 are
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
7 / /7 / 672r_ 4,& -77 7
Applicant Permitee Signature Date Issued Bydignature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
f
FOR CITY USE ON'LY
/4 City of Orono
e P.O.Box 66 Date Received: Permit
0,'r '_750 Kelley Parkway
Amount S:
ti%f� 'r s.' Crystal Bay,MN»323 Approved By:
(9:2)249-4600
CITY OF ORONO —MECHANICAL PERMIT
(.all Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall)
GENERAL INFORiMATION
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 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 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.
TYPE OF PERMIT
(Check All That A ply)
:���..�
Residential ❑ Commercial(Approval Required)
❑ New ❑ Additional ❑ Repairs ❑ Replace
Job Site/ Owner Information:
Site Address:
Owner: � �� u-Q- Mailing Address:
City: Zip:
Home Phone: ��`alternate Phone:
Contractor Information:
Contractor: Contact Person:
dba Fireside Hearth A Home
License 20512060
Address: 9700 N. Fairview Ave. State Bond#:
Roseville, MN 55113
651/633-2561
City: Zip: Expiration Date:
Phone: Alternate Phone:
Insurance—Current:
1 �
MECHANICAL SYSTEMS BEING NSTALLED
HEATING SYSTEMS
Quantity: 1
Make: Wo
Model:
Fuel:
Flue Size:
Input BTUs:
Output BTUs: 1 C>
CFti1:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H. Power
FIREPLACES
Gas Factory Fireplace
c),Wood Burning Fireplace
❑ Wood Stove
❑ Wood Stove With Flue
Brand Name: Model No.:
VENTILATION
❑ No. Kitchen Exhaust duct recirculating cfm
❑ No. Bath Exhaust(must have duct outside) cfm
❑ No. Other Fans: Locations cfm
FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHALL)
❑ Installation ❑ Removal
OnH,seiaoiorM T em H d;irwom
Fuel Oil: gallons ❑ Un o#h8h n td ,*Q aside
LP Gas: gallons _,ud
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 Residential fixture or appliance that meets all three of the following requirements:
I. Does not require modification to electrical or gas service.
2. Has a total cost of$500.00 or less; excluding 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 Fee(If Applicable) $ 1.50
Total Permit Fee 5
PER-MIT FEE CALCULATIONS) —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$3I5.00)
I I o�(7 • oo x,0125 $ I (A 1 . I
(contract price) (minimum 535.00)
2. STATE SURCHARGE ** Add the States Bldg Code Div. Surcharge(Minimum Fee of$30)
I� W x.0005 $
(contract price) (minimumm S .50)
3. POSTAGE & HANDLING(Only on lklail-In Applications) $ X:)
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ IH4 . 4kc
■ * CONTRACT PRICE or 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 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 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: I _016
c5 �
CITY OF ORONO ATE TIME
CALLED IN �
INSPECTION NO ICE SCHEDULED o / p
PERMIT N0.03rt:� 49 ;o OMPLETED
ADDRESS
OWNER
TELEPHONE NO.
DESCRIPTIONS 2.
41 4. ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETL.ANDS
h ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
_ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
v ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
OWNERICONTRACTOR TO MEET YOU:_YES_NO
y COMMENTS:
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UjElWORK SATISFACTORY:PROCEED ElPROJECT COMPLETE
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``�ORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0
El CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN,
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on site:
Inspector.
i
White CopyMspector's File Canary Copy/Site Notice
1 r D
CITY OF ORONO CALLED IN TIME
INSPECTION NOTICE SCHEDULED
PERMIT N0._ �d� -OC�O(o2- COMPLETED
ADDRESS _T0_)1/L0_A_La_
OWNER CONTR.
TELEPHONE NO.
DESCRIPTION .GlC�1/ X /f'ICZI
❑ FOOTING ❑ MECHANICAL RI ❑ EXCAWGRADING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
Q ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
v ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
v ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
OWNERICONTRACTOR TO MEET YOU: YES_NO
COMMENTS:
W
Q.
cc
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0
W
cc
Q
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LU
z
W
CC
d
Uj ElWORK SATISFACTORY:PROCEED ROJECT COMPLETE
W 1:1CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR 1:1 CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on site:
Inspector. // J
White CopylInspector's File Canary Copy/Site Notice