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HomeMy WebLinkAbout2012 - 00158 - gas fireplace � CITY OF ORONO (� 111 i 1I l II 11 1 11 HIM El * 2012 - 00158 * • 2750 KELLEY PARKWAY DATE ISSUED: 02/27/2012 • ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 4550 WOLVERTON PL PIN : 31-118-23-31-0005 LEGAL DESC : FOXFYRE ESTATES : LOT 001 BLOCK 001 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 4,700.00 NOTE: 2 HEAT N GLO GAS FP 8000-C-IPI APPLICANT MECHANICAL 58.75 FIRESIDE HEARTH& HOME STATE SURCHARGE MECH(VALUATION) 2.35 2700 FAIRVIEW AVE ROSEVILLE,MN 55113 MAIL-IN FEE 2.00 (651)633-2561 MISC FEE 0.00 Minnesota State License#: 20512060 TOTAL 63.10 OWNER STEPHENSON,REVIS L 4550 WOLVERTON PL MAPLE PLAIN,MN 55359- 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 X11 required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. —717€0--a Applicant Permitee Signature Date Issued By ature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABS iE. FOR CITY USE ONLY • City of Orono ;l `Y`\�� P.O.Box 66 Date Received: Permit# f z, 2750 Kelley Parkway 1a,*, ''�' Crystal Bay,MN 55323 Approved By: Amount$: Phone(952)249-4600 Fax(952)249-4616 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 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 fmal). 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 Apply) ®Residential ❑Commercial(Approval Required) ©New 0 Additional 0 Repairs 0 Replace Job Site/Owner Information: Site Address: 4550 Wolverton Place Owner: Richard Gherardi Mailing Address: 4550 Wolverton Place City: Orono Zip: Home Phone: (612) 616-4447 Alternate Phone: Contractor Information: Fireside Hearth-n-Home Paul Contractor: Contact Person: Address: 2700 Fairview Ave N State Bond#: BCO5 1 2060 City: Roseville Mn Zip:55113 Expiration Date: 03/31/13 Phone: (651 ) 633-1042 Alternate Phone: (612) 363-2178 11Insurance—Current: YES 1 ti MECHANICAL SYSTEMS BEING INSTALLED Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official. IS THIS GEOTHERMAL? ❑Yes ®No HEATING SYSTEMS Quantity: 2 Make: H-N-G Model: 8000-C-IPI Fuel: NG Flue Size: DV Input BTUs: 35000 Output BTUs: CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H.Power FIREPLACES 0 Gas Factory Fireplace Brand Name: H-N-G ❑ Wood Burning Fireplace ❑ Wood Stove Model No.: 8000-C-IPI ❑ Wood Stove with Flue/Masonry 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 if proposing to abandon tank in place.) ❑ Installation 0 Removal Fuel Oil: gallons 0 Underground 0 Inside ❑Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill ❑ Other/List What&Where: 2 • , i. PERMIT FEE CALCULATIONS) 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: 1. 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 $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ PERMIT FEE CALCULATION(S)—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$50.00) 4,700.00 x.0125$ 58.75 (contract price) (minimum$50.00) 2. STATE SURCHARGE 4,700.002,35 x.0005 $ (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $63.10 • * 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. 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: — ' Z Reset Form 3 TIME p CITY OF ORONO CALLED IN -7 r INSPECTION NOTICE,,, SCHEDULED 7 (2— PERMIT NO. ?U i - 00 136 COMPLETED ,p r� n / ADDRESS /S�„ J 1/� O/V ` ?1�c OWNER _T EPHONE NO. CONTRACTOR L! - _4- Gt/ DESCRIPTION �A A rd0.41 .4 - wL u, ❑ FOOTING ❑ PLUMBING INAL ❑ EXCI.RADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAK SHORENVETLANDS ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL • 0 INSULATION ❑ WOOD BURNER/FIREPLACE 0 SITE INSPECTION Q 0 RADON SLAB ❑ WATER HOOK-UP 0 PROGRESS 0 FINAL ❑ SEWER HOOK-UP 0 COMPLAINT ❑ DEMO-SITE ❑ SEPTIC MAINT. 0 FOLLOW-UP _ 0 DEMO-FINAL 0 SEPTIC INSTALL 0 HARD COVER REMOVAL ❑ PLUMBING RI 0 SEPTIC FINAL 0 FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU: YES_NO V) COMMENTS: CC W CC O CC O W CC ti W W CC 2) 0 WCC 184JORK SATISFACTORY:PROCEED CIPROJECT COMPLETE W CICORRECT WORK&PROCEED 17ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY ✓ 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. 'w/ White Copy/Inspector's File Canary Copy/Site Notice TIME V CITY OF ORONO CALLED IN INSPECTION NOTICE,., f ,,,(. SCHEDULED Ai►1 2, /f'(�7� PERMIT NO. &-01,4" 06 I S6 SCHEDULED ADDRESS WO/OWNER - _TI pEPHONE NO. 2'1d 7(/ � 7 CONTRACTOR til-e--4) DESCRIPTION Ai 1 41 100 ❑ FOOTING ❑ PLUMBING ''INAL ❑ EXCI.RADING/FILLING 0 POURED WALL ❑ MECHANICAL RI ❑ LAK SHORE/WETLANDS ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL • ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP u ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL • ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL L OWNERICONTRACTOR TO MEET YOU:_YES_NO s • COMMENTS: c u C L I) Z L L Y W 1fdktJORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE CC ElCORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY U 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. White Copy/Inspector's File Canary Copy/Site Notice