The URL can be used to link to this page

Home My WebLink About2012-00265 - gas fireplace CITY OF ORONO * 2 0 1 2 — P1 0 2 6 5 * , 2750 KELLEY PARKWAY DATE ISSUED: 04/09/2012 s ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 2755 CASCO POWT RD PIN : 20-117-23-23-0007 LEGAL DESC : AUDITOR'S SUBD.NO.265 : LOT 007 BLOCK 000 PERMIT TYPE : MECHAN[CAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 2,000.00 NOTG: 1 HGAT N GLO 8000C-IPI APPLICANT MECHANICAL 50.00 FIRESIDE HEARTH& HOME STATE SURCHARGE MECH (VALUATION) 1.00 2700 FAIRVIEW AVE ROSEVILLE, MN 55113 MAIL-IN FEE 2.00 (65l)633-2561 M]SC FEE 0.00 Minnesota State License#:20512060 TOTAL 53.00 OWNER BASKFIELD, MICHEAL& SHARON 2755 CASCO PT RD WAYZATA, MN 55391- ACREEMENT AND SWORN STATEMENT The worfi for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. '�his permit is for only the work described and does not grant permission for additional or related work which requires separate parmits. 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 duc cause. ��'vl.� �— / / ��j�Gi'yL,Q�n l l Applicant Permitee Signature Date Issued By ignature ate SEPARATE PERM[TS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E. FOR CI"TY'USE ONLY " City of Orono -�� `� P.O Box 66 Date Received: Pennit# �� `'� �750 Kellcy Parkway a n �� ' Crystal Bay,MN SS323 Approved By: Amount$: ,�d '"� r ,� o'% Phone(9�2)249-4600 Fax(9�2)249-4616 ,,,tKka�xo��'. ' CITY OF ORONO-MECHANICAL PERMIT (All Coinmercial permits must be approved by the Building Official or Inspector and/or Fire Marshall) GENERAL INFORMATION 1. You mav apply for mechanical pennits 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 wi(1 be sent by return mail after a review is completed. PERM[TS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEG[N UNTIL THE PERMI"f CARD IS POSTED ON THE JOB SITE. 3. Mechanical Desi�ns—Complete calculations,details and specifications are required for each heating. ventilation,humidification-dehumidification, and air conditioning installation including heat lossiheat gain calculatior.,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 worl: must be inspected(rough-in and final). Call(952)249-4600. (24-48 hour notice required) 7. House I leating Test Record must be submitted before final. TYPE OF PERMIT (Check All That A 1 ) esidential ❑ Commercial(Approval Required) �iQew ❑ Additional ❑ Repairs ❑ Replace Job Sitc �� Owner Information: Site Address: �7 5�' � ,C.ri ,2C.�r. �� G"tr�`� Owner:�{1��J� Mailing Address: ��SS�c�,-�vc-,z� f�= City: (�,�,�,„,Q- � `��1/�v Zip: Home Phone: Alternate Phone: Q�2- "��S_ ��/( y Contractor Information: Contrac�o RTH & HOME TECHNOLOGIES, If�ntact Person: �G'r�`� �012-3�3T Zl 7� �ba HOME Lic. BC0512060 ��->>�E TE�HNOLOGIES, INC, Address: 27 E � State Bond #: _:�.;<i:-�.�'.=�� uceo-ry & HOME ROSEVILLE, MN 55113 t-+�:, �Cp51208fl City: 651.633.25�1p: Expiration Date: �%�3�: ��i�VYEW AvENUE N -'.;�`�:Vi�.�.E� h9N 55113 Phone: Alternate Phone: `�`�►�•��3,��b1 ❑ Insurance-Current: 1 � MECHANICAL SYSTEMS BEING INSTALLED Note: All Geothcrmal Systems will now require a Site Plan & Review by our Building Official. IS TH1S GEOTHERMAL? ❑ Yes [�o HEATING SYS"I'EMS Quantity: Make: Model: Fuel: Flue Size: Inp;�t f3Tl;s: Output BTUs: CFM: COOLING SYSTEMS Quantity: Make: ModeL• Tons: H. Power FIRI?PLACES � Gas Factory Fireplace Brand Name: lf/1l�q' ❑ Wood Burning Fireplace ❑ Wood Stove Model No.: �jpfJC:. -l/�y' ❑ Wood Stove with Flue/Masonry VENTI LATION ❑ No. Kitchen Exhaust duct recirculating cfm ❑ No. Bath Exhaust(must have duct outside) cfin ❑ No. Other Fans: Locations cfm FUEL STORAGE (Must be approvec!by Fire Marslta!l if proposing to aba�zdon tank in place.) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑ Inside ❑ Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill ❑ Other/List What&Where: 2 PERMIT PEE CALCULAT(ON(S) BASF,D 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. ?. Has a total cost of$500.00 or less;excludin�the cost of the fixture or appliance: and 3. Is improved, installed or replaced by the homeowner or licensed contractor. Skip�1ext section,if this applies; Cost of Permit $ 15.00 State Surchar�e $ 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) �2 Dc�c�. �?� x.ot25 � ��.C'� (contract price) (minimum$50.00) 2. S7�ATE SURCHARGE �DG�'�' c:�C� X .000s $ /DD (contract price) 3. POSTAGE& HANDLING(Only on Mail-[n Applications) $ 2.00 =1. TOTAL PERMIT FEE(Add Lines 1-3 Above) � 7��-�� ■ " CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the per�nitted 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 far 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. MECHANTCAL PERMIT APPLICATION AGREEMENT The undei-signed 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 MinnesoCa, and certifies that all statements made on this application are eomplete, true and correct. Applicant's Signature: � G�it� G�y�J��– Date: � — ��'' Reset Form 3