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Home My WebLink About2010-00567 - gas fireplace � CITY OF ORONO PERMIT NO.: 2oio-oos6� 2750 KELLEY PARKWAY ORONO, MN 55356- DATE IssuEn: 07/12/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 745 BRTDGEWATER DR PIN : 33-118-23-11-0108 LEGAL DESC : STONEBAY FOURTH ADDITION : LOT 002 BLOCK 001 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 2,500.00 NOTE: GAS FACTORY FIREPLACG-HEAT-N-GLO-MODEL-60000 GJPI APPLICANT MECHANICAL 50.00 FIRESIDE HEARTH& HOME STATE SURCHARGE MECH(VALUATION) 5.00 2700 FAIRVIEW AVE ROSEVILLE, MN 55113 TOTAL 55.00 (651)633-2561 Minnesota State License#: 20512060 OWNER O.T. Development, LLC 10300 l OTH AVE N PLYMOUTH, MN 55441- 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 atter 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. �""--�� —� � / �� /�v / / Applicant Permitee Signature Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. i ..�F�R C Y USE ONLY p,�` City of Orono / �D 5�� O4 `YO P•O.Box 66 Date Receiv �v _ Permit# �� ,� 2750 Kelley Parkway �''' � �� t� Crystal Bay,MN 55323 Approved By: Amount$�,�� o� Phone(952)249-4600 Fax(952)249-4616 i^ 4� 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 far mechanical pern�its 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 Desi�ns—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 pernut 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 Apply) �Residential ❑ Commercial(Approval Required) ❑ New ❑Additional ❑ Repairs ❑Replace Job Site/Owner Information: Site Address: 7�I� ��;�w��,,,�.�.�� D r- Owner:�� PJe�o,o�+-+en'�- ��—� Mailing Address: City: �/'on D Zip: Home Phone: Alternate Phone: /�S,- ?�/6 - J�'�/�� Contractor Information: Contractor: Contact Person: � Hearth&Home ec n ,Inc. AddTeSs: dba Fireside Hearth & Home State Bond #: ucense 2os�2oso Roseville, MN 55113 City: Zip: Expiration Date: s5�/sss-2ss� Phone: Alternate Phone: ❑ Insurance— Current: 1 � T ` � ,o� �ar�nd. ` r`� .��I�� r� W, �� rN� w �.�. �� c �c. Note: All Geothermal Systems will now require a Site Plan &Review by our Building Official. IS TffiS GEOTHERMAL? ❑ Yes �No HEATING SYSTEMS Quantity: Make: Modei: Fuel: Flue Size: Input BTUs: Output BTUs: CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H.Power FIREPLACES � Gas Factory Fireplace Brand Name: �z�� (�� v Wood Burning Fireplace ❑ Wood Stove Model No.: �p(J'(lT> L -1 P�. ❑ Wood Stove With Flue VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfin ❑ 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 ❑ Removal Fuel Oil: gallons ❑ Underground ❑ Inside ❑Outside LP Gas: gallons 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 ap hp 'ance 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 $ �� PERMIT FEE CALCULATION(S) —70BS t7VER $500.00 �� i ��, If above does not apply; follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) o�s��. t� x.0125 $ (contract price) (minimum$50.00) 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$5.00) x.0005 $ (contract price) (minimum$5.00) 3. POSTAGE&HANDLING(Only on Mail-In Applicarions) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the pemutted 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 pernut 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 times the Contract Price or a minimum of$5.00. j �� MECHANICAL PERMIT APPLICATI4N AGREEMENT�,1�a � � ��. The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all wark 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: � /� ) !� 3 i \ `�� DP� TIME � CITY OF ORONO CALLED IN � L� INSPECTION TI E �� SCHEDULED / - �D � PERMIT N0. COMPLETED � ADDRESS OWNER , TELEPHONE NO.��l��3 l07'Z CONTRACTOR >; DESCRIPTION �r � �� O FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ 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 � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � O a � O � W � Q � Z W � W � � GW ❑WORK SATISFACTORY:PROCEED �.�PROJECT COMPLETE � O CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED � INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. �95Z� Z49-4600 OwnertContractor on site: Inspector. � ^�� (�' �}, � S White Copylinspector's File Canary CopylSite Notice � DAT TIME V CITY OF ORONO CALLED IN ��Z� INSPECTION NOTICE /�� SCHEDULED 7-30-/O _� PERMIT NO.�/O� DC/J�7 COMPLETED ADDRESS 7�S �� OWNER TELEPHONE NO.�� 3� -�' 37� CONTRACTOR e��.Pc �; DESCRIPTION �7' /�-•l— � ly ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ 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 � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W 0. � J O >- � O � W � Q � Z W � W � � d W :LTWORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: � � �Inspector. � ��, ..�' White Copyllnspector's File Canary CopylSite Notice