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Home My WebLink About2013-00036 (mechanical - fireplace) CITY OF ORONO * z a 1 3 — 0 0 0 3 6 * 2750 KELLEY PARKWAY �aTE iSSUE�: OU15/2013 � ORONO, MN 55356- • (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 4495 BAYSIDE RD PI IV : 06-117-23-21-0004 LEGAL DESC : UNPLATTED 06 1 17 23 : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 1,600.00 NOTE: HEAT N GLO SL-750TR-IPI-3000BTU APPLICANT MECHANICAL 50.00 FIRESIDE HEARTH& HOME STATE SURCHARGE MECH (VALUATION) 0.80 2700 FAIRVIEW AVE ROSEV[LLE, MN 55113 MAIL-IN FEE 2.00 (651)633-2561 TOTAL 52.80 Minnesota State License#: 20512060 OWIYER Katherine Taylor Homes, Inc. , AGREEMENT AIYD SWORN STATEMENT The work for which this permit is issued shall be performed accordin��to the approved plans and specifications,applicable City approvals,and thc 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 specitied 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 al any time after�vork has commenced. The applicant is responsible for assuring all required inspections arc requested in conformance with the State Building Code.'fhis pennit may be revoked at any time for du�'cause. �;YLtu..�-Q �'�, / / / / Applicant Permitee Signature Date Issued I3y gnature Datc SEPARATE PERMITS REQUIRED FOR WORK OTHER HAN DESCRIBED A VE. ---- - FOR CITY USE ONLY "` ' City of Orono .. , �.:4��:�� O O�; P.O.Box 66 Date Received: Permit# ------ --_- � ' 2750 Kelley Parkway � }�K'� � Crystal Bay,MN 55323 Approved By: _ Amount$:_ _ � ��, � ��'�' y�� y,,�o,; Phone(952)249-4600 Faa(952)249-4616 „`��.,�, CITY OF ORONO-MECHANICAL PERMIT (All Commeroiai pennits must be approved by the Building Official or Inspector andlor Fire Marshall) GENERAL INFORMATION 1. You may apply for mechanical permits by mail or in person at the City offices. Applications will be reviewed and a permit will be issued within two working days. 2. Permit cards will be sent by retum mail after a review is completed. PERMI'I'S ARF'NOT VALID iJN"I'IL YOU RECEIVF,A PERMIT. WORK MUST ivOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Desigr�s—Complete calculations,details and specifications are required for each heating,ventilation,humidification-dehumidification,and air conditioning installation including heat loss/heat gain calculation,design temperatures,equipment ratings and identification as to type,manufacturer and model. Data shall be presented on form provided. 4. When anv new construction or remodeling is involved,a separate building permit must be obtained. 5. All work must be done in accorciance with the Uniform Mechanical Code/State Building Code requuements. 6. All work must be inspected(rough-in and final). Call(952)249-4600. (24-48 hour notice required) 7. House Heating Test Record must be submitted before final. TYPE OF PERMIT Check All That A 1 esidential ❑Commercial(Approval Required) ew ❑Additional ❑Repairs ❑Replace Job Site/Owner Information: Site Address: �� ~ __v�(�/ Owner: !°i��o.ui�s7 i�� l�mo2 Mailing Address: ��3.i City: �f�,�' ��'�1n,- �`�3�� Zip: J~��? Home Phone: ��" `"t73— �SUI� Alternate Phone: Contractor Information: Contractor: ��'�' �l! ��/U'� }fir''"� Contact Person: ��SL �olt-3�3�2�7$ Address: ?i7Gr1 � C�r� State Bond#: OO`3 l �� City: /`t'�R�D Zip:$sr�3 Expiration Date: �— f,�� Phone: (��- L,33�' l0 4'1�` Alternate Phone: ❑ Insurance-Current: 1 MECHATIICAL SYSTEMS BElNG INSTALLED Note: All Geothernial Systems��ill now reyuir a Site Plan&Review by our Building Official. IS THIS GEOTHERMAL? ❑ Yes � HEATING SYSTEMS Quantity. — Make: Model: Fuel: Flue Size: Input BTUs: — Output B"rUs: CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H. Power FIREPLACES � Gas Factory Fireplace Brand Name: ��/U� � Wood Buming Fireplace �_��D r�,�.T�T � Wood Stove Model No.: l' f— ❑ Wood Stove with Flue/Masonn `�DDC�''J�r� VENTILATION � 1�Io. Kitchen I;xhaust duct recirculating cfm ❑ No. Bath Exhaust(must have duct outside) _cfm � No. (7ther Fans: Locations cfm FiTEL STORAGE (Must be approved by Fire MarshaU if proposing to abandon tank in plac�) �] Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside LP Gas: gallons Other: GAS LINE ONLY � Outdoor Gnll ❑ Other/List VJhat&Where: 2 � � q�TE� ��III�E � CITY OF ORONO CALLED IN ��Z-`f—I 3 � 1 " iNSPECTION NO,�IC��3� SCHEDULED �-Z-��-I 3 '� .�� PERMIT N0. �U COMPLETED _ ADDRESS `+'�"�� Q�S�� `�-E� OWNER ISCi�'YL'%� �P TELEPHONE NO.��- ��(o k'(3 l CONTRACTOR �/'�(C�-Q �; DESCRIPTION �( � �P��-G � � � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP ? ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEEi YOU:_YES_NO � COMMENTS: � W a � J � �� L' o a � W _......_.,.__.._..___..__.___.__ � _. .,_.. . .�_....._.__,.._.. ------- Q --_..---.. � Z W � W � � a W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CARRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT �CQRRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952� 249-4600 OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice PERMIT FEE CALCULATION(S) BASED OFF - 2002 STATE STATUE ❑ Yes,this section applies The replacement of a Residential fixture or ap�liance that meets all three of the following requirements: 1. Does not require modification to electrical or gas service. 2. 3�as 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 next section,if this applies; Cost of Pem�it $ 1�.00 State Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ PERNIIT FEE CALCULATION S —JOBS OVER $500.00 If above does not apply; tollow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) � �C�C�� O� x .0125$ ;�D.(9(� (contract price) (minimum$50.00) 2. STATE SURCHARGE `�� /(�DQ_ �O x.o0o5 $ (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ �"2�Q`l7 � ■ * CON'I'RACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted work including matenals,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 fumished 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 pemut 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. MECHAI�]ICAL PERMIT APPLICATION AGREEMENT Tl�e undersigned hereb� applies to the City for issuance of a Mechanical Perniit, agrees to do all work in strict accordance with the ordinances of t�he 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: J�`�"wti �«�`�� Date: 1 ' �� Reset Form 3 DATE TIME y CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO.,2X3 QZ36 COMPLETED / ADDRESS'S� 6,t� -16 �- OWNER TELEPHONE NO. CONTRACTOR �PS DESCRIPTION �� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL 2 ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS I >4:04AL EJ SEWER HOOK-UP ❑ COMPLAINT ✓❑ DEMO-SITE ❑ SEPTIC MAINT. ':�1'OttOW-UP ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL �j ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNEWCONTRACTOR TO MEET YOU:_YES_NO rteo COMMENTS: n a _rwt�� ?Q�d�eK 4,/Eo e-;e%l �n•� fir' QC W ' QC Q 2 W LU ❑WORK SATISFACTORY:PROCEED OJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 ElCORRECT WORK,CALL FOR REINSPECTION TEMPORARY C1 BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN 11 CITATION ISSUED ElSTOP 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 Copylinspector's File Canary Copy/Site Notice