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Home My WebLink About2010-01115 - fireplace-gas 4 ti CITY OF ORONO PERMIT NO.: 2010-01115 2750 KELLEY PARKWAY ORONO, MN 55356- DATE IssuEn: 1U15/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 3225 CARMAN RD PIN : 20-]17-23-14-0009 LEGAL DESC : CARMAN COVE : LOT 003 BLOCK 001 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 3,200.00 NOTE: 1 HEAT N GLO ESCAPE 135FB GAS FP APPL1CAlYT MECHANICAL 50.00 FIRESIDE HEARTH & HOME STATE SURCHARGE MECH(VALUAT[ON) 5.00 2700 FAIRVIEW AVE ROSEVILLE, MN 55113 MAIL-IN FEE 2.00 (65l)633-2561 M[SC FEE 0.00 Minnesota State License#: 20512060 TOTAL 57.00 PAID WITH CASH 3.40 OWNER HOUCK, BILL& MARY PAID WITH CC# 2216 3225 CARMAN RD EXCELSIOR, MN 55331- AGREEMEI�T AI�D SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specilications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not gran[permission for additional or relatcd work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specitied hereia 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 wifh the State Building Code.This permit may be revoked at any time for due cause. `;��C�l� � / / / / Applicant Permitee Signature Date Issued B ignature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E. „ FOR CITY USE ONLY City of Orono O4��O P.O.Box 66 Date Received: Permit# 2750 Kelley Parkway a � •• F Crystal Bay,MN 55323 Approved By: Amount S: �t� '��' ' ��c` Phone(952)249-4600 F�(952)249�616 �1jr�eHpVH CITY OF ORONO—MECHANICAL PERMIT (All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall) GENERAL INFORMATION l. 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 BEGIIY 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 I �Residential ❑Commercial(Approval Required) �New ❑ Additional ❑Repairs ❑Replace Job Site/Owner Information: Site Address: 3 � � S C��M�.� ,2� Owner: Mailing Address: ��,�s �u�.��.�-. 2aC City: f�/'o�c Zip: SS �31 Home Phone: Alternate Phone: Contractor Information: Contractor: Contact Person: Hearth 8�! � :;e Technologies,Inc. AC�C�I'eSS: St8t0 BOriC�#: dba Fire , ".; Hearth & Home %�i--12050 2700 D''.,. i=airview ve. Rose��'.6z, MN 55113 City: Zip: Expiration Date: ss1��,33-�'5s1 Phone: Alternate Phone: ❑ Insurance—Current: 1 , 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: Make: Model: Fuel: Flue Size: Input BTUs: Output BTUs: CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H. Power F[REPLACES � Gas Factory Fireplace Brand Name: };et� �.[� (o Wood Burning Fireplace S 3� `� Wood Stove Model No.: �SGa�t Wood Stove With Flue VENTILATION No. Kitchen Eachaust duct recirculating cfin No. Bath Exhaust(must have duct outside) cfrn No. Other Fans: Locations cfrn FiTEL 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 t ' PERMIT FEE CALCULATION(S) BASED OFF -2002 STATE STATUE ❑ Yes,this section applies The replacement of a Residential fiacture 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;excludin�the cost of the fixture or appliance:and 3. Is improved, installed or replaced by the homeowner or licensed coniractor. Skip next section,if this applies; Cost of Permit $ 15.00 State Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Totai Permit Fee $ PERMIT FEE CALCULATION S -JOBS OVER$500.00 if above does not apply;follow guidelines below: 1. CONTRACT PWCE * is 1.25%of contract price with a(Minimum Fee of$50.00) 3�� ' ��' x .0125$ SO. �� (contract price) (minimum 550.00) 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of 55.00) 3��• `�'L' x.0005 $ � .(pU (contract price) (minimum S 5.00) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ J�3•�� ■ * 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 times the Contract Price or a minimum of$5.00. 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: �� 1l /� Reset Form 3 G% —` � � TIME � CITY OF ORONO CALLED IN � INSPECTION N TIC SCHEDULED /� a 7- v � v PERMIT NO. �D��ScoMP� o ADDRESS ��-S �- �� OWNER �ELEPHONE NO. � � � CONTRACTOR � >; DESCRIPTION � - � � ❑ FOOTING ❑ PLUMBI G 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 v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ P ❑ SE TI FINAL ❑ FOUNDATION/REMOVAL � NER/CO TOR TO MEET YOU: YES_NO � OMMENTS: � W 4 � r�_ >-tl � �. . /�k" '-�"C 5�-�- 0 a � 0 � W � � Q ti 2 W � W � � O � ❑WORK SATISFACTORY:PROCEED �OJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WlLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALI TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. �Q52� 249-46QQ Owner/Contractor on site: Inspector. � r� / � ` White Copyllnspector's File Canary CopylSite Notice