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Home My WebLink About2012-00815 (mechanical-gas fireplace) a � � CITY OF ORONO * z 0 1 z — 0 0 e 1 5 * 2750 KELLEY PARKWAY DATE ISSUED: 08/20/2012 ORONO, MN 55356- (952) 249-4600 FAX: 952) 249-4616 REPRINTED ON 8/20/2012 ADDRESS : 3165 CASCO CIR PIN : 20-117-23-43-0026 LEGAL DESC : SPRING PARK : LOT 036 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 7,315.00 NOTG: 2 HEAT AND GLO GAS FIRF,PLACES APPLICANT MECHANICAL 91.44 GLOWING HEARTH AND HOME STATE SURCHARGE MECH (VALUATION) 3.66 100 ELDORADO DRIVE JORDAN, MN 55352 MAIL-IN FEE 2.00 (952)495-2927 MISC FEE 0.00 TOTAL 97.l 0 OWNER ARMSTRONG, WARD& KATHLEEN 6898 EDGEBROOK PLACE EDEN PRAIRIE, MN 55346- AGREEMENT AIYD SWORN STATEMENT The work for which this permit is issued shall be perfornied 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[his 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 Ihe State Building Code.This permit may be revoked at any time for du�cause. � �i''�'�t�.�c._Q �✓L l l l l Applicant Permitee Signature Date Issued E3y ' nature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E. f I t � FOR CITY USE ONLY ��Q�, City of Orono `� P.O.Box 66 Date Received: Yermit# ��,,,,, i 2750 Kelley Parkway a it��f�'- �� Crystal Bay,MN 55323 Approved By Amount$: `�� Phone(952)249-4600 Fax(952)249-4616 _-,_ s-✓ CITY OF ORONO-MECHANICAL PERMIT (All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall) GENERAL INFORMATIQN � 1. You may apply for mechanical permits by mail ar 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 DesiQns—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 � 1�} � �� ■ Residential ❑Commercial(Approva!Required) � New ❑Additional ❑Repairs ❑Replace i' Job Site/Owner Information: � ` '�� / � �9 ,, Site Address: � I IJ�J l (��C-C.� �lr C�X� Owner:� �1 Q.�,l�J � i L�-L.. Mailing Address: � �-�-C�, /��V U� `�L�� c�ty: I��,in�c,�c��C zip: S ��C� � � � Home Phone:�� 1 - (�S��"Alternate Phone: Gor�t��.etor Infor�atit��:,' �� GLOWINGHEARTH&HOME JUDY PICKUS Contractor: Contact Person: 100 ELDORADO DR , �, " �( __ Address: State Bond#: �� JORDAN 55352 City: __ Zip:____ Expiration Date: Phone: (952� 492-9276 Alternate Phone: ❑ Insurance-Current: _ ,(� �� 1 / � • . � � � . .. . Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official. IS THIS GEOTHERMAL? ❑Yes 0 No HEATING SYSTEMS Quantity: Make: Model: Fuel: Flue Size: Input BTUs: Output BTUs: CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: __ _ H.Power FIREPLACES � Gas Factory Fireplac�� Brand Name: ��C:.h-� Wood Burning Fire lace� p � � _ �� -`�� Wood Stove Model No.: Wood Stove With Flue , VENTILATION Na Kitchen Exhaust duct recirculating cfm No. Bath Exhaust(must have duct outside) cfrn No. Other Fans: Locations cfm FUEL STORAGE (Must be approved by Fire MarshaU iJproposing 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 " � � _ _ �� , P�'RM�'�FCE GALCFJEATION(S� � �� BASFD f��'�' - 2002 S°tA'�"E �'�'A'I"tJt;. �� - � 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 $ If above does not appiy;follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) �3 I�� c� X.0�25$ . 4 (contract price) (minimum$50.00) 2. STATE SURCHARGE **Add the State Bldg Code Div.Surcharge(Minimum Fee of$5.00) '�3��. �c; X.000s $_ � ,��v (contract price) (minimum$5.00) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4: TOTAL PERMIT FEE(Add Lines 1-3 Above) $ / 1 l./ ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted work including materials, labor,profit,and ofher fixed costs. [t 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. 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: 0 � � R�set Form � � � 3 �