HomeMy WebLinkAbout2010-00036 - gas fireplace , CITY OF ORONO PERMIT NO.: 2010-00036
� 2750 KELLEY PARKWAY
ORONO, MN 55356- DATE IssuED: OU26/2010
952 249-4600 FAX: 952 249-4616
ADDRESS : 3105 CASCO POINT RD
PIN : 20-117-23-34-0006
LEGAL DESC : REG. LAND SURVEY NO. 1311
: LOT 000 BLOCK 000
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIREPLACE-GAS
VALUATION : $ 6,000.00
NOTE: 2 I IEA"I'N GLO GAS FIREPLACES
APPLICANT MECHAN[CAL 75.00
FIRESIDE HEARTH& HOME STATE SURCHARGE MECH(VALUATION) 3.00
2700 FAIRVIEW AVE
ROSEVILLE, MN SS113 MAIL-IN FEE 2.00
(651)633-2561 MISC FEE 0.00
Minnesota State License#: 20512060 TOTAL 80.00
OWNER
RICHEY, KENT& SUE
3105 CASCO PT RD
WAYZATA, MN 55391-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specitications,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
permi[s. 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[he 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 a[any time for due cause.
��� � � � �t-Q"`L / /
Applicant Yermitee Signature Date Issued By Si ture �
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO .
,
FOR CI'I'Y USE ONLY
O;�D�O City ofOrono
P.Q 130�6G Date Received: Pennit#
27�0 Kcllev Park������
a �".x. a� ��' Crystal Duy.Mv SSl?3 npproved[3��� Amount$-
�� '�� c`�� (952)249-4G00
L,�x�uo�ti
CITY OF ORONO— MECHANICAL PERMIT
(All Commcrci�l permits must bc a�proved by thc Building Ofl�icial or Inspector and/or Fire�1arshall)
GENERAL [NFORMATION
1. You may apply for mechanical permits by mail or in person at the City oftices. Applications will
bc rc��ic���cd and� permit�vill bc issued within t�vo worl:ing days.
2. Pcrmit cards will bc scnt by rcturn mail after a review is completed. PERM(TS ARE NOT
VALID UNTIL YOU RECEIVE A PERMI"l�. WORK MUST NOT BEGIN UN'CIL THE
PERMI"1'CARD IS POSTED Ol�' "1'HE JOB SITE.
3. Vlechanical Desiens -Complete calculations,dctails and specifications arc rcquircd for cach
heating, ventilation,huinidifieation-dehumidification,and air conditioning installation including
heat loss/hcat gaii� calculation,design temperatures,equipment ratings and identification as to
type,manufacturer and model. Data shall be presented on form provided.
4. When any ne�v construction or remodeling is involveci,a separate building permit must be
obtaincd.
�. All ���orl:must be done in�ccordancc with the Uniform Mechanical Code/State Building Code
requiremcnts.
6. All wori<must bc inspcctcd(rough-in and final). Call (952)249-4600.
(24-48 hour notice required)
7. Housc Hcating Test Record must bc submitted before final.
TYPE OF PERMIT
(Check All That A I )
L]�Residential � Commercial (Approval Req�iired)
7�
� Ncw ❑ Additional ❑ Repairs ❑ Replace
� Job Site /Owner Information:
Site Address: ��� S �G�S e o �;,,��p Q�
O���n�r: �?e�,G Y Mailing Address: ,3�d� C�SQp Q�IQ�
City: �ro�o Zip: SS3�7 �
Home Phone: Alternate Phone:
Contractor Information:
.t
Hearth 8 Home Technologies,Inc.
�OritL'1CtOT: dha Firwsida Hearth R HOmB COrit1Ct �2T'SOri:
License 20512060
2700 N. Fairview Ave.
Address: Rosevi��e. MN ss�ts State Bond#:
651/63;i-2581
City: Zip: Expiration Date: �
Phone: Alternate Phone:
❑ Insurance—Current:
1
MECHANICAL SYSTEMS BEING INSTALLED
Note: All Geotherinal Systems �vill now require a Site Ptan & Review by our Building Official.
IS THIS GEOTHERMAL'? ❑ Yes ❑ No
HEA'1'INC SYSTEMS
(,�uanuty:
M al<c:
Modcl:
Fuel:
Fluc Sizc:
Input BTUs:
Uutput [3�����s:
CFM:
COOLING SYSTEMS
Quantity:
Makc:
Modcl:
I ons:
H. Po�r�er
FIREPL.aCES
� � Gas Factory Fireplace Brand Namc: ��t e��n � � �l
❑ Wood E3urning Fireplace r
� Wood Stove Modcl No.: �U'�L� �I� ..r— G Sa4PC ,3(p '� (�
❑ Wood Stove With Flue
VENTILA7'ION
�❑ No. 1<itchen Exhaust d�ict recirculating cfm
❑ No. Bath Exhaust(must have duct outside) cfm
❑ No. Othcr Fans: Locations cfm
FUEL S7'ORAGE (Mcist be«pprover!by�Fire Marshnll if proposing!o abnndo�i tank i�i place.)
� Installation � Rcmoval
Fucl Oil: gallons ❑ Lndcrground � Insidc � Outsidc
LP Gas: gallons
Other:
CAS LINE ONLY
❑ Outdoor Grill � Othcr/List What& Where:
2
.
PERMIT FEE CALCU�LAT�ON(S)
BASED OFF - 2002 S"I,ATE STATUE
� Ycs,this section applies
"I�hc repl�icement of a Residential fixture or appliance that meets all thrce of thc following requirements:
I. Does not require modification to electrical or gas service.
2. Has a total cost of$�00.00 or less;excludine the cost of the fixture or appliance: and
3. Is improved, installed or replaced by the homcowi�er or licensed contractor.
SI<ip ncxt section,if this applies; Cost of Permit S 15.00
State Surcharge � .�0
Mail-In Fce(tf Applicablc) � 2.00
Total Permit Fee S
PERMI"�' FEE CALCULATION(S)—JOBS OVER$500.00 �
If above docs not apply; follo�v g�iidclines below:
1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00)
��v" � x .0125 � �s• �
(contract price) (minimum$50.00)
2. STATE SURCHARGE ** Add thc State Bldg Codc Div. Surcharge(Min;mum Fee of$.50)
�v��, ��'f� x .0005 $ 3•!�o
(contract pricc) (minimum$ .50)
3. POSTAGE & HANDLING(Only on Mail-In Applications) � 2.00
4. "I'OTAL PERMIT FEE(Add Lines 1-3 Above) $ D�•��
■ * CONTRACT PRICE or JO[3 COST means the actual or estimated dollar amoimt charged for the
permitted work including materials, labor, profit, and other fixed costs. It is the amount to be charged
to the customer for thc worl< done. If any material, equipment, labor or installations are furnished by
the owner, tenant or ai�y other party, thc reasonable market value of such items must be added to the
estimated cost or contract pricc for permit fee purposes. In the event that thcre is a dispute on the
amo�mt of the job cost, the City may request the submission of a signcd copy of the actual contract.
■ **Thc STATE SURCHARGE is .0005 of the Building Department at(952)249-4600 for the price.
MECHAN[CAL PERMI"I' API'LICATION AGREEMENT
The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all
work in strict accordance with tlle ordinances of the City and the regulations of the State of
Miiulesota, and certifies that all statements made on this application are complete, true and
correct.
Applicant's Si;nature: � � ��� Date: � ' � D
Reset Form
3
� � cs`-" aDAT TIME ( /
CITY OF ORONO CALLED I
N �/ / / V
INSPECTION NOTICE SCHEDULED �'.3��
PERMIT NO.�U��"�U✓.� COMPLETED �
ADDRESS �������I �� ��
OWNER TELEPHONE NOt"��`��-3-����
CONTRACTOR - �Y
>; DESCRIPTION � —
�
11� ❑ FOOTING ❑ PL BING FINAL ❑ EXCAV/GRADING/FILLING
� ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS
�
O ❑ 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
Z OWNERICONTRACTOH TO MEET YOU:_YES_NO
� COMMENTS:
�
W
a
�
�
O
a
�
O
�
W
�
Q
�
2
W
�
W
�
�
GW WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
� ❑CORRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONW�THIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
�STOP ORDER POSTED.CALL INSPECTOR �7 CITATION ISSUED
O INSPECT�ON REQUtRED.CALLTO ARRANGE ACCESS.
Call torthe next inspection 24 hours in advance. (952� 249-46��
Owner/Contractor on site: �"
inspector. � �
White Copy/lnspector's File Canary CopylSite Notice
C —� c� �.-e�-� ✓
I _/ D E TIME
CITY OF ORONO CALLED IN `C� � / 0
INSPECTION NOTICE SCHEDULED IO 3 a -� 0
PERMIT NO.���� �DO�� COMPLETED
ADDRESS J� � Q s C� ��- �1�
OWNER TE EPHONE NO. ���- 3�3-3�
CONTRACTOR — C���L�-(.O
�; DESCRIPTION �/ � �
�
llt ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
� ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
�
O ❑ 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
i ❑ 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
ti
W
�
Q
�
Z
W
�
W
�
�
GW ❑WORKSATISFACTORY:PROCEED ^ PROJECTCOMPLEfE
� ❑CORRECT WORK&PROCEED �� E CERTIFICATE OF OCCUPANCY
W
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. r� pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
G INSPECTION RE�UIRED.CALL TO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (J52� 249-4600
OwnerlContractor on site:
Inspector. �l
White Copyllnspector's File Canary CopylSite Notice