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Home My WebLink About2010-00076 - gas fireplace CITY OF ORONO PERMIT NO.: 2010-00076 2750 KELLEY PARKWAY r ORONO, MN 55356- DATE 1SSUEn: 02/1U2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 2879 CASCO POINT RD PIN : 20-117-23-31-0054 LEGAL DESC : SPWNG PARK : LOT 101 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 2,800.00 NOTF: 1 HI:A'C N GLO GAS FIREPLACE APPLICANT MECHANICAL 50.00 F1RESIDE HEARTH& HOME 2700 FAIRVIEW AVE STATE SURCHARGE MECH(VALUATION) 1.40 ROSEVILLE, MN 55113 MAIL-IN FEE 2.00 (651)633-2561 MISC FEE 0.00 Minnesota State License#: 20512060 TOTAL 53.40 OWNER ELSEN, LAWRENCE&KATHLEEN 2879 CASCO PT RD WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT 71�e 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 pem�it 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 Qovernin�this type of worh shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not eommenced within 180 days of the date of issuance,or if construcdon 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 at any time for due�ause. Y1� � l l / / Applicant Permitce Signature Date Issued y i na ure �� SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO . � FOR CITY USE ONLY O,¢��O City of Orono P O.Box 66 Date Received: Permit# 2750 Kclley Parkway � ��''Y� �' Crystal E3ay,MN 55323 Approved By: Amount$: i '�it� �r,•,v.E S' (952)249-4600 �.ir ��.-:<. C1TY 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 for mechanical permits by mail or in person at the City oY�ices. Applications wil( 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. PERMTTS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UIYTIL THE PERMIT CARD 1S 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 identitication 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 CodeJState 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(Approval Required) (�New ❑ Additional ❑ Repairs ❑ Replace Job Site/Owner Information: Site Address: o��7�J �Cc s c v Po�n-� �� Owner: �w�h-� ��SCn Mailing Address: City: DPon o Zip: Home Phone: �,So?-�-/7/- ('/t ff� Alternate Phone: Contractor Information: Contractor: Contact Person: Hearth&Home Technologies,Inc. Address: State Bond#: �b e�se 2f0512oso h & Home 2700 N. Fairview Ave. Ctty: Zlp: EXpiiBttOn Date: 651/833-2sgN 55113 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 FIREPLACES � Gas Factory Fireplace Brand Name: t�e�,��[�(o Wood Burning Fireplace r �. � Wood Stove Model No.: r � �1 � ❑ Wood Stove With Flue VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfm ❑ No. Bath Exhaust(must have duct outside) cfm ❑ No. Other Fans: Locations cfm FUEL STORAG E (Must be approved by Fire Marsha!!if proposing to abandon tank in plac�) � Installation � Removal Fuel Oil: gallons ❑ Underground � Inside �Outside LP Gas: gallons Other: GAS L1NE 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 appliance that meets all three of the following requirements: i. 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 contractor. Skip neat section,if this applies; Cost of Permit $ 15.00 State Surcharge $ .50 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ PERMIT FEE CALCULATION(S -JOBS OVER $500.00 If above does not apply;follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) �s�.� X.��z5� 50.� (contract price) (minimum$50.00) 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee ofS.50) x .u0o5 $ �•y0 (contract price) (minimum$ .50) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAI.PERMIT FEE(Add Lines 1-3 Above) $ �,3.�Q ■ * 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 sig�ed copy of the actual contract. ■ **The STATE SURCHARGE is.0005 of the Building Department at(952)249-4600 for the price. 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: _c��/O�/D Reset Form 3 ��O �"' �D�E� TIME v CITY OF ORONO CALLED IN "�� INSPECTION NOTICE SCHEDULED a-/7-/b � -� PERMIT NO. a��D�I(n COMPLETED ADDRESS o2.c�7� C�--S� �"7� V�-'� � OWN ER CONTR. TELEPHONE NO. _ �5� �� 3 7 � � DESCRIPTION __ � � /'�-1-- � ❑ FOOTING � MECHANICAL RI ❑ EXCAV/GRADING/FILLING y ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS Q ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOH TO MEET YOU:_YES_NO � COMMENTS: � W � � J O a � O � W � Q � Z W � W � � d W� ❑WORK SATISFACTORY:PROCEED ROJECT COMPLETE W ❑CORRECT WORK&PROCEED r I E CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR C INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-46�� OwnedContractor on site: Inspector. / White Copyllnspector's File Canary CopylSite Notice