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Home My WebLink About2009-00400 - gas fireplace CITY OF ORONO PERMIT NO.: 20o9-ooaoo 2750 KELLEY PARKWAY -�. ORONO, MN 55356- DATE ISSUED: 07/09/2009 y 952 249-4600 FAX: 952 249-4616 ADDRESS : 3825 CHERRY AVE PIN : 08-117-23-33-0089 LEGAL DESC : CRYSTAL BAY VIEW : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 1,962.00 NOTE: KOZY HEAT FIREPLACE,MODEL:KH55345 MINNETONKA APPLICANT MECHANICAL 50.00 AUTOMATIC GARAGE DOOR& FIREPLACE STATE SURCHARGE MECH(VALUATION) 0.98 8900 ]09TH AVE N SUITE 1000 TOTAL 50.98 CHAMPLIN, MN 55316 (763)571-2525 OWNER HERMAN, MATTHEW&AMY 3825 CHERRY AVE MOUND, MN 55364- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to thc approved plans and specitications,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 this 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 requiced inspections are requested in conformance with the State Building Code.This permit may be revoked a any ti e for due cause. .�^ ,�_ /_ � � � � — ��% �y %` � �.. r ("y��'� i i �pp�'icant Permitee Signature Date Issue—d�gnature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � FOR CITY USE ONLY . t ,�p� City of Orono � O.r O P.O.Box 66 Date Received: Permit# �,:, 2750 Kelley Parkway • � � �� ?-'�� Crystal Bay,MN 55323 Approvcd By: � Amount$: � ��f:'�Y,'�c~ (952)249-4600 -- o$ CITY OF ORONO —MECHANICAL PERMIT (All Commercial permits must be approved by the Building Official or Inspeclor and/or Fire Marshall) GENERAL INFORMATION L You may apply for mechanical pern�its by mail or in person at the City offices. Applications will be reviewed and a permit will be issued within two working days. 2. Pernut cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECENE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Desi ns—Complete calculations, details and specificarions are required for each heating,ventilation,humidification-dehumidification, and air conditioning installation including heat loss/heat gain calculation, design temperatures, equipment ratings and idenrification 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 mu�t 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 Apply) � [�Residential ❑ Commercial(Approval Required) [�1ew ❑ Additional ❑ Repairs ❑ Replace Job Site/ Owner Information: ` . Site Address: _ �� i1�'r K �� Owner: �o t.r Pju��lc��i� �v o Mailing Address: 3 4�35 C� ,P�fj (O/ city: �IiNNc-b�k-� zip: ss3y�-' Home Phone: Alternate Phone: 9s� '�/ �5 �0��- Torr l�,uJ�,c�.+ Contractor Information: � � Contractor: �,t,� �a � Contact Person: � �J�- 'rr/�/�-c e.�' —�� Address: �'io a �6 �'l'"�_�$�„�/ovv State Bond#: � 9�2 9342.5 y City: ," Zip SS,3/(� Expiration Date: 8- �a- 0 9 Phone: �(,3-S�/�aSo? Alternate Phone: �Insurance—Current: o'��Qg � o��'�/o 1 ` ` . �.�-.i �';� `�' CHANICA��,°�1��2�;N1S �E��*7��"�'� �T�� {� '� � 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 ❑ Wood Burning Fireplace ❑ Wood Stove � ❑ Wood Stove With Flue Brand Name: Model No.: �/-�'S.Sr3c�� Mj,v�+G,�y�.r/C.� VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfm ❑ No. Bath Exhaust(must have duct outside) �� ❑ No. Other Fans: Locations cfm FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHALL) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑ Inside ❑ Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill ❑ Other/List What&Where: 2 , t ' ` , � � PERNIIT FEE CAL�ULATIC4N(�)�� 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: 1. Does not require modification to electrical or gas service. 2. Has a tota] cost of$500.00 or less; excludin�the cost of tbe 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 $ .50 Mail-In Fee(If Applicable) $ 1.50 Total Permit Fee � $ x"� �� ; ,i ' PERIVIIT 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$35.00) ' /� � � � x.0125$ (contract price) (minimum$35.00) 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50) (� � x .0005 $ ntract price) (minimum$ .50) 3. POSTAGB&HANDLING(Only on Mail-In Applications) $ 1.50 4. TOTAL PERMIT FEE (Add Lines 1-3 Above) $ • * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged far the permitted wark 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 pernut 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 of the Building Department at(952)249-4600 for the price. j ` 4 ;;;MECHANICAI;PERMIT APPLICATION AGREENIENT ' The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all wark 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: G� Date: �� 3 �`� CG/�' DAT TIME CITY OF ORONO CALLED IN 7 /S � INSPECTION NQTI OD,/OO SCHEDULED o a.�3 � PERMIT N0. O�J `f COMPLETED ADDRESS �� OWNER CONTR. -C- TELEPHONE NO. � '��7� 7� � DESCRIPTION i\ • l � ��-� � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FR,4MING ❑ MECHANICAL FINAL ❑ LAKESHORENVETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WAIL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT v ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU�_YE5'_NO � COMMENTS: � W C � J O >- � O � W � Q � 2 W � W � � d W� �1 WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITION WITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED �STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (952� 249-4600 OwnerlContractor on site: Inspector. [ � „ � _ __ White Copyllnspector's File Canary Copy/Site Notice