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Home My WebLink About2011-00648 - gas fireplace ` CITY OF ORONO PERMIT NO.: 2011-00648 2750 KELLEY PARKWAY ORONO, MN 55356- �ATE ISSUED: 07/13/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 3852 CHERRY AVE PIN : 08-117-23-33-0088 LEGAL DESC : CRYSTAL BAY VIEW : LOT 000 BLOCK 003 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 3,200.00 NOTE: GAS PACTORY FIREPLACE-HEAT-N-GLO MODEL NO.550 APPLICANT MECHANICAL 50.00 COUNTRYSIDE HEATING&COOLING 6511 HWY 12 STATE SURCHARGE MECH (VALUAT[ON) 1.60 MAPLE PLA[N,MN 55359 TOTAL 51.60 (763)479-1600 OWNER LARSON, ALLAN&TERRI 3852 CHERRY AVE MOUND, MN 55364- AGREEMENT AND SWORN STATEMENT The work for wfiich this permit is issued shall be perfonncd according to the approved plans and specifications,applicable City approvals,and the State Building Codc. 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 goveming 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 the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. Thc 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 fo due cause� � � �� i/ �� 13 � �/ A e Date Issue y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � . �� .�.- I FO CITY USE ONLY � 0 City of Orono � �� '+ P.O.Box 66 Date Received: Permit�1 ��1� ° 2750 Kelley Pazkway .� �' x• h�'f Crystal Bay,MN 55323 Approved By: Amount$:� �� - ,.t�'� Phone(952)249-4600 Fa�c(952)249-4616 <4�oe�, CITY 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 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 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 1 ) [�Residential ❑Commercial(Approval Required) ❑ New �Additional ❑ Repairs ❑Replace Job Site/Owner Information: Site Address: � c;�� _ ��°�/ �� 1 U�-- - � � � Owner:��1�i1 l \ l�V J V Y \ Mailing Address: City: `/�l Zip: ��(� Home Phone: Alternate Phone: �-C �I - �l)�- I S� � Contractor Information: Contractor: L � Contact Person: Address: 1.�,��`�fW y � , State Bond #: W I�(Y� c�' y L��b City: Zip� Expiration Date: (� Phone: ��,Q�� (_,Q� Altc��nate 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: � � � '� Wood Burning Fireplace �/� ❑ Wood Stove Model No.: �� ) ❑ Wood Stove with Flue/Masonry VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfm ❑ No. Bath Exhaust(must have duct outside) cfm ❑ No. Other Fans: Locations cfm FUEL STORAGE (Must be approved by Fire Marshall 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 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: 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 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 $ 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$50.0_0� ��a6� , trd X.o�25 $ �� (contract price) (minimum$50.00) 2. STATE SURCHARGE ,3aoo � x.0005 $ � C � l.J (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ � ( • � ■ * 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. MECHANICAL PERMIT APPLICATION AGREEMENT 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 Si a r . � Date: �, Reset Form 3 5 �/ � Dl�T TIME V CITY OF ORONO CALLED IN �� INSPECTION NOTICE / SCHEDULED �-�/ � �� PERMIT NO. DII� DO(O COMPLETED ADDRESS � �J OWNER �-�Q"'`-� LEPHONE NO.�$Z �7� `��s CONTRACTOR ��-Z` Gz-f"ln >; DESCRIPTION ` � � � ll� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � ❑ 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 STALL ❑ HARD COVER REMOVAL J MBING R ❑ SE T FINA ❑ FOUNDATION/REMOVAL OWNE CONT ACTORTOME YES_ O �� c., MENT . � W a � �� ( �� - , 0 � � � o — � � W � Q � Z W � W � � � d �RKSATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HO�RS. � pH0T0 TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspecti n 24 hours in advance. (952� 249-46�0 OwnerlContractor on �te: Inspector. White Copyllnspector's File Canary CopylSite Notice S�� DATE TIME � CITY OF ORONO CALLED IN a-aa INSPECTION NO��EU� SCHEDULED a -u �/a- �� PERMIT NO.�� COMPLETED ADDRESS 3 g5 2- OWNER ELEPHONE NO. g� �7� g 7�5 CONTRACTOR ��¢ � �; DESCRIPTION � � �r r� ��1� � � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREM/ETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPIACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � O �. � O � W � Q � 2 W � W � � d ��jQ�Q�K SATISFACTORY:PROCEED Cl PROJECT COMPLETE W ❑CORRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY � O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALI INSPECTOR !� CITATION ISSUED G INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-46�� OwnerlContractor on site: Inspector. White Copyllnspector's File Canary Copy/Site Notice