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Home My WebLink About2013-00865 - gas fireplace CITY OF ORONO * 2 0 1 3 - 0 0 8 6 5 * 2750 KELLEY PARKWAY DATE ISSUED: 08/26/2013 ' ORONO, MN 55356- ' (952) 249-4600 FAX: (952) 249-4616 _._.._ E ' �� ti'1_�� f�ti`�._ ADDRESS : 15-]-9 P�flR'CH ARM DR ��„�, �,`1 `:��, PIN : 08-117-23-33-0078 LEGAL DESC : HICKORY HILL : LOT 020 BLOCK 000 PERMIT TYPE : MECHAMCAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE- GAS VALUATION : $ 1,160.00 NO"I�E: LGNNOX GAS FIREPLACE H7516/MCDVT-60 APPLICANT MECHANICAL 50.00 GLOWING HEARTH AND HOME STATE SURCHARGE MECH(WALUATION) 0.58 100 ELDORADO DRIVE JORDAN, MN 55352 MAIL-IN FEE 2.00 (952)495-2927 TOTAL 52.58 OWNER Real Assets LLC 550 25TH AVENUE N ST CLOUD, MN 56303- AGREEMENT AND SWORN STATEMENT I he work Yor which this permit is issued shall be performed according to die approved plans and specitications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not granl permission for additional or related work which requires separate pemiits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified hereia This permit will expire and become null a�id 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 the State Building Code. l�his permit may be revoked at any time for due cause. I'V l�^�' � � � l l npplicant Permitee Signature Date Issued B ignature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB UE. � FOR CITY USE ONLY � � �� ``�,, City of Orono �� P.O.Box 66 Date Received: Permit tP � 2750 Kcllcy ParkH ay � � Crystal Bay,MN 55323 Approved By: Amount$: � Phone(952)249-4600 Fax(952)249-4616 y,.r �! � t.��' CITY OF ORONO—MECHANICAL PERMIT �'� ��r�� ''�-.,,�__� (All Commercial pennits must be approved by the Ruilding Oftieial or Inspector and/or Fire Marshall) GENERAL INFORMATION 1. You may apply for mechanica] 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 S[TE. 3. Mechanical Designs—Complete calculations,details and specifications are required for each heating,ventilation,humidification-dehti�midification,and air conditioning installation including heat lossiheat ga�n caiculation,des�gn 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 wark 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 O�PERMIT (Check All That Apply) �Residential ❑Commercial(Approval Required) New ❑ Additional ❑Repairs ❑Replace Job Site/Owner Information: Site Address: `� � � ` � �'/'1'Z �✓� Owner: ��1-S Mailing Address: ��.5(� //�f��,/`��7�Y� �� c�ry: �., z�p: ss��9 � �; � Home Plione:��Z��—(U`/��"�� Alternate Phone: /�'jC�.r/1� Contractor Information: Contractor: � -L'�<<�1�� '��'l�-��'�C�ct Person: �( % � �� Address: �� C�/�ILC�[� ��" State Bond#: / � % City: Zip��—Expiration Date: �� Phone: � C � �� Alternate Phone: �] Insurance—Current: �� - ' (i Z �� l � MECHANICI� ,,��;''��"��1+G INSTALLED Note: All Gcothcnnal Systcros will now require a Site Plan &Rcvicw 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: �� C,� Wood Burning Fireplace / � ❑ Wood Stove Model No.: C� ��j� ❑ 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 if proposing to abandon tank in place.) ❑ Installation ❑ Removal Fuel OiL• gallons ❑ Underground ❑inside ❑ Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Gri11 ❑ Other/List What&Where: 2 , . __ -- -- — -- - � �� PF�RMIT��'CE CA�CULA'TION(S) BASED OFF -2002 STATE STATUE ❑ Yes,this sectiou applies The replacement of a Residential fixture or a�pliance that meets all three of the following requirements: 1. Does not require modification to electrical ar 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 appiies; Cost of Permit $ 15.00 State Surcharge $ 5.00 Mail-in Fee(If Applicable) $ 2.00 Total Permit Fee $ PE��T�'E :��'�Cl ��i�� _ ��+5��:�... .��,..... "��..'. if above does not apply;follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) ��%�� x .0125$ , �/ � �'�/ (contract price) (minimum$50.00) 2. STATE SURCHARGE �� x.0005 $ � �� (contract price) 3. POSTAGE&HANDLTNG(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 oCher 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. . ,.: _ ' ��s�� .�r �Iw..� ° ��"a�,,%9�, :',�. „ �,�,,, 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: � � /� 3 c�— DA TIME v CITY OF ORONO CALLED IN �`Z �3 INSPECTION NOTICE SCHEDULED �� ,/� PERMIT NO. �/3—D"D�'�oSCOMPLETED • �1'i' ADDRESS � �� Y • �/-a"'�.:.�- OWNER �� TELE HONE NO.�PI'�1 �3�1 '�.5� CONTRACTOR � �: DESCRIPTION d� Q-��" � � ❑ FOOTING ❑ PLU G FINAL ❑ EXC GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ 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 v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O >. � O � W � Q � Z W � W � j d W ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE � ❑CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CAII INSPECTOR '� CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cal1 for the next inspection 24 hours in advance. (952� 249-4600 OwnerlContractor on site: Inspector. � �� White Copyllnspector's File Canary CopylSite Notice