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Home My WebLink About2015-01002 - gas fireplace � CITY OF ORONO * z 0 1 5 - 0 1 0 0 z * � 2750 KELLEY PARKWAY nATE �sSUE�: 08/05/2015 ORONO, MN 55356- 952) 249-4600 FAX: 952 249-4616 ADDRESS : 1360 CHERRY PL PIN : 08-117-23-32-0021 LEGAL DESC : SAGA HILL REVISED : LOT 000 BLOCK 011 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 2,142.00 NOTE: HEAT&GLOW F[REPLACE APPLICANT MECHANICAL 50.00 STATE SURCHARGE MECH(VALUATION) 1.07 GLOWING HEARTH AND HOME MAIL-IN FEE 2.00 100 ELDORADO DRIVE JORDAN,MN 55352 TOTAL 53.07 (952)495-2927 Payment(s) CHECK 21382 53.07 OWNER TOTMAN,DANIEL&HEATHER 1360 CHERRY PL MOUND, MN 55364- AGREEMENT AND SWORN STATEMEIYT he work for which this permit is issued shall be performed according to approved plans and specifications,applicable City approvals,and the Building Code. This permit is for only the work described and does �t permission for additional or related work which requires sepazate All provisions of laws and ordinances goveming this type of work mpied with whether or not specified herein.This permit will �come null and void if construction authorized is not ithin 180 days of the date of issuance,or if wnstruction is neriod of 180 days at any time after work has commenced. sponsible for assuring all required inspections are mance with the State Building Code.This permit may be '�r due cause. �� 1 V �q.� ��--� 6 l,l,� �C> I ,�-`�S � g /S /1s 'ure Date [ssued By Signature Date FOR CITY OSE ONLY City of Orono �O�O P.O.Box 66 Date Received:�I� I S Permit# ZU I✓— � (�Q'� 2750 Kelley Parkway � Crystal Bay,MN 55323 Approved By: �� Amount$: �� ' Phone(952)249-4600 Fax(952)249-4616 •+, �, yF � ��ESHo'��'� CITY OF ORONO—MECHANICAL PERMIT (All Commercial permits must be approved by the Building OYficial or Inspector and/or Fire Marshall) GENERAL INFORMATION L 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 Desiens—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 Mechan�ca! 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: � o C��,r�r t�/l . � Owner: +� Mailing Address: � • I"l��t 4J� City: l�� Zi : '' ✓�� Home Phone: � ' � Iternate Phone: Contractor Information: Contractor:�� Contact Person: �� (/li�Ul�� Address:�0� �� Ul O ' State Bond #: � �� City: ��I �/l,i/�. Zipv��J"bxpiration Date: �� 11L�� K Phone: l�� `"[-1 � ��0 Alternate Phone: � Insurance—Current: �O �� '' O � 1 � MECHANICAL SYS''l'E�1S BEING 1NS`I'�LLED , Nate: 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: 1 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 STORACE (Must be approved by Ffre Marshall if proposing to abandon tank in place.) ❑ lnstallation ❑ Removal Fuel Oil: gallons ❑ Underground ❑ Inside ❑ Outside LP Gas: gailons 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: l. Does not require modification to electrical or gas service. 2. Has a total cost of$500.00 or less;excludine 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 $ 1.00 Mail-In Fee([f Applicable) $ 2.00 Total Permit Fee $ PERMIT FEE CALCULATION S -JOBS OVER$500.00 If above does not apply; follow Quidelines below: 1. CONTRACT PRICE * is 1.25%of contr ct price with a(Minimum Fee of$50.00) � I�V V �/ CJ x .0125 $ �• �v (contract price) (minimum$50.00) 2. STATE SURCHARGE ( �/ I �" �" O� x .0005 $ 1 O� . (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERM[T 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. [f 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. [n 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 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. �}'�/ ApplicanYs Signature Date: " J 3 �� C.- DATE TIME CITY OF ORONO CALLED IN INSPECTION�OTIC�`�� SCHEDULED PERMIT NO. --��<< COMPLETED ADDRESS B ��'�D �/ OWNER TELEPH E NO. s CONTRACTOR � � DESCRIPTION � \ ' ��C ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL � ❑ DEMO-SITE �PTIC INSTALL � OWNERICONTFiACTOR TO MEET YO�YES_NO � COMMENTS: �� W � r•�� - v��.�-� ,, �r�.-��-�.� - a� � � � O . _ - n r � ��GS ��•4G 4�r �25� '� IS �a�d�i�S O � W QbK �D G� �'cr � 2 W � W � � W KSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL REfURN O STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CAIL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (J52� 249-46�0 OwnerfContractor on site: Inspector. )� White Copyllnspector's File Canary CopylSite Notice