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Home My WebLink About2009-00899 - gas fireplace CITY OF ORONO PERMIT NO.: 2009-00899 - 2750 KELLEY PARKWAY � ORONO, MN 55356- �ATE ISSUEn: 12/28/2009 � 952 249-4600 FAX: 952 249-4616 ADDRESS : 1470 CHERRY PL PIIv : 08-117-23-33-0017 LEGAL DESC : CRYSTAL BAY VIEW : LOT 000 BLOCK 004 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : F[REPLACE-GAS VALUATION : $ 1,500.00 NOTE: HEAT N GLO 6000C-IPI GAS FP PD WITH 2 CHECKS: $37.25 CK 11631 $15.50 CK 11636 APPLICAIVT MECHANICAL 50.00 GLOWING HEARTH AND HOME STATE SURCHARGE MECH(VALUATION) 0.75 100 ELDORADO DRIVE JORDAN, MN 55352 MAIL-IN FEE 2.00 (952)495-2927 MISC FEE 0.00 TOTAL 52.75 PAID WITH CASH 15.50 OWNER Commercial Mortgage Fund COMMERCIAL MORTGAGE FUND 8300 NORMAN CENTER DR.#720 BLOOMINGTON, MN 55437- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specitications,applicable City approvals,and the State Building Code. This permit is for only the work described and does no[grant permission for additional or related work which rcquires separate pemtits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construc[ion is suspended for a period of I 80 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in confonnance with[he State Building Code.This permit may be revoked at any time for duc cause. %� �� / / / / Applicant Permitee Signature Date Issued By ' nature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCR[BED ABOU , ' • FOR CITY USE ONLY City of Orono ` �" ��`� P.O.Box 66 Date Received: Permit# '� ��'� 2750 Kellee Parkway t-t. t�d ��y� o` (952)2 4a46 ON 55323 Approved By: Amount$: E � .��o� . CITY OF ORONO—MECHANICAL PERMIT (All Commercial permits must be approved by the Building Ofticial 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 UNT[L l'OU 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 i ) �] Residential ❑Commercial(Approval Required) �` � New ❑Additional ❑ Repairs ❑ Replace Job Site/Owner Information: Site Address: �� `�N` � Q� Owner:S� �-+'1 � �u,v� r)11ti� �j Mailing Address: C�`�b� �v(`�C'S'{�►7 ��C-Q' c�ry: �� Q�'u� �ti�� z�p: �53 Home Phone: Alternate Phone: �J��i-E'3 ` �d �c�p Contractor Information: COritl'1CtOC: C'�owing Hearth&Home C011t1Ct Pe]'SOII: Tim Shimek Address: 10°Eid°`aao Dr. State Bond #: ai sss�E g64� Jordan 55353 02/16/�� City: Zip: Expiration Date: Phone: (9s2>a92-9z�6 Alternate Phone: (9s2�z9z-�z2s ❑✓ Insurance—Current: ioi22io� � j 0��.� �U 1 . MECHANICAL SYSTEMS BEING INSTALLED 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: t�QQ� � C 10 Model No.: ��C,, �� + P j VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfm ❑ No. Bath Exhaust(must have duct outside) cfrn ❑ 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 �v O��S 1 ❑ Outdoor Grill ❑ Other/List What& Where: 2 , ' � PERMIT FEE CALCUL�1TlON(S) � BASED O�F -2002 STATE STATUE ❑ Yes,this section applies The replacement of a Residential fixture or ap lip ance 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 $ .50 Mail-In Fee(If Applicable) $ 1.50, Total Permit Fee $ PERMIT FEE CALCULATION S -JOBS OVER$500_OQ If above does not apply;follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$35.00) ' �� . uL x.0125 $ 3��L�(� (contract price) (minimum$35_00) 2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50) x.0005 $ �-7 5 (contract price) (minimum$ .50) 3. POSTAGE&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 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. ■ **The STATE SURCHARGE is.0005 of the Building Department at(952)249-4600 for the price. MEGHANICAL PERMIT APPLICATION AGREEMEI�IT 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. i � ��- /5 U � Applicant's Signature: Date: , Reset Form w� �� 3 �� DATE TIME CITY OF ORONO CALLED IN 3 ' INSPECTION NOTICE ,�CHEDULED �� PERMIT NO. a26D -��-�•,cOMPLETED ADDRESS �`�7� OWNER NTR. �7�- TELEPHONE NO. ��a � �a a 4�q � DESCRIPTION ��Z� - � ❑ FOOTING � MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICA�FINAL ❑ LAKESHOREM/ETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE � ❑ SEPTIC MAINT. ❑ COMPIAINT Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP ? ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a o I�n v�,.�el' �S� c�' � � 0 � w � Q � z W � W � � d � ❑WORKSATISFACTORY:PROCEED PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED '=� SUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pH0T0 TAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR C INSPECTION REOUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-4600 OwnerlContractor on site: Inspector. ^ � � White Copyllnspector's File Canary Copy/Site Notice ac�oog 9� O7D LD —ODQ J DATE TIME CITY OF OFi�O -O4O�L CALLED IN INSPECTION NOTICE SCHEDULED 7'�2-/D PERMIT NO. COMPLETED ADDRESS � OWNER LEPHONE NO. CONTRACTOR �; DESCRIPTION � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ 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 J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J � �,�/�- I Ar l � � � T� s' A c� c��e S S , W � Q � z W � W k j a � ❑WORK SATISFACTORY:PROCEED }�PROJECT COMPLETE . � W ❑CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 24Q-46�� Owner/Contractor on site: Inspector. �� White Copy/lnspector's File Canary CopylSite Notice