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Home My WebLink About2011-01513 - gas fireplace , CITY OF ORONO PERMIT NO.: 2011-01513 . 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 12/05/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 141 CHEVY CHASE DR P 1 N : 3 6-118-23-41-0026 LEGAL DESC : HILL O'WAY MANOR : LOT 021 BLOCK 001 PERMIT TYPE : MECHAMCAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 8,000.00 NOTE: 1 I IBAT N GLOR CORONA 36 1 HGAT N GLOO ESCAPE 130 FB APPLICANT MECHANICAL 100.00 FIRESIDE HEARTH& HOME STATE SURCHARGE MECH(VALUATION) 4.00 2700 FAIRV[EW AVE ROSEVILLE, MN 551 13 MAIL-IN FEE 2.00 (651)633-256] MISC FEE 0.00 Minnesota State License#: 20512060 TOTAL 106.00 OWIVER REMARK, ROGER& MEGAN 141 CHEVY CHASE DR WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT "1'he work for which this permit is issued shall be performed according to the approved plans and speciYications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant pemtission 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 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. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permi[may be revoked at any time for due cause. ��tit�c..� �- / / / / Applicant Permitee Signature Date Issued By S' ature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED A E. � FOR CITY USE ONLY �y`''�'�, City of Orono //� 4 �\�� P.O.Box 66 Date Received: Permit# 1f 0�,,:, ��` 2750 Kelley Parkway i;�, �y51}t �� Crystal Bay MN 55323 Approved By: Amount$: l? ��'�� 3>o�%� Phone(952)249-4600 Fax(952)249-4616 '�i!t�o� CITY OF ORONO—MECHANICAL PERMIT (All Commercial permits must be approved by the Building Ofticial 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 RECENE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB S1TE. 3. Mechanical DesiQns—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 shail 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 l esidential ❑Commercial(Approval Required) 1ew ❑ Additional ❑Repairs ❑Replace Job Site /Owner Information: Site Address: 1 � 1 � �,�e� Owner:��-►.� ��lvrwc�_ Mailing Address: 1`f � �-�'^r`�'�`��`'��'``"� c��y: �J��,�-,,,.� z�p: h� 3 Y 1 Home Phone: Alternate Phone: Contractor Information: Contractor: Contact Person: HEAR HNOLOGIES, tNC, Address: �bd �IRE5IDE HEARTH & H(�f�ate Bond#: 2700 FAIRVIEW AVENUE N City: Rn�Fvri i F �� Expiration Date: 651.633.2561 Phone: Alternate 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.: �ryr,.yi,tt. �jG ❑ Wood Stove with Flue/Masonry VENTILATION ❑ Na 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 Grill ❑ Other/List What&Where: 2 'iViECHANICAL 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: �� -u'.`� ❑ Wood Burning Fireplace /1 ❑ Wood Stove Model No.: �,Q.Lo�tt�. -Z 3G' �!/ ❑ 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 Grill ❑ Other/List What&Where: 2 � PEI�MIT�EE CALCULATION(S) � � BASED OFF - 2002 STATE STATU6� �� ❑ Yes,this section applies The replacement of a Residential fixture or appliance that meets all three of the following requirements: 1. Does not requite modification to electrical or gas service. 2. Has a total cost of$500.00 or less;excludinQ the cost of the fixture or appliance:and 3. Is improved,installed or replaced by the homeowner or licensed contractar. 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 CALC�LATION S —`JOBS OVER$SOO.OQ If above does not apply;follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) � ��'c�: C�c� X.oizs$ 1��;G�o (contract price) (minimum$50.00) 2. STATE SURCHARGE ��L�.�`1 G� x.0005 $ �.C'C� (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ � d 4�. � Q ■ * 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'FERMIT A�'PLICATION AGREEMENT �: ;_��..: The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all work in strict accardance 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: C� `"�G��— Date: � 2—2— f r Reset Form 3 � �� f � ATE TIME 1/ C�TY OF ORONO . ! CAL�ED IN 1�3 �J _ �� `-i_ INSPECTION NOTICE , . ,,, � SCHEDULED �___�_�) �� PERMITNO. .x��'(I'1�;�`�l � connP�E1E� , � , /. ADDRESS � � "" � ). � .., �- >„ OWNER TELEPHONE �� '�=�<�� CONTRACTOR sj"�� , t C �%��`f–� � :�� "G -� �l��. � ) ' i'. ' �-- f >; DESCRIPTION •''��/ /i � � �� G � ��–f– � /`� ��;t. —� � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/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 J ❑ PLUMBING RI ❑ SE FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOH TO MEEf YOU: YES_NO � COMMENTS:� � W a � J O >. � O � W � Q � Z W � W � � d W K SATISFACTORY:PROCEED ❑ PROJECT COMPLETE ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑ INSPECTtON REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952� 24J-4600 Owner/Contractor on site: Inspector. 0 White Copyllnspector's File Canary CopylSite Notice I— �� l �� pA�T / l TIME ✓ r N OF ORONO 6dLLED IN �'` /` �`�� INSPECTION NOTICE SCHEDULED 1�� PERMITNO. -�- f � �r��-% ~ COMPLETED ADDRESS � OWNER TELEPHONE N0. �"��Col� "��'�y CONTRACTOR `��/�� DESCRIPTION �[�i'l r�i- I �� S l`�7�C'�(��Qf'CC'S � ❑ 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 � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEP GFINAL ❑ FOUNDATION/REMOVAL Q OWNER/CONTRACTOR TO MEET YO YES_NO Z ,�__---- � COMMENTS: � W a � J O � � O � W � Q � Z W � W � j d W� ❑WORKSATISFACTORY:PROCEED JECTCOMPLETE W ❑ CORRECT WORK 8 PROCEED C ISSUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� Z49-Q6QQ OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice