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Home My WebLink About2011-01544 - gas fireplace , CITY OF ORONO PERMIT NO.: 2011-01544 � 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 12/13/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 141 CHEVY CHASE DR PIN : 36-118-23-41-0026 LEGAL DESC : HILL O'WAY MANOR : LOT 021 BLOCK 001 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 3,500.00 NOTG: HGAT N GLO ESCAPE I30FB APPLICANT MECHANICAL 50.00 FIRESIDE HEARTH& HOME STATE SURCHARGE MECH(VALUATION) 1.75 2700 FAIRVIEW AVE ROSEVILLE, MN 55113 MAIL-IN FEE 2.00 (651)633-2561 MISC FEE 0.00 Minnesota State License#: 20512060 TOTAL 53.75 OWNER REMARK, ROGER&MEGAN 141 CHEVY CHASE DR WAYZATA, MN 55391- AGREEMENT AIVD SWORN STATEMENT "fhe work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. 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 governing this type of work shall be compied with whether or not specified herein.This permit will exp�re 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 ail required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. �c.a�,C �-- � � � � Applicant Permitee Signature Date Issued By Sig re Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED A E. FOR CITY USE ONLY f��-='"�'A�,` City of Orono I�� `�`� P.O.Box 66 Date Received: Permit# ��s,�_,,,, �� 2750 Kelley Parkway f i�t� C stal Ba MN 55323 Approved By: Amount$: � } � ,�p rY Y, �� p�.,�a 6� Phone(952)249-4600 Fax(952)249-4616 jpBp��s 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 RECENE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Desi�ns—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 Recard 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: ��'� � �.�'1.. �'Lf�. � 'Lcs�2�t-�i�-� � � Owner:�,�;�1, �� e�,�,;�_ Mailing Address: � � �,� r��-�� c�ty: U-1.�. � z�p: ti'S 3 �l� Home Phone: Alternate Phone: Contractor Information: }-IEARTN & HOME TECHNOLOGIES, INC. Contractor: Contact Person: a�... �rn��T�� noTH & HOME Lic. BC0512060 Address: State Bond#: 27(lf1 FAIRVIEW AVENUE N ROSEVILIE, MN 55113 City: Zip: Expiration Date: 651.633.2561 Phone: Alternate Phone: ❑ Insurance—Current: 1 � �� - PERMIT FEE CALCULATION(S) � �� BASED OFF -2002 ST'ATE 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 $ I 5.00 State Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ PEKMIT FEE CALCULAT�UN S —JCI�S{�VER$500.00 If above does not apply;follow guidelines below: I. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) �3 ��', c� C� X.o�2s$ $h'c�.c;,c�> (contract price) (minimum$50.00) 2. STATE SURCHARGE � �� 5 �� G'�� x.0005 $ C:� � (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ •� � � 5 ■ * 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 ameunt of the job cost, tlie City may r�quest the submission of a signed copy of the actual con��act. ; ;; NL�CHAN�CAL PERMIT AFPI.ICATION AfiREEMENT. 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: 1 2��-��f Reset Form 3 ✓ _ �C'�� DATE TIME V CITY OF ORONO CALLED IN -�`��t,�� INSPECTION NOTICE /'`�� !, SCHEDULED � 7 _,�� PERMIT NOr��I � — ( i'L��`'�� COMPLETED ADDRESS l I C ' �� ' "� � " r�--- OWNER TELEPHO N��t�/ � ��G '�� CONTRACTOR �/ �'_�� '�� f� � I�— >; DESCRIPTION / / /'� �/ ��'r�' � �/'��`/�_/�tC_c� `� � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLA�NT "� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL � ❑ PLUMBING RI ❑ SEPTIC�FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:�YES_NO � COMMENTS: � W a � J O >. � O � W � Q � Z W � w � j d � ❑WORK SATISFACTORY:PROCEED �C`COMPLETE W ❑CORRECT WORK 8�PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. Cj 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. (g52) 249-46�� OwnerlContractor ite: Inspector. White Copyllnspector's File Canary CopylSite Notice �� , � ATE f TIME CIfY OF ORONO �cALLED IN �-�� INSPECTION NOTICE scHE�u�E� •=� % l� ��C� PERMIT N0. �� `� 'ti �-;`i U COMPLETED � /� - ADDRESS i `� 1 ( ��'�-�_ _Y l� � ,�il��,.�y J/% 'v . .� —• -: ri OWNER TELEPHO NO.�--��'_'`- �� -�'�� ' i��°: ,�2_ . CONTRACTOR - ' �; DESCRIPTION �—�'`.? '� f--; � ` -�''�{ ��_ /`� "� � � � ❑ FOOTING ❑ PLUMBING FINAL ='� ��' � ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI '�v'�;�❑ LAKESHOREM/ETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL � �� O ❑ 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 � ❑ PLUMBING RI ❑ SEPTIG FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACT_ O-R TO_MEET YOU:�YES_NO � COMMENTS: � W C � J O a � O � W � Q � Z W � W � � d W� �WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK 8 PROCEED � ISSUE CERTIFICATE OF OCCUPANCY O ❑CI�RRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR W4LL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑ CITATION ISSUED ❑ INSPECTIOfV RE�UIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. �95Z� 249-46QQ OwnerlContractor on site: � Inspector. � w/l i'� ' )�� ;r White Copyllnspector's File Canary CopylSite Notice