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Home My WebLink About2009-00863 - gas fireplace CITY OF ORONO PERMIT NO.: 2009-00863 2750 KELLEY PARKWAY ORONO, MN 55356- DATE IssuEn: 12/OU2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 200 BEDERWOOD DR PIN : OS-117-23-12-0027 LEGAL DESC : AUDITOR'S SUBD.NO.203 : LOT MB BLOCK MB PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENT[AL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 3,400.00 NOTE: TWO GAS FIREPLACES-BRAND: HENT-N-GLO-MODEL NO: 750 TRS'S APPLICANT MECHANICAL 50.00 FIRESIDE HEARTH&HOME STATE SURCHARGE MECH(VALUATION) 1.70 2700 FAIRVIEW AVE ROSEVILLE, MN 55113 MAIL-IN FEE 2.00 (651)633-2561 TOTAL 53.70 Minnesota State License#: 20512060 OWNER AZAD, ALISHAH 200 BEDERWOOD DR LONG LAKE, MN 55356- AGREEMENT AND SWORN STATEMENT Thc work for which this permit is issued shall be performed according to the approved plans and specifica[ions,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 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 afrer work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. �12i a�� /�ou �/� � � ��✓%t/yuc� i.z..� v/ � a y Applicant Permitee Signature Date Iss d By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. RECEIVED FO CIT USE ONLY ' � City of Orono r y / p Q �.O¢ �O, P.O.Box 66 �E t, 1 2�09 Date Received: � � Permit# 12�� " � . 2750 Kelley Parkway s� �7 � r'''• � ' C stal Ba ,MN 553 A roved B Amount$:✓� �/ �► '�� ; o` (9 2)249-4600 �ITY OF ORONO PP Y rvt�pef," C1TY OF ORONO—MECHANICAL PERMIT (nll Commercial permits must be approved by the Building Official 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 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 Record must be submitted before final. TYPE OF PERMIT (Check All That A 1 ) �Residentia( � Commercial(Approval Required) (,�New ❑Additional ❑ Repairs ❑ Replace i� Job Site/Owner Information: Site Address: o�V� �e�eCwc�o� f��`. Owner:�l +- �ar��-�n A 2�� Mailing Address: �lrU �t.�e�w�� (' City: O rr,n o /1'1 r* Zip: SS3 S� Home Phone: Alternate Phone: Contractor Information: Contractor: Heartn 8 Home Technologies,Inc. Contact Person: dba Fireside Hearth & Home License 20512060 Address: 2�0o N. Fairvtew nve. State Bond#: osevi e, � 651/633-2561 City: Zip: Expiration Date: 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 i p2 � Gas Factory Fireplace Brand Name: �Cc�� n�a�o S ❑ Wood Burning Fireplace � B Wood Stove Model No.: �$C� ��S 5 ❑ Wood Stove With Flue VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfin ❑ No. Bath Exhaust(must have duct outside) cfm ❑ No. Other Fans: Locations cfm FUEL STORAGE (Must be approved by Fire Marshall iJproposing to abandon tank in place.) ❑ Installation a Removal Fuel Oil: gallons ❑ Underground a Inside �Outside LP Gas: gallons 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: 1. Dces not require modification to electrical or�as 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 ne�ct section,if this applies; Cost of Permit $ 15.00 State Surcharge $ .50 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ PERMIT FEE CALCULATION S -JOBS OVER$500.00 If above does not apply;follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) �'3�/�. � X.0�25$ S�- � (contract price) (minimum$50.00) 2. STATE SURCHARGE **Add the State Bidg Code Div. Surcharge(Minimum Fee of$.50) 35/�-"`' X.000s $ /•70 (contract price) (minimum$ .50) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ S3• ?� ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the perrnitted 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 fumished by the owner, tenant or any other party,the reasonable mazket 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 cequest the submission of a si�;ned copy of the actual contract. ■ **The STATE SURCHARGE is.0005 of the Building Department at(952)249-4600 for the price. 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. Applicant's Signature: �.__� Date: � � '? d / Reset Form 3 DATE TIME " CITY OF ORONO CALLED IN � 2 '3° INSPECTION NOTICE SCHEDULED � ' � < <� PERMIT NO. ��'%� �'��'�� ' 3 coMP�ETE� ADDRESS 2 G c �e��'-� ��'- �L, OWNER �LX7ir.l� CONTR.��'�'�"� �'� �''�'��'� TELEPHONE NO. 7 (� '-' ' ,� 1.� ' C �7 G�'� '`��'�°'`�� DESCRIPTION � ❑ FOOTING � MECHANICAL RI ��4,j ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL '2 ❑ LAKESHORENVETLANDS y ❑ INSULATION ❑ WOOD BURNE FIREPLACE ❑ TREE REMOVAL � ❑ WALL BD. Z ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT v ❑ 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 � � J O � � O � W � Q � Z W � W � � d WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑ ECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� 249-4600 OwnerlContractor o site: Inspector. White Copyllnspector's File Canary CopylSite Notice