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Home My WebLink About2011-01580 - gas fireplace CITY OF ORONO PERMIT NO.: 2011-01580 :� 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 12/23/2011 � 952 249-4600 FAX: 952 249-4616 ADDRESS : 2470 COBBLESTONE CT PIN : 33-118-23-11-0080 LEGAL DESC : STONEBAY SIXTH ADDITION : LOT 002 BLOCK 001 PERMIT TYPE : MECHAN[CAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 4,900.00 NO"CE: 2 HEAT N GLO 6000C GAS FP APPLICANT MECHANICAL 61.25 CONDOR FIREPLACE& STONE CO. STATE SURCHARGE MECH(VALUAT[ON) 2.45 8282 ARTHUR ST NE TOTAL 63.70 SPRING LAKE PARK, MN 55432 (763)786-2341 Minnesota State License#: 7950 OWNER O.T. Development, LLC 10300 IOTH AVE N PLYMOUTH,MN 55441- 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 not grant permission for additional or related work which requires separa[e permits. All provisions of laws and ordinances governing[his 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 after work has commenced. The applican[is responsible for assuring all required inspections are reques[ed in conformance wi[h the State Building Code.This permit may be � revoked at any time for due cause. '� �� , /�' :'��--�� __------ 1�- i�-3 i j f _ ..;;_�_�-� �� c'-r,��.,:��-�; � /,.��' "-� �; �'I Applicant Permitee Signature Date � Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. - �- � �. � ti �,� �- .� �� -- ��- � � � FOR CITY USE ONLY � ' ,�� City of Orono � P.O.Box 66 Date Received: Permit# ,� , ��.,, � 2750 Kelley Parkway r a� ' ;�f' �. Crystal Bay,MN 55323 Approved By: Amount$: � ^ ✓7 � � ;;.t,�' �' ��g��o (952)249-4600 j CITY OF ORONO —MECHANICAL PERMIT (All Commercial pem�its must be approved by the Building Official or Inspector and/or Pire 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 pernut will be issued within two working days. 2. Pernut cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID IFNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CA.RD IS POSTED ON THE JOB SITE. 3. Mechanical Desi�—Complete calculations, details and specifications are required for each heating,ventilation,humidification-dehumidification, and air conditioning installation including heat loss/heat ga.in calcularion, design_ter_mperat«res, Pquipment ra±in�s and identif:cation 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 pernut must be obtained. 5. All work must be done in accordance with the Uniform Mechanical Code/State Building Code requirements. 6. All wark 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 ply) �] Residential ❑ Commercial(Approval Required) �New ❑Additional ❑Repairs ❑ Replace Job Site/Owner Information: ��,�� ., ° , Site Address: �� i ,(��i' ��;y'(�-, �� L� � '�� ,- Owner: (�/��- Mailing Address: 1 �� '�C� (,�� . i p -. � � Clty: ( U�`(, t Zlp: �� cJ ;�� Home Phone: Alternate Phone: Contractor Information: Contractor: ��i NC`C� V .� Contact Person: _ '�-�� i" � � ��ry - Address: � (X� ��'��` �L� `` State Bond #: ��,, � �3� City: ��N L�� Zip: �S� �xpiration Date: Phone: �(p�—�� _� Alternate Phone: � ❑ Insurance—Current: 1 �« . 'r - 1VIECHANICAL SY�TEMS BEING INSTALLED �� ' 1\'ote: 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 and Name: �� C��' Wood Bui�iing Fireplace / -� � a � Wood Stove Model No.: ��(�(� — ��' � Wood Stove With Flue Z� VENTILATION �/ l � � � � " � ��t �� ❑ 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) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑ Inside ❑ Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill ❑ Other/List What&Where: 2 �-(/ G;`; r � � •- \ �\� _� � • � PERMIT FEE C�hI,CLTLATIOI�T(S) ' � BASED OFF - 2002 STATE STATUE ; � ❑ Yes, this section applies � � �, h r�1 The replacement of a Residential fixture or a� hp �ance that meets all three of the following requiremen : ,� �/U n � � Av� 1. 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. ''"'R ,\, Skip next section, if this applies; Cost of Permit $ 15.00 C C� State Surcharge $ ,Sp �� Mail-In Fee(If Applicable) $ 1.50 � �: Total Permit Fee $ `� PERMIT FEE CALCULATI�N S)-7C)BS 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$35.00) " ''' G �� —'�� i ��--�� X .oi2s $ �� - (contract price) (minimum$35.00) 2. STATE SURCHARGE **Add the State B�dg Code Div. Surcharge(Minimum Fee of$.50) , � �) / x.0005 $ , �; �'"� � (contract price) (minimum$ .50) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50 �__�U 4. TOTAL PERMIT FEE (Add Lines 1-3 Above) $ �,� r `�" ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the pern�itted 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 ar 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 pein-ut 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. MECHANICAL PERMIT APPLICATIQN ACrREEMENT 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. p � ,� � � ; -.. , � �� > �-__ , �, "� � • --- — �� A licant's Si a�- � PP � �`"" � Date: �, — 3