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Home My WebLink About2009-00415 - gas fireplace � � CITY OF ORONO PERMIT NO.: 2009-00415 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 07/20/2009 (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1500 BRACKETTS POINT RD PIN : 11-117-23-34-0001 LEGAL DESC : BRACKETTS POINT 2ND ADDITION : LOT 002 BLOCK 001 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 4,500.00 NOTE: 1 HET N GLO GAS FP 8000-CF-OAK IPI APPLICANT MECHANICAL 56.25 FIRESIDE HEARTH& HOME STATE SURCHARGE MECH (VALUATION) 2.25 2700 FAIRVIEW AVE ROSEVILLE, MN 55113 MAIL-IN FEE 2.00 (651)633-2561 MISC FEE 0.00 Minnesota State License#: 20512060 TOTAL 60.50 OWNER PADDOCK, BRUCE 920 SHADY LA WAYZATA, 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 separate permits. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified hecein.This permit will expire and become null and void if construc[ion 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 permit may be revoked at any time for due cause. vl/l� �i/� l l l l Applicant Permitee Signature Date Issued By ' nature ate SEPARATE PERM[TS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E. , ' ; FOR CITY OSE O�LY I �� City of Orono � � P.0 Box 60 � Da�e R�cei�ed: Pemu[� i �� :>.. � \ �-;G Kel(ey Park�vay � i Ili' R r �'I Ciystal Bay.�IV>jJ�� -�Ppro�ed By: -�mount b: � \ ��t,TF��.o`` (9�Z)_49-4600 � � t�R�A0�6 CITY OF ORONO — tiIECI�ANIC:�L PER�IIT (�il Commzrcial pemli�s musi bz approvzd by�he Building OYficiaf or[nspzctor andior F!�e�(arhal!? GENERAL INFORVIATION l. You ma,�apply for mechanical permits by mail or in person at the Ciry 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. PER��IITS ARE NOT VALID U'vT[L YOli RECEIVE A PER1tiiIT. WORK yitiST NOT BEGI� l.'�TIL THE PERi�IIT CARD [S POSTED ON THE JOS S[TE. 3. V[echanical Desions—Complete calculations, details and specifications arz required for zach heating, vzntilation, humidification-dehumidification, and air condi�ionin� installation includin� heat loss;heat �ain calculation, design temperatures, equipment ratings and idzntification as to rype, manufacturer and modeL Data shall be presented on form provided. 4. W'hen any ne�v construction or remodeling is involved, a separate building permit must bz obtained. �. .-�Il work must bz done in accordance with thz CiniTorm:�techanical Code%S�aie Buildin�Code requirements. 6. All work must be inspected(rou;h-in and final). Call (9��) 249-4600. (2�-48 hour notice required) 7. House Heatin�Test Record must be submitted bzfore tinal. T'YPE OF PERiti1IT � � � (Check All That Appty�) i �Residential ❑ Commercial (AQproval Required) I� �.�iew ❑ �dditional ❑ Repairs ❑ Replace � �� i, Job Site ;' O��ner Information: � Site Address: �C�_�y'C(^c �'r o�.'�.Tt��)f14' Owner: �'�(,.1,2.�.!!,S �j (� I�tailing Address: Citv: Zip: Home Phone: �G�C� '3��J'v _ �ltemate Phone: � Contractor Information: Contractor: Contact Person: Hearth&Home Technologies,Inc. dba Fireside Hearth & Home �ddres�: ucense 2os�2o� Stace Bond �: —'' . Falrvtew Ave. Roseville, MN Sb113 City: 651��3'25e1 Zip: Expiration Date: Phone: Altemate Phone: ❑ insurance — Curr�nt: 1 � s ' � ti�tECHANICAL SYSTEMS BENG INST_�LLED HE.ar►tic s�sTE��s Quantity: !�take: ��`V I�Io el: �..I'- d�SUC-- � ue 1: ��9/k� Flue Size: Input BTUs: Output BTUs: v it: COOL �G Sl'STE�[S Quantity: �take: �[odei: Tons: H. Power F[REPLACE� � Gas Faciory Fireplace ��'ood Bumin; Fireplace ❑ `��ood�tove ❑ W'ood Stove With Flue Brsnd�ame: � ��a Model tio.: �UC��/1F —U(�C- �� VE�YT[L.aI'[O� � ❑ No. Kitchen Exhaust duct rzcirculatin� cfm ❑ �o Bath Exhaust(must have duct outside) cfm ❑ tio. Other Fans: Locations cfm EUEL STOR.��E (�tUST BE .aPPRO`ED BY" FIRE titaRSH.�LLj ❑ [nstallation ❑ Remo�al Fuel Oil: gallons ❑ Under;round ❑ [nsid� ❑ Out;ide LP Gas: gallons Other. G.�S L[�E O�LY ❑ Ouidoor Grill ❑ Other ' List W ha�& `�her�: -, f�. � __ . - PERMIT FEE CALCU�LATION(S) BASED OFF - 2002 STATE STATLTE � �'es, this section applies Tne replacement of a Residential fixture or appliance that meets all three of the follo�ving requirements: 1. Does not require 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 contractor. Skip next section, if this applies; Cost of Permit $ 15.00 State Surcharge � 50 Mail-In Fee(If Applicable) � ?.00 Total Permit Fee $ PERMIT FEE CALCULATION(S) —JOBS OVER�500 00 j I:above does not apply; follow guidelines belo�v: L C01T24CT PRICE * is 1.25°/o of contract price with a(n�Iinimum Fee of$�0.00) � L'��c.� X .o��s� S�� La (contract price) (minimum 550.00) ?. STATE SliRCHARGE ** Add the State Bldg Code Div. Surcharge (;�1inimum Fee of$.50) `-I�C�' C�� x .0005 S � � � (contract price) (minimum$ .50) 3. POSTAGE&HANDLIIvG(Only on Mail-In Applications) � 2.00 4. TOTAI, PERtiIIT FEE (Add Lines 1-3 Above) S �„J . ., �. ■ * COtiTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted work includin� materials, labor, profit, and other fised costs. It is the amount to be charged to the customer for the �vork done. If any material, equipment, labor or installations are furnished by the owner, tenant or any other parry, the reasonable market ��alue 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 siQned copy of the actual contract. ■ ** The STATE SURGHARGE is .000� of the Buildin�Department at�:9��) 2�9-4600 for the price. I MECHANICAL PERMIT APPLICATION AGREEMENT The undersi;ned hereb�� applies to the Citv for issuance of a :�Iechanical Permit, a;rees to do all work in strict accordance with the ordinances of the City and the re�ulations of the State of Nlinnesota, and certifies that all statetnents made on this application are complete, true and correct. - applicant�s Si�naturc: � �.l61-� ate: �— ' `-1 --' �� ; � AT , TIME V CITY OF ORONO CALLED IN �_� �� INSPECTION NOTICE ,/ SCHEDULED ��'/ O _� PERMIT NOaDfL�� DO7��COMPLETED ADDRESS /SOD 1�V'GZ��'—P�C � !� OWNER CONTR._��YPSL(l� �'T*� TELEPHONE NO. �s� �P�J� 3 37� � DESCRIPTION ��Vl� �� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORENVETLANDS � ❑ INSULATION ❑ WOOD BURNER/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 � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O a � O � W � Q � 2 W � W � � d W ❑WORK SATISFACTORY:PROCEED OJECT COMPLETE � ❑CORRECT WORK 8�PROCEED ❑ SUE CERTIFICATE OF OCCUPANCY W O ❑ CORREC7 WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED C INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. �952� 24Q-46�� Owner/Contractor on si : Inspector. White Copyllnspector's File Canary CopylSite Notice �� OF-C/� D E TIME ✓ CITY OF ORONO CALLED IN �'� � INSPECTION NO ICJ� SCHEDULED � /!:00 PERMIT N�(JD /� COMPLETED ADDRESS /S�o \B/Z2-C�.�=l�S �7� ,�� OWN ER CONTR. TELEPHONE NO. IPSI �3� 337 7" � DESCRIPTION � /�e� �� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING y ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS O ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT 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 � � O � W � Q � Z W � W � � d W��WORK SATISFACTORY:PROCEED [� PROJECT COMPLETE W ❑CORRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pH0T0 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) 249-4600 Owner/Contractor on site: Inspector. � ! �i��C White Copyllnspector's File Canary CopylSite Notice