HomeMy WebLinkAbout2008-00133 - gas fireplace �
CITY OF ORONO PERMIT NO.: 200&00133
2750 KELLEY PARKWAY
ORONO, MN 55356- DATE ISSUED: 08/14/2008
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 : $ 20,655.00
NOTE:
INSTALL(4)GAS FIREPLACES :
(1)HEAT N GLO-ESCAPE 42-NATURAL GAS-40,000 OUTPUT BTU'S
(2)HEAT N GLO GDSTS2441-NATURAL GAS-40,00 OUTPUT BTU'S EACH
(1)HEAT N GLO ST-HV-IPI-NATURAL GAS-38,500 OUTPUT BTU'S
APPLICANT MECHANICAL 258.19
HEARTH& HOME TECHNOLOGIES STATE SURCHARGE MECH(VALUATION) 10.33
2700 FAIRVIEW AVE TOTAL 268.52
ROSEVILLE,MN 55113
(651)633-2561
Minnesota State License#: 20512060
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 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
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 period of 180 days at any time after work has commenced.
The applican s responsible for assuring all required inspections are
requested in onforma e 'h the State Building Code.This permit may be
revoked at y tim o cause.
l ( lZ��' �l / l D
A i nt Permit e Signature Date Issu d By Signature � Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED OVE.
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FOR CITY CSE O�LI'
��� City of Orono
;������ P.O. Box 6o Da[e Et�cei��ed�. Perniit�
�0��„ � �� _��0 Kelley P3rkway
�;� � , i �pproved By �mount$:
�' II'� = �� Ci�scal Bay.'�[N»323
�\��Rt��,�o`, ��31==t9-a600
CITY OF ORONO — �IECH:�NIC:�L PERL�IIT
(all Commercia]pemli[s must be approved by the Buildin�Official or[nspec�or and�br Fire�(arshalll
GE�rER:AL I�;FOR�VIAI'ION
1. You may apply for mechanical permits by mail or in person at the City offices. .-�pplications will
be re�iewed and a permit will be issued within two working days.
?. Permit cards will be sent by return mail after a review is completed. PEIZ�[[TS .-�RE NOT
VALID L�NTIL YOU RECEIVE A PEILUIIT. WORK MUST NOT BEG[v L'�TIL THE
PER�IIT C�RD [S POSTED OY THE JOB SITE.
3. 1,techanical Desi�ns—Complete calculations, details and specifica�ions are required for each
heating, �entilation, humidiTication-dehumidification, and air conditionin�installation including
heat loss,heat gain calculation, design temperatures, equipment ratin;s and identification as to
type, manufacturer and model. Data shall be presented on form provided.
�. ��hen anv nesv constraction or remodeling is involved, a separate building pzrmit must be
obtained�
�. .�11 work must be done in accordance with the UniTorm titechanical Code State Building Code
requirements.
6. �11 work must be inspected(rough-in and final). Call (9�2) 2�9-4600.
�?�-48 hour notice required)
House Heatin�Test Record must be submittad before fina(.
TYPE OF PER1�tIT
(Check All That Apply)
�Residential ❑ Commercial (Approval Required)
`�[f �;ew ❑ .-�ddicional ❑ Repairs ❑ R�p1a��
Job Site ;� O�L'ner Information: �
Site Address: 'e�—���CJ�L� �� 1 ` 1�--�
Owner:���� ��,�,�1�� �� �Mailing Address:
Citv: Zip:
Home Phone: C DI r� - �� — '��lt�ate Phone:
Contractor Information:
Contractor: ��,��c. Contact Person:
dba Fireside Hearth 8 Home
License 20512060
Address: ���� N FA�ry�aw Ave. State Bond �:
Rosevilie, MN 55113
651/633-2561
City: Zip: Expiration Date:
Phone: Altemate Phone:
❑ Insurance — Current:
1
� �
. , .
I :L1ECH:�NICAL SYSTE�IS BEI�G I�ST�LLED
HE.aT(�G S�STE�IS
Quantity: ' � �
�take: i�^ ��� �� �-(.�,'�13=� �Q(9.� �(�
1�Iodel: �-�t ��-TSdy4 .1.. c�'��-U - -�'I�1—
� a`
Fuel: N •
Flue 5ize:
Input BTlis: _
�
Ourput BTL�'s: �L� ��(� �S �.7��
CF�L �
COOL[�G S�"STE�[S
Quantit�:
�take:
�[odeL
T'ons:
H. Po�.�e�
F[REPL.�CES
� Gas Factory Fireplace �
❑ b�ood Burning Fireplace
❑ ��ood Sto�e
❑ Wood S�ove With Flue
Brand Name: titodel No.:
VENT[L.aT'[O�
❑ �;o. Kitchen Eshaust duct recirculatin� cfm
❑ No. Bath Exhaust(must have duct outside) cfm
❑ No. Other Fans: Locations cfm
FLEL STOR.�GE��IUST BE :�PPROVED BY FIRE �I.�RSH:�LLj
❑ (nstallation ❑ Removal
:��3 -� „�,,.,
Fuel Oil: gallons ❑ Untier�rodnd'Q [nside �Outside
LP Gas: ;allons ,
Other:
G.�S L[�E O�LY"
❑ Outdoor Gril1 ❑ Other � List W'hat& w'here:
�
� 1`
� PER_ti�ilT FEE CALCUL�TIO�±(S)
� BASED OFF - 2002 STATE STATliE
❑ Yes, this section appfies
The rzplacement of a Residentiaf fi.Yture or appliance that meets all three of the followin;requirzments:
1. Does not require modification to electricai or gas servicz.
2. Has a tota( cost of 5�00.00 or less; excludina the cost oi the tixture or app(iance: and
3. [s impro�ed, fnstalled or replaced by the homeowner or licznsed contractor.
Skip next section, if this app(ies; Cost of Permit � L�.00
State Surhar�e � .�0
titail-In Fee(If.�pplicable) � 1.�0
Total Permit Fee �
�I PER�tiiIT FEE C�LCliLATIO�r(Sj -JOBS 0�'ER$�00.00 ,
IT abo��e does not appiy; foilow�uid�lines below:
1. CO�TR.�CT PRICE * is l.'���o of contract price with a(�finimum Fee of�3�.00)
L�J��� C?� x.O1_'� � S�• �c'�S
lcoiitract pnce) �minimum 33�00)
?. ST.aTE SCRCH_�RGE *" :�dd the State Bld�Code Div. Surcharge (�tinimum Fee of�.�0)
zu�s�_ � X o�o� � 1� . ��-
{con[ract pnce) (minimum� �0)
3. POST.�GE & H.�NDLING(Onfy on '�Iail-In Applica�ions) �_��...
�. TOTaL PE2�i[�I' FEE (.add Lines 1-3 Above) � ��� ' �
• * CONTR.-�CT PRICE or JOB COST means the actual or zstimatzd dollar amount char�ed for the
permitted work includin� matenals, labor, profit, and other fixed costs. It is the amount to be charged
to the customer for the work done. If any matzrial, 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 pnce for permit fee purposes. In the event that there is a dispute on the
amount of the job cost, the City may request the submi�sion of a si;ned copy of the actual contract.
� **The ST.-�T'E SURCH.aRGE is .000� of the Building Department at(9�?) 2�9-4600 for the pnce.
� MECHANICAL PERib1IT APPLICATIOIv� AGREEVIENT
The undersigned hereby applies to the City Por issuance ot a Mechanical Permit, a�rves to do all
work in strict accordance with the ordinances of the City and the regulations of the State of
�Iinnzsota, and certifies that all �tatements made on this application ar� complete, true and
conect.
:�pplicant's Si�nature: ;�Q._ �' Date: �j - �j -��j
,
�
� DAT TIME
CITY OF ORONO CALLED IN g~ `
INSPECTION NOTIC SCHEDULED � %4�
PERMIT NO.a��oo�33 COMPLETED
ADDRESS �5� �3rQ c��r-� pf .�/
OWNER CONTR. �L2'�sl�C�
TELEPHONE N0. �''''� � �� ��J� �SD��
� DESCRIPTION �� ^ ��--
� ❑ FOOTING � MECHANICAL RI ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE
❑ TREE REMOVAL
Z ❑ WAIL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
� ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
i ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� ORKSATISFACTORY:PROCEED CI PROJECTCOMPLETE
W ❑CORRECT WORK&PROCEED !- ISSUE CERTIFICATE OF OCCUPANCY
0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONW�TNIN HOURS. ❑ PHOTOTAKEN
INSPECTOR WILL RETURN
0 STOP ORDER POSTED.CALI INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 for the next in�ection 24 hours in advance. (952� 249-46��
OwnedContractor on site:
Inspector. �
White Copyllnspector's File Canary CopylSite Notice