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Home My WebLink About2010-00937 - gas fireplace , t CITY OF ORONO PERMIT NO.: 2010-00937 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 10/04/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 2515 COUNTRYSIDE DR PIN : 04-117-23-11-0007 LEGAL DESC : COUNTRYSIDE MANOR : LOT 003 BLOCK 002 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RES[DENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 3,000.00 NOTIi: HF.AT N GLO GAS FnCTORY I'[RGPLACE 0 MODF;I,#8000 CLX APPLICANT MECHANICAL 50.00 FIRESIDE HEARTH& HOME STATE SURCHARGE MECH (VALUATION) 5.00 2700 FAIRVIEW AVE ROSEVILLE, MN 55113 MAIL-[N FEE 2.00 (651)633-2561 TOTAL 57.00 Minnesota State License#: 20512060 OWNER KAHLER, CHRIS& DELPHINE 2515 COUNTRYS[DE DR LONG LAKE, MN 55356- AGREEMENT AND SWORN STATEMENT 'l�he work for which this permit is issued shall be perfonned according to the approved plans and specifications,applicable City approvals,and the State E3uilding Code. This permit is for only the work described and does not grant pennission for additional or related work which requires separate permits. All provisions ot�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 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 a any time for due cause. /' .[.C.� �� ' � �. ��l � l /�i Applicant Permitee Signature Date Issue y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. • ' F�R [ USE ONLY ,¢�� City of Orono J(J O O P.O.Box 66 Date Received: ��ermit# �Q"� ��, 2750 Kelley Parkway .�"�J a �`'�• � Crystal Bay,MN 55323 Approved By: Amount$:✓ /� �'� '�' '��. o` Phone(952)249-4600 F�(952)249-4616 ��Hoe� CITY OF ORONO—MECHANICAL PERMIT (All Commercial permits must be approved by the Building Official or tnspector 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 UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTiL THE PERMIT CARD [S POSTED ON THE JOB SITE. 3. Mechanical Desi�,ms—Complete calculations,details and specifications are required for each heating,ventilation,humidification-dehumidification,and air conditioning installation including heat loss/heat gain caiculation,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 noNce 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 Job Site/Owner Information: Site Address: o�S /S C o u r+ ��r s)�c ��• Owner: Mailing Address: ��/.� G oU��l�.�s,`�(c �r City: O�o n o 'Lip: ��'-'S3 S!� Home Phone: Alternate Phone: Contractor Information: Contractor: Contact Person: Hearth&Home Technologies,Inc. Address: State Bond#: dba F�re�ns�2oso n & Home Lisonse 2700 N. Fairview Ave. City: Zip: Expiration Date:� 651/633-25gN 55113 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 HEAT[NG SYSTEMS Quantity: Make: Model: Fuel: Flue Size: Input BTUs: Output BTUs: CFM: COOLING SYSTEMS Quantity: _ Make: Model: Tons: H. Power FIREPLACES / Gas Factory Fireplace Brand Name: �ea�^ (� I a Wood Burning Fireplace G Wood Stove Model No.: b G-tJlJ C L x Wood Stove With Flue VENTILATION No. Kitchen Exhaust duct recirculating cfin No. Bath Exhaust(must have duct outside) cfin No. Other Fans: Locations cfm FUEL STORAGE (Must be approved by Fire Marshal!if proposing to abandon tank in p[ace.) � [nstallation � Removal Fuei Oil: gallons ❑ Underground ❑ 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: l. Does not require modification to electrical or gas service. 2. Has a total cost of$500.00 or less;excludina the cost of the fixture or appliance:and 3. Is improved,installed or replaced by the homeowner or licensed contractor. Skip next section,ifthis applies; Cost of Permit $ 15.00 State Surcharge $ 5.00 Mail-[n Fee(If Applicable) $ 2.00 Total Permit Fee $ PERMIT FEE CALCULATION S -JOBS OVER$500.00 If above does not apply;follow guidelines below: l. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) 3� .� x.0125 $ 5� �� (conhact price) (minimum�50.00) 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of�5.00) 3�� -`'v x.0005 $ S •�� (contract price) (mioimum S 5.00) 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. [f 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 amount of the job cost, the City may request the submission of a signed copy of the actual contract. ■ **T'he STATE SURCHARGE is.0005 times the Contract Price or a minimum of$5.00. 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: 9 0 Reset Form 3 � ��' ATE TIME � CITY F ORONO �o iN �� INSPECTION J�OTICE /�f'J CHEDULED _;, .�� PERMIT NO.�f�� '�" COMPLET D ADDRESS J`� OWNER • TELE oNE No.�51-�3g-3.3at CONTRACTOR ' >; DESCRIPTION � G��'(/ � W ❑ FOOTING ❑ PLU ING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � O ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL � ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � O � � O � W � Q � Z W � W � � GW �WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � O CORRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY W � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR W4LL RETURN ❑STOP ORDER POSTED.CALI INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (J52� 249-4600 OwnerlContractor n site: Inspector. �� White Copyllnspector's File Canary CopylSite Notice