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Home My WebLink About2011-01274 - gas fireplace CITY OF ORONO PERMIT NO.: 2011-01274 . 2750 KELLEY PARKWAY . ORONO, MN 55356- �ATE �ssuE�: 10/19/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 930 COX FARM RD PIN : 27-118-23-33-0013 LEGAL DESC : SHADOWOOD FARM : LOT O10 BLOCK 001 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 5,150.00 NOTG: FPX MODEL 98500213 FP SEl�AND VENT -HOOK TO GAS LINE RUN BY O"1�11ERS APPLICANT MECHANICAL 64.38 WOODLAND STOVES& FIREPLACES STATE SURCHARGE MECH (VALUATION) 2.58 2901 E. FRANKLIN AVE. MINNEAPOL[S, MN 5540:r MAIL-IN FEE 2.00 (612)338-6606 MISC FEE 0.00 TOTAL 68.96 OWNER I<ILLINGSTAD, MR. & MRS. 930 COX FARM RD LONG LAKE, MN 55356 AGREEMEIVT AND SWORN STATEMENT '1'hc��ork for��-hich this permit is issued shall bc performed according to the approved plans and specitications,applicable City approvals,and the S[ate Building Code. This permit is for only the work described and does not grant pennission}or 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 l80 days of the date of issuance,or if construction is suspcnded for a period of 180 days at any time after work has commenced. The applican[is responsible for assuring all required inspections are requcsted in conformance with the State Building Code.This permit may be revoked at any time for due cause. `�rj,�t'!�.-c-P �-r� � � l l Applicant Permitee Signature Date Issued By � ature ate SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO �.� ��imY us�oNLY � �,�p�� City of Orono '''� '`� `' � 'i ' �' , f P.O.Box 66 Date Received `�'� ' �'�iPec'mrtN�,1 � �� qt-� 2750 Kelley Parkway ' ' ��'� .� �i ^�;<�: �.� Crystal Bay,MN 55323 Approved By Amount$. �e��nao�' Phone(952)249-4600 Fax(952)249-4616 �' � \sasoa� CITY OF ORONO—�17ECHANICAL PERMIT (All Comtne�•cial permits must be approved by the Building Official or Inspector and/or Pire Marshall) � �.,�'e�i�IQ1V��..,. � GENERA�INFO„ � �. ;i° L You may apply for mechanical permits by mail or in person at the City offices. Applications will be reviewed and a perniit will be issued witlun two working days. 2. Pernut cards wi11 be sent by return mail after a review is completed. PERMITS ARE NOT VALID iJIvTIL YOU RECEIVE A PERMIT. WORK 1VIUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITF,. 3. Mechanical Desiens—Complete calcularions,details and specifications are required for each heating, ventilation, humidificatiou-dehunudification,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 prescnted on farm provided. 4. When any new const�uction oz zeinodeling is involved,a separate building permit must be obtained. 5. All work must be done ut accot'dance with the Uniform Mechanical Code!State Building Code requirements. 6, All work must be inspected(rough-in and final). Call(952)249-4600. (24-A8 hour notice required) 7, House Heating Test Recard must be submitted before final. , �;�, ' '` TYPE OF l'LR.'VI1T'� � ��, ; ,�.,,r'�,' ' {Check,All,That.App1'y} ,� 1 �`"' ' [�Residential ❑Commerciai(Approval Required) ❑ Ne�v ❑Additional ❑Repairs ❑Replace Job�Site/,Ownei•'�'�iiformation � � �'` ��'�'�"�' � �M,r.��..�,��,�� „ �,�';I �� _ � Site Address: ��C� l�G,�' �—,��N( �C�%�v , � Owner: ��'115 ��I�1 C�S�l� Mailing Address; �l� ��L 1� �i�(��T �s�c� � ; City: � /�� i t�� Zip: S��`�� Horae Phone: Alteniate Phone: ��-��— ��—3c!'�o� � ilF��FI'� � �F.ii,r' t 6+y�ri;�r� . . � �outractor rnfozmatzc�n;4,ar • ', ,. �,i � ,��,;� �� y � ' Contractor; Ci��'��/-�'i'1�] �77i�� ..� Contact Person: �"1 ��-/ H t'L-�./�-��5 � Address: �� n J�'��,:� State Bond#: �� Z�� City: ��'�,��! � ' D(-( Zip:_SS�lX�Expiration Date: L� �/ 2�G/�. Phone: �%�/�—��'�v�'0� Alternate Phone: (L'�� S�' ��5 ❑ Insurance—Current: �'/�� /3�/��- 1 , , � ,� � ,l��,�.,�' � �; � � c� � � �z�°'��`;��,;��,: Note: All Geothernlal Systems will now require a Site Plan&Review by our Building Of�cial. IS THIS GEOTHERMAL? ❑ Yes [�No HEATING SYSTEMS '� Quantity, Make: ; Model: Fuel: Flue Size: Input BTUs: Output BTUs: CFM; COOLING SYSTED7S Quantity; Make: Model: Tons: H.Power FIREPLACES [� Gas Factory Fireplace Brand Name: 1�T 7� ❑ VJood I3urning Fireplace p /�� Wood Stove Model No.: �p '��j l_.��) — VVood Stove wiili Flue/Masonry �T � ��E�T— �oo,� Ta ��45 ��'t� VENTILA 1ION ��iN �� GTtf��-5 ❑ No. ICitchen�xhaust duct recirculating cfm ❑ No. Bath Exhaust(must l�ave duct outside) cfm ❑ No. Otller Fans: Locations cfm FiJEL STOKA(GE (Mttst be approved by Fire��farskall if praposing to aba�idon tank in pince.) ❑ Installation ❑ Removal rttel Oil: gallons ❑ IJndergroutid ❑ Inside ❑ Ot�tside LP Gas: galions Other: GAS LINE ONLY ❑ Outdoor Grill ❑ Other/List What&Where: 2 �,�, �,_� , �� . ��;,!� � ' ''-''PE R��]IT I�E�, Gr�_L,C;U LAT[ON(S) ��;�, 3 a�,�;�,� :;� ��, '�� ii.�ilf}I��f r'�, � � , , , �;:� , _i.'� �li {,,�;,t �'' :sl�s�i� o�� - Zac�� sT��TE_s�r��vE� . � ,; ❑ Yes,this section applies The replacement of a Residential fixture or an�liance that maets all three of the following requirements: 1, Does not require modification to electrical or gas service. 2. Has a total cost of$500.00 or less; exchidine 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 $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Tota!Permit Fee $ '� +r i:(� � �. � � �,� � ��:" ti� ;u�� ,,,�i ! t i,t�a�•.- �� ,,,�:.:�� _i. If above does not apply;follow guidelines below: l. CONTRACT PRICE *is 1.25%of contract price with a(Minimun�Fee of$50.00) .�1� , ��; X.ot2s� � �� (conh act price) (mtnimu m$50.00) 2. STATE SURCHA.RGE � � x,0005 $ (cont��act price) 3. POSTAGE&I-IANDLING(Only on Maii-In Applications) $ 2.00 4. TOTAL YERMIT FEE(Add Lines 1-3 Above) $ f�� •�(o ■ * CONTRACT PTLICE or JOB COST means the actual or estimated dollar amount charged for the permitted work including materi�ls, labor,profit, and other fixed costs. If is the amount to be charged to the customer for the work done. If any material, equipment, labor or installations are furnished by 11ie otvner, tenant or any other party, the reasonable market value of such items must be added to the estimated cost ar contract price for permit fee purposes. In the event that there is a dispute on flie amount of the job cost, the City may request the snbmission of a signed copy of the actual contract. i` '�I''q`;, � �;-n°� ( i: 's�' 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, t�•ue and correct. � , , 1��1'LC� ��-�� Applicant s Signature. Date; (/ ��) 3 �� / D TIME V CITY OF ORONO CALLED IN L D �l INSPECTION NOTICE (� SCHEDULED _/ - �-/1 �.'d� PERMIT NO.��L� �� I COMPLETED ADDRESS 43� � ��K � OWNER �LE�ONE NO.� �Z �J .�L� �� CONTRACT�R 1�� >; DESCRIPTION � �� t� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J 0 a � 0 � W � Q � z W � W � � GW�+i(eRKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE � ❑CORRECT WORK 8�PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CQRRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTIONREOUIRED.CA�LTOARRANGEACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-460� Owner/Contractor o site: Inspector. White Copyllnspector's File Canary CopylSite Notice (� �� // DAT TIME � CITY OF ORONO CALLED IN t C ' INSPECTION N C SCHEDULED � PERMIT N0. ��7�COMPLETED ADDRESS_�L � �� OWNER ' TELEP NE NO. � - 7� CONTRACTOR `' " '' DESCRIPTION C�t.t,/� S " � >. � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FI LI G Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOfl TO MEET YOU:_YES_NO � COMMENTS: � W a o ��,�? ��. ; �Q f � �}� ��-- � 0 � W � Q ti Z W � W � � d' ��,�'"� u�[._i wu�i�ATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT 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 ❑STOP OFiDER POSTED.CALL INSPECTOR � CITATION ISSUED O INSPECTION REQUIRED.CALLTO ARR NGE ACCESS. Cail for the next inspecti 24 hours in advance. (952� 249-46�� OwnerlContractor on site: Inspector. � White Copylinspector's File Canary CopylSite Notice