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Home My WebLink About2011-00710 - gas fireplace CITY OF ORONO PERMIT NO.: 2011-00710 2750 KELLEY PARKWAY ' ORONO, MN 55356- �ATE IssUED: 07/27/2011 � 952 249-4600 FAX: 952 249-4616 ADDRESS : 120 CREEK RIDGE PASS PIN : 03-117-23-12-OO14 LEGAL DESC : CREEKSIDE IN ORONO : LOT 003 BLOCK 001 PERM[T TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 6,000.00 NOTE: (1)GAS FIREPLACE AND(1)WOODBURNING GIREPLACE APPLICANT MECHANICAL 75.00 CONDOR FIREPLACE& STONE CO. STATE SURCHARGE MECH (VALUATION) 3.00 8282 ARTHUR ST NE SPRING LAKE PARK, MN 55432 MA[L-IN FEE 2.00 (763)786-2341 TOTAL 80.00 OWNER GUSTAFSON, M[CHAEL& SUSAN 1000 SHELARD PKWY#300 MINNEAPOLIS, MN 55426- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performcd 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[his type of work shall be compied with whether or not specified herein.This permit will expire and become nuli and void if construction authorized is not commaiced 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 Statc Building Code.This permit may be revoked at any time for due cause. `;y� vl'�._. l l l l Applicant Permitee Signature Date Issued By Si ature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E. _ � FOR C1TY USE ONLY � � "0"''<� City of Orono ' '' � � P.O.Box 66 Date Received: I'ermit# � �`,�i 2750 Kelley Parkway � 1"� �' Crystal Bay,MN 55323 Approved By: Amount$: ' , o�'� Phone(952)249-4600 Fax(952)249-4616 ...,;.,1,!R.�cog�i'� CITY OF ORONO—MECHANICAL PERMIT (All Commercial permits must bc approved by the Building Ofticial or Inspector and/or Fire Marshall) GENERAL INFORMATION L You may apply for mechanical pern�its by mail or in person at the City offices. Applicarions will be reviewed and a permit will be issued within two warking days. 2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECENE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Desi�ns—Complete calculations,details and specifications are required for each heating,ventilation,humidification-dehumidification,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 presented on form provided. 4. When any new construction or remodeling is involved,a separate building permit must be obtained. 5. All wark 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 notice required) 7. House Heating Test Record must be submitted before final. TYPE OF PERMIT Check All That A 1 ) �Residential ❑ Commercial(Approval Required) ❑ New ❑ Additional ❑Repairs ❑ Replace Job Site/ Owner Information: Site Address: f— " Owner: Mailing Address: City: O t� �t,U Zip: Home Phone: Alternate Phone: Contractor Information: , Contractor: � Contact Person: ti 1'eV'�� 0ze�t Address: � � . �� State Bond#: �" .5 � �� City: �.,.d Zip:J��Expiration Date: �O " ��.� Phone: �Cs — � ' .Z Alternate Phone: ❑ Insurance—Current: s 1 � ' ;MECHA�II�AI, SYSTEMS BEING II��TALLED ' ' `' Note: 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 � �a fi- nf -Cp ( Gas Factory Fireplace Brand Name: Wood Burning Fireplace ''- 00 � Wood Stove Model No.: �„v�„�n _ �� Wood Stove with Flue/Masonry VENTILATION 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 Marsha/l ifproposing to ubandon tank in place.) � Installation � Removal Fuel Oil: gallons ❑ Underground�Inside❑Outside LP Gas: gallons Other: GAS LINE ONLY � Outdoar Grill ❑ Other/List What&Where: 2 , —___ � � � � � �� PERMIT FEE CALCULATION�(S) � � � � BASrD OFF - 2002 STATE STATUE � Yes,this section applies The replacement of a Residential fixture or appliance that meets 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;excludin�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 $ I5.00 State Surcharge $ .50 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ �- PERM�T FEE CALCULATION(S)-JOBS 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�50.00) x .0125 $ (contract price) (minimum$50.00) 2. STATE SURCHARGE x .0005 $ (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) � �� , C7� ■ * 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. If 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. MECHANICAL:PERMIT'APPLICATION AGREEMENT The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all wark 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, tnie and correct. Applicant's Signature: Date: —o "' I� Reset Form 3 `�� '� T � � TIME � ` CI OF ORONO � CALLED IN � � INSPECTION N TICE SCHEDULED � �% � � � ' PERMIT NO. ' L � ^�� COMPLETED �_ ADDRESS �v�C' ��'�L � /O��A[; �C�� OWNER TELEPHONE,[�O. �r��'-6��.�/9(�, CONTRACTOR � �G�?'I�(.�. F �/ � DESCRIPTION .�'y �f IC(�'� %�� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O ❑ 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/CONTRACTORTOMEETYOU�YES_NO _.. ____... __.�.___� � COMMENTS: � W � � J O �. � O � W � Q � Z W � W � � d � ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W RRECT WORK&PROCEED r� ISSUE CERTIFICATE OF OCCUPANCY O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. �; pHOTOTAKEN INSPECTOR WILL FETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REOUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (J52� 249-4600 OwnerlContractor on site: r Inspector. ' ✓ � � White Copyllnspector's File Canary CopylSite Notice