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Home My WebLink About2010-00286 - fireplace - gas ' CITY OF ORONO PERMIT NO.: 2010-00286 , 2750 KELLEY PARKWAY ORONO, MN 55356- DATE IssuE�: 04/29/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 3205 CRYSTAL BAY RD PIN : 17-117-23-41-0011 LEGAL DESC : TOWNSITE OF LANGDON PARK : LOT 001 BLOCK 002 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 3,500.00 NO"I�E: GAS FIREPLACE-HEAT N GLO SOH024 APPLICANT MECHANICAL 50.00 FIRESIDE HEARTH& HOME STATE SURCHARGE MECH(VALUATION) 1.75 2700 FAIRVIEW AVE ROSEVILLE, MN 55113 MAIL-IN FEE 2.00 (651)633-2561 MISC FEE 0.00 Minnesota State License#: 20512060 TOTAL 53.75 OWNER ANDERSON,RICHARD 3205 CRYSTAL BAY RD WAYZATA,MN 55391- 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. Al►provisions of Iaws 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 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. `�'Yt. `G�.e.0 !�v i l � C�'l�(.�'r�� i i Applicant Permitee Signature Date Issued By i nature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E. -� � FOR CITY USE ONLY O,¢��O City of Orono P.O.Box 66 Date Received: Permit# , 2750 Kelley Parkway � �;�g• x Crystal Bay,MN 55323 Approved By: Amount$: , , " ; o` 952 249-d600 �esHor� ( ) CITY OF ORONO—MECHANICAL PERMIT (All Commerciai permits must be approved by the Building Official or Inspector and/or Fire Marshail) GENERAL INFORMATION 1. You may apply for mechanical permits by mail or in person at the City ottices. Applications will be reviewed and a permit wiU be issued within two working days. 2. Permit cards witl be sent by return mail after a review is compteted. PERMITS ARE NOT VALID LJN'I'IL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNT1L THE PERMIT CARD IS POSTED ON THE JOB S1TE. 3. Mechanical Desi�ns—Complete calculations,details and specificaUons are required for each heating,ventilation,humidification-dehumidification,and air conditioning installation including heat losslt►eat gain calculation,design temperatures,equipment ratings and identitication as to type,manufacturer and model. Data shall be presented on form provided. 4. When any new consttuction 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. (2448 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: �2o.S' C r.�s�� -� I��C Owner: L e�5�. �,��s�^ Mailing Address: 3�o S G�y s�a/ �3aJ. le� c�ty: O/'o� o ziP: S,S 39� Home Phone: Alternate Phone: Contractor Information: Contractor: Contact Person: Heartn&Home Tecnnoiogies,inc. me License 20512060 Address: State Bond#: 2�0o N. Fa'�"'e`" A�e. E511b33-2561 City: Zip: Expiration Date: 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 HEATING 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: ��(,�o Wood Burning Fireplace Q Wood Stove Model No.: S O�0 2 cf Wood Stove With Flue VENTILATION ❑ No. Kitchen Eachaust duct recirculating cfm ❑ No. Bath Exhaust(must have duct outside) cfm ❑ No. Other Fans: Locations cfm FUEL STORACE (Must be approved by Ffre Marshall ifproposing to abandon tank in place.) ❑ lnstallation � Removal Fuel Oii: 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 ap�liance that meets all three of the following requirements: 1. Dces not require modification to electrical or gas service. 2. Has a total cost of$500.00 or less;excludine 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 S 15.00 State Surcharge $ .50 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ PERMIT FEE CALCULATION S -JOBS OVER $SOQ.00 lf above does not apply;follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimuro Fee of$50.00) 35�•w x.0125$ ��-� (conUact price) (minimum$50.00) 2. STATE SURCHARCE ** Add the State Bldg Code Div.Surcharge(Minimum Fee of$.50) 3 S�• � x.0005 $ � . �S (contract price) (minimum$ .50) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMiT F'EE(Add Lines 1-3 Above) $ j� .7s ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted work inciuding 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. ■ **The STATE SURCHARGE is.0005 of the Building Department at(952)249-4600 for the price. 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: `� �Go �D Reset Form 3 � � / C�� V DATE TIME CITY OF ORONO �LLED IN � �� b INSPECTION N TICE SCHEDULED / � � PERMIT NO. "0�2�� COMPLETED ADDRESS �� - "-"�-' OWNER � TELEPH E NO.J��J �3 ��7/ CONTRACTOR � �L/ �: DESCRIPTION � �u-- Q`--�" � l� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FiLLING Q ❑ POURED WALL �'NfECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Z 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 J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � � O a � O � W � Q � Z W � W � j d - ��iNORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � �CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN �CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Ca11 forthe next inspection 24 hours in advance. (J52� 249-46�� OwnerlContractor on sit�". i ' Inspector. < � White Copyllnspector's File Canary CopylSite Notice