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Home My WebLink About2010-00420 - gas fireplace CITY OF ORONO PERMIT NO.: 2010-00420 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 06/02/2010 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 : RES[DENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 3,800.00 NOTE: 1 I IEAT N GLO ESCAPE 36DV APPLICANT MECHANICAL 50.00 FIRESIDE HEARTH & HOME STATE SURCHARGE MECH(VALUATION) 1.90 2700 FAIRVIEW AVE ROSEVILLE, MN 55113 MAIL-IN FEE 2.00 (651)633-2561 MISC FEE 0.00 Minnesota State License#: 20512060 TOTAL 53.90 OWNER ANDERSON, RICHARD 3205 CRYSTAL BAY RD WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall bc performed according to thc approved plans and specifications,applicable City approvals,and the State Building Code. This permit is Yor only the work described and does not grant permission for additional or rela[ed work which requires separate permits. All provisions of laws and ordinances goveming 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 dye cause. �l'1�A.�.0 (�r�- i i ��1'K--�--,�. � � Applicant Permitee Signature Date [ssued By ignature Date SEPARATE PERMITS REQU[RED FOR WORK OTHER THAN DESCRIBED ABO FOR C1TY USE ONLY O¢p�O City of Orono P.O.Box 66 Date Received: Permit# 2750 Kelley Parkway � r'''• �r� Crystal Bay,MN 55323 Approved By: Amount$: .��o�>' (952)249-4600 CITY OF ORONO-MECHANICAL PERMIT (All Commercial permi�s must be approved by the Building Official or Inspector and/or Fire Marshall) GENERAL INFORMATION 1. 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 BEC1N UIYT[L THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Desi�ns—Complete calculations,details and specifications are required for each heat'►ng,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 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 notice required) 7. House Heating Test Record must be submitted before final. TYPE OF PERMIT (Check All That A ( [�Residential C0 Commercial(Approval Required) `�� New ❑Additional ❑ Repairs ❑Replace Job Site/Owner Information: Site Address: 3 �o S C�y S-��, � (3 �.,-� �� Owner: �...ee s c. An��sc� n Mailing Address: �G s' C�ys�a( B ti r �� City: Jn�a�2c.� � �Y► i� Z1P: 5S �J`/ Home Phone: Alternate Phone: !�1�- � 70-.3�/5'!r Contractor Information: Contractor: Contact Person: •es,tnc. dba Fireside Hearth 8� Home Address: State Bond#: �icense 2os�2oso Z�ee�r-�niNiRW AV6. Roseville, MN 55113 City: Zip: Expiration Date: s51l833-2sst Phone: Alternate Phone: ❑ Insurance-Current: 1 t , • MECHANICAL SYSTEMS BEING INSTALLED Note: All Geothermal Systems will now require a Site Plan& Review by our Building Official. IS THIS GEOTHERMAL? ❑ Yes ❑No HEATII�IG 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: �t�c�� /�� C� Wood Burning Fireplace Q Wood Stove Model No.: �$G�(�C 3G � ✓ Wood Stove With Flue 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 Marshall if proposing to abandon tank in place.) ❑ [nstaltation � Removal Fuel Oil: gallons ❑ Underground � Inside �Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill � Other/List What&Where: 2 a � ' 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 ofthe following requirements: 1. Does not require modification to electrical or gas service. 2. Has a-total co�-t-of$500.00 or less;excludin�the cost of the fixture or appliance:and 3. Is improved,ii�stalled or replaced by the homeowner or licensed contractor. Skip next section, if this applies; Cost of Permit $ 15.00 State Surcharge $ .50 Mail-In Fee(If Applicable) $ 2.00 Totai Permit Fee $ PERMIT FEE CALCULATION 5 -JOBS OVER $500.00 [f above does not apply;follow guidelines below: l. CONTRACT PR10E * is 1.25%of contract price with a(Minimum Fee of$50.00) 3��• �� x.0125$ s�• � (contract pnce) (minimum$50.00) 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50) _ ;� $'(J!� .� x.0005 $ l / d (contract price) (minimum$ .50) 3. POSTAGE& HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $s3 ,�� * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted work i�cluding materials, labor, profit, and other fixed costs. [t 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 AAPLICATION 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: i?',✓�.� Date: S a'� /D Reset Form 3