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Home My WebLink About2008-00376 - gas fireplace � CITY OF ORONO PERM[T NO.: 2008-00376 ' 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 1U10/2008 952 249-4600 FAX: 952 249-4616 ADDRESS : 35 CRYSTAL CREEK RD PIN : 33-118-23-33-0002 LEGAL DESC : CRYSTAL CREEK : LOT 001 BLOCK 001 PERMIT TYPE : MECHAN[CAL(>$500) PROPERTY TYPE : RES[DENT[AL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 3,478.00 APPLICAIYT MECHAN[CAL 43.48 STATEWIDE GAS SERVICES STATE SURCHARGE MECH(VALUATION) 1.74 201 WEST MAIN MN 55387- MAIL-[N FEE 1.50 (952)447-7185 M[SC FEE 0.00 TOTAL 46J2 OWNER KOEHLER, STEVEN& ANNE 35 CRYSTAL CREEK RD LONG LAKE, MN 55356 AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approvcd plans and specifications,applicable City approvals,and the State I3uilding Code. This permit is for only the work described and does not grant permission for additional or relatcd work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specitied herein.This permi[will expire and become null and void if construction authorized is not commenced within 180 days orthe 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. / / / / Applicant Permitee Signature Date Issued I3y Si ature Date SEPARATE PERM[TS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � ` FOR CITY USE ONLY `-�,'�` City of Orono ��¢ `r ' P.O.Box 66 Date Received: Permit# ��, ��'�� 2750 Kelley Parkway `� ��'�!- �� Crystal Bay,MN 55323 Approved By: Amour�t$: �'�,�;;��o�� (952)249-4600 !vtssNo!� CITY OF ORONO-MECHANICAL PERMIT (All Commercial permits must be approved by the Building Official or[nspector 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 BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Desiens-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 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 1 � Residential ❑Commercial(Approval Required) ❑ New [�Additional � Repairs ❑Replace Job Site/Owner Information: Site Address: � �^V��i � �,1 f+��- �L� Owner: `'��''v� � �c h� �� Mailing Address: ��'��-r�� ' Lr$6� ;�c-� City: L�v1 W �-4�=��(;�Tov�o Zip: �- h�'i`;l'D Home Phone: �Jr,��'!�'� �� P� Alternate Phone: � Contractor Information: Contractor: ��i��-��L"'��>>.k'��'t�y Contact Person: ��I � "�`" Address: �.U� �n.�• �trhi 6't�� State Bond#: a`��u�>� � City: U1r�� Zip:�� Expiration Date: ��- � d� Phone: � �" �' ��"� �l l � Alternate Phone: l��"��""y'1 u�' ❑ Insurance-Current: i I�r v� I "'�l'`� 1 i MECHANICAL SYSTEMS BEING INSTALLED Note: All Geothermal Systems will now requ' e 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: �--Op� ❑ Wood Burning Fireplace ❑ Wood Stove Model No.: �C9��Ginl�n �S ❑ Wood Stove With Flue ]i;r��4(if'�2��, U}` �-�i- �u i`��: ��"�+"� VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfm � No. Bath E�chaust(must have duct outside) cfm � No. Other Fans: Locations cfm FUEL STORAGE(MUST BE APPROVED BY FIRE MARSIiALL) � Installation ❑ Removal Fuel 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�pliance 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;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 $ 15.00 State Surcharge $ .50 Mail-[n Fee(If Applicable) $ 1.50 Total Permit Fee $ PERMIT FEE CALCULATIGI�I"S -J�BS 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$35.00) `-� � � (�� 3y / � '``� x .0125 $ : —I (contract price) (minimum$35.00) 2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(Minimum Fee of�.50) 5 `��, .�� x.0005 $ � . � � (contract price) (minimum$ .50) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ �-�'�� ■ * 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. ■ ** 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 stat me s made on this application are complete, true and correct. � Applicant's Signature: Date: �� p�,'��_s��d� Reset Form 3 �� C� pATE TIME " CITY OF ORONO CALLED IN �� `a�/� INSPECTIO�J N/'�, CE SCHEDULED / D �, •� PERMIT NO.Lh/�� _� COMPLETED ADDRESS �� f c�II��L F�C OWNER CONTR. /��c�2_. TELEPHONE NO. �� ^ O �6 � � DESCRIPTION �h� � I�/ re,��G��—�� ❑ FOOTING � MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEP IC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU• YES_NO � COMMENTS: � W a � J O � � O � W � Q � Z W � W � � � d W� ❑WORKSATISFACTORY:PROCEED PROJECTCOMPLETE W ❑COFRECT WORK&PROCEED � I UE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CALL FOR REINSPECTIOfV TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR W4LL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR O INSPECTION REOUtRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. �952� 249-46QQ Owner/Contractor qn s� Inspector. i ��=�� White Copyllnspector's File Canary CopylSite Notice DATE TIME ✓ CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO. �L3 ��h COMPLETED �� ADDRESS 3 S � 'F`� S '�� C-r�e� rZ G-� OWNER CONTR. '`3'�� +�'c��e G��S TELEPHONE NO. � DESCRIPTION �'�� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FR,4MING ❑ MECHANICAL FINAL ❑ LAKESHORENVETLANDS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE Q ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT � ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP i ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL � ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � O �S 1- . � � � 'Tc �"� — � � � O � W � Q � Z W � W � � d ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY O ❑ C�RRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pH0T0 TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CAIL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-46QQ OwnerlContractor on site: Inspector. ` White Copyllnspector's File Canary Copy/Site Notice — " DATE TIME ✓ CITY OF ORONO CALLED IN ��-�� INSPECTION OT hCE SCHEDULED ��-�Z-'d a:� PERMITNO.��a -ao37� COMPLETED 1� t� ADDRESS 35 �L1 S�� /"�e�- /�� OWNER CONTR. cS��w��-� TELEPHONE NO. 952 '�5�2- 3�7 3 � DESCRIPTION �r � � ❑ FOOTING � MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP ? ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOFi TO MEET YOU:_YES_NO � COMMENTS: � W � k � O � � O � W � Q ti Z W � W � � d W� �WORKSATISFACTORY:PROCEED f� PROJECTCOMPLETE W ❑ CORRECT WORK&PROCEED r ISSUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR '� CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Ca11 for the next inspec�ion 24 hours in advance. (952� 249-4600 Owner/Contractor o Inspector. White Copyllnspector's File Canary CopylSite Notice