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Home My WebLink About2009-00675 - gas fireplace � ' CITY OF ORONO PERMIT NO.: 2009-00675 2750 KELLEY PARKWAY ORONO, MN 55356- DATE Iss[7En: 10/06/2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 185 CYGNET PL PIN : 04-ll 7-23-23-0011 LEGAL DESC : SWAN LAKE ADDN : LOT 008 BLOCK 001 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RES[DENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 3,500.00 NOTE: KOZY HEAT GAS FACTORY FIREPLACE-MODEL NO.CHASKA 335 APPLICANT MECHANICAL 50.00 GAS LINE PLUS, INC. STATE SURCHARGE MECH(VALUATION) 1.75 1661 LONSDALE BLVD TOTAL 51.75 NORTHFIELD, MN 55057- (6l2)414-4243 OWNER EZELL, ROXANNE& ROGER 185 CYGNET PL LONG LAKE, MN 55356 AGREEMENT AND SWORN STATEMENT The work for which this permit is issucd shall be performed according to the approved plans and specifications,applicable City approvals,and the State[3uilding 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 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 I 80 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 inspec[ions are requested i onformance with the State Building Code.This permit may be revoked a an ti �for due cause. � - - • lvi i �`� Q'�/L /�i D�oi D A ican ermitee Signature Date Iss By ignature Date SEPARATE PERMITS REQUIRED FOR WORK THER THAN DESCRIBED ABOVE. � t � FOR CITY USE ONLY � �,�p�� Cit��of Orono /� �} �j�7 P.O.13ox 66 Date Received: �ermit# �OD! � �`�` i��,,,, �� 2750 Kelley Parkway �� 1�"�� "� �� Crystal Bay,MN 553'3 Approved By: Amount$:��' �� ti ��A ��,�i��$�j t9sz�za��-a�,00 \��axo� CITY OF ORONO —MECHANICAL PERMIT (All Commercial pern�its must be approved by lhe Buildii�g Official or Inspector and/or I�ire Marshall) GENERAL 1NFORMATION � 1. You may apply for mechanical pernuts by mail or in person at the City offices. Applications will be reviewed and a permit��ill be issued within two working days. 2. Pernut cards v��ill be sent by return mail after a revie��is completed. PERMITS ARE NOT VALID UIvTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED O'� THE JOB SITE. 3. Mechanical Desiens—Complete calculations, details and specificarions are required for each heating. ventilation, humidificatioi7-dehumidification, and air conditioning installarion including heat loss/heat gain calcularion, design temperatures,equipment rarings and identification as to type, manufacturer and model. Data shall be presented on form provided. � 4. When any new construction ar remodeling is involved, a separate building pernut must be obtained. 5. All work must be done in accordance with the Uniform Mechanical Code/State Building Code requirements. 6. Al] 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 Apply) �.Residenrial ❑ Commercial (Approval Required) ❑ Ne�� ❑ Additional ❑ Repairs ❑ Replace Job Site/ Owner Information: Site Address: l �� /1 �� Owner: ��SPr ,��Q�� Mailing Address: ��-� � �P 7� �� City: ��e Zip: S,� �S� Home Phone: �S.Z- �y�'-��3 Alternate Phone: Contractor Information: Contractor: Gc,� �«P ��(,�� Contact Person: /�.� C�" Address: l(�(v� •�o.�,s��le ,�eU� State Bond #: ��2�G�S Cit_y: /U�� ' Zip:�37�5'7Expiration Date: �'o2S- -�Lv(U Pnone: �� -`fif�= Y�Y3 Alternate Phone: ❑ Insurance- Current: 1 � + MECHANICAL:SYSTEMS BEING INSTALLED Note: All Geothermal Svstems will no��require a Site Plan &Review by our Building Official. IS THIS GEOTHERMAL? ❑ Yes �No HEATING SI'STEMS Quantity: Make: Model: Fuel: Flue Size: Input BTlis: Output BTUs: CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H. Power FIREPLACES � Gas Factory Fireplace Brand Name: �Cs �� ❑ Wood Burning Fireplace ❑ Wood Stove Model No.: �q,s � �3.5`— ❑ Wood Stove With Flue �'ENTILATION ❑ No. Kitchen Eahaust duct recirculating cfm ❑ No. Bath Exhaust(must have duct outside) cfm ❑ No. Other Fans: Locations cfm FUEL STORAGE (Must be app�•oved bl�Fire Marshall if pi�oposing to ahandon ta�ik in place.) ❑ Installation ❑ Removal Fuel Oil: �allons ❑ Underground ❑ Inside ❑ Outside LP Gas: gallons Other: GAS LINE O�'LY ❑ Outdoor Grill ❑ Other;List What&Where: � . � PERMIT FEE CALCULATTON(S) � BASED OFF - 2002 STATE STATUE ❑ Yes.this section applies The replacement of a Residential fi�ture or appliance that meets all three of the following requirements: 1. Does not require modification to electrical ar 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 ar licensed contractor. Skip ne�t section. if this applies; Cost of Permit $ 15.00 State Surcharge $ .50 Mail-In Fee (If Applicable) $ 2.00 Total Permit Fee $ PERMIT FEE CALCULATIOI�i(S) —JOBS OVER $500.00 If above does not appl}�; follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contracT price with a(Minimum Fee of$50.00) � 3�5��"� X .oizs $ (contract price) (minimuin$50.00) 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of�.50) x .0005 $ (contract price) (minimum� .50) 3. POSTAGE &HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charaed for the permitted work including materials, labor, profit, and other fixed costs. It is the amount to be charged to tl�e 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 Ciry may request the submission of a signed copy of the actual contract. • **The STATE SURCHARGE is .0005 of the Buildin�Department at(9�2) 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 accardance 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: �U �o T> 7 3 1 / �� M TIME �/ CITY OF ORONO CALLED IN �� v7 INSPECTIO NOT CE SCHEDULED � � PERMIT N � � �COMPLETED ADDRESS � �- OWNER CONTR.0 C�� L � � ��lS TELEPHONE N0. � (a` - "► � `� — �-t �`t'� � DESCRIPTION � - ��%`�✓ (/J� � ❑ FOOTING � MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE O ❑ 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 I AL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU: ES_NO � COMMENTS: � W a � J O . `� , � _�7 i� Y 5. �,� c r �-E S '�-- o r.-, W ��,..��r� �, l � Q � z w � W � � G ./ � WORKSATISFACTORY:PROCEED C� PROJECTCOMPLETE W ❑ RRECT WORK&PROCEED ^_. ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑ CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WlLL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 2a hours in advance. (952� 249-4600 OwnerlContractor on sitey Inspector. �-..-� � �/- i � 1 �� White Copyllnspector's File Canary CopylSite Notice