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Home My WebLink About2009-00002 - gas fireplace ,- CITY OF ORONO PERMIT NO.: 2009-00002 2750 KELLEY PARKWAY . ORONO, MN 55356- �ATE ISSUEn: OUO2/2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 4060 DAHL RD PIN : 07-117-23-I1-0020 LEGAL DESC : PIRATES COVE : LOT 016 BLOCK 001 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 4,620.00 NOTE: 1 HEAT N GLO GAS FIREPLACE APPL[CANT MECHANICAL 57.75 FIRESIDE HEARTH& HOME STATE SURCHARGE MECH (VALUATION) 2.31 2700 FAIRVIEW AVE ROSEVILLE, MN 551 13 MAIL-IN FEE 1.50 (651)6.i3-2561 TOTAL 61.56 Minnesota State License#: 20512060 OWNER NEVE, MR&MRS. JAMES 4060 DAHL RD MOUND, MN 55364- AGREEMENT AND SWORN STATEMENT �I�he work for which this permit is issued shall be perfornied according to the approved 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 related work which requires separatc permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified hereia 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 pemiit may be revoked at any time for due cause. / / / / Applicant Permitee Signature Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCR[BED ABOVE. � FOR C[TY I;SE O�VLY � �� City of Orono ; �� P.O 6ox 50 � Date R��cei��ed: P:rn1i[� %� � �� _'�;0 Kelley Parkway I '�� -�mount 5: ��a �� ,R��' �.�I Crvstal Bav.'�[N��3�3 �PP�o��ed By: E ' �; \ �, a�a, r9�'_) .=t9-a600 <��,�t o�6 � CITY OF ORONO —�IECHaNIC�L PER:�[IT (:�11 Commercial pernli[s mus[be approved by the Buildin;Officiaf or Inipector and or Fire�(arshalll � GE�iER�L I�FOR��IATION 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. PER:�[fTS .-�RE tiOT �"AL[D L'�!T[L YOU RECEI�"E, A PEIL�IIT. W'ORK�IL`ST tiOT BEGIv C,`vTIL T'HE PER�tIT C�RD [S POSTED O� THE JOB SITE. 3. �techanical Desi�ns—Complete calculations, details and�pecifications are required for each heating, �zntilation, humiditication-dehumidification, and air conditioning installatioti incfudin� heat lossiheat gain calculation, design temperatures, equipment ratings and identificacion as to trpe, manufacturer and model. Data shall be presented on form provided. �. W�hen any r.ew con�truction or remodeling is invo(ved, a separate building permit must be obtained. �. ,�I1 work must be done in accordance w�ith the UniTorm�tachanical Code�State Building Code requirements. 6. All work must be inspected(rou�h-in and final). Cail (95?) 249-4600. (2�-48 hour notice required) �. House Heatin�Test Record must be submitted beTor� Final. i T'YPE OF PER�IIT � � (Check All That Applv) � � R�sidential ❑ Commerciaf (.-�pprova( Requiredl T �New ❑ additional ❑ Repairs ❑ Replace TT i Job Site ; Ow�ner Information: Site Address: �`�.0 � ��;�Y� �� — Owner: `' " ��- �� ' Ntailing Address: C ity: Z ip: Home Phone: C'��—C1��--C1�� Alternate Phone: I Contractor Information: Contractor: Contact Person: ��1'�;��`�� 'es,Inc. dba Fireside Hearth 8 Home License 20512080 St3te BOCId �: :�ddress: ��on N Fairviwui�Yo Roseville, MN 55113 651/633-2561 City: Zip� Expiration Date: Phone: Alternate Phone: ❑ Insurance — Current: 1 '� L1ECH_�NICAL SYSTEti�15 BEI�G I�ST.�LLED , � HE.aTitic s�srE��s Quantity: � � titake: ��: i�lodzl: �SC-h'�'� -�c�}�� Fue(: �C��•t,%� .�J Flue Size: [nput BTlis: �� l�j—� � Output BTL's: _ CF�[: � � COOL[�G S�"STE�[S��, Quantity: �Iake: �[odel: � Tons: H. Power FIREPL.aCE� `� Gas Factory Fireplace ��ood Buming Firepface ❑ W'ood Sto�z ❑ Wood Stove With Flue � � � � �-i�i��:� � Q' Brand Name: ��--� �'�'�� tilodel No.: 9 '0`�� ENTILai'IO� ❑ �+o. Kitchen Exhaust duct recirculating cfm ❑ No. Bath Exhaust(must have ducc outside) efm ❑ 'Vo. Other Fans: Locations cfm FtiEL S-COR.�GE(�fUS�[' BE :�PPROV"ED BY FIRE ?�t�E�SH�aLLj ❑ [nstallation ❑ Removal Fuel Oil: ;allons ❑ Under�rouAd°°� [nside ❑ Outside LP Gas: gallons Other: �� - � G.aS L(�F o��t' ❑ Outdoor G�,�l ❑ Other ' List W'hai& Where: 2 t j PERti�1IT FEE CALCliL�TIOti(S) �, B4SED OFF - 2002 STATE ST�TliE ❑ Yes, this section applies The replacement of a Residential F.rture or appliance that meets a(1 three of the followin� requirements: l. Does not require modit'�cation to electncal or gas szrvicz. 2. Has a total cost of 5�00.00 or less; e.x�ludin,the cost oT the tixture or appliance: and 3. [s impro�ed, installed or replaced by the homeowner or licensed contractor. Skip next szction, if this applies; Cost of Permit � 1�.00 State Surchar�e � .�0 ��tail-[n Fee �If.�pplicable) $ 1.50 Total Permit Fee � I PER.�iIT FEE C:�LCULATION(Sj— JOBS 0�'ER��00.00 IT abo��e does no�apply: follo��guidelines below: 1. CO��TR_�CT PRICE * is l.Z�°��o of contract price with a(�[inimum Fee of�3�.00) � ��:�.C� x ot>> � S �-� �'� jeontraet pr,ce) (minimum 33�00) �. �T.�TE SCRCH.aRGE ** :�dd[he Stat� Bldg Code Di�. Sur:,harve(�(inimum Fee of�.�0) �� C�� x .000� � �• �I (�or,�rsct pnce) (runimum� i0; 3. POSI'.�GE & Ei.��DLItiG(Only on '�iail-In :�pplications) � 1.�0 �. TOTaL PE2�I[T FEE (.add Lines (-3 .�bove) � �� -' � " CONTRACT PE�ICE or JOB COST means the actual or estimated dollar amount char�ed for the permitted work includin� materials, labor, profit, and other fixed costs. It is the amount to be charged to the customer for the work done. [f any material, equipment, labor or installations are furnished by the owner, tenant or any other party. the reasonable mark�t value of such items must be added to the zstimated cost or contract pnce for permit fee purposes. [n the event that there is a dispute on the amount of the job cost, the City may request �he submission of a signed copy of the actual contract. � **The ST.-�TE SURCH.�RGE is .000� of the Buildin� Department at(9�2)Z49-�i600 for the pnce. UIECHANICAL PER�v1IT APPLICATION AGREEMENT The undersi�ned hereby applies to the City for issuance of a 1�lechanical Permit, agrees to do a(1 work in strict accordance with the ordinances of the City and the re�ulations ot the State of �Iinnesota, and �ertifies that all statements made on this applica[ion are complete, true and correct. .� licant's Si�nature: ��, V�-� '` � ' llate: I'� � �''L� � PP � , � �� 2 ✓ , j AT O� TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED � PERMIT NO. ��' ��1 cOMPLETED ADDRESS Co O �I�I P.s� OWNER CONTR. � mS � � ��'"1 TELEPHONE N0. � �a -3(�3 - 3a 3� f--<<7Y�Y� � DESCRIPTION I` ( Vl c�, � C�S �1 Y�� ❑ FOOTING � MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORENVETLANDS 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 Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC 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 ❑CORRECT WORK&PROCEED I� I SUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. u PHOTO TAKEN INSPECTOR WILL RETURN u CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR G INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� Z49-46QQ Owner/Contractor on site: Inspector. L ��ir /��S White Copyllnspector's File Canary CopylSite Notice � � ATE TIME `./ CITY OF ORONO CALLED IN �� 0 � INSPECTION NOTICE SCHEDULED O /.'�0 P�fit PERMIT NO.�_�9�� COMPLETED ADDRESS b � G�-- OWNER CONT��f �p �`-�� TELEPHONE N0. ��'/ ��p-3S��7�- � DESCRIPTION � �-�� 1-� � ❑ FOOTING �EC ICAL RI ❑ EXCAV/GRADING/FILLING � ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS Q ❑ 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 INSTAI�. ❑ FOLLOW-UP ? ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � J O � � O � W � Q � Z W � W � � d W� ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑C ECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN !7 CITATION ISSUED ❑STOP ORDER POSTED.CAIL INSPECTOR O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. �95Z� Z49-4600 OwnerlContractor on s�e: Inspector. A � �� } � White Copy/inspector's File Canary CopylSite Notice