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HomeMy WebLinkAbout2010-01050 (fireplace) � CITY OF ORONO PERMIT NO.: 2010-01050 2750 KELLEY PARKWAY ORONO, MN 55356- �ATE [ssuED: 0/2(�/20�0 952 249-4600 FAX: 952 249-4616 �� ADDRESS : 2240 ABINGDON WAY PIN : 03-117-23-23-0009 LEGAL DESC : ABINGDON GLEN : LOT 007 BLOCK 001 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 4,900.00 NOTL: 2 I IEAT N GLO Ct�RODG36I GAS FIREPLnCGS APPLICANT FIRESIDE HEARTH & HOME MECHANICAL 61.25 2700 FAIRVIEW AVE STATE SURCHARGE MECH(VALUATION) 5.00 ROSEVILLE, MN 551 13 MA[L-IN FEE 2.00 (651)633-2561 MISC FEE 0.00 Minnesota State License#: 20512060 TOTAL 6825 OWNER MUELLER, JOHN & KIMBERLY 2240 ABINGDON WAY 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 Ciry approvals,and the State Building Code. This pennit 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 governing this typc 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 180 days of the date of issuance,or if construction is suspended for a period of I 80 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requestcd in conformance with the State Building Code.This permit may be revoked at any time for due cause. � (T-- / / / / Applicant Permitee Signature Date Issued By � nature te SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB . • . � ' FOR CITY USE ONLY ,¢�� City of Orono O O P.O.Box 66 Date Received: Permit# . 2750 Kelley Parkway �� � r:+"'- � Crystal Bay,MN 55323 Approved By: Amount$: � •.:;�c`� Phone(952)249-4600 Fax(952)249-4616 ��xoe CITY OF ORONO—MECHANICAL PERMIT (All Commercial permits 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 BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical DesiQc►s—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: o`�a 5/O � �� r� a r��n 1,•�a y Owner: .S�6 r1 C w vt�c� L l..L Mailing Address: City: Zip: Home Phone: r/S� -�/�7-SS S D Alternate Phone: � Contractor Information: Contractor: Contact Person: �eartt�&FPorne Technologies,Inc. Address: State Bond#: dba Fires�de Hea�cn & Home 2700 N. Fairview Ave. Hoseville, MN 55113 City: Zip: Expiration Date: ��,,�i��_ Phone: Alternate Phone: ❑ Insurance—Current: 1 � MECHANICAL SYSTEMS BEING 1NSTALLED ti � . �- Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official. ;� u fi 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: ��y� n(,(� Wood Burning Fireplace Wood Stove Model No.: �c.�o �,( a 3(0 ,t X 2, Wood Stove With Flue VENTILATION No. Kitchen E�chaust duct recirculating cfin No. Bath Exhaust(must have duct outside) cfin No. Other Fans: Locations cfin FUEL STORAGE (Must be approved by Fire Marshall ijproposing to abandon tank in place) � Installation � Removal Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside LP Gas: gallons Other: GAS LINE ONLY � Outdoar Grill � Other/List What&Where: 2 , � � r m � � • V 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 of the following requirements: 1. Does not require modification to electrical or 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 or licensed contractor. Skip next section, if this applies; Cost of Permit $ 15.00 State Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ PERMIT FEE CALCULATION S -JOBS 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$50.00) ��1� •� x .0125$ c.(��.�� (contract price) (minimum 550.00) 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$5.00) �cJ�• � x.0005 $ S• � (contract price) (minimum$5.00) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ L�� 2 S ■ * 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. ■ **T`he STATE SURCHARGE is.0005 times the Contract Price or a minimum of$5.00. 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: /� I7 Reset Form 3 � � ' � DAT E�, �/ � CITY OF OR NO `�I��� CALLED IN � I ` _����1� INSPECTION NOTICE _ ��D�� SCHEDULED � PERMIT NO. /O O PL�ED ADDRESS OWNER TELE HONE NO. � � CONTRACTOR� � � ����� >: DESCRIPTION V���g t��S����.W��1'►,� � lL ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS � O ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W C � � O � � O � W � Q � Z W � W � � � ❑WORK SATISFACTORY:PROCEED �ROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑ CORRECT WORK,CALL FOA REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR '�CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-4600 OwnerlContractor on site: ' Inspector. ���;�6�� White Copylinspector's File Canary CopylSite Notice \� } D T ._ " / � CITY O ORONO CALLED IN / �/ �`" INSPECTIO NOTIC SCHEDULED PERMIT N� � IDSD � COMPL TE ADDRESS �d� \ OWNER ' TELEPH E NO. 5�� �d � CONTRACTOR . >; DESCRIPTION � � ll� ❑ FOOTING ❑ PLUMBING FINAL EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � O ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP Q _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEEi YOU:_YES_NO � COMMENTS: � W � � J O �. � O � W � Q � Z W � W � j d W ORK SATISFACTORY:PROCEED CI PROJECT COMPLETE W ❑CORRECT WORK R PROCEED C ISSUE CERTIFICATE OF OCCUPANCY Q ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN �NSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR n CITATION ISSUED ❑ INSPECTION REOUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� Z49-46Q� OwnerlContractor on sit : Inspector. � � ^ z :. ��y White Copyllnspector's File Canary CopylSite Notice