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Home My WebLink About2010-00397 - fireplace - gas � CITY OF ORONO PERMIT NO.: 2010-00397 { 2750 KELLEY PARKWAY ORONO, MN 55356- �A7'E ►ssuEu: OS/27/2010 (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2525 DUNWOODY AVE PIN : 20-117-23-22-0018 LEGAL DESC : TOWNSITE OF LANGDON PARK : LOT 009 BLOCK 008 PERMIT TYPE : MECHAN[CAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 2,800.00 NOTE: HEAT N GLO GAS FIREPLACE FB-IN APPLICANT MECHANICAL 50.00 FIRESIDE HEARTH& HOME STATE SURCHARGE MECH(VALUATION) 1.40 2700 FAIRVIEW AVE ROSEVILLE, MN 55113 MAIL-IN FEE 2.00 (651)633-2561 MISC FEE 0.00 Minnesota State License#: 20512060 TOTAL 53.40 OWNER PEEL, MICHAEL 2525 DUNWOODY AVE WAYZATA, MN 55391 AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specitications,applicable City approvals,and the State Building Code. This permit is for only the work described and docs not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing 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 due cauSe. �i i��c.c.� Ci/L, / / / / Applicant Permitee Signature Date Issued By ' nature ate SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO � � � FOR CITY USE ONLY ,O,¢��O City of Orono P.O.Box(�(i Date Received: Pertnit# 2750 Kelley Yarkway `� i''�- R Crysial l3ay,MN 55323 Approved By: Amount$: e��.'�:.:So` (952)249-4600 �oe 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 tS POSTED ON THE JOB SITE. 3. Mechanical Designs—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 ) �q Residential �Commercial(Approval Required) T �New ❑ Additional ❑ Repairs ❑ Replace Job Site/Owner Information: Site Address: �so?S (�µnw��lv A✓e Owner: Ca�� Pte� Mailing Address: 2 S�S l�u.•�•�+�d A✓'�. r c�ty: �a7 2111 z�p: SS 35/ Home Phone: Alternate Phone: �i�?-8o�/- Fl�/3S Contractor Information: Contractor: Contact Person: a� Hearth&Home Technologies,Inc. Address: State Bond #: dba Fir �ome icense 20512060 2700 N. Falrview Ave. City: Zip: Expiration Date: Rosevine, MN 55113 b'517833�f561 Phone: Alternate Phone: [� Insurance—Current: 1 . �. MECHAMCAL SYSTEMS BEING INSTALLED Note: All Geothermal Systems will now require 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: ��•►� r�(s� o ❑ Wood Burning Fireplace � Wood Stove Model No.: ,�(,3-�fy. ❑ Wood Stove With Flue VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfm ❑ No. Bath Exhaust(must have duct outside) cfm ❑ No. Other Fans: Locations cfrn FUEL STORAGE (Must be approved by Fire Marshal[if proposing to abandon tank in p[ace.) � 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 app(iance 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 $ .50 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 125%of contract price with a(Minimum Fee of$50.00) '��lJa.� x.0125 $ SU:va � (contract price) (minimum$50.00) 2. STATE SURCHARGE ** Add the State Bldg Code Div.Surcharge(Minimum Fee of$._50) p?��' � x.0005 $ I• `I� (contract price) (minimum$ .50) 3. POSTAGE& HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ �,3.�O • * 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. [f 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 statements made on this application are complete, true and correct. Applicant's Signature: �-.,._�,�� Date: /U Reset Form 3 � lC� �� D E TIME CITY OF ORONO CALLED IN �' / /a INSPECTION NOTICE SCHEDULED � � p ��' PERMIT NO. aa`�-oa39�COMPLETED ADDRESS �S � C��2��'Y OWNER TELEPHONE NO. ��J�3�71 CONTRACTOR . �� >; DESCRIPTION �` � � � ❑ FOOTING ❑ PLUM NG FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICALRI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O ❑ 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: � � ,, S O �`, r I' ./ / /� _ � '�C � � � L/� J ..1� � r ,�--��'/ .�'r � C. O � W � Q � Z W � W � � d W� * ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � 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. �952� 249-46�� OwnerlContractor on site: " Inspector. �� White Copyllnspector's File Canary Copy/Site Notice � / 6 D� TIME ,� CITY OF ORONO CALLED IN INSPECTION NOTICE p SCHEDULED 'ZS-/O /O: �U PERMIT NO.��D'DO� / 7 COMPLETED ADDRESS �S�S b u-�-�d a�f � OWNER TELEPHONE NO. CONTRACTOR � �-C �: DESCRIPTION �.7��'P� a-�--� � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREM/ETLANDS � ❑ 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 � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W 0. � J O a � O � W � Q � Z W � W � � d � ❑WORKSATISFACTORY:PROCEED PROJECTCOMPLETE W ❑CORRECT WORK 8 PROCEED C SSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REOUIRED.CALLTO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. �952� 249-46QQ OwnerlContractor on site: - Inspector_ l .T L �� —� White Copy/lnspector's File Canary CopylSite Notice