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Home My WebLink About2010-01140 - gas fireplace � CITY OF ORONO PERMIT IVO.: 2010-01140 2750 KELLEY PARKWAY �. ORONO, MN 55356- DATE ISSUE�: 11/19/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 3403 EASTLAKE ST PIN : OS-117-23-14-0060 LEGAL DESC : BAYSIDE ADDN TO LAKE MINNETONK : LOT 001 BLOCK 008 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 2,500.00 NOTG: HLAT&GLO t'IREPLACG � APPLICANT MECHANICAL 50.00 J& S MECHANICAL, INC. STATE SURCHARGE MECH (VALUATION) 5.00 P.O. BOX 128 TOTAL 55.00 WATERTOWN, MN 55388 (952)955-2627 OWNER WHITMORE, KAYLEN 3403 EASTLAKE ST LONG LAKE, MN 55356- AGREEMENT AND SWORN STATEMENT The�vork for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State E3uilding 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 la��s and ordii�ances governing this type of work shall be compied with��hether 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 lor a period of 180 days at any time atter 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 i revo� a any time for du ause. � �� C�_ • _.,-�.�---� • � / /%�'/� �'�,�..L.,� (�;�'y�l C C �l � �l"- � plicant P nitee Signature Date Issued By Signature Date , SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � j FOR CITI'USE ONLY • 04��0 CityofOrono � P.O.Box 66 Uate Received: Permii# 2750 Kelley Park�tiay .� r,�'°� ;, Crystal Bay,MN 55323 Approved By: Amount$: � e Phone(952)249-•16(b fax(952)249-4G16 � �'tssnoe CITY OF ORONO—MECHAlY1CAL PERMIT (All Commercfal permits must be approved by the L3uilding Ofticial or]nspcctor and/or Fire Marshall) GENERAL 1NFORMATION L 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 w�ithin two working days. 2. Permit cards will be sent by return mail after a re�iew is completed. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD lS POSTED ON THE JOB SITE. 3. Mechanical Designs—Complete calculations,details and specifications are required for each heating,ventilation,humidifieation-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: 3��'� L �c�,�K .S � Owner: ��si/ert �,v��,��n4� Mailing Address: �'�'yS J�1�:,.rn l�.y�;e City: .t�er�► ��n��,fY� t�k�/u� Zip: -S�y�-7 Home Phone: 7 C.3- �Y6 C�/ 7 6 Alternate Phone: Contractor Information: Contractor: ..� �' � ��r,h�� -�i�- Contact Person: '" Address: �I '� ' �d X �Z d State Bond #: City: %V��d+�h �11rGip: J''3� Expiration Date: Phone: `f� �� "7 A lternate Phone: /�.L� �IS y� 3�� ❑ Insurance—Current: 1 1.. t MECHANICAL SYSTEMS BEING INSTALLED Note: All Geothermal Systems will now require a Site Plan& Review by our Building Official. IS THIS GEOTHERMAL`� ❑Yes �10 HEATING SYSTEMS Quantity: Make: Model: Fuel: Flue Size: Input BTUs: Output BTUs: CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H.Power F[REPLACES Gas Factory Fireplace Brand Name: /yc�c�!` ��6. Wood Burning Fireplace Wood Stove Model No.: S'L S�e�7-�S y p�`'-/� Wood Stove With Flue V ENTILATION No. Kitchen Exhaust duct recirculating cfm No. Bath Exhaust(must have duct outside) cfm No. Other Fans: Locations cfin FUEL STORAGE (Must be npproved by Fire Marshall ifproposing to abandon tank in plac�) � Installation � Removal Fuel OiL• gallons ❑ Underground ❑ lnside ❑Outside LP Gas: gallons Other: GAS L1NE 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 fiacture or appliance that meets all three of the following requirements: ]. 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 $ I5.00 State Surcharge $ 5.00 Mail-In Fee(lf Appticable) $ 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$50.00) 2�`=�' < �• x.0125$ (contract price) (minimum$50.00) 2. STATE SURCHARGE **Add the State Bldg Code Div.Surcharge(Minimum Fee of$5.00) x.0005 $ (contract price) (minimum$5.00) 3. POSTAGE&EiANDLING(Only on Mail-[n Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines l-3 Above) $ • * CONTRACT PRICE or JOB COST means the actual or estimated doltar 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 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 app(ication are complete, true and correct. Applicant's Signature: �'J�,� Date:��'/9'"ld Reset Form 3 DATE TIME " CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED ��'�S ' �� 3=3 0 PERMIT NO. a0/D �d��D COMPLETED ADDRESS �`l�3 �ST tAl� S^ OWNER TELEPHONE NO. CONTRACTOR C P+S� (/�.��fi� >; DESCRIPTION ��5 ��A-�-e- � � � FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL �MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ 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 C o -�-_� 5� ��- .�-- � � 0 � W � Q � Z W � W � � � d � WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Cail forthe next ins ction 24 ours in advance. (952� 249-4600 OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice