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Home My WebLink About2011-00067 - gas fireplace CITY OF ORONO PERMIT NO.: 2011-00067 , 2750 KELLTY PARKWAY ORONO, MN �53�6- �A7'E tssuED: 02/02/2011 (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1985 FAGERNESS POINT RD PIN : 18-117-23-14-0004 LEGAL DESC : FAGERNESS : LOT 003 E3LOCK 000 PERMIT TYPE : MECHANICAL(> $500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 1,700.00 NOTE: HL'•A"C N GLO 6000 C IPI APPLICANT MECHANICAL 50.00 FIRESIDE HEARTH & HOME STATE SURCHARGE MECH (VALUATION) 5.00 2700 FAIRVIEW AVE ROSEVILLE, MN 5�1 13 MAIL-IN FEE 2.00 (651)633-2561 MISC FEE 0.00 Minnesota State License#: 20512060 TOTAL 57.00 OWNER BRIGGS, MATTHEW& ALISSA 1985 FAGERNESS PT RD WAYZATA, MN 5�391- AGREEMENT AND SWORN STATEMENT I�he�cork ibr which thi,permit is issucd shall be perlormcd according to thc approved plans and specifications,applicabic City approvals,and the State 13uildind Code. 'I'his permit is��r only the work described and does not grant permission for additional or related work w�hich requires separatc permits. All provisions ot�la��s and ordinanccs govcrning this typc of ti�ork � shall be compied with��hether or not speciticd hereii�."I'his permit will expire and become null and��oid if construction authorized is not commenced�cithin 180 days of the date of issuance,or if construction is suspended liir a period of 180 days at any time attcr�cork has commenced. "I'he applicant is responsible for assurin�all required inspections are roqucstcd in conformancc��ith thc Statc 13uildin�_Codc.This permit may be revoked at any time for�ue causc. �''f'1/l-G�'� �i'`- / / / / Applicant Permitec Signaturc Date Issued �S�e ature at� SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCR[BED ABO . . j � FOR CITY USE ONLY , ' O¢O�O CityofOrono P.O.Box 66 Date Received: Permit# 2750 Kelley Parkway a ;' i• ; Crystal Bay,MN 55323 Approved By: Amount$: �'e ''� '• . o Phone(952)249-4600 Fax(952)249-4616 r`�r�xoe` CITY OF ORONO—MECHANICAL PERMIT (All Commercial permits must be approved by the Building Official or Inspector and/or Fire Mazshail) 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 Desi�ns—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: �I�l Fl� F�,e�n e SS �o��+ Owner: Mailing Address: �J�'fsS" �'�Sc��cSf' /��. city: D r o n � zip: Home Phone: ��3•�I 7�- � �3� Alternate Phone: Contractor Information: Contractor: Conta.ct Person: � 'haarth&Home Technologies,Inc. AC�dI'eSS: State BOriC�#: dba Fireside Hearth & Home .._iczn� %'i60 N. Fairview Ave. City: Zip: Expiration Date: �3se��iie, MN 55113 —�;a�a a�� Phone: Alternate Phone: ❑ Insurance—Current: 1 � MECHANICAL 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 F[REPLACES (� Gas Factory Fireplace Brand Name: 17Cc��- n �� Y� Wood Burning Firepiace ❑ Wood Stove Model No.: (�PUZTt� C �pl ❑ Wood Stove with Flue/Masonry VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfrr► ❑ No. Bath Exhaust(must have duct outside) cfin ❑ No. Other Fans: Locations cfrn FUEL STORAGE (Must be approved by Fire Ma�shall if proposing to abandon tank in place.) ❑ 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 appliance that meets all three of the following requirements: l. 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 ne�section,if this applies; Cost of Permit $ 15.00 State Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ 22.00 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$50.00) �� / ? �. �x.0125$,�� 50 .l/O (contract price) (mioimum$50.00) 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of 55.00) � ��' � x.0005 $5.00 (contract price) (minimum$5.00) 3. POSTAGE& HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMiT FEE(Add Lines 1-3 Above) � � / '�� ■ * CONTRACT PRICE ar 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. ■ **The STATE SURCHARGE is.0005 times the Contract Price or a minimum of$5.00. MECHANICAL PERMIT APPLICATION AGREEMENT T'he undersigned hereby applies to the City for issuance of a Mechanicai 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 conect. Applicant's Signature: -�_—� —�\ Date: / _ Reset Form 3 DATE TIME ✓ CITY OF ORONO cn �� INSPECTION NOTICE SCHEDULED -� -// PERMIT NO.aD�/-006(p� COMPLETED ADDRESS gS OWNER TELEPHONE NO. `d � CONTRACTOR �-�( �; DESCRIPTION �� - � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O ❑ TREE REMOVAL Z ❑ INSULATION C7 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 � � � � O i � �/ � l O � � � � ✓ ,�/ Q � -f /^' /I!, �� / w. !� r� /� � � �� ! \ llJ �� — � W � � d W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE WY'^BL('`ORRECT WORK 8 PROCEED � ISSUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. �� pH0T0 TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-4600 Owner/Contractor on site: � / �' Inspector. White Copyllnspector's File Canary CopylSite Notice