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Home My WebLink About2009-00548 - gas fireplace . CITY OF ORONO PERMIT NO.: 20o9-oos4g 2750 KELLEY PARKWAY ' ORONO, MN 55356- DATE lssUED: 09/OU2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 1981 FAGERNESS POINT RD PIN : 18-117-23-14-0005 LEGAL DESC : FAGERNESS : LOT 004 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 1,300.00 NOTE: 1 GAS HEAT N GLO 750TR GAS LINE BY OTHER CONTRACTOR APPLICANT MECHANICAL 50.00 FIRESIDE HEARTH& HOME STATE SURCHARGE MECH (VALUATION) 0.65 2700 FAIRV[EW AVE ROSEVILLE, MN 55]13 MAIL-[N FEE 2.00 (651)633-2561 MISC FEE 0.00 Minnesota State License#: 20512060 TOTAL 52.65 OWNER WHITTINGTON-GGROENKE, MICHEAL&JULIE 1981 FAGERNESS PT RD WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or rclated 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 180 days of the date of issuance,or if construction is suspended for a period of 180 days a[an}'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 fo�due cause. `ytii.�c.( �J l l C��''}i�,t� / / Applicant Permitee Signature Date Issued By gnature ate SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCR[BED AB E. .-,. • r � FOR CITY USE ONLY � O¢p�O City of Orono P.O.Box 66 Date Received: Permit It 2750 Kelley Paricway � i•^+'�� ; Crystal f3ay,MN 55323 Approved By: Amount$: . .:`a (952)249-4600 <,�asxoo CITY OF ORONO—MECHANICAL PERMIT (All Commercial permits must be approved by the Building Official or[nspector and/or Fire Mazshall) 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 installafion 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 6our notice required) 7. House Heating Test Record must be submitted before final. TYPE OF PERMIT (Check All That A I �Residential �Commercial(Approval Required) ❑ New ❑ Additional ❑ Repairs ❑ Replace Job Site/Owner Information: Site Address: � 1 � � ��t';��SS Owner:�i.�(;� L"'�`�� -.�� Mailing Address: � � �l �`;`��SS City: Zip: Home Phone: Alternate Phone: Contractor Information: Contractor: Hea Contact Person: ome echnologies,Inc. i ce s�e 2os�2oso h & Home State Bond#: Address: 270 Roaeviile, MN 55113 Clty: 651/833-2581 Zip: Expiration Date: 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 FIREPLACES �, Gas Factory Fireplace Brand Name: u ec�� r� (��o ❑ Wood Burning Fireplace � Wood Stove Model No.: ��U �j�C' ❑ Wood Stove With Flue VENTILATION ��^ S �' ^ t 'J� �Th tl' G a�1 �r�. �1-c�� ❑ No. Kitchen Exhaust duct recirculating cfin ❑ No. Bath Exhaust(must have duct outside) cfm ❑ No. Other Fans: Locations cfin FUEL STORACE (Must be approved by Fire MarshaU if proposing to abandon tank in place.) � Installation � Removal Fuel Oil: gallons ❑ Underground a 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: 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 ne�ct 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 1.25%of contract price with a(Minimum Fee of$50.00) -I� � J C�"Z,.LJ`Z� x.0125$ ,j C�.C:ti (contract price) (minimum$50.00) 2. STATE SURCHARGE x*Add the State Bldg Code Div.Surcharge(Minimum Fee of$.50) ( ��v • �� X.Q005 $ % `'`��/r (contract price) (minimum$ .50) 3. POSTAGE& HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) S �p�-�0 � ■ * 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 fumished 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: 0 � O c Reset Form 3 C�ATE TIME � CITY OF ORONO CALLED IN / �" INSPECTION NOTI SCHEDULED �. �-� n�%�a PERMITNO.aDp�DDS�� COMPLETED ADDRESS ��8� �QQ��L�d �7�" F--�'— OWNER CONTR. �ILi�Q�� TELEPHONE NO. �l� 7a 9 g7g� � DESCRIPTION �� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORENVETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE Q ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE � SEPTIC MAINT. ❑ COMPLAINT � ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL � FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � O � � O � W � Q � Z W � W � J- d WORKSATISFACTORY:PROCEED f� PROJECTCOMPLETE � ❑C RECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY W � ❑Ct�RRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. u PHOTO TAKEN INSPECTOR WILL RETURN �—.� CITATION ISSUED ❑STOP ORDER POSTED.CALI INSPECTOR ❑ INSPECTION REOUIRED.CALL TO ARRANGE ACCESS. Ca11 forthe next inspection 24 hours in advance. 952� 249-46�0 OwnerlContractor on si : Inspector. � White Copyllnspector's File Canary CopylSite Notice