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Home My WebLink About2010-00990 - gas fireplace CITY OF ORONO PERM[T NO.: 2010-00990 ` 2750 KELLEY PARKWAY � ORONO, MN 55356- �ATE [ssUEn: 10/13/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 1055 FERNDALE RD W PIN : 02-117-23-43-0029 LEGAL DESC : N/A : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 1,800.00 NOTE: 1 II:A"T N GLO G024-[P►-NG GAS I,OG APPLICAI�'T MECHANICAL 50.00 FIRESIDE HEARTH & HOME STATE SURCHARGE MECH(VALUATION) 5.00 2700 FAIRV[EW AVE ROSEVILLE, MN 55113 MAIL-IN FEE 2.00 (651)633-2561 MISC FEE 0.00 Minnesota State License#: 20512060 TOTAL 57.00 OWNER MCCOURTNEY,GERALD& KAREN 1055 FERNDALE RD W WAYZATA, MN 55391 AGREEMENT AND SWORIv STATEMENT The�vork for which this permit is issued shall bc performcd according to the approved plans and specifications,applicable City approvals,and the State Duilding Code. This perniit is for only the work described and does not grant pennission for additional or related work which requires separate pcnnits. AII provisions of laws and ordinances goveming this type of work shall be compied with whethcr 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 suspcnded for a period of I 80 days at any time atter work has commenced. The applicant is responsible for assuring all required inspections are requested in conforniance with�the State Building Code.This permit may be revoked at any time for due causc. %��.�r �'y` l l l l Applicant Permitee Signature Date Issued ignature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E. � - FOR CITY USE ONLY O,¢��O City of Orono P.O.Box 66 Date Received: Permit# 2750 Kelley Parkway a i''p• � Crystal Bay,MN 55323 Approved By: Amount S: �t� `'� �• .40' Phone(952)249-4600 Faac(952)249-4616 �saxo� CITY OF ORONO—MECHANICAL PERMIT (All Commercial permits must be approved by the Building Official or Inspector 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 perrnit 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 �(J Residential ❑ Commercial(Approval Required) i � �New ❑Additional ❑ Repairs ❑Replace Job Site/Owner Information: Site Address: ��S� ��t'n��c.�t? F ti� l��C.S�`. Owner:a(��'f> (Y)c v��r �� Mailing Address: 1`0>5 ��.r,��,�ct�C �,{ �,.1 . City: ��;�t .-�� Zip: ��.3�/— Home Phone: �S��- t17�-- I 7�(✓ Alternate Phone: Contractor Information: liearth om � dba Fireside Hearth & Home COritTaCtOI': License 20512060 Contact Person: 2 Roseville,MN 55113 Address: 65��g33-z58� State Bond#: City: Zip: Expiration Date: Phone: Alternate Phone: ❑ Insurance—Current: 1 r ti . 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 �'ji�j �U-t)� . Gas Factory�Fireplace Brand Name: ��L � p Wood Burning Fireplace i._ � �� Wood Stove Model No.: l.� �� - �� Wood Stove With Flue VENTILATION No. Kitchen Exhaust duct recirculating cfm No. Bath E�chaust(must have d�ct outside) cfrn No. Other Fans: Locations cfin FUEL STORAGE (Must be approved by Fire Marshall if proposing to abandon tank in plac�) � 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: 1. Does not reyuire modification to electrical or gas service. 2. Has a total cost of$500.00 or less;excludin�the cost of the fi�cture 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 125%of contract price with a(Minimum Fee of$50.00) � D L`tZ� - �� x.0125$ S G`? C� (contract price) (minimum$50.00) 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$5.00) ��.ti .t� x.0005 $ �� (wntract price) (minimum S 5.00) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) S S 7� �'� ■ * 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. ■ **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 application are complete, true and correct. ApplicanYs Signature: � ._�----�--` Date: G �//U ��i- Reset Form 3 � D TIME � / CITY OF ORONO ALLED IN /D-`�7 J/ INSPECTION NOTICE ,.,p SCHEDULED —� � PERMIT NO.��D-�U/9�COMPLETED ADDRESS IOSS ��C�CL� .�.� (.v OWNER,fI1,�1P ��'C��HONE N0.��Z- 3�0- ��157 CONTRACTOR �7��-��P �� : DESCRIPTION ! /l� / �s� � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ 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 v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v BING RI S �/ L ❑ FOUNDATION/REMOVAL � WNER/ ONTRACTOH TO ME YOU:,L� Y _NO � MENTS: � W 4 J �% � S � /� ,� ( -��" � .�—' O f � '' Il� �7 �- /z� � 0 � W ^ - � � i, S � G`C.� '?y,�S �J -�t- Q ti Z W � W � � d W� ��WORK SATISFACTORY:PROCEED �ROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. C PHOTOTAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARFANGE ACCESS. Call for the next inspection 24 hours in advance. �952� Z49-4600 OwnerlContractor on site: Inspector. � '� �� S White Copyllnspector's File Canary CopylSite Notice