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Home My WebLink About2010-00413 - gas fireplace , CITY OF ORONO PERMIT NO.: 2010-00413 . ' 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 06/OU2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 1 105 FERNDALE RD W PIIV : 02-117-23-43-0033 LEGAL DESC : REG. LAND SURVEY NO. 0441 : LOT MB BLOCK MB PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 3,000.00 NOTE: HEAT N GLO FB-IN APPLICANT MECHAN[CAL 50.00 FIRESIDE HEARTH & HOME STATE SURCHARGE MECH(VALUATION) 1.50 2700 FAIRVIEW AVE ROSEVILLE, MN 55113 MAIL-IN FEE 2.00 (651)633-2561 MISC FEE 0.00 Minnesota State License#: 20512060 TOTAL 53.50 OWNER BAGLEY, RALPH 602 CARTER ST C/O GEORGE BAGLEY NEW CANAAN, CT 06840- AGREEMENT AND SWORN STATEMENT I'he work 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 dcscribed and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances govcrning this type of work shall be compied with whether or no[specified hcrein.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 I 80 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. ��'l.Q-1,G �' l l C�j�Z�K l l Applicant Permitee Signature Date Issued By Si ture D SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED A f � � FOR CITY USE ONLY ►` O¢��O CityofOrono P.O.Box 66 Date Received: Pertnit# � , 2750 Kelley Parkway � �`''- x Crystal Bay,MN 55323 Approved By: Amount$: ''� '- �:�o`� (952)249-4600 ��xoe CITY OF ORONO—MECHANICAL PERMIT (All Commercial permits must be approved by the I3uilding Of(icial or Inspector and/or�ire Marshall) GENERAL INFORMATION 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 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 TI-IE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Desiens—Comp(ete 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 I ) �Residential ❑Commercial(Approval Required) �� New ❑Additional ❑ Repairs ❑ Replace Job Site/Owner Information: Site Address: I�dSJ /'C�rlo�a�e �� l�c's� Owner: ;Ol 4 P� �q 1 C�_ Mailing Address: //vs Ft/�dalG �c� L✓• c;ri: �G yz�.a a m N z�p: ss 3�i Home Phone: /S�-�l'73`/�3�� Alternate Phone: Contractor Information: Contractor: Contact Person: Address: State Bond#: Heartn&Home Tech�o�m'e� d�T�feside H License 20512060 City: Zip: Expiration Date: 2�0o N. FaMN�53is• Re�evillo, 651/633-2561 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: {�t��n�� Wood Burning Fireplace � lf a Wood Stove Model No.: 1' Q '�I� ❑ 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 Marshall if proposing to abandon tank in place.) ❑ Installation a 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 repiacement 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 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 1.25%of contract price with a(Minimum Fee of$50.00) ��l9lJt�•�� x.0125$ sd• v� (contract price) (minimum$50.00) 2. STATE SURCHARGE ** Add the State Bldg Code Div.Surcharge(Minimum Fee of$.50) 3 �� ' �� x.0005 $ �'s� (contract price) (minimum$ .50) 3. POSTAGE& HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ,S,3,sd ■ * 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 of the Building Department at(952)249-4600 for the price. MECHANICAI,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'sSignature: � Date: S e'�7 /a Reset Form 3 - � S S� ✓ � /�AT �T TIME CITY OF ORONO CALLED IN l v INSPECTION NOTICE �� SCHEDULED �.' � PERMIT NOr�iU/D�Y%� COMPLETED ADDRESS ��a� ��-0.�° �� OWNER TELEPHONE NQ�-�a��3 -�� CONTRACTOR � DESCRIPTION Q � � 11� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCA ADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREM/ETLANDS y Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL � ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNOATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � O >. � O � W � Q ti Z W � W � j GW ❑WORKSATISFACTORY:PROCEED Ib�'PROJECTCOMPLETE v � ❑CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952� 249-4600 Owner/Contractor on site: Inspector. ' White Copyllnspector's Fiie Canary CopylSite Notice