The URL can be used to link to this page

Home My WebLink About2014-00197 - gas fireplace CITY OF ORONO * Z 0 1 4 - 0 0 1 9 7 * � 2750 KELLEY PARKWAY DATE ISSUED: 03/12/2014 � ORONO, MN 55356- � (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1655 FOX ST PIN : 02-117-23-33-0014 LEGAL DESC : HANSER ADDN : LOT 003 BLOCK 001 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 1,500.00 NOTE: REPLACE EXIS"(�[NG GAS LOG SET HOOK TO�I'HE EXISTING GAS LINE R11P 6-46-30-1 1 APPLICANT MECHANICAL 50.00 STATE SURCHARGE MECH (VALUATION) 0.75 WOODLAND STOVES& FIREPLACES MAIL-IN FEE 2.00 2901 E. FRANKLIN AVE. MINNEAPOLIS, MN 55403- TOTAL 52.75 (612)338-6606 Payment(s) CHECK 44444 52.75 OWNER MIGLIORI, RICHARD&JOAN 1655 FOX ST WAYZATA, MN 55391 AGREEMENT AND SWORN STATEMEIVT I�he�cork for which this permit is issued shall be performed according to Uie approved plans and specifica[ions,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission tbr additional or related work�vhich 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 at any[ime after work has commcnced. The applicant is responsible for assuring all required inspec[ions are requested in conformance with the State I3uilding Code.This permit may be revoked at any time tbr due ca�se. Y�'\ / / Applicant Permitee Signature Date Issued I3y naturc Date � FOR CITY USE ONLY ` � City of Orono ' O � P.O.E3ox 66 Date Received: Permit# �� 2750 Kcllcy Parkway ( Crystal Bay,MN 55323 Approced By: Amount$: � � Phone(953)249-4600 Fax(952)249-4616 � �� ` v „ ��`��q,�.�.�t��,`:/ C1TY OF ORONO-MECHAN1CAL PERM1T ____ _ — (All Commercial permits must be approved by the Building Official or Inspector and/or Fire 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 BEG1N UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Desiens—Complete calculations,details and specitications 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 fonn provided. 4. When any new construction or remodeling is�nvolved,a separate building pern�it must be obtained. 5. All work must be done in accordance with the Uniform Mechanical Code/State Building Code requirements. 6. Al]�vork 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 [�eplace Job Site/Owner Information: Site Address: ��S �X ��' Owner: � �� =��1C�� Mailing Address: ��5 1�-c.�j�_�3tF��-� City: ��l,`�Y1 L� zip: �� Home Phone: Alternate Phone: Contractor 1 nnation: Contractor: �, '�� I�� Contact Person: ��r� �� /� � Address: � C�l_!I) tate Bond#: l"�1� City: � Zip:� Expiration Date: � 1 Phone: �la►-�g'�pl� Alternate Phone: (Q)�� I 3 l� ❑ Insurance-Current: � �° �� I�'`'� 1 MECHANICAL SYSTEMS BE1NG 1NSTALLED " Note: All Geothermal Systems will now require a Site Plan& Review by otir Building Official. 1S TH1S GEOTHERMAL? ❑ Yes ❑ No HEATING SYSTEMS Quantity: Make: Model: Fuel: Fluc Size: Input BTUs: Output BTUs: CFM: COOLING SYSTEMS Quantity: Make: Modcl: Tons: H. Powcr FIREPLACES � � � �� S�T � ��a(:� CJ'F-jSTI✓1c `�'S � � {.�-f,ol� -ro �+� �/S7-i�`� 9hs C.i�► Gas Factory Fireplace Brand Name: �� ❑ Wood Burning Fireplace ❑ Wood Stovc Model No.: ��'��—�I ❑ Wood Stovc with Flue/Masonry VENTILATION ❑ Na Kitchen Exhaust duct recirculating efin ❑ No. Bath Exhaust(nuist have duct outside) cfin ❑ No. Othcr Fans: Locations cfm FUEL STOItACE (Must Ge«pprored by 1�7re Mnrshull if prnposing to nbandoii tn�rk in pince.) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑ Inside ❑Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill ❑ Other/List What&Where: 2 � P PERMIT FEE CALCULATION(S) BASED OFF -2002 STATE STATUE ❑ Yes,this section applies The rcplacement oC a Residential fixt�ire or appliance that meets all three of tl�e following requirements: 1. Does not require modification to electrical or gas service. 2. Has a total cost of$500.00 or less;excltidin�the cost of the fixhire or appliance: and 3. Is improved,installed or replaced by the homeowner or licensed contractor. Skip next section, if this applies; Cost of Pennit $ 15.00 State Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ � PERiv1IT FEE CALCULATION(S)-JOBS OVER$�00.00 If above does not apply; follow guiclelines below: L CONTI2ACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) � I��.L�'� x.0125 � �' �T� (contract price) (minimum$50.00) 2. STATE SURCIIARGE , � � � �� x.0005 $ . �`7 (contract price) 3. POSTAGE& HANDLWC(Only on Mail-ln Applications) $ 2.00 —7 � 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ � � (`7 ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the pennitted work inclucling materials, labor, profit, and other fixed costs. h is the amoimt to be charged to the customer for the work done. lf any material, equipment, labor or installations are furnished by the o�vner, tenant or any otl�er party, the reasonable market valt�e of sucl� items must be added to tl�e estimated cost or contract price for pennit fee purposes. ln 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. MECHANICAL PERMIT APPLICATION AGREEMENT The undersigned hereby applies to the City for issiiance of a Mechanical Permit, agrees to do all work in strict accardance 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. A licant's Si nature: ��-�'L � -G Dat : L� pp g � e !U r.�Ul 3 �!5 \w I DA E TIME J CITY OF ORONO CALLED IN � INSPECTION NOTIC SCHEDULED �l�� /.� PERMIT NO� "��g COMPL ED ADDRESS �l� � `�5��'i� OWNER TEL ONE NO. �� -�3 '�3d.S CONTRACTOR � � DESCRIPTION �L�-� � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q p TREE REMOVAL Z ❑ INS ATION ❑ WOOD BURNER/FIREPLACE O SITE INSPECTION Q ❑ DON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL O SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI O SEPTIC FINAL ❑ FOUNbATIO�MOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO �--- � COMMENTS: � � W a / � J O � � O � W � Q � 2 W � W � J O W ❑WORK SATISFACTORY:PROCEED PROJECT COMPLEfE � O CORRECT WORK&PROCEED ❑ I E CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. �pHOTO TAKEN INSPECTOR WILL REfURN ❑STOPORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. 95 ) 249-460� OwnerfContractor on site: � Inspector. White Copyllnspector's File Canary CopylSite Notice