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Home My WebLink About2013-00135 - gas fireplace � , CITY OF ORONO * 2 0 1 3 - 0 0 1 3 5 * 2750 KELLEY PARKWAY DATE ISSUED: 02/28/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1860 FOX ST PIN : 03-117-23-42-0016 LEGAL DESC : WALDRON WOODS : LOT 2 BLOCK l PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 3,800.00 NOTL: (2)GAS FAC�CORY FIREPLACES-HEAT-N-GLO-6000CL-IPI-T AND 8000CLX-IPI-"C APPLICANT MECHANICAL 50.00 GLOWING HEARTH AND HOME STATE SURCHARGE MECH (VALUATION) 1.90 100 ELDORADO DRIVE JORDAN, MN 55352 MAIL-IN FEE 2.00 (952)495-2927 TOTAL 53.90 OWNER OLSON, MICHAEL& JENNIFER 3924 UPTON AVE S MINNEAPOUS, MN 55410- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifica[ions,applicable City approvals,and the State Building Code. This permi[is for only[he work described and does not grant permission fbr additional or related 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 wi[hin 1 SO days of the date of issuance,or if construction is suspended for a period of 180 days at any time afrer 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 du cause. 1�� -��l� C� i a �i� Applicant Permitee �gnature Date Issu y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. Y � � �ECE�V�� FOR CITY tiSE ONLY %'�`�`� City of Or000 �� P.O.Box 66 Date Recerve �'/3 Pern�it# v2��J'�"` G� ��Q�„,x_ ��ti 2750 Kelley Pazkway �'�B �8 �� }�� '��r p� Crystal Bay,MN 55323 Approved By: Amount$: �� r,t.b�� Phone(952)249-4600 Fax 952)249-4616 ��- c5N oF oRONo CITY OF ORONO-MECHANICAL PERMIT (All Commeroial permits must bc approved by the Building Official or Inspector and/or Fire Mazshall) GENERAL INFORIYIATION ' 1. You may apply for mechanical permits by mail or in person at the Ciry 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. llata 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' 0 Residential ❑ Commercial(Approval Required) � New ❑Additional ❑ Repairs ❑ Replace Job Site/Owner Information: � ,--, �-. Site Address: �� Q� �� -�.� Owner:C,�=C��5C5�1 �� Mailing Address: � -,tu� ��C�Y`� I � � City: � ��C�nG�. Zip: SJ��}� Home Phone��`��j`��c��1 Alternate Phone: Contractor Information: GLOWINGHEARTH&HOME JUDY PICKUS Contractor: Contact Person: 100 ELDORADO DR. MBDD�j786 Address: State Bond#: JORDA�J 55352 02/16/14 City: Zip: Expiration Date: Phone: (952� 492-9276 Alternate Phone: 0 Insurance-Current: �U � 11 - �0 '�- '� 1 , � �>��.. � .,,��' : , CHANI�.f�; ; ,.: �'I`ALLED .. :.. ........ � . ..�.F 9.. ....... 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 Fireplac�� Brand Name: � ❑ Wood Burning Fireplace ❑ Wood Stove Model No.: l�L_ �� ❑ Wood Stove with Flue/Masonry ��✓```7`� � I I _� � VENTIGAT[ON ❑ No. Kitchen Exhaust duct recirculating cfin ❑ No. Bath Exhaust(must have duct outside) cfin ❑ No. Other Fans: Locations cfin FUEL STORAGE (Must be approved by Fire Marshall if proposing to abandon tank in place.) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑ Inside ❑ Outside LP Gas: galloiis Other: GAS LINE ONLY ❑ Outdoor Grill ❑ Other/List What&Where: 2 , , �. �� PERMIT FEE C�LC'I�LATI�N(S} `� �� BASED OFF -.20�? 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 next section, if this applies; Cost of Permit $ 15.00 State Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ �� ay�� e� �� .��;��'� PERI�iT'�''�`� ��N S —J' ��.�.��: '�, If above does not apply; follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) �—-, ��r � i �� x .0125$ J��r�� (wntract price) (minimum$50.00) 2. STATE SURCHARGE � � �� UC,� < <,�� X.000s � �(oontract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 � 4. TOTAL PERM[T FEE(Add Lines 1-3 Above) $ ��r �� ■ * CONTR.ACT PRICE or JOB COST means the arhial or estimate� 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 wark done. If any material, equipment, labar 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. � �:.. ., � �. 0 � - �. TIQN A . ;,. EMENT ' ° ":. ... � . . 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: �� ; Reset Form 3 � � ATE 1 g � CITY OF ORONO CALLED IN � — � 3 � � INSPECTION OTICE � l SCHEDULED "� � �: 3C� PERMIT NO. 2 � w I3� COMPLETED ADDRESS � � � �� l �� OWNER T LEPHONE NO. 7��' �-7�� v j� / CONTRACTOR �J,hS� >: DESCRIPTION � ��P�� I -��+ v"�`"�" ` '�vm � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS 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 ❑ COMPLA�NT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O � � O � W � Q ti 2 W � W � � d W� �ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑ CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUtRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 2a hours in advance. (952� 249-4600 OwnerlContractor on site: Inspector. �) '� White Copyllnspector's File Canary CopylSite Notice