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Home My WebLink About2009-00360 - gas fireplace , . � CITY OF ORONO PERMIT NO.: 2009-00360 2750 KELLEY PARKWAY ORONO, MN 55356- �ATE ISSUE�: 06/29/2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 2640 FOX ST PIN : 04-117-23-42-0008 LEGAL DESC : REG. LAND SURVEY NO. 1249 : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTIOI�I TYPE : FIREPLACE-GAS VALUATION : $ 2,310.00 NOTG: GAS FACTORY FIREPLACE-MAJESTIC-MODEL NO. 500 DVMLNV APPLICANT MECHANICAL 50.00 AUTOMATIC GARAGE DOOR&FIREPLACE STATE SURCHARGE MECH (VALUATION) 1.16 8900-109TH AVE N -#1000 CHAMPLIN, MN 55316 TOTAL 51.16 (763)571-2525 Minnesota State License#: 1990 OWNER WESTLING, TOM 2640 FOX ST WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT Thc work for which this permit is issued shall be performed according to the approvcd plans and specifications,applicable City approvals,and the State Building Code. This permi[is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shaii be compied with whether or not specified herein.This permit wiil 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 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 e kcd at any time for due cause. `� 'Z�� 'l �� ,� '% / Q� � Applicant Permitee Signature Date Iss By Signature Date SEPARATE PERMITS REQUIRED FOR WORK HER THAN DESCRIBED ABOVE. � � � FOR CITP USE ONLY • � ' ` A, City of Orono , ' O4O`rO P.O.Box 66 Date Received: Permit# s`�,r�,, 2750 Kelley Parkway � �� Crystal Bay,MN 55323 Approved By: Amount$: ��'�'��v,�.�o~ (952)249-4600 � CITY OF ORONO -MECHANICAL PERMIT (All Commercial perniits must be approved by the Building Official or Inspector and/or Fire Marshall) GENERAL INFORMATION L You may apply for mechanical pemlits 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 re��iew 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 far 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 fmal. TYPE OF PERMIT (Check All That Apply) �esidential ❑ Commercial(Approval Required) �New ❑ Additional ❑ Repairs ❑ Replace Job Site/Owner Information: . Site Address: p� c� �`� ��'�� Owner: �p�C-�,,r,,�,�Q �s,� -��•��LC Mailing Address: �� - ��Z,g.-�4/�� City: 1G�!/UN��n�(�/Y Zip: ��--� Home Phone: Alternate Phone: l-��- ��US�� Contractor Information: � � � � Contractor: ,e �� Contact Person: IYt /gc�SS Address: Q D � State Bond#: ti o�1,3p a'Z��- ! Gti� /d0U City: �/l� �i,J Zip�� Expiration Date: ��Zo�v�3 Phone: ��' �� Alternate Phone: ❑ Insurance-Cunent: � Z� — � z8' /� 1 . s '' ' �' ' � ` MECI�ANICAL SYST��VIS.BEING INSTALLED: ` ` � HEATING SYSTEMS Quantiry: Make: Model: Fuel: Flue Size: Input BTUs: Output BTUs: CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H.Power FIREPLACES �' Gas Factory Fireplace ❑ Wood Burning Fireplace ❑ Wood Stove ❑ Wood Stove With Flue Brand Name: /VI ��,s rL Model No.: �Q Q D v�L� � VENTILATION ❑ Na Kitchen Exhaust duct recirculating cfin ❑ No. Bath Exhaust(must have duct outside) cfm ❑ No. Other Fans: Locations cfm FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHALL) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑Inside ❑ Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill ❑ Other/List What&Where: 2 � ' , �i • PERMIT FEE CAL�ULATION(S) � BASED OFF - 2002 STATE STATUE ❑ 1'"es, 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; excludine 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) $ L50 Total Permit Fee $ - PERMIT FEE CALCULATION(S)—7�BS OVER $500.00 ` _� If above does not apply; follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contr�price with a(Minimum Fee of$35.00) ' �� x .0125$ (contract price) (minimum$35.00) 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50) x .0005 $ (contract price) (minimum$ .50) 3. POSTAGE&HANDLING (Only on Mail-In Applications) $ 1 50 4. TOTAL PERMIT FEE (Add Lines 1-3 Above) $ • * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the pernutted wark 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 pernut 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. `�� ' �� 'MECH�NICAL 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 mad on this application are complete, true and correct. Applicant's Signature: � Date: (� 'ly�v 5 3 �� /_ DATE TIME ✓ CITY OF ORONO CALLED IN w 3�D,�� INSPECTION NOTICE SCHEDULED 'Z� / �� PERMIT NO. abn 9'`UD 3�cD COMPLETED ADDRESS ��D�D ICD 9�1��7�- - OWNER CONTR. �-�� TELEPHONE NO. �` ��' �� a �� DESCRIPTION � �� e-p��-�-°-- � ❑ FOOTING � MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ �AKESHORFJWETL4NDS 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 v ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:�L YES_NO {� � COMMENTS: � W C 0 ��n � C� [ —�c '�?� �� '�.� ` �C� C`� � � � �- �� - � c.s �` � � t � � 0 � Q U �'- /�,� �CC� '��v S SC � -- V1�1�.�S��- z .,�- �:r� [� I b L IL w � W � � d W ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE � ❑ CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O I�CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. �952� 249-46QQ OwnerlContractor on site: Inspector_ L � � � White Copyllnspector's File Canary Copy/Site Notice