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Home My WebLink About2011-01585 - gas fireplace CITY OF ORONO PERMIT NO.: 2011-01585 � 2750 KELLEY PARKWAY � ORONO, MN 55356- DATE ISSUED: 12/27/2011 (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2320 GLENDALE COVE LA PIN : 34-118-23-33-0064 LEGAL DESC : GLENDALE COVE : LOT 005 BLOCK 001 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 1,450.00 APPLICANT MECHANICAL 50.00 AUTOMAT[C GARAGE DOOR& FIREPLACE STATE SURCHARGE MECH(VALUATION) 0.73 9385 HOLLY STREET COON RAPIDS, MN 55433- TOTAL 50.73 (763)571-2525 OWNER Hickory Fine Homes 1844 WAYZATA BLVD E WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. Th�s permi[is for only the work described and does not grant permission for additional or rela[ed work which requires separate permrts. All provisions of laws and ordinances governing this type of worh shall be compied with whether or not specified herein.This permit will expire and become null and void if construction audiorized 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 atter work has commenced. The applicant is responsible for assuring all required inspections are reques[ed in conformance with the State Building Code.This permit may be �{�� ` �gvoked at any time for due cause. . �� ,-� �—�� iV ,/�� _��a''Z%�—�' [ �-1 Z � l �� d� -� �� y`�- ' , ,r � l l Applicant Permitee Signature Date � �� Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � ' FOR CITY USE ONLY ' ,�p� City of Orono � Q P.O.Box 66 Date Received: Permit# � � �y.; 2750 Kelley Parkway ,,'� ' �?� i i a � ��r �i Crystal Bay,MN 55323 Approved By: Amount$: ,�, �� .�o�� Phone(952)249-4600 Fax(9�2)249-4616 . �+t`�go CITY OF ORONO-MECHANICAL PERMIT (All Commercial permits mustbe approved by the Building Official or Inspector andlor Fire Marshall) GENERAL INFORMATION 1. You may apply far mechanical permits by mail or in person at the City offices. Applications will be reviewed and a pernut will be issued within two working days. 2. Pernut 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 PERMTT 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 pernut must be obtained. 5. Ail 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 Recard must be submitted befare fmal. TYPE OF PERMIT (Check All That Apply) [�� .Residential ❑ Commercial(Approval Required) � ❑ New ❑ Additional ❑ Repairs ❑ Replace Job Site/ Owner Information: Site Address: ��-�-� �- ��\ '��i. " C��_ Owner:IttC�2tvu -a-t✓� 1�e,^�►'�S Mailing Address: �2�� t�.��7�-�-��1 �'� city: i,t�r,�T��:�.� z�p: � > ;«� � Home Phone: 1'��'� C�(L ��j � 752: Alternate Phone: Contractor Information: Contractor: ��,��`�G�,�IC�C.l�uBl,� �(��ontact Person: �Ca�►� � ,�, ,_.. `�-��v�(�-�.� Address: `t�a� I7�1�,/ ��- State Bond#: City: �t�� r (�� 5 Zip.`�`�� Expiration Date: Phone: 7��`�%�l��-��j.'; Altemate Phone: ❑ Insurance- Current: 1 � � � �..�:;� � ,� � ��.•� } "� ��'`� ,; � � �`�` _.:�, ��;` . 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: �;��--►� Wood Burning Fireplace ❑ Wood Stove Model No.: ��(� {�Uvvlbt�jC� ❑ Wood Stove with Flue/Masonry VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfm ❑ No. Bath Exhaust(must have duct outside) cfm ❑ No. Other Fans: Locations cfm 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: gallons Other: GAS LINE ONLY ❑ Outdoor Grill ❑ Other/List What&Where: 2 t 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 require modification to electrical ar gas service. 2. Has a total cost of$500.00 or less; excludinQ 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 $ . PERMIT FEE CALCULATION(S) —JOBS OVER$SU0.00 If above does not apply; follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) j , rL .'� ,� i l.: : � .__�! , X .oi2s $ (contract price) (minimum$50.00) 2. STATE SURCHARGE x.0005 $ (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 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 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 actuai contract. .��.� �� a�.� � ` �:PERMIT, �.� �� N�' ``` 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: �l�_��'��_ Date: 1 � �� I� 3 �-� ,/ DATE TIME CITY OF ORONO CALLED IN L�'� 7�� INSPECTION NOTICE p SCHEDULED /�'��' �/°�'"' PERMIT NO. 20�� l�O� COMPLETED ADDRESS a3�� •�.�i C�i�,`'�o�'L OWNER �� ELEPHONE NO. ��3— j�� CONTRACTOR N� '� F� >; DESCRIPTION � W ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL � MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL � ❑ INSULATION ❑ WOOD BURNER/ IREPLAC ❑ SITE INSPECTION Z 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 J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � o / r, �e �� e � � 0 � W � Q � z w � W � � d � �.LOCORK SATISFACTORY:PROCEED [� PROJECT COMPLETE W ❑CORRECT WORK 8 PROCEED ^ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WlLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR =7 CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor on site: Inspector. , � White Copyllnspector's File Canary CopylSite Notice