The URL can be used to link to this page

Home My WebLink About2012-01161 - gas fireplace • ► . CITY OF ORONO * z 0 1 z - 0 1 1 6 1 * 2750 KELLEY PARKWAY DATE ISSUED: 1U13/2012 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2365 GLENDALE COVE LA PIN : 34-118-23-33-0068 LEGAL DESC : GLENDALE COVE : LOT 009 BLOCK 001 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 1,000.00 NOTF,: (1)GAS FACTORY FII2EPLACL-BRAND NAME: }I-N-G, MODEL NO. SL750"1'R-IPI APPLICANT MECHANICAL 50.00 FIRESIDE HEARTH &HOME STATE SURCHARGE MECH (VALUATION) 0.50 2700 FAIRVIEW AVE ROSEVILLE, MN 551 13 MAIL-IN FEE 2.00 (651)633-2561 TOTAL 52.50 Minnesota State License#: 20512060 OWNER BARNIER, STEVEN P 2365 GLENDALE COVE LN LONG LAKE, MN 55356- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specitications,applicable City approvals,and the State Buildine Code. This permit 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 goveming this type of work shall be compied with whether or not specitied 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 time after work has commenced. The applicant is responsible for assuring all required inspections are requesled in conformance with the State Building Code.This permit may bc revoked at any time for due cause. ��ivt a,-��'� // � /.� � �z J 1 i l�3 i l z App 'cant Permitee Signature Date Issued y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. . i , D I �OR TY'L?SE ONLY' RE�EIV o Cit�•of Orono � ` J �j J �� 4 � ' P.O.BoY 66 Date Receiv d:� �" _ Petmit?� �vL� / � 1 O'', 2750 Kelley Parkway No� .� ��'� ' Crystal Bay,MN 55?23 APProved By: Amount$:�_�� Phone(952)249-4600 Fax(952)249-4616 � �I, , oF CITY OF ORONO— MECHANICAL PERMIT (;�II Commeroial pertnits must be appro��ed by the Building Official or Inspeetor and/or Fire�larshall) GENERAL INFORMATION 1. You may�pply tbr mechanical permits by mail or in person at the City offices. Applications will be revicwed and a permit will be issued within two working days. 2. Permit cards will be sent by return mail after a revic�c is completed. YERMI"TS ARE NO'T VALID iJN'I'IL YOU RI:CI�,NF?A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Designs—Complete calculations,details and specifications are required ii�r each heating,�•entilation,humidification-dehumidification,and air conditioning installation including heat loss/heat gain calculation,design temperatures,equipment ratings and identification as to t}�pe,manufacturer and model. Data shall be presented on t��rm provided. 4. VJhen an��new construction or remodeling is in��olved,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. I�ouse I��eating 7'est Record must be submitted before final. TYPE OF PERMIT Check All That A 1 esidential ❑Commercial(Approval Reyuired) �]�Fevv ❑Additional ❑Repairs ❑Replace Job Site/Owner Inforrnarion: Site Address: 2� � �7 '7`�✓L�t;GQ,CSL �-G��' Owner:��trL�� Mailing Address: �Z�d �� City C��1�� `�i►��— Zip: '� �7!`'/2� Home Phone: Alternate Phone: `'��'�� ✓�'� ��O� Contractor Information: �� ARTN & HOME TECHNOLOGIES, IN Contrac o�ba rEnntact Person: OME Lic. BC0512060 Address: 27nn F,aTtz�it��nr n�iFnii iG N State Bond#: �C� �� / � ROSEVILLE, MN 55113 7� `y/� City: 651.633.25Qip: Expiration Date: Phone: t��3�3 - 2 �7g Alternate Phone: ❑ lnsurance—Current: 1 . � , MECHANICAL SYSTEMS BEING INSTALLED Note: All Geothcrmal Systems ��°ill no�r rcquire a Site Plan& Rc�ie��° b}� our Building Ofiicial. IS THIS GEOTHERMAL? ❑Yes [�No HEATING SYSTEMS �u�j��t, 1 M��:�: ��/�—c�— � Model: Z,. Q �Z�� _ Puel: A 1 Flue Size: /.� Input BTUs: �j�0�} _ output�Tus: '2� _ CFM: COOLING SYSTEMS Quantitv: Make: Model: Tons: H.Pow-er FIREPLACES � Cias Factory Fireplace I3rand Name: �� _ ❑ Wood Buming Fireplace —� ❑ Wood Stove Model No.: �7.(p�—�� ❑ Wood Stove with Flue/Masonr� VEI�ITILATION ❑ Na Kitchen Fxhaust duct recirculating cfm ❑ No. Bath Exhaust(must have duct outside) cfm ❑ No. Other Fans: Locations cfm FUEL STORAGE (Must he approved by Fire Marshall if proposing to abandon tank in place.) ❑ Installation ❑ Kemoval Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside I,P 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 Thc re��laceinent of a Residential fi�ture or ap�liance that meets all three of the following requirements: L Does not reyuire modification to electrical or gas service. 2. Has a total cost of$500.00 or less;excludin�the cost of the tixtwe 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 $ �.00 Mail-In Fee(If Applicable) $ 2.00 Total Pcrmit Fce � PERMIT FEE CALCULATION S —JOBS OVER $500.00 if�above does not apply;follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of�50.00) � � ��..(�h� x.0125$ 5�•�� (contract price) (minimum$50.00) 2. STATE SURCHARGE �j 't" � �C��-�� x.0005 $ s J�O (contract price) 3. POSTAGE &I IANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ �� ,�j� • * CONTRACI� PRICFi or J013 COST means the actual or estimated dollar amount charged for the permitted work including matenals, labor,profit, and other fised costs. It is the amount to be charged to the customer for the work done. If any matenal, equipmcnt, labor or installations are fumished bv 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 ttie submission of a signed copy of the actual contract. MECHA1vICAL PERMIT APPLICATION AGREEMENT The undersigned hereb� applies to the City for issuance of a Mecha.nical Pennit, agrees to do all «ork in strict accordance ��ith the ordinances of the Cit} and the regulations of the State of Minnesota, and certifies that all statements made on this application are complete, true a�id correct. Applicant-s Signature: �� Date: �l—��l�� Reset Form 3 D E TIME � CITY OF ORONO CALLED IN `� �7 INSPECTION qNO�,TICE /_ SCHEDULED ��' � 2 % PERMIT NO.�'V�� 'D��(p/ COMPLETED ADDRESS �3�OS L�l/`G C.�C/ OWNER ��LE ONE NO. � �37b CONTRACTOR L'' �; DESCRIPTION �/ /`-'� � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICALRI ❑ LAKESHORE/WETLANDS � ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL � ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEEf YOU:_YES_NO � COMMENTS: � W a � � O � � O � W � Q � Z W � W � j d W��GOf�iKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑CORRECT WORK 8�PROCEED C ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Cail forthe next inspection 24 hours in advance. (952� 249-460� OwnerlContractor on site: Inspector. White Copyllnspector's File Canary Copy/Site Notice