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Home My WebLink About2009-00141 - gas fireplace CITY OF ORONO PERMIT NO.: 2009-00141 , R 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 04/07/2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 1285 FRENCH CREEK DR PIN : 10-117-23-32-0007 LEGAL DESC : FRENCH CREEK : LOT 008 BLOCK 001 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RES[DENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 3,500.00 NOTF;: 2 HF,A"I'N GLO GAS FP FB-IN-S APPLICANT MECHAN[CAL 50.00 GLOWING HEARTH AND HOME STATE SURCHARGE MECH (VALUATION) 1J5 100 ELDORADO DRIVE JORDAN, MN 55352 MAIL-IN FEE 2.00 (952)495-2927 TOTAL 53.75 OWNER GEORGE, DEVEAN 1285 FRENCH CREEK DR WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT ]'he 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. 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 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 authori�ed is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days a[any time after work has conunenced. 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 duc cause. ��Yl-Cu`�P �� l l l l Applicant Permitee Signature Date Issued By � nature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED BOVE. � FOR CITI'LiSE OhLY " City of Orono 1��` P.O.Box 66 Date Received: Permit# 'a ��i= 2750 Kelley Parkway ?�, �f� ��;r' g��t�B�a��MN 55323 Approved By: Amount$: ,��y,, ( ) CITY OF ORONO—MECHANICAL PERMIT (All Commercial permits must he approved by the Building OCficial or Inspector and/or Fire Marshall) GENERAL INFORMATION 1. You may apply for mechanical permits by mail or in person at the City offices. Applications will be reviewed and a permit will be issued within two working days. 2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID UNTtL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical llesi�ns—Complete calctilatici�s,d�tai;s as:d s�::ar`is:.z��:;-sr�r-:�,:,�;F2'�-F4>��ac!�. heating,ventilation,humidification-dehumidification,and air conditioning installation including heat loss/heat gain calculation,design temperatures,equipment ratings and identification as to type,manufacturer and model. Data shall be presented on form provided. 4. When any new construction or remodeling is involved,a separate building permit must be obtained. 5. All work must be done in accordance with the Uniform Mechanical Code/State Building Code requirements. 6. All wark must be inspected(rough-in and final). Call(952)249-4600. (24-48 hour notice required) 7. House Heating Test Record must be submitted before final. TYPE OF PERMIT Check All That A 1 �) � Residential �Commercial(Approval Required) � New ❑Additional ❑ Repairs ❑ Replace Job Site/Owner Information: Site Address: 1285 FRENCH CREEK DRIVE Owner: MARK FISCHER Mai(ing Address: 5112 PARK IRENE DR MILTONA 56534 ciry: zip: Home Phone: �612)685-4966 Alternate Phone: Contractor Information: Contractor: GLOWING HEARTH & HOfv� Contact Person: TIM SHIMEK Address: �00 ELDORADO DR State Bond #: 41 BSBAE 8641 City: JORDAN Z�p: 55352 Expiration Date: 02/15/10 Phone: (952)492-9276 Alternate Phone: �952�292-722$ ✓❑ Insurance—Current: �0/22/10 1 MECHANICAL SYSTEMS BEING 1NSTAL�ED Note: All Geothermal Systems will now require a Site Plan & Revicw 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 FI REPLACES � Gas Factory Fireplace Brand Name: HEAT&GLO ❑ Wood Burning Fireplace � Wood Stove Model No.: FB-IN-S (2 UNITS) ❑ Wood Stove With Flue 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 PERMIT FEE CALCULATION(S) �3ASED O�'F -2002 STATE STATtJE ❑ Yes,this section applies The replacement of a Residential fixture or appliance that meets all three of the following requirements: I. 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) $ 2.00 Total Permit Fee $ FERMIT FEE CALCULATIO�`+t S '-JC?BS flVER$540.QQ If above does not apply;follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) 3,500.00 x.0125 $ 50.00 (contract price) (minimum$50.00) 2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(Minimum Fec of�.50) 3,500.00 x.0005 $ 1.75 (contract price) (minimum$ .50) 3. POSTAGE&HANDLING (Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ 53.75 ■ * CONTRACT PRICE or JOB COST means the actual or estimated 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 work done. If any material, equipment, labor or installations are fumished 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. ■ **The STA"CE SURCHARGE is.0005 of the Building Department at(952)249-4600 for the price. MECHANICAL 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 made on this application are complete, true and correct. � ,,,:/' � 04/06/09 Applicant's Signature: Date: Reset Form � 3 DAj TIME V CITY OF ORONO CALLED IN � ` INSPECTION NOTICE SCHEDULED _�� /;� PERMIT NO. o?DO 9- ��l�� COMPLETED ADDRESS �aZ�•S ��-�"� �� L� OWNER CONTR.�IG��Q r� TELEPHONE NO. �-sZ �� 2 7� � DESCRIPTION �� Z� /��-� �� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT � ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP i � PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL v ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W C � � O � � O � W � Q � Z W � W � j d WORKSATISFACTORY:PROCEED Ci PROJECTCOMPLETE � ❑CO ECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN �CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952� 249-4600 OwnerlContractor on ite: Inspector. �� 1(�/ � � White Copyllnspector's File Canary CopylSite Notice