HomeMy WebLinkAbout2009-00148 - gas fireplace CITY OF ORONO PERMIT NO.: 2009-00148
. 2750 KELLEY PARKWAY
�
ORONO, MN 55356- �ATE �SSUEn: 04/09/2009
952 249-4600 FAX: 952 249-4616
ADDRESS : 3285 GRAHAM HILL RD
PIN : OS-117-23-11-0006
LEGAL DESC : GRAHAM H[LL PRESERVE
: LOT 000 BLOCK 000
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIREPLACE-GAS
VALUATION : $ 15,415.00
NOTE: 4 GAS I��EA"C N GLO& I[EA"I'ILA"COR F'IREPLAC[.S
APPLICANT MECHANICAL 192.69
FIRESIDE HEARTH & HOME STATE SURCHARGE MECH(VALUATION) 7.71
2700 FAIRVIEW AVE
ROSEVILLE, MN 55113 MISC FEE 1.98
(651)633-2561 TOTAL 202.38
Minnesota State License#: 20512060
OWNER
BPS Properties, LLC
LLC, BPS PROPERTIES,
201 LAKE ST E
WAYZATA, MN 55391
AGREEMENT AND SWORN STATEMENT
'The work tor which this permit is issucd shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Buildine Code. This pennit is for only the work described and does
not grant permission fbr additional or rclated 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 within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at ai�y time after work has commenced.
'Che 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 due cause.
��1'�.d�t,l �/!l. l l l l
Applicant Permitec Signature Date Issued B 'ignature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBE BOVE.
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. FOR C[TY C�E O�LY '
�"� City of Orono
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�I�Y O�' OR�tiO - tii£Ci�a�I��L PEIZ�IIT
a:I C�m�^ereiai�emt�;�mus�Se appro:ed;- _ne C3aildir.;O[ficiaf�r[nsae�ror and;or�_e�.larha!'�.�
��� GE�EIZ-�L ItiF01Z�1?.TIOti �
l. You ma;� apply Tor mechanical permits by� mai( or in person at�he Ciry offices. :�pplications will
be re��ie�.ti�ed and a permit wil( be issued within t�.vo working days.
?. P�rmit cards will 'oe sent b} rerurn mail aTter a r�view is completed. PER:��[fTS .�RE �OT
��_aLID L�iT[L ��OC; FtECEi`"E :� PEIZ�I[T. w'ORK tiiUST �OT BEG[� L'�TfL T'HE
PER�tIT C�RD [S POSTED O� THE JOB SITE.
3 �i�chanical Desi�ns—Complete calculations, details and speciTications 3re r�quired ror zach
hestin;, �entiiation, humidiCica�ion-dehumiditication, and air condi�ionin� instaliation includina
heat loss,heat �ain calcula�ion, desi�n tempera�ures, equipment r3tings and idzntihca�ion as to
c�pe, manufacturer and modeL Data shall be presented on torm providzd.
�. «hen anv ne�.v constrlction or remodeling is invol���d. a�zparate bui(din?pzrmic must be
obtained�
�. �11 ��ork must b� donz in accordarc� wi�h the �nitorm�techanical Code S�a�e Buildin�C�de
requiremen�s.
6. �11 wor:mu_t be inspec�ed(rou;h-in and finaij. Call (9�2) 7_�9-4600.
�Z�-48 hour notice required)
House Heatin,Test R�cord muwt be submitted before [inaL .,
' TYPE OF PER��IIT
�� (Check �11 That � 1 i
PP �)
�'Ete;idenciai ❑ Commercial (:�ppro�al Requiredj
��;e�.v ❑ �ddirional ❑ f2�pairs ❑ Replac�
Job Site : O��ner Information:
Site �ddress: ��''�� v'�-�-�`-�'Y1 t�\� �
Owner: ��(.l�2����.,ts�u � �tailing :�ddress:
Citv: Zip:
Home Phone: altemate Phone:
�, Contractor Information: i
Contractor_ ,�nc. Contact Person: ��`���
dba Fireside Hearth & Home
License 20512060
_�ddres5: 2�p0 ti Fairview Ave. �t3t2 Bond =:
Fioseville, MN 55113
6511633-2561
Cit,�: Zip: Expirat�on Dat�:
Phone: -�I�zmate Phone:
'� Insuranc� - Cu�rer.�:
1
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��IECFI_atiIC_�L SYSTE�i� BEItiG I�ST'�LLED !
HE.aT1�G Sl STE�lS
Quar.�it,�.� _
��T3K�
ti10d2�:
Fuei:
Fl�e �ize:
[nput BTL-s:
Out�+u� BTUs
CF�[.
COOLI�G S�'STE�[S
Quan�ity: _
�take:
�todei
Tons:
H. Po���,
F[REPL.aCE�
�i va; Fac�ory Firepl3ce �
����ood Burning Fireplace
❑ ���ood�tove
❑ Wood��o�e bb'i�h Flue
Brand�ame: �Q�� 'C,L�' �- titodei �o. v�CK—.��2JLD �—'
� �Qca� t� 1��� �'"`-�-5�
�E\T[L.aT[O\ �e� ti ,a,� �_�c.��-�� ��-
C�
❑ �,�o. Kitchen Exhawt duct reeircu(stin� �fm
❑ �o Bath E.Yhaust imust have duc�oursidei cfm
❑ ��o Other Fans: Locations cTm
FCEL �COR.aGE �iC.'�T BE .�PPRO�ED B�" FIRE �t:�R�H:aLLj
❑ [nstafi3:!on ❑ R.emo���af
Fue� 0;,: �311ons ❑ ��nderground ❑ [n�ide ❑ Ouride
LP vas: ;allons
Other:
Ga� l.[�E O`Ll
��j Oa�u�oor Grtfi ❑ Ott;er Li�� ��.�ha� 3c �-�•:�.�r��.
,
. �
' PERMIT FEE CALCLTLATION(S)
BASED OFF - 2002 STATE STATUE �
� Yes, this section applies
�
Tne replacenlent of a Residential fixture or a�pliance that meets all three of the follo�ving requirements:
I. Does not require modification to electrical or 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 nest section, if this applies; Cost of Permit � 15.00
State Surcharge $ 50
Mail-In Fee(If Applicable) � ?.00
Total Permit Fee $
_ PERMIT FEE. CALCULATIDN(S) -JOBS O�rLR �SG0.00 j
I�above does not appl}�; follow guidelines below:
1. CO�TR4CT PRICE * is 1.25°/o of contract price with a(�Iinimum Fee of��0.00)
��� � � . �� x.012� � ��� .� �
(contract price) Iminimum$50.00)
2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge (1Tinimum Fee of�.50)
( �IS i�� x .000� S �• �
(contract pnce) (minimum$ .SOj
3. POSTAGE&HANDLNG(Only on Vtail-In Applications) $ 2.00
4. TOT:�L PER�IIT FEE (Add Lines 1-3 Above) � ��� � ��
■ * CO\TRr�CT PRICE or JOB COST means the actual or estimated dollar amount char;ed for the
permitted work includin� materials, labor, profit, and other fised costs. It is the amount to be charged
to the customer for the �vork done. If any material, equipment, labor or installations are furnished bv
the owmer, 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 e��ent that there is a dispute on the
�mount of the job cost, the City ma�� request the submission of a si�ned copy of the actua] contract.
■ ** The STATE SURCHARGE is .000� of the Buildine Depai-tment at�9�2) 2�39-d600 for tl�e price.
i �IECHAI�TICAL PERMIT APPLICATION AGREEMENT i
T'he undersi�ned hereb}� applies to the Citv for issuance of a �tilechanical Permit, a�rees to do all
�vork in strict accordance �vith the ordinances of the Citv and the re�ulatio�Is of the State of
�Iinnesota, and certifi�s that all statements made on this application are coi��piete, rrue and
correct.
�applii ant�s Si��nature: � ���� , Date: �� U �V��
;
� � � DATE TIME �/
CITY OF ORONO CALLED IN �` ���.,��
INSPECTION � �� �SCHEDULED Q O U- ��
PERMIT NO. COMPLETED
ADDRESS ��7 � (C�I��Y�t LC.�, , G l �
OWNER CONTR.'��//�(.1/.I.L�
TELEPHONE NO. ` S� — � � �
� DESCRIPTION CL-P�� �-L--• �Gf/Z .S
� ❑ FOOTING � MECHANICA I ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE
O ❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPL4INT
Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FO�LOW-UP
_ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
� �
W �ORRECT WORK&PROCEED _i ISSUE CERTIFICATE OF OCCUPANCY
� ❑ CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cal1 for the next inspection 2a hours in advance. (952� 249-4600
•1
OwnedContractor on site:
Inspector_ �
White Copyllnspector's File Canary CopylSite Notice