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Home My WebLink About2012-00123 - gas fireplace ' CITY OF ORONO PERMIT NO.: 2otZ-oo�23 r 2750 KELLEY PARKWAY ORONO, MN 55356- DATE �ssuEn: 02/13/2012 952 249-4600 FAX: (952 249-4616 REPRINTED ON 2/13/2012 ADDRESS : 3315 GRAHAM H[LL RD PIN : OS-117-23-11-0007 LEGAL DESC : GRAHAM H[LL PRESERVE : LOT 6 BLOCK 1 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : F[REPLACE-GAS VALUATION : $ 1,400.00 NOI E: I II:AT N GLO 6000C- IPI APPLICANT MECHANICAL 50.00 FIRES[DE HEARTH& HOME STATE SURCHARGE MECH(VALUAT[ON) 0.70 2700 FA[RVIEW AVE ROSEVILLE, MN 551 13 MAIL-IN FEE 2.00 (65l)633-2561 MISC FEE 0.00 Minnesota State License#: 20512060 TOTAL 52.70 OWNER HEURUNCT, MARK& SUE 225 6TH ST S#2900 MINNEAPOLIS, MN 55402- AGREEMENT AND SWORN STATEMEI�T The«ork Yor which Ihis permit is issued shall be performed accordins to the approved plans and specitications,applicable City approvals,and the State Buildin�Code. This permit is for only the«ork described and does not grant permission for additional or related work��hich requires separate pemiits. All provisions of laws and ordinances governin�this type of work shall be compied with whether or not specified herein.This permit wili e�pire and become null and void if construction authorized is no[ eommenced within 180 days of the date of issuance,or if construction is suspended for a period of I 80 days at any time after work has commenced. The applicant is responsible for assuring all required inspcc[ions are requested in confonnance with the State Buildina Code This perniit ma��be revoked at any ime for due causz. �il��`�. l l l l Applicant Per tee Signature Date Issued By S� ature atc SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO . r FOR CIT}'USF,ONLY " � City of Orono -�� `� P.O.Box 66 Date Received: Permit# � ��''� 2750 Kelley Parkway a ''�� i Crystal Bay,MN 55323 Approved By: Amount$: �� "'• , c+�' Phone(952)249-4600 I�ax(952)249-4616 :.,t,,xa�so4� „ CITY OF ORONO-MECHANICAL PERMIT (All Cominercial permits must be approved by Che Building Official or Inspector and/or Pire 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 pennit 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 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 for each heating,ventilation,humidification-dehumidification,and air conditioning installation including heat ioss/heat gain caiculation,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 final. TYPE OF PERMIT (Check All That A 1 ) esidential ❑Commercial(Approval Required) ew ❑ Additional ❑ Repairs ❑ Replace Job Site/Owner Information: Site Address: 33��1� _ � �7`.��/ Owner:Q�A��.- Lc�� Mailir.g Address: l�� li� �� 4r`� city: �� zip: �7`'�'�f il7 Ho►ne Phone: Alternate Phone: �!%Z ��i 33 -�`�L� Contractor Inforination: Contractor: Contact Person: ��2c�.��n�� Address: State Bond #: ��cAizTl-� � HOME TECHNOLOGIES, INC. ��a��;�� & HOME Lic. BC0512060 City: Zip: Expiration Date: �7np FAtRV1EW AVENUE N � ROSEVILLE, MN 55113 Phone: (u /Z � �i 4 �i- 'L j J � Alternate Phone: 651.633.2561 ❑ Insurance-Current: l MECHANICAL SYSTEMS BE1NG INSTALLED 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 I� Gas Factory Fireplace Brand Name: G�"^�2/—� ❑ Wood Burning Fireplace " �^ ❑ Wood Stove Model No.: �p�D� ��` ❑ `.'�'o�d Stove v✓ith F!ue;^.:ascrr� VENTILATION ❑ Na Kitchen Exhaust duct recirculating cfm ❑ No. Bath Exhaust(must have duct outside) cfm ❑ No. Other Fans: Locations cfm FUEL STORAGE (Must be npprove�l by Fire MarslraQ if proposing to abandon tank in pince.) ❑ Installation ❑ Removai Fuel OiL• gallons ❑ Underground ❑ Inside ❑ Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill ❑ Other/List What&Where: 2 PERMIT�FEE CALCULATION(S) BASED OFF - ?002 S'I'ATE STATUE ❑ Yes,this sectio�l 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;excludin�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-[n Fee(If Applicable) $ 2.00 TOt1:� Pt'CI?::t:CC � PERMIT FEE CALCULATION(S)-JOBS OVER $500 00 � [f above does not apply; follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) ��pD,DO X .oi2s $ �'�'. �n (contract pricc) (minimmn$50.00) 2. STATE SURCHARGE �/(� ` !D�� U x .0005 $ , �� (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) � ,�Z, �]C; • * 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 fur��ished by the owner, tenant or any other party, the reasonable market value of such items must be added to the f'.CtI1172.ta�{ COS? Q!' C^!?tC3Cr YCIC? fC." ��C::1lt fe� �,':; ^JSZS. �!: >�i.", ...:I.i iiiut iiiif� iS c. UiSj.:iii, vil i�iC amount of the job cost, the City may request the submission of a signed copy of the actual contract. MECHANICAL PERM[T 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. Q C,�2 —�j4 3-2i7U A licant's Si�nature: �� • � � ��— ��i- PP , C2'"''l � ��V�� Date. � Reset Form 3 �.�-� �� D E TIME ✓ CITY OF ORONO CALLED IN � /� INSPECTION NOTICE SCHEDULED �t3U PERMIT NO.dOI o� - Ddl�MPLETED ADDRESS �3��S �-�"la-�- l'7`!6/ OWNER T LEPH E NC�Co�a-`�� 't7 77 CONTRACTOR � e Gel� n �; DESCRIPTION � ` � v - -�-- � � ❑ FOOTING ❑ PLUMBING FIN L ❑ EX AV RADING/FILLiNG Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LA ORE/WETLANDS � � FRAMING ❑ MECHANICAL FINAL O ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION 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 Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � w a � 1) /�'rc'�1 i� ti,�� c�� . 0 � � 0 � W � Q � z W � W � j . d W '6LWORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑ CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY W � ❑ CORRECT WORK,CALI FOR REiNSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALI INSPECTOR � CITATION ISSUED C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-4600 OwnerlContractor o site: Inspector. � ��.. � �7/ White Copyllnspector's File Canary CopylSite Notice