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Home My WebLink About2010-00105 - gas fireplace R • CITY OF ORONO PERMIT NO.: 2010-00105 2750 KELLEY PARKWAY ORONO, MN 55356- �ATE ISSUEn: 02/25/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 3355 GRAHAM HILL RD PIN : 05-117-23-11-0008 LEGAL DESC : GRAHAM HILL PRESERVE : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 21,000.00 NOTE: 4 GAS FIREPLACES HEAT N GLO: EVERF.,ST,RGD 60,ESCAPL42&CRL;SCEN"l� APPLICANT MECHANICAL 262.50 FIRESIDE HEARTH& HOME STATE SURCHARGE MECH (VALUATION) 10.50 2700 FAIRVIEW AVE ROSEVILLE, MN 55113 MAIL-IN FEE 2.00 (651)633-2561 MISC FEE 0.00 Minnesota State License#: 20512060 TOTAL 275.00 OWNER BPS Properties, LLC 201 LAKE ST E WAYZATA, MN 55391- AGREEMENT AIYD SWORN STATEMENT I�he work fi�r�vhich this pcnnit is issucd shall be performed according to the approvcd plans and specitications,applicable City approvals,and the State Building Code. "I'his 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 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 Yor assuring all required inspectioi�s are requested in conformance with the State[3uilding Code.This permit may be revokcd at any time for due cause. `yy(�� , l l � � Applicant ermitee Signature Date Issued Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB VE. ■ . FOR CITY USE ONLY O¢p�O City of Orono P.O.Box 66 Date Received: Permit# ,.. 2750 Kelley Parkway � r�`''• +� Crysial Bay,MN 55323 Approved By: Amount$: ' �o:`o� (952)249-4600 �4 CITY OF ORONO—MECHANICAL PERMIT (All Commercial permits must be approved by the Building Ofticial 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 VALtD UNT[L YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Desi�ns—Compiete calculations,details and specifications aze 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 ar 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 I ) [�Residential �Commercial(Approval Required) �New ❑Additional ❑ Repairs ❑ Replace Job Site/Owner Information: Site Address: 3 3 SS C��a{.�A,,,� u; 11 �d� Owner: C�.q� 1 es C �c�� L.1.e Mailing Address: City: Zip: Home Phone: G/�- 33 3- $a�v Alternate Phone: Contractor Information: Contractor: Contact Person: ,:.�af,r,&�iom�Tect�nolcHomenc. dba ue� License 20512060 Address: State Bond#: 270o N: Fa�;�'��A3' �'o � 651/633-2561 City: Zip: Expiration Date: Phone: Alternate Phone: ❑ Insurance—Current: ` 1 c. . MECHANICAL SYSTEMS BEING 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: Inpat BTUs: Output BTUs: CFM: COOLINC SYSTEMS Quantity: Make: Model: Tons: H.Power FIREPLACES � � Gas Factory Fireplace Brand Name: {-�tc�,� �(�I o ❑ Wood Burning Fireplace Q � Wood Stove Model No.: �VG�eS-� Fe� �00 � �S e y2 ❑ Wood Stove With Flue � � Cf�s�c�� VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfm ❑ No. Bath Exhaust(must have duct outside) cfm ❑ No. Other Fans: Locations cfm FLJEL STORAGE (Must be approved by Fire Marshalt iJproposing to abandon tank in place.) � Installation a Removal Fuel Oil: gallons ❑ Underground B Inside �Outside LP 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 app(ies 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;excludinQ the cost of the fixture or appliance:and 3. [s 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.U0 Total Permit Fee $ PERMIT FEE CALCULATION S)-JOBS OVER $500.00 If above does not apply;follow guidelines below: 1. CONTRACT PRICE * is i.25%of contract price with a(Minimum Fee of$50.00) 'p�f��11�'U. !J� x.0125 $_��.�d (contract price) (minimum$50.00) 2. STATE 5URCHARGE ** Add the State Bldg Code Div.Surcharge(Minimnm Fee of S 50) �� !/lJl� x.0005 $____ �d� sC.a -- - -.---�____—.__.____.� _ __. _____._._— (contract price) (minimum$ .50) 3. POSTAGE&HANDLTNG(Only on Maii-In Applications) $ 2.00 4. TOTAL PERMIT TEE(Add Lines 1-3 Above) S � 7s.V� ■ * 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 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 actual contract. • **The STATE 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. Applicant's Signature: ,� --� Datev? �?3 I v Reset Form 3 �- �- � ,/ DATE TIME CITY OF ORONO CALLED IN /.�- � INSPECTION NOTICE !-�n ��7SCHEDULED /C� �L1 PERMIT NO. �� —�"/!CV COMPLETED ADDRESS ��s v✓\��v` /7�l�� OWNER � T�LEPHONE NO.. � � ' ��.L CONTRACTOR • �'� �l� �� ` � >; DESCRIPTION � � � �� ❑ FOOTING ❑ PLUMB�NG FINAL ❑ EXCA GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ 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 J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O a � O � W � Q � Z W � W � � d W� �WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑CORRECT WORK&PROCEED ! ' ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � 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. �95Z� Z49-46�� Owner/Contractor or siteF Inspector. `� � � �� White Copylinspector's File Canary CopylSite Notice