HomeMy WebLinkAbout2008-00425 - gas fireplace CITY OF ORONO PERMIT NO.: 2oos-oo425
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�, 2750 KELLEY PARKWAY
ORONO,MN 55356- DATE ISSUED: 12/02/2008
952 249-4600 FAX: 952 249-4616
ADDRESS : 1005 HLJNT FARM RD
PIN : 30-118-23-42-0006
LEGAL DESC : HUNTINGTON FARM
: LOT 001 BLOCK 005
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIREPLACE-GAS
VALUATION : $ 9,270.00
NOTE:
2 HEATILATOR GAS FIREPLACES
1 HEATILATOR WOOD FIREPLACE
APPLICANT MECHANICAL 115.88
FIRESIDE HEARTH&HOME STATE SURCHARGE MECH(VALUATION) 4.64
2700 FAIRVIEW AVE TOTAL 120.52
ROSEVILLE,MN 55113
(651)633-2561 PAID WITH CASH 0.02
Minnesota State License#:20512060
OWNER
PERSIAN, STEVE&KATHY
1005 HLJNT FARM RD
LONG LAKE,MN 55356
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be perfortned 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 sepazate
permits. All provisions of laws and ordinances governing this rype of work
shall be compied with whether or not specified hereia This permit will
expire and become null and void if constructiok 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
requested in conformance with the State Building Code.This permit may be
revoked at any time for due caase.
�91a-�-c�P l�t� l l �T��J l l
Applicant Permitee Signature Date Issued By Si ature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRI D ABOVE.
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FOR C[TY LSE O�LY'
�� City of Orono
% � ��� P.O.Box 66 I Da�e Eteceived: Pamiit�
%�,: � � '_';0 Kelley Park�vay I
�i,� �� 8 : �'I G��stsl Bav.'�(N�»-3 �pproved By: �mount�:
,?�, t,����o"� r��')=49-4600
>�<�R_.t�-o�6�
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CITY OF ORONO —1�IECI�ANIC:�L PERI�QI'
�,a!i Commercial pemiiU must be approved by�he Buildin�Official or[nspector and;'or Fire�(arshall)
� GE�rERAL I��FORi'�T:�I'ION
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.
_. Permit cards will be sent by return mail after a review is complzted. PEIL�1(TS .aRE NOT
�"�LID li?�1TIL YOU RECE[VE A PERltiI[T. V�'ORK titUST�YOT BEGI� UVTIC.THE
PER�iIT C.�RD (S POSTED O�THE JOB SITE.
� �techanical Desi�ns—Complete calculations, details and specificacions are required for each
heating, ventilation. humidification-dehumiditication, and air conditioning installation inc(udin�
heat loss-heat�ain calculation, design temperatures, equipment ratings and identification as to
tvpe, manufacturer and model. Data�hall be presented on form providzd.
� ��"hen anv nesv construction or remodeling is invo(ved, a separate building permit must be
oCtained�
� .�ll work must be done in accordance with the Uniform Mechanical Code-S�ate Buildin�Code
requirements.
6. all work must be inspec�ed(rou�h-in and final). Call (952) 249-4600.
(2�-48 hour notice required)
'. Elouse Heating Test Record must be submittzd beTore final.
�� TYPE OF PER�vIIT �
�� (Check All That Apply) �
�] k�esidentia( ❑ Commercial(.�pproval Required)
J, �
� Lew ❑ _�dditional ❑ Etepairs ]�j Replace
��.
i Job Site i Owner Information:
Site Address: I�� /�� �� �`�'�
Owner: � � � \ '',��1�lailing Address:
Citv: Zip:
Home Phone:� �� -f'� 'C1v�-�'��lternate Phone:
, Contractor Information:
�
Contractor: Contact Person: v t/U���
a ome Technologies,Inc.
address:
L censje 20512pgp h �` Home State Bond#:
irv ew ve.
Roseville, MN 55113
Cit : 851/633-2581 Zip: Expiration Date:
Y
Phone: :�Itemate Phone:
❑ Insurance — Current:
1
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4
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I L1ECH:�NICAL SYSTE�iS BEI�iG I�STALLED ; '
HE.�TI'�G S�STE�tiiS
Qu�x�ty: � ( �
/ /
�take: �Q ( 2 �-�-C(.iJr N b�0 �Q(t� N lo�v
NlodeL � ��C,y.�p,Z ���1
Fuzl: � � l/1�'S
Fluz 5ize:
Input BTlis:
Output BTL's: ��
CF�L
COOL[�G SYSTE�IS
Quanti��.:
�[ake.
�[odel:
Tons:
H. Power
� F[REPL.aCES
,`
�.. Gas Factory Fireplace�
� ��"ood Burning Fireplace '
❑ W�ood Stove
❑ Wood Stove w'fth Flue
Brand�lame: � 1��{��I''�lodel tio.:
VENT[L.aT[ON
❑ �o. Kitchen Exhaust duct rzcirculating cfm
❑ No. Bath Exhaust(must have duct outside) cfm
❑ No. Other Fans: Locations cfm
FUEL STORaGE ��ICiST BE .�PPRO`ED BY"FIRE !�t.-�RSH.aLL)
❑ [nstallation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑ Inside ❑ Outside
LP Gas: gallons �
Other.
G.aS L[VE O�LY �
❑ Outdoor Grill ❑ Other ' Lisc�Y'hac& �Vhere:
2
ti.
.
PER��tIT FEE CALCtiL�TION(S)
� B.�SED OFF - 2002 ST�TE STATtiE
❑ Yes,this section applies
The ;.;placement of a Residential fixture or appliance that me�ts all three of the following requirzments:
1. Does not require modification to electncal or�as service.
2. Has a total cost ot��00.00 or less; excludinQ the cost of the tixture or appliance: and
3 [s improved, in�talled or replaced by the homeowner or licensed contractor.
Skip next section, it this applies; Cost of Permit $ 1�.00
State Surchar�e � .�0
�tail-In Fee (If Applicable) $ 1.�0
Total Permit Fee �
PER��IIT FEE C�LCliL��TIOti'(S j —JOBS 0�'ER��00.00 ,
IT abo�.e does not apply; follow guidelines below:
L CO�TR�CT PRICE �` i� 1?�'��of contract pnce with a(�[inimum Fee of�3�.00)
��� '� x.012� � � � � ' C.��
icoiltrsc�pricej (minimum�3�00)
_ �T�TE S�RCH.aRGE R` .add the State Bid,Code Div. Surchar�e(�[inimum Fee of�.�0)
� t� • � x .000� � � ``� �
� �n�ract pnce) !minimum� �0)
3. POST�GE & E{_��DL[�+G iOnl��on �.Ia:1-[n �pplicationsl � "t?l�'
'^�,� �
�. TOT.aL PER:�I[I' FEE I.�dd Lines I-3 .�bove) ��%!��
■ ` CO�TRACT PRICE or JOB COST means the actual or estimatzd dollar amount char�ed for the
permitted work includin� matznals, labor, profit, and other fixed costs. It is the amount to be charged
co the customer for the work done. If any matzrial, equipment, labor or installations are fumished by
chz owner, tenant or any other party, the reasonable market value of such items must be added to the
estimated cost or contract pnce for permit fee purposes. In the evznt that there is a dispute on the
amount of the job cost, the City may request �he submission of a si;ned copy of the actual contract.
� ** The STATE SURCH:�RGE is .000� of the Buildin� DepaRment at(9��)249-4600 for the pnce.
MECHANICAL PER�vIIT APPLICA�I'ION AGREE�IENT j
The undersignzd hereby applies to the City for issuance ot a ti�tachanical Permit, a�r�es to do a11
�.�ork in strict accordance with the ordinances of the City and the regulations of the State ot
�Iinnesota, and certifies that all statements made on this applica[ion are complete, true and
comct.
.��plicant�s �i�nature. a'te: � �"���� V
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DATE TIME
✓
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED !a?- —O o7; db
PERMIT NO. 'D� COMPLETED
ADDRESS lD+D.S ��� /�-�'
OWNER CONTR. `/_I'�5���
TELEPHONE NO. �l lO3� 3 3 7� �� .
� DESCRIPTION � — ��
� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORENVETLANDS
y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE
Q ❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL p SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLA�NT
� ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
_ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
v ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
��., COMMENTS:
�
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'� (/9c� l I� �� �r21'r c� r- (�S�I�
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W ❑WORK SATISFACTQRY:PROCEED ❑ PROJECT COMPLETE
� RRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑ RRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p PHOTOTAKEN
INSPECTOR WlLL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. (952) 249-460�
OwnerlContractor on site:
Inspector. _ ��
White Copyllospector's Flle Canary CopylSite Notfce
� �� �� �
��D ��D TIME
CITY OF ORONO CALLED IN �
INSPECTIO OT E �1 CHEDULED / �
PERMIT N -- vO COMPLETED
ADDRESS ��S^ G`h`-Gf,l27�
OWNER CONTR S-
TELEPHONE��` d ��
� DESCRIPTION �� -�-�� ���`�V�
� ❑ FOOTING ❑ MECHA L RI ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMWG ❑ MECHANICAL FINAL ❑ LAKESHORENVETLANDS
y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE
❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP p SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. p COMPLAINT
Q ❑ DEMO-FINAL ❑ SEPTtC INSTALL. ❑ FOLLOW-UP
_ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
v�i COMMENTS:
�
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0
�
0
�
W
�
Q
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z
W
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W
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W� WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑ RRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WFLL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (952) 249-46�0
OwnerlContractor on ite:
Inspector. ,, �S
White Copyllnspector's Flle Canary CopylSite Notice