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Home My WebLink About2011-00141 - gas fireplace ; -- CITY OF ORONO PERMIT NO.: 2011-00141 ' 2750 KELLEY PARKWAY r ORONO, MN 55356- DATE ISSUED: 03/OU2011 � 952 249-4600 FAX: 952 249-4616 ;ADDRESS : 460 EAST LONG LAKE RD PIN : 35-118-23-14-0010 LEGAL DESC : UNPLATTED 35 118 23 : LOT MB BLOCK MB PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 11,000.00 NOTE: (3)GAS FACTORY FIREPLACES-QUADRA-FIRE/HEAT-N-GLO-MODEL NO: QFP44,EVEREST,MONTA APPLICANT MECHANICAL 137.50 COUNTRYSIDE HEATING&COOLING 6511 HWY 12 STATE SURCHARGE MECH(VALUATION) 5.50 MAPLE PLAIN,MN 55359 TOTAL 143.00 (763)479-1600 OWNER JOHNSON,DAVE&ELIZABETH 17395 CONIFER COURT CHASKA,MN 55318- AGREEMENT AND SWORN STATEMENT The 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 authorized is not commenced within 180 days of the date of issuance,or if constmction is ' suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections aze requested in conformance with the State Building Code.This permit may be �evoked at any time for due ca se. / / � �/ l / / � .Applic ' ature Date Iss y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 1 ♦ '� �� I � � �� , � FOR CI Y USE ONLY ��p� City of Orono � �^ / `�`O P.O.Box 66 Date Received: // � Permit# o�/��/ � �;,,_., 2750 Kelley Parkway � �'�, - Crystal Bay,MN 55323 Approved By: Amount$: / � ��i��..� Phone(952)249-4600 Fax(952)249-4616 CITY OF ORONO—MECHANICAL PERMIT (All Commercial permits must be approved by the Building Official or]nspector 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 UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Desiens—Complete calculations,details and specifications are 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 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 ) ■� Residential ❑Commercial(Approval Required) ❑ New ❑� Additional ❑Repairs ❑ Replace Job Site/Owner Information: 460 E LONG LAKE RD Site Address: David Johnson Owner: Mailing Address: Cit Orono Z1 55391 Y� p� Home Phone: Alternate Phone: Contractor Information: Countryside Maggie Contractor: Contact Person: Address: 6511 Hwy 12 State Bond #: Maple Plain 55359 City: Zip: Expiration Date: Phone: �763)479-1600 Alternate Phone: ❑ Insurance—Current: l 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: Ma1ce: Model: Tons: H.Power FIREPLACES `n,p` � Gas Factory Fireplace Brand Name: Quadra-Fire/Heat-n-glo (�v�j3�N��'J Wood Burning Fireplace �j'l ` `�� ❑ Wood Stove Model No.: QFP44, Everest, Monta v ❑ Wood Stove with Flue/Masonry VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfin ❑ No. Bath Exhaust(must have duct outside) cfin ❑ No. Other Fans: Locations cfin FUEL STORAGE (Must be approved by Fire Marshall if proposing to abandon tank in plac�) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill ❑ Other/List What&Where: 2 . ❑ Yes,this section 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;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 $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ If above does not apply;follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) 11,000.00 x.0125$ �37.50 (contract price) (minimum 550.00) 2. STATE SURCHARGE **Add the State Bldg Code Div.Surcharge(Minimum Fee of$5.00) 11,000.00 x.0005 $5.50 (contract price) (minimum$5.00) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $143.00 ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the perrnitted 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 times the Contract Price or a minimum of$5.00. The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do a11 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 Si . Date: 1 �� ' 3 �� U D E TIME �/ CITY OF ORONO CALLED IN 3 �� INSPECTION NOTICE SCHEDULED "� PERMIT NO.�D/!-QOL�� COMPLETED ADDRESS � OWNER � T PHONE NO. �Z Z J32- CONTRACTOR �� C- �: DESCRIPTION � �� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ 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 � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � ` .�� S_�- ��-z �' �-�' � � O � %"1/1 r-'1� n ��,.� ('f�'/�1��"'�' S Q �l1 � l��,`�«. - � !U v T- �t�.�� Q i,,n S c�� '� S t�CC -t-��Ji tJ � Z � 4�'A �_ �� , 1 � .� � � J Cf'��.L� t`/LJ 1-iG�!Lr�j t_.z/ �1�.. a ( � �"�C� �� W� ,��IORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITH�N HOURS. ❑ pH0T0 TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Cail for the next inspection 24 hours in advance. �95Z� Z49-460� OwnerlContractor on site: ' Inspector. White Copyllnspector's File Canary CopylSite Notice