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Home My WebLink About2009-00117 - gas fireplace CITY OF ORONO PERMIT NO.: 2009-00117 2750 KELLEY PARKWAY . ORONO, MN 55356- �ATE ISSUEn: 03/20/2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 3546 [VY PL PIN : 20-117-23-42-0018 LEGAL DESC : TAYLORS SUBD OF SPRING PARK LO : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL(> $500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 9,380.00 NOTG: 2 FACTORY GAS PP HF,AT N GLO APPLICANT MECHANICAL 117.25 FIRES[DE HEARTH& HOME STATE SURCHARGE MECH (VALUATION) 4.69 2700 FAIRVIEW AVE ROSEVILLE, MN 55113 TOTAL 121.94 (651)633-2561 Minnesota State License#: 20512060 OWNER DRAZAN, MICHAEL& MARY 3546IVY PL WAYZATA, MN 55391- 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[3uilding Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate pennits. All provisions of laws and ordinances governing this type of work shali 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 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. � �f�� `-� l/1 J /!�J / �� / / Applicant Permitce Signatu Date Issued By S� ature Date SEPARATE PERM[TS REQU[RED FOR WORK OTHER THAN DESCRIBE BOVE. � � FOR CITY USE O'�LY , �� City of Orono � ��0�O� ?.0. Box 5o Dare R�ceived: Pemtit� ' I �,:..� ='�0 Kef(ey Park�vav ; I '`i Ii'�R�r F','I Crvscil Bay.�(ti>j�23 ' .�pproved By. �mount�: �\��At��,��a`' (9:Z)=49-4600 CITY OF ORONO- 1�IECI-�avIC�L PEI��IIT' (.�l1.Commercial pemlir must be approved by che Buildin�Officia(or[nspector andror Fire�lar>half} � GEtiERAL I�i FOR RVI�TI0�1 I 1. You may apply for mechanica( permits by mail or in person at the Cicy offices. Applications will be reviewed and a permit wiil be issued within two working days. 2. Permit cards will be sent by retum mail after a review is completed. PEEL�[(TS :�RE NOT V:�LID L��iT'IL YOli RECEIVE A PERl�[[T. WORK ytUST NOT BEGI�I U�T[L THE PER�IIT CARD [S POSTED Ov THE JOB SITE. 3. tiTechanical Desi�ns—Complete calculations, details and specifications arz rzquired for each heating, vzntiiation, humidification-dehumidification, and air condicionin� installation includin; heat lossrheat�ain calcu(ation, desi�n temperatures, equipment ratings and identification as to type, manufacturer and model. Data shall be presented on form providzd. 4. When any new constn.�ction or remodeling is involved, a separate buildine permit must bz obtained. � �. All work muwt bz done in accordance with thz Uniform titechanical CodeiS�aiz Buildin�Code _ �._ requiremen�s. 6. All work must be inspected(rough-in and finai). Call(952)249-4600. (?-1-48 hour notice required) ?. House Heatin�Tzst Record must be submitted before hnal. TYPE OF PERitiIIT (Check all That Apply�) � �Residential ❑ Commercial(Approval Required) ❑ Vew ❑ Additional ❑ Rzpairs ❑ Replace i 3ob Site r Owner Information: L Site Address: � � Owner:�� l .t � .l �, 1�lailing Address: Citv: Zip: Home Phone: �,�I��J� U`-'� ?�ltemate Phone: �� Contractor Information: j Contractor: Contact Person: HeaRh&Home Techn og ��• dba Fireside Hearth 8 Home Address: icense 20512060 State Bond�: 2�0o a rv e Roseville, MN 55113 � CIC�': 651/633•2set Zip: Expiration Date: Phone: :�lternate Phone: ❑ Insurance - Curnnt: t a - '� �1ECHANIC�L SYSTEMS BEI�rG I�ST'ALLED ; HE.ar��cs�srE�is Quantity: �take: 1�IodzL: FueL Flue�ize: Input BTlis: Output BTUs: CF�L COOL[��G Sl�'STE�[S Quantit�: �take: �[odeL Tons: H. Power F[REPLACE� Gas Factory Fireplace'��-�`J � �Vood Bumin�Fireplace ❑ `l�'ood Stove ❑ W'ood Stove W`ith Flue Brand Name: �\� �fodel No.: `��- � � V"ENT[L.ai'[O� �SC��I� � �^- ❑ �;o. Kitchen Exhaust duct rzcircu(atin, cfm ❑ No. Bath Exhaust(must have duc�outside) cfm ❑ No Other Fans: Locations cfm EUEL ST'ORAGE(�(UST BE APPROvED BY FIRE titARSH<�LLj ❑ [nsta(lation ❑ Remova( Fuel Oil: ;allons ❑ Under;round ❑ [nsidz ❑ Out;ide LP Gas: ;allons Other: G.aS L[NE O�LY ❑ Outdoor Grill ❑ Other ' Li�t 4Vha�& �L"hzre: , . . • ' � ;.�y' . �l� ��L��.L.��.��1`��_�2��N��"�a�C � � 4� A.' a � 8��o��.��a� S��A r�=5�� ] 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;excludins 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 Pemut $ 15.00 State Surcharge � .50 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ s.PER1V�iT�'��LCL�LA�I�3I�T(S� ��a�}��R�$�00 �(�'' Ii above does not apply; follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) � °W x.012�$ � �_ (contract price) (minimum$50.00) 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50) �� x.0005 $ � (contract price) (minimum$ .50) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 4. TOTAL PERA�fIT FEE(Add Lines 1-3 Above) $ � �. � `" ■ * COi�'TRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the pemutted 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 .000�of the Building Department at(9�2)249-4600 for the price. MECHANICAL PERMIT APPLICATION AGREEMENT=' The undersi�r►ed hereby applies to the City for issuance of a Mechanical Permit, a�rees to do all ��vork in strict accordance with the ordinances of the Ciry and the regulations of the State of Minnesota, and certifies that all statements made on this application are complete, true and corTect. Applicant's Signature: � ate: ��—�� , , �� ,f � � AT ( TIME CITY OF ORONO CALLED IN �� '� �--�,.� INSPECTION NOTICE m,� / SCHEDULED �L�1— PERMIT NO. .��r,C�� '( A�II �COMPLETED � ADDRESS �� .� � ��L� OWNER CONTR. i �'�S 1 P TELEPHONE NO. `-� � I � LO �j�S ��J �`1 � DESCRIPTION I � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/ RADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORENVETLANDS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL � ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT J ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP Q _ ❑ PLUMBING RI ❑ SEPT FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU: YES_NO � COMMENTS: � W � � � O � � O � W � Q � Z W � W � � d^ � �WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED r ISSUE CERTIFICATE OF OCCUPANCY 0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT '=1 CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN INSPECTOR WILL RETI}RN ❑CITATION ISSUED I ; STOP ORDER POSTED.CALL INSPECTOR 1 INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Ca11 forthe next in�pection 2a hours in advance. (g52) 249-4600 Owner/Contractor on sit : � Inspector. � L �� White Copyllnspector's File Canary CopylSite Notice