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Home My WebLink About2012-00282 - gas fireplace , CITY OF ORONO * 2 0 1 2 - 0 0 z 8 z * � 2750 KELLEY PARKWAY DATE ISSUED: 04/12/2012 ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 480 LINDEN AVE PIN : 06-117-23-41-0111 LEGAL DESC : N/A : LOT 000 BLOCK 002 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 1,900.00 NOTE: HEAT N GLO SL-750-IPI-E APPLICANT MECHANICAL 50.00 FIRESIDE HEARTH&HOME STATE SURCHARGE MECH(VALUATION) 0.95 2700 FAIRVIEW AVE ROSEVILLE,MN 55113 MAIL-IN FEE 2.00 (651)633-2561 TOTAL 52.95 Minnesota State License#:20512060 OWNER JNJ BROTHERS LLC 480 LINDEN AVE LONG LAKE,MN 55356- 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 dces not grant permission for additional or related work which requires separate pertnits. 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 for assuring all required inspections are requested in conformance with the State Bui(ding Code.This permit may be revoked at any time for due cause. �� `�l. / / / / Applicant Permitee Signature Date Issued By nature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO . FOR CITY USE ONLY ;O�D�O Citv of Orono I'O Bo�66 Date Received: Permit# �750 Kelley Parkway a � �� ' l n stal Ba�.MN>j323 Approved By: Amowit$: �d� '' '� ' o � I'hune(9�'_1 349-4600 I�a�(9�2)249-4616 ,. ��xo4� CITY OF ORONO-MECHANICAL PERMIT (Ali:��mmerci.il permits must be approved bv the[3uilding Official or Inspector and/or Fire Marshall) GENERAL IN FORMATION 1. You m<iy apply for mechanical permits by mail or in person at the City offices. Applications will be revic��ed 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 VAL1D l'NT[L YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERI�i I"I�CARD [S POSTED ON THE JOB SITE. 3. Mechanical Designs—Complete calculations,details and specifications are required for each heatin��. ��entilation,humidification-dehumidification,and air conditioning installation including heat loss heat gain calcu(ation,design temperatures,equipment ratings and identification as to type.m:inufacturer and model. Data shall be presented on form provided. 4. When an� new construction or remodeling is involved,a separate building permit must be obtained. 5. Al1 work must be done in accordance with the Uniform Mechanical Code/State Building Code requiremcnts. 6. All worl< must be inspected(rough-in and final). Call(952)249-�}600. (24-48 hour notice required) 7. House Heating Test Record inust be submitted before final. TYPE OF PERMIT (Check All That Apply) ❑ Residential ❑Commercial(,qpproval ReqLiired) ❑ New ❑ Additional ❑ Repairs ❑ Replace Job Site /Owner Information: Site Address: �L� � �"�� Owner: c� �,�t� ��v� �� - Mailing Address: �� •��-�� c�ty: C.`�,vc-�u- y�� z�p: 5�3z"'� Home Phone: ��Z-� ��i-- `"L k ��] Afternate Phone: Contractor In f��rmation: Co��a�b��I HOME TEGHNOLOGIE M,�NCContact Person: ��' ��✓ �ddress LiC. BCOS1206fl State Bond #: 270 N ROSEVILLE, MN 55113 City: �S1_��-� 7S61Zip: Expiration Date: Phone: ��Z�� 2�� Alternate Phone: ❑ Insurance-Current: I MECHANiCAL SYSTEMS BEING INSTALLED Note: All Geoth�ri��al Systems will now requii•e a Site Plan & Review by our Building Official. IS THIS GEOTHERMAL? ❑ Yes �No HEATING SYS"I�EMS Quantity: I�1ake: Model: Fuel: Flue Size: Input BTlis: Otttput BTUs: CFM: COOLINC SYti'I'EMS Quantity: Make: Model: Tons: H. Power FIREPLACES � Gas Factory Fireplace Brand Name: �"�—��'^�( ❑ Wood Burning Fireplace ❑ �1%ood Stove Model No.: L� � "�/�,t—L ❑ Wood Stove with Flue/Masonry �'ENTILA"I'10'V ❑ No. Kitchen Exhaust duct recirculating cfm ❑ No. Bath Exhaust(n�ust have duct outside) cfin ❑ Uo. Other Fans: Locations cfm FUEL STORA(:N; (Mus�t be approved by�Fire Mnrshall if proposi�xg to aba�xdon trrnk i��r pince.) ❑ Installation ❑ Removal [ uel Oil: gallons ❑ Underground ❑ [nside ❑ Outside LP Gas: gallons Other: GAS LINE OI��LI� ❑ (�utdoor Grill ❑ Otl�er/List What&Where: 2 PERMIT FEE CALCULATION(S) BASED OFF - 2002 STATE S"�A�(,UE ❑ 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. Ha� a total cost of$500.00 or less; excl�idin�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 $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ � _NLRMIT FEE CALCULATION(S)—JOBS OVER $500.00 � � If above does nut apply; follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) ��yL�G�.�2? x .0125 $ ��/_�7�) (contract price) (minimum$50.00) 2. s�:a rE suacH.aacE — � �`i��.�� X .000s � �a (contract price) 3. POS"I AGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TO�I�:�L PERMIT FEE(Add Lines I-3 Above) $ 7 �',�� ■ * CONTR:A('T PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted ��orl: including materials, labor, profit, and other fixed costs. It is the amount to be charged to the custoin�r for the work done. If any material, equipment, labor or installations are furnished by the owner, i�nant or any other party, the reasonable market value of such items must be added to the estimated cust or contract price for permit fee purposes. In the event that there is a dispute on the amount of th� job cost, the City may request the submission of a signed copy of the actual contract. MECHANICAL PERMIT APPLICATION AGREEM��NT , The undersignecl hereby applies to the City for issuance of a Mechanicai Permit, agrees to do all work in strict accordance with the ordinances of the City and the regulations of the State of Minnesota, anci certifies that all statements made on this application are complete, true and correct. Applicant's Si��nature: ��..{ /�C�'+aC� Date: Reset Form 3 DATE TIME V CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO:��t� -�X:�$a COMPLETED —�' � ' ADDRESS �"'��O ��'UG' PJV �(JQ_ OWNER TELE HONE NO. CONTRACTOR � `��'�'�` � DESCRIPTION '� ��1c� �• �` � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ 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 � ❑ 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 y COMMENTS: � W a � �hh� t� � �3- � 0 a � 0 � W � Q � Z W � W � � � � �ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOH REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECANDITIONWITHIN HOURS. ppHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUtRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-46�� OwnerlContractor on site: Inspector. �� White Copyll�spector's File Canary CopylSite Notice � � DATE � TIME ✓ CITY OF ORONO CALLED IN � INSPECTION NOTICE SCHEDULED �' � � PERMIT NO. — U �COMPLETED ADDRESS OWNER � ELEP O E NO. ` -�v38'3� CONTRACTO ,�.�f�S� a DESCRIPTION � � � ❑ FOOTING ❑ PLUMBING AL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICALRI ❑ 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 ❑ FOUNDATIOWREMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � W a � O � d b ��._ e 0 � W � Q � _ W � W � � d W ❑WORK SATISFACTORY:PROCEEO ❑PROJECT COMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ppHOTOTAKEN INSPECTOR WILL RETURN �STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 2a hours in advance. (g52) 249-4600 OwnerlConVactor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice