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Home My WebLink About2009-00448 - gas fireplace � - � CITY OF ORONO PERMIT NO.: 2009-00448 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: 07/29/2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 45 LUCE LINE RIDGE PIN : 31-118-23-34-0004 LEGAL DESC : PAINTERS CREEK : LOT 002 BLOCK 001 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 2,000.00 NOTE: GAS FACTORY FIREPLACE-I�EAT-N-GLO MODEL NO.SL-750 APPLICANT MECHANICAL 50.00 COUNTRYSIDE HEATING&COOLING STATE SURCHARGE MECH(VALUATION) 1.00 6511 HWY 12 TOTAL 51.00 MAPLE PLAIN,MN 55359 (763)479-1600 OWNER HOLM,JAMES&JAYNE 45 LUCE LINE RIDGE MAPLE PLAIN,MN 55359 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 sepazate permits. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified hereia.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 aze reques in confortnance with the State Building Code.This permit may be revo at any ti e or ue cause. '�' ' ° �� D Applicant Permitee Signature Date Issu By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � . , �s � �c� � FOR CITY USE ONLY ��p� City of Orono P.O.Box 66 Date Received: Permit# !—�;,,�II 2750 Kelley Parkway �''x• i) Crystal Bay,MN 55323 Approved By: Amount$: ��,�%,v�o�/ (952)249-4600 ��o�i CITY OF ORONO—MECHANICAL PERMIT (All Commercial permits must be approved by the Building Official 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 afrer 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: Site Address: 45 Luce Line Ridge Owner: Jim Holm Mailing Address: C� : Orono Z� 55359 h' P� Home Phone: �763)694-9933 Alternate Phone: �952)472-3471 Contractor Information: Contractor: Countryside Heating Contact Person: Maggie Address: 6511 Hwy 12 State Bond #: City: Maple Plain Z�p: 55359 Expiration Date: Phone: (�63)479-1600 Alternate Phone: ✓� Insurance—Current: 1 . 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: Make: Model: Tons: H.Power FIREPLACES � Gas Factory Fireplace Brand Name: Heat-N-Glo ❑ Wood Burning Fireplace � Wood Stove Model No.: SL-750 ❑ Wood Stove With Flue VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfm ❑ No. Bath Exhaust(must have duct outside) cfm ❑ No. Other Fans: Locations cfm FOEL STORAGE (Must be approved by Fi�e Marshall if proposing to abandon tank in plac�) ❑ Installation a Removal Fuel Oil: gallons ❑ Underground 8 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 $ .50 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$50.00) 2,000.00 x.0125$ 50.00 (contract price) (minimutn$50.00) 2. STATE SURCHARGE **Add the State Bldg Code Div.Swcharge(Minimum Fee of$.50) 2,000.00 x.0005 $ 1.00 (contract price) (minimum$ .50) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ 51.00 ■ * 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 mazket 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. 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 Signature: Date: - . 3 —�/ C� � � DAT TIME ✓ CITY OF ORONO CALLED IN -� INSPECTION NOTICE L�Cl/n SCHEDULED •� PERMIT NO.Q�'�d `� COMPLETED ' ADDRE `7'� �� OWNER � CONTR / TElEP NE NO. � 3- ��9-��bb � DESCRIPTION . c �d� � ❑ FOOTING ❑ ME ANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORENVETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT � ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL � ❑ PLUMBING FINAL � ❑ FOUNDATION/REMOVAL � NERICO ACTOR TO MEET YOU: YES_NO � COMMENTS: � W a � v �5�� J �- a � O � � � W � Q � Z W � W � � ��NORKSATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETl1RN �STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (952) 249-46�� OwnerlContract r i : Inspector. White Copyllnspector's File Canary Copy/Site Notice