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Home My WebLink About2009-00757 - gas fireplace � � ' CITY OF ORONO PERMIT NO.: 2009-oo�s� 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 10/27/2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 1169 NORTH ARM DR PIN : 07-117-23-14-0060 LEGAL DESC : SKARP&LINDQUISTS FERNHILL LA : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 3,500.00 NOTE: GAS FACTORY FIREPLACE-BRAND NAME: HEAT-N-GLO,MODEL NO: FBIN APPLICANT MECHANICAL 50.00 FIRESIDE HEARTH&HOME STATE SURCHARGE MECH(VALUATION) 1.75 2700 FAIRVIEW AVE TOTAL 51.75 ROSEVILLE,MN 55113 (651)633-2561 Minnesota State License#:20512060 OWNER ALNESS,RYAN 1169 NORTH ARM DR MOUND,MN 55364 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 pertnits. All provisions of laws and ordinances goveming 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 I 80 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 requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. i�=� �v �a� �� !� D� oZ� � Applicant Permitee Signature Date Iss By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � .. � � IT SE iONLY i 0 City of Orono ly Og �� P•O.Box 66 Date Recei ed• / Permit#C7"�� S� 2750 Kelley Parkway � �', ,�� Crystal Bay,MN 55323 Approved By: Amount$:� � �$y (952)249-4600 � 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 pernuts by mail or in person at the City offices. Applications will be reviewed and a pernut 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 Designs—Complete calculations,details and specificarions are required for each heating,ventilation,humidification-dehumidification,and air condirioning installation including heat loss/heat gain calculation,design temperatures,equipment ratings and idenrification 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 pernut 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 fmal. TYPE OF PERMIT Check Al1 That A 1 �Residential ❑ Commercial(Approval Required) ❑ New ❑Additional ❑Repairs ❑Replace Job Site/0wner Inforrnation: : Site Address: ��`� /1�. �!'� � I`. Owner: Q-f a n A r n c 3 � Mailing Address: /�(t�f /(/, A�r� 0�' City: Oron o Zip: s�3la� Home Phone: (,��• � y" 9FfS�/ Alternate Phone: Contractor Information:' Contractor: �ieeuth 8�H�Te�'"0��°�� o�,�h & Home Contact Person: , dba re , ,ea o �N� ' Ucense 20512080 ;iba Fireside Heuth A� HonN Address: 27��MN 5,is� State Bond#: License 205120d0 8511�-258� Roseville,MN 55113 � City: Zip: Expiration Date: s51/ssa-2set Phone: Alternate Phone: ❑ Insurance—Current: 1 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 FIItEPLACES � Gas Factory Fueplace Brand Name: �t�� n (�(O Wood Burning Fireplace �� 1 1v ❑ Wood Stove Model No.: ❑ Wood Stove With Flue VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfm ❑ No. Bath Exhaust(must have duct outside) cfm ❑ No. Other Fans: Locarions cfm FiJEL STORAGE (Must be approved by Fire Marsha!!if proposing to abandon tank in place.) :�nt.�,;..:. : ❑ Installation ❑ Removal �r�: . � Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside + _ LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill ❑ Other/List What&Where: 2 ) t .. � .... ��. "t ,��.�... . � , . , ., . . . ...�. ".: il ❑ 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 secrion, if this applies; Cost of Pernut $ 15.00 State Surcharge $ .50 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ r ,. , , � , If above does not apply; follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) 3SUr' •� X.oi2s$ (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 Applicarions) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ■ * CONTRACT PRICE or JOB COST means the actual or esrimated 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 installarions 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 pernut 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 all 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: „��J;.�� Date: l0 3 � / AT TIME ✓ CITY OF ORONO CALLED IN 6 � INSPECTION N�O,qT E SCHEDULED ' e�:D'D PERMIT NO.��/U�� COMPLETED �� ADDRESS � �`� OWNER CONTR. � TELEPHONE NO. W`� 31rJ� aao� � DESCRIPTION �� ""' �-'y"" '� �l r�� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHOREM/ETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q�LNAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEt�v O-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT � ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O � � O � W � Q � Z W � W � � d W� �WORKSATISFACTORY:PROCEED ROJECTCOMPLEfE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT O CORRECTUNSAFECONDITIONWITHIN HOURS. O PHOTOTAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED O INSPECTION REQUIRED.CALLTOARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: Inspector. C r v White Copyllnspector's File Canary CopylSite Notice