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Home My WebLink About2013-01127 - gas fireplace � CITY OF ORONO * z 0 1 3 - 0 1 1 2 7 * • 2750 KELLEY PARKWAY DATE ISSUED: 10/23/2013 - ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 360 NORTH ARM LA PIN : 06-117-23-24-0012 LEGAL DESC : NORTH ARM ESTATES 4TH ADDN : LOT 002 BLOCK 001 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 9,000.00 NOTE: 1 HEAT N GLO GAS FP 1 WOOD BURNING FP APPLICANT MECHANICAL 112.50 GLOWING HEARTH AND HOME STATE SURCHARGE MECH(VALUATION) 4.50 100 ELDORADO DRIVE JORDAN,MN 55352 MAIL-IN FEE 2.00 (952)495-2927 TOTAL 119.00 OWNER HEDEEN,BRIAN&EMILY 360 NORTH ARM LA MOLTND,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 Ciry 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 sepazate permiu. 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 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 requested in conformance with t#�e State Building Code.This permit may be revoked at any time for due cause. �i�vlG'u� '�N / / l l Applicant Permitee Signature Date Issued B ignature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. -. ii " ,�OA y City of Orono � �, ��+��+ , ' <rO P.O.Box 66 ��+r�� ' 2750 Kelley Parkway Crystal Bay,MN 55323 Phone(952)249-4600 Fax(952)249-4616 �`�� .�1� CITY OF ORONO-MECHANICAL PERMIT �kSH�4 All Commercial ecmita must be ( p approved by t6e Building Official or Inspecwr and/or Fire Marshall) 1. You may apply for mechanical permits by mail or in person at the City offices. Applicarions will be reviewed and a permit will be issued within two working days. 2. Permit cazds will be sent by retum 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 TI3E JOB SITE. 3. Mechanical Desiens—Complete calculations,details and specifications are required for each heating,ventilation,humidification-dehumidificadon,and ait conditioning installation including heat lossiheat 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 noHce required) 7. House Heating Test Record must be submitted before final. a,�.. �, Residential ❑Commercial(Approval Required) New ❑Additional ❑Repairs ❑Replace Site Address: � CD� �1 V O�` ��1 �� Owner: N�-�I�-X �(� Mailing Address: i��i� v,� City: � _ Zip: ��—I I Home Phone: -- `'"1"(� '� ��Alternate Phone: Contractor:� ,��t�" ontact Person: C�C..2� Address: `p �V'� State Bond#: . /�� 1 0�/ City: � Zip��js�xpiration Date: �� Phone: �-�1��a-��j AlternatePhone: Insurance-Current: �d �a- — /U/�-�14- 1 �.��..�� ti Note:All Geothermal Systems will now require a Site Plan&Review by our Building Official. IS THIS GEOTHERMAL? ❑Yes [�No AEATING SYSTEMS Quantity: Make: Model: Fuel: Flue Size: Input BTUs: Output BTUs: CFM: COOLING SYSTEMS Qnantity: Make: Model: Tons: H.Power FIREPLACES �� Gas Factory Fiieplace� Brand Name: ��G��V Wood Burning Fireplace � ��" //'� `�� Wood Stove Model No.: ❑ Wood Stove with Flue/Masonry / �- _n VENTILATION '"(��2�� l G�l�' ❑ No. Kitchen Exhaust duct recirculating cfm ❑ No. Bath Exhaust(must have duct outside) cfm ❑ No. Other Fans: Locations cfm FUEL STORAGE (Must be approved by Fire MarshaU ijproposing fo 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 Pernvt $ I5.00 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$50.00) l� , (� x.0125$ 6 �� (conVact price) (minimum 550.00) 2. STATE SURCAARGE � �f� �� x.0005 $ �J`-� (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE�`Add Lines 1-3 Above) $ � `�� ■ * 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 aze fiimished 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 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: Date:_ /� a� /.3 3 � '� ��`� DA E TIME I �/ CITY OF ORONO CALLED IN / � � INSPECTION NOTIf E / SCHEDULED �' � PERMIT NO.�(�/ � � ��((�� COMPLETED ADDRESS .�^ C�` �,� �f2�/ �/'4 OWNER TELEPHOI� NO.[�"� �� 7��5� CONTRACTOR — ' ,� r - � DESCRIPTION � ��'��-- ��""'� � � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICALRI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q p 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 v � PLUMBING RI ❑ SE C FINAL � FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU: YES_NO v�i COMMENTS: � W a � J O �. � O � W � Q � 2 W � W � J d W� �RK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILLREfURN ❑CITATION ISSUED ❑STOP ORDEH POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (952� 249-4600 OwrterlContract on sit inspector. White Copyllnspector's File Canary CopylSite Notice