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Home My WebLink About2009-00509 - gas fireplace " CITY OF ORONO PERMIT NO.: 200�-00509 2750 KELLEY PARKWAY t ORONO,MN 55356- DATE ISSUED: 08/2U2009 952 249-4600 FAX: 952 249-4616 � ADDRESS : 4064 NORTH SHORE DR PIN : 07-117-23-44-0085 LEGAL DESC : HIGHWOOD LAKE MTKA : LOT 000 BLOCK 000 PERMIT TYPE ; MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 1,000.00 NOTE: MARTIN DVZH GAS FIREPLACE GAS LINE TO FIRE PLACE IN LIVING ROOM APPLICANT MECHANICAL 50.00 PHIPPS&JANET OBRIGEWITSCH,DAN STATE SURCHARGE MECH(VALUATIOl� 0.50 4064 NORTH SHORE DR TOTAL 50.50 MOLJND,MN 55364 OWNER PHIPPS&JANET OBRIGEWITSCH,DAN 4064 NORTH SHORE DR MOiJND,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 dces not gant permission for additional or related work which requires separate permits. 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 conslruction 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 ti due cause. / / 2( / c� / / A 'cant Permitee Si a e Date Issue By ature SEPARATE PERMITS REQUIRED FOR WORK OTI�R N DESCRIBED VE. '�,. � k'OR GiTY-USE ONLY ' ,¢p� City of Orono � O � P.O.Box 66 Date Recei�ed; Perrnit# ° 2750 Kelley Parkway � u ,,_ � Crystal Bay,MN 55323 Appro�ed By: Atnount$: �� (952)249-4600 CITY OF ORONO—MECHANICAL PERNIIT (All Commercial permits must be approved by the Building Official or lnspector and/or Fire Marshall) GENERAL INFORMATiON 1. You may apply for meclianical pernuts 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 cards 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 THE JOB SITE. 3. Mechanical Desiens—Complete calcularions,deta.ils and spec�cations are required for each heating,ventilation,humidification-dehumidification,and air conditioning installarion including heat loss/heat gain calculation,design temperatures,equipment ratings and identification as to � type,manufacturer and rnodel. 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 Mecha.nical 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�'ER1�IIT : Ch�ck All That Ap 1 '�: �Residential ❑ Commercial(Approval Required) �New ❑Addirional ❑Repairs ❑Replace -Jvb'Site/0wner Information: Site Address: �-�U f�4 � —� (� ,� � ��. �� Owner:'��9 Q1n '�^A�� Mailing Address: �C��o�f ^�1---S�mk� �2. \ � City: _ ��C� {�� Zip: _ .SS �� `f Home Phone: q'��- 4�2,R 7O°� Alternate Phone: (o f 2. 70?i 22�O Contractor Inform.ation: Contractor: p� �U � t(` Contact Person: Address: State Bond#: City: Zip: Expiration Date: Phone: Alternate Phone: ❑ Insurance—Current: 1 � �► ]ViE��I�1.NT��'��'T�S�BU��.,�,�3 � � ;�_ � . . _, � � ... . . _ _ . u , n � ... �.. �. r �.. ,,,.. � Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official. IS TffiS GEOTHERMAL? ❑Yes ❑No HEATING SYSTEMS Quanrity: Make: Model: - Fuel: Flue Size: Input BTLTs: Output BTUs: CFM: COOLING SYSTEMS Quanrity: Make: Model: Tons: H.Power • FIREPLACES ,� Gas Factory Fireplace Brand Name: IVK��l}� ❑ Wood Burning Fireplace ❑ Wood Stove Model No.: `�U � �} ❑ Wood Stove With Flue VENTILATION ❑ 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 Marshall if proposing to abandon tank in place.) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑Ittside ❑Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill � Other/List What&Where: �I �L C pI /J��/ �V�,�19 /1Q�`' 2 �� a �� ,�f � �� f � �� ''-_� �`�`�.��:z�� s ❑ Yes,this section applies The replacement of a Residenrial fixture or avnliance that meets all three of the following requirements: __� 1. Does not require modification to electrical or gas service. 2. Has a tota.l cost of$500.00 or less;excludin�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 $ � �., 'P��+��`��(:�,� '`` �,`I`.�(� � .=�� `F � ��.�� :, �. If above does not apply;follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) oG 0o d� X.o�zs$ (contract price) (minimum$50.00) 2. STATE 5URCIiARGE '�*Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50) x.0005 $ (contract price) (minimum$ .50) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 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 pemritted 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 fiunished 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.0005 of the Building Department at(952)249-4600 for the price. .�I��U�y�+A.J�IL��„ ,�`r��./��F�.�� The undersigned hereby applies to the City for issuance of a Mechanical Pernut, 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 cornplete, true and correct. Applicant's Signature: � Date:� — Z � — O`� 3 � v'" DgT E TIME v � CITY OF ORONO CALLED IN Z=J INSPECTION OTIC SCHEDULED 2' -/D .'�� PERMIT NO. DD -OIJ,S COMPLETED ADDRESS �j'��0� ��C�y� eE1�C� OWNER /��2�:l�Jd CONTR. TELEPHONENO. �f� �� P� �OIZ-7o3—Z�� DESCRIPTION � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANIGAL FINAL ❑ LAKESHORFJWETLA(dDS y ❑ INSULATION ❑ WOOD BURNE{�/FIREPLACE Q ❑ TREE REMOVAL Z � WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT � ❑ DEMO-FINAL ❑ SEP'fIC INSTALL. ❑ FOLLOW-UP i ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO ��., COMMENTS: � W C j O �. � O � W � Q � Z W � W � � 9j�0�RKSATISFACTORY:PRQCEED ❑PROJECTCOMPLETE 7' ❑ RECT WORK 8 PRQCEED ❑ ISSUE CERTIFICATE OF OCGUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDlTIONWITHIN FiOURS. p pHOTOTAKEN INSPECTOR IMLL RETURM ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL IPISPECTOR �INSPECTtON REQUIRED.CALLTOARRANGE ACCESS. ��?; Ca11 tor the next ins�ction 2�hours in advance. (952) 249-4600 OwnedContractor on site: Inspector. White Copyllnsp�tor's Flle Canary Copy/Site Nctice