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Home My WebLink About2009-00231 - gas fireplace CITY OF ORONO PERMIT NO.: 2009-00231 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: 05/14/2009 (952) 249-4600 FAX: (952)249-4616 ADDRESS : 450 OLD LONG LAKE RD PIN : 36-118-23-34-0014 LEGAL DESC : SUMMIT STATION : LOT 007 BLOCK 001 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 3,455.00 NOTE: GAS FACTORY FIREPLACE WITH GASLINE-MODEL#6000 GIPI BRAND NAME-HEAT N GLO APPLICANT MECHANICAL 50.00 FIRESIDE HEARTH&HOME STATE SURCHARGE MECH(VALUATION) 1.73 2700 FAIRVIEW AVE TOTAL 51.73 ROSEVILLE,MN 55113 (651)633-2561 Minnesota State License#:20512060 OWNER MADDOCKS,R&J 450 OLD LONG LAKE RD WAYZATA,MN 55391 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 permits. 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 appli t is responsible for assuring all required inspections are reques i conformance with the State Building Code.This permit may be revoke any e for due cause. 52:1 41 ,—n�,'V _/ /43� Ap icant ignature Date Is ed By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. FOR CITY USE ONLY 69.°:-.110 ,¢p�` City of Orono ` P.O.Box 66 Date Received: Permit# ' 2750 Kelley Parkway Crystal Bay,MN 55323 Approved By: Amount$: 1 C (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 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 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 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 fmal). Call(952)249-4600. (24-48 hour notice required) 7. House Heating Test Record must be submitted before fmal. TYPE OF PERMIT Check All That Apply) ,`Residential ❑Commercial(Approval Required) New ❑Additional ❑Repairs ❑Replace Job Site/Owner Information: Site Address: 145' Dk� LG.L Owner: C X11.5 k A,&s.e POI‘‘vtC.4)%54..; Mailing Address: City: in a.../.. -c Zip: 6S 361 Home Phone: Alternate Phone: Contractor Information: Contractor: Contact Person: Address: State Bond#: City: Zip: Expiration Date: Phone: Alternate Phone: Hearth&Home Technologies,Inc. dba Fireside Hearth a Horne ❑ Insurance—Current: License 20512040 2700 N.Fairview Ave. 1 Rosevile,MN 55113 051/033-2501 r • ECHANICAL SYSTEMS BEING INSTALLED : Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official. IS THIS GEOTHERMAL? ❑ Yes n No HEATING SYSTEM Quantity: AA Make: ;k.] Model: 1.t1 Fuel: II1itI`�I��II"I'I' Flue Size: Input BTUs: .11111 Output BTUs: ly CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H. Power • FIREPLACESV0— 0)d.7 1�b Gas Factory Fireplace Brand Name: RQy„j-/J G( • Wood Burning Fireplace ❑ Wood Stove Model No.: 62600 G S P.T--- ❑ 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 ❑Inside ❑Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill ❑ Other/List What& s+•x:N N mswt e:;• :sP. .r; .•ttz.c�H nbusui eat M3& sertsaiJ 2 oA rrs+441 .N OOTS: :r 't' t+!M .Mt ve oFt !fps F....T.,ra � " * r &•r. I t e„ 3 ` rya ''e• { s,.._.� b..0 .� n., .,.,,s..<,...�.�2_.. s::., ..am. ixa .yr. `a`.�.kce¥.:* 7 "-k 'r ,.,.,�,a..._L..: .� ❑ 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;excluding 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$50.00) '-t 65-GC x.0125$ (contract price) (minimum$50.00) 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50) 3'-k 5 S - 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 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 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. "� �. ss,.,;� z,u;, �' �, °�a�r - -a-ass . � • C a Imo" ' � "'' smwr � yam.• .;�'a. . .�.=.� .� r _.:, � � � " i``'' < ,�m i�mh4,1 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: 51114(09 3 DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO,02pOQ-CX)e23 ( COMPLETED 6p�_et N sur ADDRESS (-4 5-0 0)1 11 I0A5 t 4ee OWNER CONTR. % • c�4• TELEPHONE NO. DESCRIPTION [fe.?6i9GG , tZ• 4 �l D FOOTING ❑ MECHANICAL RI 0 •XCAV/GRADING/FILLING Q 0 FRAMING ❑ MECHANICAL FINAL 0 LAKESHORE/WETLANDS V/ 0 INSULATION 0 WOOD BURNER/FIREPLACE 0 TREE REMOVAL 0 WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q 0 FINAL 0 SEWER HOOK-UP 0 PROGRESS 0 DEMO-SITE 0 SEPTIC MAINT. 0 COMPLAINT 0 DEMO-FINAL ❑ SEPTIC INSTALL. 0 FOLLOW-UP IQ 0 PLUMBING RI 0 SEPTIC FINAL 0 HARD COVER REMOVAL 0 PLUMBING FINAL 0 FOUNDATION/REMOVAL • OWNERICONTRACTOR TO MEET YOU: YES_NO c., COMMENTS: a 4-r z W • WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE CC W ❑ RRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY C.1 BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. 0 PHOTO TAKEN INSPECTOR WILL RETURN IDSTOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: Inspector. (_._.J E4S White Copy/Inspector's File Canary CopylSite Notice