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Home My WebLink About2009-00676 - gas fireplace � � � CITY OF ORONO PERMIT NO.: 2009-00676 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUEn: 10/06/2009 , 952 249-4600 FAX: 952 249-4616 ADDRESS : 2660 PHEASANT RD PIN : 21-117-23-23-0022 LEGAL DESC : PHEASANT LAWN : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 3,000.00 NOTE: KOZY HEAT GAS FACTORY FIREPLACE-MODEL NO.JACKSON 911 APPLICANT MECHANICAL 50.00 GAS LINE PLUS,INC. STATE SURCHARGE MECH(VALUATION) 1.50 1661 LONSDALE BLVD NORTHFIELD,MN 55057- TOTAL 51.50 (612)4144243 OWNER HAYHURST,GREGORY&GAYLE 2660 PHESANT RD EXCELSIOR,MN 55331 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 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 applic is respo �ble for assuring all required inspections aze requested' nfo ance with the State Building Code.This permit may be revoked t y ' e for due . �� -fl /p� v�I p 7� Ap ic Permitee Signature Date Iss By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. ! !� FO��l�SE ONLY O,¢p�O City of Orono � 7 P.O.Box 66 Date Receiv�� ermit#Sz� � ° 2750 Kelley Parkway / � � �' � Crystal Bay,MN 55323 Approved By: Amount$:�/i �� (952)249-4600 ssso CITY OF ORONO-MECHANICAL PERMIT (All Commercial permiu 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 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 RECENE A PERMIT. WORK MUST NOT BEGIN UNTIL TAE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Desiens—Complete calculations,details and specifications are required for each hearing,ventilation,humidificarion-dehumidification, and air conditioning 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 Hearing Test Record must be submitted before final. TYPE OF PERMIT ; , Check All T�at A lY) �esidential ❑ Commercial(Approval Required) ❑ New ❑Additional ❑ Repairs �Replace Job Site/ Owner Information: Site Address: ��(O ��cS�,�,7- �� Owner: ��r�1 h �r� Mailing Address: �`� �� City: drv� Zip: .�53�/ Home Phone: �j�,2- ��-�f�G Alternate Phone: Contractor Information: Contractor: �S �«e �(4s Contact Person: /C�C� Address: �� •�sc�c/e ��v�State Bond#: 7`a.?.2�fav,5' City: /�.�/�-k� Zip:�a�?Expiration Date: �-2s-2oca Phone: �1,� `'Cf/��2�f 3 Alternate Phone: ❑ Insurance-Current: 1 r. � �� . �� . �, 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: nv P�7� ❑❑ Wood Burning Fireplace ��5 Ql� Wood Stove Model No.: �,� � ❑ Wood Stove With Flue VENTILATION ❑ No. Kitchen Exhaust duct recircularing cfin ❑ No. Bath Exhaust(must have duct outside) �� ❑ No. Other Fans: Locations cfm FUEL STORAGE (Must be approved by Fire Marshal[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&Where: 2 , � '� � a ��. �r� , �. . �., . . ., .�, . . ,. �� . � � �., � �� , �n � x� . r�, � ". � n ;.. ,. - � ,: .,. . a�; n . . . . �-.. �'� ,.w� „�" �,-»��a , i �ni �4di. ;t. ❑ Yes,this secrion apphes The replacement of a Residential fixture or�pliance 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;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 Pernut $ 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$50.00) 00 3�sCx� � X.o12s$ (coniract 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 perxnitted 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 pemut fee putposes. 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. _ � T „ �. ��., r� � � � � � � � � ,.. �r, � �:a'�"" :", � � 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: lU `(o—��j�' 3 /ODA� TIME CITY OF ORONO CALLED IN �` INSPECTION NOTIC SCHEDULED - � PERMIT NO.�� COMPLETED ADDRESS a6� �Q''�'� �rr - OWNER CONTR.�/��1C�fG� TELEPHONE NO. ��a .��7 3333 ' � DESCRIPTION �'S �� ^ �� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORENVETLANDS y ❑ INSULATION ❑ WOOD BURNER/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 ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ WARD COVER REMOVAL J BING FINAL ❑ FOUNDATION/REMOVAL � OWNE ONTRACTOR TO MEET YO .�YE _NO � COMMENTS: � W C j � o v� - f 0 � � � � V Q � Z W � W � � d W� ❑WORKSATISFACTORY:PROCEED ROJECTCOMPLETE W ❑CORRECT WORK&PROCEED ❑ 1 UE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORE CO�/ERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED O IMSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Catl forthe next inspection 24 hours in advance. (g52) 249-4600 Owner/Contractor on site: Inspector. ,7� ' White Copyllnspector's File Canary Copy/Site Notice