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Home My WebLink About2013-01142 - gas fireplace ! � CITY OF ORONO 2750 KELLEY PARKWAY * z B 1 3 - 0 1 1 4 2 * DATE ISSUED: 10/25/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952)249-4616 ADDRESS : 2325 GLENDALE COVE LA PIN : 34-118-23-33-0065 LEGAL DESC : GLENDALE COVE : LOT 006 BLOCK 001 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 2,800.00 NOTE: (2)HEAT N GLO GAS FIREPLACES APPLICANT MECHANICAL 50.00 FIRESIDE HEARTH&HOME STATE SURCHARGE MECH(VALUATION) 1.40 2700 FAIRVIEW AVE MAIL-IN FEE 2.00 ROSEVILLE,MN 55113 (651)633-2561 TOTAL 53.40 Minnesota State License#:20512060 OWNER Gonyea Homes 6102 OLSON MEMORIAL HWY GOLDEN VALLEY,MN 55422- 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 sepazate 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 construction authorized is not commenced within 180 days of the date of issuance,or if consuuction 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. C � p� L5i �,3 /p i i Applicant Permitee Sign Date Issu By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. f • FOR CTTY USE ONLY ,,: - �_��` City of Orono �0�<��%-� � ,�- ��v� ri` �O•r\\`� P.O.Box 66 Date Receiv Pem�it �i�, �`�', 2750 Kelley Pazkway c �� , x �� Crystal Bay,MN 55323 ApProved By: Atnount$��J� � ° t c��' Phone(952)249-4600 Faz�(952)249-4616 i�f CITY OF ORONO-MECHANICAL PERMIT (All Commercial permits must be approved by the Building Ofticial or Inspector and/or Fire Marshall) GENERAL INFORMATION 1. You may apply for mechanical permits by mail or in peison at the City offices. Applications will be reviewed and a pemut will be issued within two working days. 2. Pernut 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 CAR.D IS POSTED ON THE JOB SITE. 3. Mechanical DesiQns—Complete calculations,details and specifications are required for each heating,ventilation,humidif'ication-dehumidif'ication,and air conditioning installation including heat loss/heat gain calculation,design temperatures,equipment ratings and identif"ication as to type,manufacturer and model. Data shall be preserned on form pm��ded. 4. When any new conswction or remodeling is imolved,a separate building pemiit must be obtained. 5. All work must be done in acco�ance 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 final. TYPE OF PERMIT Check All That A 1 esidential ❑Commercial(Approval Required) �Tew ❑ Additional ❑Repairs ❑Replace Job Site/Owner Information: Site Address: Z 3 2-� ��-ov� o� � Owner: ��-G'�^� Mailing Address: �l D'Z C��.�- t � City: �t�zr��-Ilu.�-r.s� �.'�1.�/ Zip: �S�'�Z -'��1l f� HomePhone: AlternatePhone: 1�'�-�L3-'�'l�,G� Contractor Information: HEARTH & HOM� TECHNOLOGIES Contractordba FIRESIDE HEARTH & HOME Contact Person: Lic 662656 2700 FAIRVIEW AVENUE N State Bond#: (�"D� I� Z l �l� Address: R��-�� F i�9h1 �s,�� ----------, . ... ....___ 651.63�.25b1 City: Zip: Expiration Date: �� ` �� Phone: Alternate Phone: ❑ Insurance-Current: 1 Note: All Geothermal Systems will now require a Site Plan&Review by.our Building Official. IS THIS GEOTHERMAL? ❑Yes ❑No HEATIl�IG SYSTEMS Quantity: Make: Model: Fuel: Flue Size: Input BTUs: Output BTUs: CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H.Power FIREPLACES �y(,Z Gas Factory Firepl�e XZ- Bra�Name: fr'�—�I ❑ Wood Buming Fireplace /�r ❑ Wood Stove Model No.: �L�I R�r2—T_' �-,1— ❑ Wood Stove with Flue/Masonry ��,�, VENTILATION ❑ No. Kitchen F.�cl�aust duct raci�ulating cfm ❑ No. Bath Ext�aust(must have duct outside) cfm ❑ No. Otl�r Fans: Locations cfm FUEL STORAGE (Must be apprm+ed by F'ue Marshall iJ'proposing to abanden tank in placa�) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underg�+ou�d ❑Inside ❑Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill ❑ Otl�er/List What&Where: 2 ��, - �- - �� ❑ Yes,this section applies The replace�nt of a Residerntial 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 oost of�500.00 or less; xcl ' the cost of the fixture or applia�e:and 3. Is improved,installed or replaced by the homeowner or licensed contractor. Skip��section,if this applies; Cost of Permit $ 15.00 State Su�harge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee S If above dces�t apply;follow gvidelines below: 1. CONTRACT PRICE *is 1.25%of conkract price with a(Minimnm Fee of�.50.00) Z�Q�_UD x.0125$ ��. �v (conh�act price) �minimom S5o.o0) 2. STATE SURCHARGE �,/ ��C9�_O�0 x.0005 $ (�. (i� (cantract price) 3. POSTAGE 8t HANDLING(Only on Mail-In Applications) � 2.00 4. TOTAL PERMIT FEE(Add Li�s i-3 Above) S �, yo ■ * CONTRACT PRICE or JOB COST �ans the actual or estimated dollar a�unt charg�ed for the permitted work including materials,labor,profit,and ot�r f�ed�sts. It is the amou�t to be charged to tl�e customer for tbe work done. If azry material, equipment, labor or installations are fumished by the owner,ten�ant or any otl�er pariy, tlye reasonable market vatue of such items must be added to the estimated cost or oo�act price for permit fee purposes. In the eve�tbat there is a dispute on the amount of the job cost, the City may request the submission of a signed copy of tt� actual contract. The undersigned hereby applies to the City for issuance of a Mechanical Permit,agrees to do all work in strict acconiance with the ordinances of the City and the regulabions of the State of Minnesota, and certifies �at all statements made on this application are complete, true and correct. Applicant's Signature: �� Date: r� � 2-2��l a�•��,�� vz �:-�-�:x �i� . �. ; ,i �``V� � 3 �/ �;�, �'/� ,,�J� ATE/� z TIME �/ �/� l+l l Y OF ORONO v� CALLED IN �/�J! �+� " INSPECTION NO ICE SCHEDULED �1��-�—�-� PERMIT NO. �(- I.�"C.ll y� COMPLETED � ' -� / l ! ADDRESS ��:-�.� `� -;Zl�`"�7l(�./N C�Z"� OWNER TELEPHONE NO. ��'�7� CONTRACTOR � � � I� � DESCRIPTION � ��7 ' �r � �t� � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q 0 POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP p PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J O DEMO-SITE ❑ SEPTIC MAINT. 0 FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC IN ?AL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FIN L ❑ FOUNDATION/REMOVAL � OWNERICONTFiACTOR TO MEET YOU:_YES NO � COMMENTS: --�(L 1��; i �� f�,�„�T �')II� ��f W a � J O �. � O � W � Q � 2 W � W � j d � ORKSATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 forthe next inspection 24 hours in advance. (952� 249-4600 OwnerlContractor on site: Inspector. ' _� White Copyllnspector's File Canary CopyfSite Notice C-� � ��v� J �TE TIME ✓, CITY OF ORONO c,a��ED IN � / � INSPECTION NOTICE SCHEDULED I�/ 1 y �;T PERMIT NO. -�Gl�"� ;;iI��I� COMPLETED a��REss �� `� �-� l��c�:f l�> �� ( � OWNER TELEPHQI�IE NO. �'�� -��I"�C�c� CONTRACTOR f�'Yt !"yl/cl�. � ��,� � � DESCRIPTION � ��C�`�� 1�� ❑ FOOTtNG ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVEfLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT Q ❑ DEMO-SITE O SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL � ❑ PLUMBING RI ❑ SEPTIC FIN� ❑ FOUNbATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES NO c�., COMMENTS: � a !1/or,C� CF��a�� 9�- �i��.- a� � J O � � O � W � Q � 2 W � W 2 J d � ❑WORK SATISFACTORY:PROCEED �fROJECT COMPLEfE � ❑CORRECT WORK 8 PROCEED ❑I�UE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL REfURN ❑CITAT�ON ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractoronsite: ,,�6/V� Inspector. �-�1-L�.—� White Copyllnspector's File Canary CopyfSite Notice