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Home My WebLink About2012-00151 - gas fireplace CITY OF ORONO * 2 0 1 2 — 0 0 1 5 1 * - 2750 KELLEY PARKWAY DATE ISSUED: 02/22/2012 ORONO, MN 55356- � 952 249-4600 FAX: 952 249-4616 ADDRESS : 2900 DEER RUN TR PIN : 04-117-23-24-0013 LEGAL DESC : OLD CRYSTAL BAY ROAD ADDN : LOT 008 BLOCK 004 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 4,000.00 NOTE: 2 GAS FIREPLACES HEAT&GLO ONE NEW GAS FP AND RE-VENTING EXISTING FIREPLACE APPLICANT MECHANICAL 50.00 FIRESIDE HEARTH&HOME STATE SURCHARGE MECH(VALUATION) 2.00 2700 FAIRVIEW AVE ROSEVILLE,MN 55113 MAIL-IN FEE 2.00 (651)633-2561 MISC FEE 0.00 Minnesota State License#:20512060 TOTAL 54.00 OWNER KACZKE,ROBERT&JILL 2900 DEER RUN TR LONG LAKE,MN 55356- 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 aRer 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 time for due cause! `�%I�-��. t�. / / a / Applicant Permitee Signature Date Issued By Si re ate SEPARATE PERMITS REQUIRED FOR WORK OTHER T N DESCRIBED ABO . ' . FOR CITY USE ONLY '� -,`�`� City of Orono �, ��L'�`Y�`` Date Received: Pennit# P.O.Box 66 "� ��' 2750 Kelley Parkway I �r ,: � n' * F;' Crystal Bay MN 55323 Approved By: Amount$: 'x� . o` ' Phone(952)249-4600 Fax(952)249-4616 ��o�` , CITY OF ORONO—MECHANICAL PERMIT (All Commercial permits must be approved by the Building Official or Tnspector and/or Fire Marshall) GENERAL INFORMATION 1. You may apply for mechanical pemuts by mail or in person at the City offices. Applications will be reviewed and a permit will be issued within two warking 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 THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Desiens—Complete calculations,details and specifications are required for each hearing,ventilation,humidification-debumidification,and air conditioning installarion including heat loss/heat gain calculation,design temperatures,equipment ratings and identification as to type,manufacturer and model. Data sha11 be presented on form provided. 4. When any new construction or remodeling is involved,a separate building permit must be obtained. 5. Ail work must be done in accordance with the Uniform Mechanical CodelState 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 �Residential ❑Commercial(Approva]Required) �New ❑Additional ❑Repairs ❑ Replace Job Site/Owner Information: Site Address: o��I � ��c� Q k r� `�('• Owner: � % � � �a c z k e Mailing Address: �g� �eet ��,r� �, City: d f On O Zip: Home Phone: Alternate Phone: CO��— 7/LF -�/.�1,s Contractor Information: Contractor: Contact Person: HEARTH & HOME TECHN LOGIES. INC, Address: State Bond#: dba FIRESIDE HEART60&HOME 2700 FAIRVIEW AVENUE N City: Zip: Expiration Date: ��j��E, MN 55113 651.633.2561 Phone: Alternate Phone: ❑ Insurance—Current: 1 LY(ias: gallons Other: GAS LINE ONLY ❑ Outdoor Grill ❑ Other/List What&Where: 2 � - , MECHANICAL SXSTEMS BEING INSTALLED 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 BTLJs: CFM: COOLING SYSTEMS Quantity: Make: ModeL• Tons: H.Power FIREPLACES p� X � Gas Factory Fireplace Brand Name: N��'r+ (��o ❑ Wood Burning Fireplace ❑ Wood Stove Model No.: .s L R- � ❑ Wood Stove with Flue/Masonry � Q I�C AGvv �j�s ?rsP�acei �1" VENTILATION �a c C �� - ��:•,5 � ��S�r.•� rr�� ❑ No. Kitchen Exhaust duct recirculating cfin ❑ No. Bath Exhaust(must have duct outside) cfm ❑ No. Other Fans: Locations cfm FiJEL 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&Where: 2 . . PE�MTT FEE CALCT3LAATIU�(S) : . BASED C))FF-2442 ST�T'�S'TA� ❑ 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 Permit $ 15.00 State Swcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ PERMIT FBE CALCU�.,.AT�ON � -JO�S OVER$5U0.� If above does not apply;follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) y�. "v X.olas$ So.vn (contract price) (minimam$50.00) 2. STATE SURCHARGE '��• � X.000s � 2 ► � (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERNIIT FEE(Add Lines 1-3 Above) $ 5 �'�J� ■ * CONTRACT PRICE or JOB COST means the actual or esrimated dollar amount charged for the permitted work including materials,labor,pmfit,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. A�E�ANiCA►I,P�f A�'LIC,�TI4�t�G�E�V�+TT 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 complete, true and correct. ApplicanYs Signature: _i� ''1� Date: o� 2 D �� Res�t Fam 3 �v�a_aoi�� 3 T TIME V CITY OF ORONO CALLED IN � INSPECTION NOTICE ^n/ SCHEDULED --,�-'� PERMIT NO. O o� �/6 S� COMPLETED � ADDRESS � OWNER ` TELE HONE NO. CONTRACTOR��1/�QLJL(��(L�•��ti v i'�L��—� a DESCRIPTION d �\ — � ❑ FOOTING ❑ PLUMBING FIN ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO ti COMMENTS: � W a � J O � � O � W � Q � 2 W � W � � W �WII�RKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ppHOTOTAKEN INSPECTOR WFLL RETURN O STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cafl for the next inspection 24 hours in advance. (952) 249-4600 OwnedContractor on site: Inspector. � � �i`�� White Copyllnspector's File Canary CopylSite Notice