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Home My WebLink About2014-00778 - gas fireplace � � CITY OF ORONO * 2 0 1 4 - 0 0 7 7 8 * 2750 KELLEY PARKWAY DATE ISSUEU: 07/23/2014 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2524 SANDSTONE LA PIN : 33-118-23-11-0019 LEGAL DESC : STONEBAY : LOT 016 BLOCK 001 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 3,125.00 NO"I�E: Gi1S FACTORY PIf2EYLACE APPLICANT MECHANICAL 39.06 STATE SURCHARGE MECH(VALUATION) 1.56 FIRESIDE HEARTH & HOME MAIL-IN FEE 2.00 2700 FAIRVIEW AVE TOTAL 42.62 ROSEVILLE, MN 551 13 (651)633-2561 Payment(s) Minnesota State License#: mech-20512060 CHECK 2004562 42.62 OWIVER Stonebrook Homes 1016 COVETRY PL EDINA, MN 55424- AGREEMENT AND SWORN STATEMENT l�he work for which this pemiit is issued shall be perforined according to the approved plans and specitications,applicable City approvals,and the State Building Code. This pennit is for only the work described and docs not grant permission for additional or related work which requires separate permi[s. All provisions of laws and ordinances governing[his type of work shall be compied with whether or not spccified 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 afier 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. C - � /�/� , � Applicant Permitee Signature Date Issued Signature Date r 4 { .4; '�'+f4R f.T17t j3$�,(��TL=';Y '' ` i � (� City of Orono �'""'�� P.O.Box 66 ��q'W�xsrb�i `� ".Befd71��- . 2750 Kelley Parkway ` Crystal Bay,MN 55323 �►�By . F ,,.A�14�:�:. Phone(952)249-4600 Fax(952)249-4616 , �� . , ��'rESHO��G CITY OF ORONO—MECHANICAL PERMIT (All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall) l�ti ` ""'" t f3mv�.-,f ilr+s { �t ,c�C � � .r}�,r � t ��r.�;",. i'.� P t�..�� i ,�� ' s :� � � # ,+. s�-:4 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 Desisns—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 pr�sented 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 final). Call(952)249-4600. (24-48 6our notice required) 7. House Heating Test Record must be submitted before final. � . � .r�yll 1 �', gi tv q,e Pi � ':3 .I�. �i�1Q�+��;�` �u.* �,�� a � r�e�idential ❑Commercial(Approval Required) v� �New ❑Additional ❑Repairs ❑Replace Job Sit�/Owi�e�Infot�rr��tion: ' �,� Site Address: d�� > )1 l(! `� Owner:��l r�1.(,I e �l 4�� Mailing Address: �� l lA� (�((Z�-Q �� c��y: zi�: �� 1 Home Phone: Alternate Phone: �� ,�� Contraotor Informa�ion; ' Contractor: Contact Person: �� ~ � OM Address: State Bond#: �� ESlOE M TEeMN�LOG1Es �7'�p FAIRVIE 6�656 N�ME City: Zip: Expiration Date: ��S . w AV � N Phone: Alternate Phone: �5�•6�3.2S6Y5'�13 ❑ Insurance—Current: 1 r 4 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: �� ❑ Wood Burning Fireplace ��` �� 1 (n I ❑ Wood Stove Model No.: •il,Q l� ❑ Wood Stove with Flue/Masonry 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&Where: 2 1 � \ ❑ 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 Surchazge $ 5.00 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$50.00) 3,�� X.0125$ 1. �J _ (contract price) minimum$50.00) 2. STATE SURCHARGE 1 � l�-� x.0005 $ , . � (contract price) 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 chazged 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 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 statement a e on ' application are complete, true and correct. A licant's Si nature. Date: � l�� rr s � 3 . �. . . .e�mrtw��s ; ,. �, N �r�, ., � _ r .. ., oi s,•, . �-r, , �Fr.,,�a � � .�_...�.....�.�.�. _ _ � ; „�. � �.....,_�.,.__, _ ..._ � u � r �i �' �i wN��, ��, .. �i� ♦ �'�. �' �,.',. ��, v , . ......._ . . . .. . ..1�. . .... ._ ��. .. ....._ . .. � . ......_� .. . 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Call br the next inspection 24 hours i advance. 9 -460� OwnerfCorrtractor on site: Inspector: � White Copyllnspector's File ary CopylSfte Notiee