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Home My WebLink About2015-00001 - gas fireplace .� CITY OF ORONO * z 0 1 5 - 0 0 0 0 1 * 2750 KELLEY PARKWAY DATE ISSUED: OUO2/2015 ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 2320 SHADOWOOD DR PIN : 27-118-23-32-0014 LEGAL DESC : SHADOWOOD FARM : LOT 002 BLOCK 001 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 5,500.00 NOTE: (1)HEAT-N-GLO FACTORY FIREPLACE-MODEL#CLX-IPI APPLICANT MECHANICAL 68.75 STATE SURCHARGE MECH(VALUATION) 2.75 FIRESIDE HEARTH&HOME MAIL-IN FEE 2.00 2700 FAIRVIEW AVE ROSEVILLE, MN 55113 TOTAL 73.50 (651)633-2561 Payment(s) Minnesota State License#: mech-20512060 CHECK 2004964 73.50 OWNER REHBEIN, RONALD& DAWN 2320 SHADOWOOD DR LONG LAKE, MN 55356- AGREEME1vT 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 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 Signatur Date Issuey By Signature Date K 2 FOR CITY USE ONLY O City of Orono P.O.Box 66 ��N —� ?��5, Date Received: Permit# � � 2750 Kelley PazkWa'y Crystal Bay,MN 55323 Approved By: Amount$: Phone(952]']4�Oe"FSx'(952)249=4G�6 � � tr� . ti�. . �qkES HO��G CITY OF ORONO—MECHANICAL PERMIT (All Commercial pecmits must be appmved 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 retum mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERIVQT 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 idenrification as to type,manufacturer and model. Data shall be presented on form pmvided. 4. When any new construcrion 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 hour notice required) 7. House Hearing Test Record must be submitted before final. TYPE OF PERMIT Check All That A 1 Residential ❑Commercial(Approval Required) New ❑Additional ❑Repairs ❑Replace Job Site/Owner Information: Site Address: r�.3�0 S�a�o w o-o� �r• Owner: �o n�� e��p�;,� Mailing Address: v?3�d Sti��w od o� �� City: �orti Lake /YIN Zip: SS3�� Home Phone: Alternate Phone: l0�� 7 g�-l0 2 (p 2. Contractor Information: Contractor: Contact Person: NOLOGIES dba FIRESIDE HEARTH & HOME Address: State Bond#: Lic BC662656 2700 FAIRVIEW AVENUE N City: Zip: Expiration Date: ROSEVILLE, MN 55113 , , 1 Phone: Altemate Phone: ❑ Insurance—Current: 1 � 4 '' MECHANICAL SYSTE�'IS BfiING INSTALLEH 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 BTLTs: Output BTLJs: CFM: COOLING SYSTEMS Quanrity: Make: Model: Tons: H.Power FIREPLACES � Gas Factory Fireplace Brand Name: �t�}� � �� Wood Burning Fireplace /� T/� ❑ Wood Stove Model No.: (��/"v'� �L x"L f� ❑ Wood Stove with Flue/Masonry VENTILATION ❑ No. Kitchen Exhaust dnct recirculating cfrn ❑ No. Bath E�aust(must have duct outside) cfm ❑ No. Other Fans: Locations cfin 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 �� PERIvIlT FEE CAI.Ct�LA'�f�N(S) BASED OFF-2402�TA'T`E�TA'I'iJE ❑ Yes,this section applies The replacement of a Residential fixture or appliance that meets all three of the following requirements: 1. Does not require modificarion to electrical or gas service. 2. Has a totai 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 $ PEI�IIT FEE GA�.CLILA�QN S -,�48�OV'�R��EIU.� If above does not apply;follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minfmum Fee of$50.00) 55'�� X.a�25 s LQ� . ?5 (contract price) (minimum$50.00) 2. STATE SURCAARGE �� 'uU X.��5 $ Z. 7 Sr (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 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 parly, the reasonabte 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. " MECHA�ICAL PERMIT�PPLICA.TI+�1N�GI�E�ivlEl+�T ` 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 Signariue:�T�� Date: O 3 �� e� D TE�/� TIME CITY O RONO CALLED IN � INSPECTIO 4T��y�J .�+HEDULED � � ' PERMIT N��J ��J� COMPLETED -+ ADDRESS �� '��-�/-��vv� �/�1 V''C OWNER � T LEPHO NO.� 3 3�7� CONTRACTOR � DESCRIPTION � ' � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICALRI ❑ LAKESHORENVETLANDS y 0 FRAMING ❑ MECHANICAL FINAL ❑ 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 � ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ f-0UNDATION/REMOVAL 2 OWNERICONTtiACTOR TO MEET YOU:_YES_NO y COMMENTS: � W C o Vent� K� - De�sD�S - '' ' e.x�s�r� .�S l..to - �O �" �� ` ' B W � Q 2 �� W � W � j d W��`�WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W �O�r�ECT YVORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pH0T0 TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR �INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. ail for the next inspection 4 hours in advance. (g52 j 249-46�� Ownerf tractor on site: Inspector: �^' White CopyllnsPeotor's Ffle Canary CopylSite Notice