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Home My WebLink About2011-00177 - gas fireplace CITY OF ORONO PERMIT NO.: 2011-00177 . 2750 KELLEY PARKWAY � ORONO, MN 55356- DATE ISSUEn: 03/25/2011 952 249-4600 FAX: 952 249-4616 , ADDRESS : 2256 SHADYWOOD RD s PIN : 17-117-23-43-0125 ` LEGAL DESC : WILEYS PARK LAKE MTKA : LOT 006 BLOCK 001 ! PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 7,000.00 NOTE: 2 HEAT N GLO GAS FIREPLACES APPLICANT MECHANICAL 87.50 FIRESIDE HEARTH&HOME STATE SURCHARGE MECH(VALUATION) 5.00 2700 FAIRVIEW AVE ROSEVILLE,MN 55113 MAIL-IN FEE 2.00 (651)633-2561 MISC FEE 0.00 Minnesota State License#:20512060 TOTAL 94.50 OWNER ' BURKE,FORREST&RENEE 2256 SHADYWOOD RD WAYZATA,MN 55391- 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 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 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. � �L[f.(� �. � � / / '_",Applican Permitee ignature Date Issued By ' nature ate � _ SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO s + ; . � � FOR CITY USE ONLY O¢p�O CityofOrono P.O.Box 66 Date Received: Permit# j 2750 Kelley Parkway � r;+''• ` Crystal Bay,MN 55323 Approved By: Amount$: � .;`o, Phone(952)249-4600 Fax(952)249-4616 .,_�RAXp9. .. CITY OF ORONO—MECHANICAL PERMIT (All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall) GENERAL 1NFORMATION 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 Desi rg is—Complete calculations,details and specifications are required for each heating,ventilation,humidification-dehumidification,and air condifioning installation including heat loss/heat gain calculation,design temperatures,equipment ratings and identification 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 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 Heating Test Record must be submitted before fmal. TYPE OF PERMIT Check All That A 1 �Residential ❑ Commercial(Approval Required) . � [�New ❑Additional ❑Repairs ❑Replace �., Job Site /Owner Information: Site Address: � o'� � SCo ,s�io•.�y Wvvo-e Owner: Mailing Address: 2 ZS4 S�u.-(y w�-�,�( City: D�o n c� Zip: Home Phone: Alternate Phone: 7G 3-S�4- O!o� S Contractor Information: Contractor: Contact Person: Hearth&Home Technologies,Inc. dba Fireside Hearth & Home Address: State Bond#: u�e�se 2os�2oso 2700 N. Fairview Ave. Roseviile, MN 55113 City: Zip: Expiration Date: ssl�sas-25s� Phone: Alternate Phone: ❑ Insurance—Current: 1 � � ��r�;',�°� ��`'. ' 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 BTLJs: CFM: COOLING SYSTEMS Quanhh': Make: Model: Tons: H.Power FIREPLACES pZ.,� Gas Factory Fireplace Brand Name: f I��'�"n � ( o Wood Buming Fireplace ❑ Wood Stove Model No.: CC�oc�a.3lo . '7S07�QS ❑ Wood Stove with Flue/Masonry VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfm ❑ No. Bath E�chaust(must have duct outside) cfm ❑ No. Other Fans: Locations cfin F[JEL STORAGE (Must be appmved by Fire Marshall jproposing m abandon tank in plac�) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill ❑ Other/List What&Where: 2 r � v - 3Y 1 1 �` „ 7 .M ... l< :-+ �rv i�.. "' '�.�: � :.i�Ir�l� 5� .�� *�..� f '4.� ❑ 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. Ls improved,installed or replaced by the homeowner or licensed contractor. Skip next section,if this applies; Cost of Permit $ 15.00 State Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Tota!Permit Fee $ ��'�'. , `;�� : . °S •-��3�� Q' .:.. If above dces not apply;follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimam Fee of 550.00) 7O1�'�. L'`t� x.0125$ �7•s� (contract price) (mieimom SS0.00) 2. STATE SURCHARGE **Add the State Bldg Code Div.Surchazge(Minimum Fee of 55.00) x.0005 $ S• �� (contract price) (mioimam S 5.90) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) S 7 7•SD ■ * 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 party,the reasonable mazket value of such items must be added to the estimated cost or contract price f�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 t�e actual contract. ■ **The STAT'E SURCHARGE is.0005 times the Contract Price or a minimum of$5.00. _ � .. . . , �, 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 aze complete, true and correct. ApplicanYs Signature: Date: .? �/ �'��i�, 3 C'2� _ C � E TIME � ITY OF ORONO CALLED IN INSPECTION N T CE �y/�EDULED � PERMIT NO. ' � OMPLET ADDRESS OWNER ' TELEPHONE NO. `��3��r CONTRACTOR � � DESCRIPTION `_,�� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREM/ETLANDS 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 v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � W a � J O � � O � W � Q � 2 W � W � � � �(VORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORE CO�/ERING PERMANENT ❑CORRECTUNSAFECANDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Ca11 for the next inspection 2a hours in advance. (g52) 249-4600 OwnerlContractor on site: Inspector._� � �� White Copyllnspector's File Canary CopylSite Notfce