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Home My WebLink About2013-00251 - gas fireplace � � � CITY OF ORONO * 2 0 1 3 - 0 Pl 2 5 1 * 2750 KELLEY PARKWAY DATE ISSUED: 04/17/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2765 SHADYWOOD RD PIN : 21-117-23-24-0060 LEGAL DESC : REG. LAND SURVEY NO. 0415 : LOT 000 BLOCK 000 PERMIT TYPE : MECHAMCAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 3,000.00 NOTE: GAS FAC"IORY F[REPLACE-HEATILA"I'OR-MODGL NO.NDI35-C APPLICAI�IT MECHANICAL 50.00 FIRESIDE HEARTH& HOME STATE SURCHARGE MECH(VALUATION) 1.50 2700 FAIRVIEW AVE ROSEVILLE, MN 55113 MAIL-IN FEE 2.00 (651)633-2561 TOTAL 53.50 Minnesota State License#: 20512060 OWNER RANDGAARD, THOMAS 1730 KENWOOD PKWY MINNEAPOLIS, MN 55405- � AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specitications,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 d�is 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 I3uilding Code.This permit may be revoked at any time for due cause. ,* � ��ii {:-�__ __ � 4� � 7 � /� � -� ,,� �� 7_i;, , �j /� l�' Applicant Permitee Signature Date Issued� y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � � � R �ECEIVED FO�USE ONLY City of Oron (� � 7 �p�� c� �O�O P.O.Box 66 ��'` Dale Received �ermit M�'� . �� .�-J/ � Crystal Bay Pa a ��0�� APProved By: Amount$: .s, �. � _" Phone(952)249-4600 Fax(952)249-4616 .+, > yF � �q'�E S H��F.` CITY OF ORONO—MECHANICAL PERMIT ,_.� (All Commercial permits must be approved by the Building Official or[nspector 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 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 MLJST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Desiens—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 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 final. TYPE OF PERMIT Check All That A 1 (,�Residential ❑Commercial(Approval Required) /` �New ❑ Additional ❑ Repairs ❑ Replace Job Site/Owner Information: Site Address: o?�7Co S Sl��..A-i.�-+a-�� Owner:�,.-. �an�QQ�o�� er-+o�. Mailing Address: City: Zip: Home Phone: Alternate Phone: ��a- gD3- /�'8'8"8� Contractor Information: Contractor: Contact Person: H�nRTH �, HOME TECHNOLOGIES dba FIf�ESIDE HEARTH &HOME Address: State Bond#: Lic BC662656 2700 FAIR VENUE N City: Zip: Expiration Date: ROSEVILLE, MN 55113 . . 61 Phone: Alternate Phone: ❑ Insurance—Current: 1 � p , � M R�EC�iANiCAL SYSTEMS BEING INSTALLB}� Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official. IS TIiIS 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: NC�.��tiY o r Wood Buming Fireplace A�� .35- G ❑ Wood Stove Model No.: ❑ Wood Stove with Flue/Masonry VENTILATION ❑ No. Kitchen E�aust duct recirculating cfin ❑ No. Bath Exhaust(must have duct outside) cfrn ❑ No. Other Fans: Locations cfm FUEL STORAGE (Must be approved by Flre Marshall if proposing to abandon tank!n plac�) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill ❑ Other/List What&Where: 2 r � PERMIT FEE CALCULATION(S) BASED OFF -2002 STATE STATUE ❑ Yes,this section applies The replacement of a Residential fiacture 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 $ PERMIT FEE CALCULATION S —JOBS OVER$500.00 If above does not apply;follow guidelines below: 1_ CONTRACT PRICE * is l 25%of contract price with a(Minimum Fee of$50.00) .3l111D•!�O x.0125 $ �O.� (contract price) (minimum$50.00) 2. STATE SURCHARGE .3 U'D'�- W x.0005 $ �. S D (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ✓`,3.�� ■ * 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 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 act�al contract. MECHANICAL PERMIT APPLICATION AGREEMENT 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 conect. Applicant's Signature: �,�.� Date: _ . 3 �� D� TIME � CITY OF ORONO CALLED IN � � INSPECTION T�c _a��-� SCHEDULED s-/-/�,� � PERMIT NO. cOMPLETED ADDRESS a7�5 S�a-�i �� L OWNER TELEPHONE NO.��l L� Zll� CONTRACTOR ��lC� �: DESCRIPTION �� L� �/�/ � �� ❑ FOOTING ❑ PLUMBING FINAL ❑ 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 i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � - W a � J o r � �-J � -�-e-.3�- p 0 � W � Q � Z W � W � � � d � W SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WI�L RETl1RN ❑ CITATION ISSUED O STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (952) 249-460� OwnerlContractor on site: Inspector. White Copy/lnspector's File Canary CopylSite Notice CJ`� DATE �IME CITY OF ORONO ALLED IN � �—` 3 INSPECTION NOTICE SCHEDULED ��—/�L 2• PERMIT NO. �D�3"��a�JI co ETED ADDRESS � S ��-- � OWNER TELE H NO..�/�a— ��_L o�� CONTRACTOR /L�/.I� G�/��I Z I�� „ < >; DESCRIPTION � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRAD�NG/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O ❑ TREE REMOVAL ❑ 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 � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W C � J O � � O � W � Q � Z W � W � j d W� ❑WORK SATISFACTORY:PROCEED �_ROJECT COMPLETE W ❑CORRECT WORK&PROCEED I❑ SSUE CERTIFICATE OF OCCUPANCY 0 �CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952� 249-4600 OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice