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Home My WebLink About2013-00833 - gas fireplace CITY OF ORONO * z 0 1 3 - 0 0 8 3 3 * ' 2750 KELLEY PARKWAY DATE ISSUED: 08/21/2013 � ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1910 SHORELINE DR PIN : 10-117-23-42-0017 LEGAL DESC : REG. LAND SURVEY NO.0096 : LOT 000 BLOCK 000 PERMIT TYPE ; MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 11,500.00 NOTE: 2 HEAT N GLO 8000C-IPI GAS FP 1 HEAT N GLO 6000C-IPI GAS FP APPLICANT MECHANICAL 172.50 FIRESIDE HEARTH&HOME STATE SURCHARGE MECH(VALUATION) 5.75 2700 FAIRVIEW AVE ROSEVILLE,MN 55113 MAIL-IN FEE 2.00 (651)633-2561 TOTAL 180.25 Minnesota State License#:20512060 OWNER &H MOUSAVINASAB,MAJID FEHRESTI 1910 SHORELINE DR 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 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 aze requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. `'�%1�t�,c-� `�'�- / / -J / / Applicant Permitee Signature Date Issued By ature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED A VE. , FOR CITY USE ONLY �p� City of Orono � ¢ `r ` P.O.Box 66 Date Received: Permit# � �';) 2750 Kelley Pukway � �1�'�• A�, Crystal Bay,MN 55323 Approved By: __ AmounC$: �_ .,lk�,y�o�! Phone(952)249-4600 Fax(952)249-4616 —t�ncc4!'; CITY OF ORONO—MECHANICAL PERMIT (All Commercial permiu must be approved by thc Building Official or Inspector and/or Fire Marshall) GENERAI,INFORM�TION 1. You may apply for mechanical pernuts by mail or in person at the City offices. Applications will be reviewed and a pemut will be issued within two working days. 2. Permit cards will be sent by retutn mail after a review is completed. PERMITS ARE NOT VALID UNTII,YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Desie.ns—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. S. 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 PERNIIT Check All That A 1 �esidential ❑Commercial(Approval Required) ❑New ❑Additionai ❑Repairs ❑Replace Job Site/Owner Information: Site Address: �Q�� (f�•� Owner: � �� Mailing Address: ,� ` �Q�✓ City: �c.��.c� . �— Zip: �f',�3� Home Phone: -6�2-�2�� Alternate Phone: Contractor Information: Contr�TH & HnMF TFrun�n� ��„-s Contact Person: dba FIRESIDE HEARTM & HOME Address: Lic 662656 State Bond#: CX�3I$$ 2700 FAIRVTEW AVENUE N City: ROSEVILLE, MN 551�p: Expiration Date: ] `" ��'�� Phone: Alternate Phone: ❑ Insurance—Cunent: • 1 .ti�, r'�;. 'J. 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 �� g��(�-�P� 3�� r� �Gas Factory Fireplace Brand Name: ��+1/a1 ❑ Wood Burning Fireplace �� ❑ Wood Stove Model No.:1 / / ��OQ:�Z�� (��r� ❑ Wood Stove with Flue/Masonry `•� VENTILATION ❑ No. Kitchen E�aust duct recirculating cfm ❑ No. Bath Exhaust(must have duct outside) cfm ❑ No. Other Fans: Locations cfm FUEL STORAGE (Must be approved by Fire Marsha/1 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 i . �� r�u � i�ry�"��2 m �a�„�h �, � �`� � . . ,4 r#.,��"�,�`� �x,._ �� '' ' - .s.4; �NR ..�Y��w. „r, -..zc ❑ 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 toffi1 cost of$500.00 or less;excludic�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 Pernut $ 15.00 State Sutcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ ,y ; Y e _ _ � ,. ,. . ; , .�,Y� ��4�`� t, � ��, ;�`•f� �` If above does not apply;follow guidelines below: 1. CONTRACT PItICE * is 1.25%of contract price with a(Mmimum Fee of$50.00) 1 l. �oa.oo X.o�z5$�`�2,�a (contract price) (minimum 550.00) 2. STATE SURCHARGE � I' �� a x.0005 $ ��,�� ! , (convacc price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ��i 2� ■ • 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 chazged 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 reasonable market value of such items must be added to the estimated cost or contract price for pemut 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. ��F,�� The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all work in sh-ict 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 Signature: �C�,�il{,��/�2�'�� Date: (� � �� I � --� �� _�� y �.� � � �, � 3 � DATE TIME � CITY OF ORONO CALLED IN � INSPECTION NOTICE SCHEDULED - - � PERMIT NO. � COMPLEfED ADDRESS 1�� ` '�� OWNER TELEPHONE NO.��l �V 7 �� CONTRACTOR !/"G�S! /l�G� � DESCRIPTION � �� I � /"��S � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FIWNG Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE O SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ pRp(`,qE$� � ❑ FINAL 0 SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v � PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDA710N/REMOVAL ? OWNERICONTRACTOR TO MEET Y�OU:_YES_NO � COMMENTS: � j 0 � 0 W � Q � W � W � � J O ��RK SATISFACTORY`.PROCEED PLETE � ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICA OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (g52) 249-46�0 OwnedCartractor on e: /- inspector: S White Copyllnspecto�'s File Canary CopylSite Noties