HomeMy WebLinkAbout2010-00012 - gas fireplace CITY OF ORONO PERMIT NO.: 2oia000i2
� • " 2750 KELLEY PARKWAY
ORONO,MN 55356- DATE ISSUEn: OU07/2010
952 249-4600 FAX: 952 249-4616
ADDRESS : 2675 SILVER VIEW DR
PIN : 33-118-23-42-0012
LEGAL DESC : MEYER DAIRY ADDN
: LOT 001 BLOCK 003
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIREPLACE-GAS
VALUATIOI�T : $ 4,500.00
NOTE: 1 HEAT N GLO GAS AP
APPLICANT MECHANICAL 56.25
FIRESIDE HEARTH&HOME STATE SURCHARGE MECH(VALUATION) 2.25
2700 FAIRVIEW AVE
ROSEVILLE,MN 55113 MAIL-IN FEE 2.00
(651)63�2561 TOTAL 60.50
Minnesota State License#:20512060
OWNER
VAN OVERBEKE,PETER&AMANDA
2675 SILVER VIEW DR
LONG LAKE,MN 55356
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 dces
not grant permission for additional or related work which requires sepazate
permiu. All provisions of laws and ordinances goveming this rype 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.
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Applicant Permitee Signature Date Issued By S' ature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO
FOR Ctl'Y USE ONLY
O,¢p�O City of Orono
P.O.Box 66 Date Received: Permit#
2750 Kelley Parkway
,,� �i�'�� Crystal Bay,MN 55323 Approved By: Amount$:
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CITY OF ORONO—MECHANICAL PERMIT
(All Commercial permits must be approved 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 C;ity otlices. 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 BECIN 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 identitication 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 )
�Residentiai [�Commercial(Approval Required)
l�
�New ❑ Additional ❑ Repairs ❑Replace
Job Site/Owner Information:
Site Address: o�Lt7 S S)�vG�V i C w ��`.
Owner:_�e�Gr Ila.,o�cr bekt Mailing Address:
City: Dre n o Zip: S53SCe
Home Phone: j�Sa-5�73 - $7S/ Alternate Phone:
Cc�ntractor Information:
HeaRh&Home Technologies,Inc.
Contractor: ireside Hearth & Home Contact Person: , .�;��n�.Hon�Technologies,Inc•
License 2 �;:�a Fireside Hearth & Home
2700 N. Fairview Ave. �icense 20512060
Address: Roseviue, ��AN 55113 State Bond #: a7oo N. Fairview Ave.
651 Roseville, ��'�
City: Zip: Expiration Date: s5�/ss°-25st
Phone: Alternate Phone:
❑ Insurance—Current:
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CITY OF ORONO CALLED IN �� 3 ��O
INSPECTION N-O�T�IC�E SCHEDULED 1 4� 1� c� :�.�
PERMIT NO. ��C.l /�..�,1� �����COMPLETED
ADDRESS_ �� �'�� � � I 1��� (,�t E�1-�.� �(� .
OWNER CONTR.�l�/P� (�'. EL-�r��./�
TELEPHONE NO._�����������
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� DESCRIPTION �I r���f��� � `� �C-�-S ���,
� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING
� ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
O ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
� ❑ DEMO-F�NAL ❑ SEPTIC INSTALL. � FOLLOW-UP
_ ❑ PLUMBING Rt ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU: YES_NO
� COMMENTS:
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W� 'GVORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
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0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITNIN HOURS. � pHOTO TAKEN
INSPECTOR WILL RETURN
❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. (952� 249-460�
OwnerlContractor on site-
Inspector. _I�'� / ��
White Copylinspector's File Canary Copy/Site Notice
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DATE TIME
CITY OF ORONO CALLED IN ��
INSPECTION NOTICE scHEou�E� �'�-l0 �
PERMIT NO. ���0-Gao i� COMPLETED
ADDRESS �lP7.S Sr�LUP�v V��� ��
OWNER CONTR.
TELEPHONE NO.
� DESCRIPTION ��� �P
� ❑ FOOTING � MECHANICAL RI ❑ EXCAV/GRADING/FILLING
y ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
O ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP �
r ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
� ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
i ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� ❑WORKSATISFACTORY:PROCEED �,,'�I�ROJECTCOMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR W4LL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
❑ CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952� 249-460�
OwnerlContractor on site:
Inspector. �' _ �✓� � �-_��
White Copyllnspector's File Canary CopylSite Notice