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Home My WebLink About2013-00993 - fireplace - gas � . , CITY OF ORONO * 2 0 1 3 - 0 0 9 9 3 * 2750 KELLEY PARKWAY DATE ISSUED: 09/25/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 345 SPRING HILL RD PIN : 25-118-23-43-0008 LEGAL DESC : REG.LAND SURVEY NO. 1429 : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 4,000.00 NOTE: HEATNGLO GAS FIREPLACE APPLICANT MECHANICAL 50.00 FIRESIDE HEARTH&HOME STATE SURCHARGE MECH(VALUATION) 2.00 2700 FAIRVIEW AVE ROSEVILLE,MN 55113 MAIL-IN FEE 2.00 (651)633-2561 TOTAL 54.00 Minnesota State License#: 20512060 OWNER MOECHNIG,DOUG&AMY 345 SPRING HILL 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 sepazate permits. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified herein.This pertnit will expire and become null and void if wnstruction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 1 SO 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 cau e. ' � 9�a.s� q, 5, � Ap cant Permitee Si re Date ssued y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � �+ A �tECEiv�� FOR C USE ONLY �� P.O Box 66�IIo SEP 2 5 201 ��Receiv Permit#�� /� 0 2750 Relley Parkway C stal Bay,MN 55323 pproved B : Amount$: ��• � �r�/c1Cn Y Phone(952)249-4600 F�rrt�9l5Z)E49-4�Kl��N � a S � `� �.� CITY OF ORONO—MECHANICAL PERMIT �qKf S H�� (All Commercia!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 City ofiices. 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 UNTII.YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERNIIT CARD IS POSTED ON THE JOB STTE. 3. Mechanical Desi¢ns—Complete calculations,details and specifications are required for each heating,ventilation,humidification-dehumidification,and air conditioning instaliation 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. (2448 hour notice required) 7. House Heating Test Record must be submitted before final. TYPE OF PERMIT Check All That A 1 �Q Residential ❑Commercial(Approvat Required) J�, New ❑Additional ❑Repairs ❑Replace Job Site/Owner Information: Site Address: 3 y� SP�'^9 y' �� !/� Owner: �Dµ�, /✓�e G c�.�� Mailing Address: 3'yS �'.. i ��G� c�tiy: O�en d z�p: 5391 Home Phone: Alternate Phone: �s�-�/� � 5�3� Contractar Information: Contractor: Contact Person: NOLOGIES Address: State Bond#: dba FIRESIDE HEARTH & HOME 6 2700 FAIRVYEW AVENUE N City: Zip: Expiration Date: oncGvri i � MN 55113 651.633.2561 Phone: Alternate Phone: ❑ Insurance—Current: 1 .... L r " CI�A1rTICAL SYSTEMS BEING INSTALLED 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 BT'C7s: Otrtput BTUs: CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H.Power FIREPLACES � Gas Factory Fireplace Brand Name: � �f�,k /� ��0 Wood Burning Fireplace /� / r7 ❑ Wood Stove Model No.: l)T u n� .�� Wood Stove with Flue/Masonry VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfm ❑ No. Bath E�chaust(must have duct outside) cfin ❑ No. Other Fans: Locations cfm F'UEL STORAGE (Must be appmved by Fire Marshall if proposfng to abandon tank ln plac�) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill ❑ Other/List What&Where: 2 A . PERMIT FEE CALCULATION(S} BASED OFF-ZUt}Z STATE S'TATUE ❑ Yes,this section applies 'The replacement of a Residential fixture or agpliance that meets all three of the following requirements: 1. Dce no require modification to electrical or gas service. 2. Has a tQ.tz�of$500.00 or less;ex 1 in the cost of the fixture or appliance:and 3. Is impmved,installed or replaced by the homeowner or licensed contaactor. Skip ne�ct section,if this applies; Cost of Permit $ 15.00 State Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ PERNIIT FEE CALCULATIaN S -JO�S OVER 5500.00 If above does not apply;follow guidelines below: i_ CONTRACT PRICE *is 1.25%of contract price with a(Minimnm Fee of$50.00) y�.� X.o�25$ 50.� (contract price) (miaimom SS0.00) 2. STATE SURCHARGE �� x.0005 $ 2. ��` (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applicarions) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) S S y G'� ■ * COIV1'IiACT 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 actuai contract. A�IECHA�CAL PERN�IT AFPLICATiON AGrREENi�`N'�' The undersigned hereby applies to the City for issuance of a Mechanical Pernut, 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 Signature: �"� Date: / �3 / 3 3 � ATE TIME V � ICITY OF ORONO � CALLED IN l-��-°-�I�G,'�,I,–I�� INSPECTION NOTI E _ SCHEDULED l(�LL-5 PERMIT NO. .�C��j�?'� � COMPLEfED '�� ADDRESS .�`�c� S/�f l�'X� f �i �� 1� OWNER TELEPHONE NO.��+� .3�" ��c�7� CONTRACTOR /�`/rf� /�P �-�cA �� , � _ ) ; � DESCRIPTION —�� '� �I/f�.l��'F� � ❑ FOOTING O PLUMBING FINALL��5�-j/', ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI / � � ❑ LAKESHORE/WETLANDS OO FRAMING ❑ MECHANICAL FINAL � �f�� ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE O SEPTIC MAINT. ❑ FOLLOW-UP r ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL � ❑ PLUMBING RI ❑ SEP C FINAL ❑ FOUNDATION/REMOVAL 2 OWNERlCONTRACTOR TO MEET YOU�YES_NO v�i C MMENTS: � W a � J O �. � O � W � Q � 2 W � W � � J d � ❑WORKSATISFACTORY:PROCEED OJECT COMPLEfE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COYERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALLINSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952� 249-4600 OwnerlConVactor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice