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Home My WebLink About2012-00251 - gas fireplace CITY OF ORONO * z 0 1 2 - 0 0 z 5 1 * " 2750 KELLEY PARKWAY DATE ISSUED: 04/04/2012 � ' ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 1240 SPRUCE PL PIN : 08-117-23-32-0007 LEGAL DESC : SAGA HILL REVISED : LOT 005 BLOCK 001 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 2,000.00 NOTE: HEAT N GLO 6000C-IPI APPLICANT MECHANICAL 50.00 FIRESIDE HEARTH&HOME STATE SURCHARGE MECH(VALUATION) 1.00 2700 FAIRVIEW AVE ROSEVILLE,MN 55113 MAIL-IN FEE 2.00 (651)633-2561 MISC FEE 0.00 Minnesota State License#:20512060 TOTAL 53.00 OWNER LINDER,JENNIFER 1240 SPRUCE PL MOUND,MN 55364 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 after work has commenced. The applicant is responsible for assuring ali required inspections aze requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. �_`�''�`'�� Ciy� / / l l Applicant Permitee Signature Date Issue y ' nature SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB . . �==-.� FOR CITY USE ONLY ��,�\ City of Orono jOQ� P.O.Box 66 Date Received: Permit# �,, r s+ 2750 Kelley Parkway �� '��s.� 0�/1� Phone�952 249 46003 Fax 952 249-4616 Approved By: Amount$: l\\��4��< ( ) ( ) CITY OF ORONO—MECHANICAL PERMIT (Ali Commercial pertnits 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 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 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 esidential ❑Commercial(Approval Required) ❑New ❑Additional ❑Repairs ❑Replace Job Site/Owner Information: Site Address: Z � Owner: �� Mailing Address: lZ�/0 �ar� City: �,/�,�,o-� Zip: Home Phone: Alternate Phone: Contractor Information: HEARTH & HOME TECHNOLOGIES, INC. ��i �pf2'3G3 2l�S Contractor:dba FTRFSTf�F HF�RTN R HOMECOritaCt PePSOri: Lic. BC0512060 Address: 2700 FAIRVIEW AVENUE N State Bond#: ROSEVILLE, MN 55113 City: 651.633.2��1 Expiration Date: Phone: Alternate Phone: ❑ Insurance—Current: 1 � MECHA�II�CAL��'STEMS BEING TNSTALLED Note: All Geothermal Systems will now requ' 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 � Gas Factory Fireplace Brand Name: ��;� ❑ WoodBurningFireplace �^�� ❑ Wood Stove Model No.: �W ❑ Wood Stove with Flue/Masonry VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfm ❑ No. Bath Exhaust(must have duct outside) cfm ❑ No. Other Fans: Locations cfm FUEL STORAGE (Must be approved by Fire Marshall 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 � � ��rT��c�LcuLATzo�r�� BA�ED+�JFF-2002 STATE STATUE ❑ 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. Is 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 Total Permit Fee $ FERMI`T'�EE��L�U�.,�:'T`�Ul"� � -�,�QB�;�3��$504:�t} If above does not apply;follow guidelines below: l. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) `r 2��G x.0125 $ �� (contract price) (minimum$50.00) 2. STATE SURCHARGE l ` 7�D(J. dO x.0005 $ �� (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 actual contract. MECHA�CAL'PERMIT AFPLICATION 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 correct. Applicant's Signature: �� C�..� Date: �' �� v R`@S��Fi#�`t37 3 Sc� �/DAT TIME � CITY OF ORONO CALLED IN T� INSPECTION NOTICE SCHEDULED ��-- � PERMIT NO.,,�ol.� —�`�� COMPLETED �-1-5- �,2 ,��-' '� ADDRESS lZ�� J�- OWNER - TELEPHONE NO. 6�2 � �7`�'� CONTRACTOR � � DESCRIPTION �� /�"" � ❑ FOOTING ❑ PLUMBING FINAL p EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICALRI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGFESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBI AL ❑ FOUNDATION/REMOVAL Z OWNER/ ONTRACTOR TO MEET YOU:�.YES NO ti COMMENTS: � W a o �,�'� � � � � f- �-2. S �' � f� �. � 0 � W � Q � z W � W � � W�VORK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECONERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHtN HOURS. p pH0T0 TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION IS5UED ❑ IIVSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor on site: Inspector. � 1�' � White Copyllnspector's File Canary CopylSite Notice C "� T TIME � CITY OF ORONO CALLED IN �/ �� INSPECTION NQ��a �� SCHEDULED �3� PERMIT NO. � COMPLETED ADDRESS �a � ��D/�G!_ �� l� CX� OWNER � TELEPHONE N07�3 3�—�l��--- CONTRACTOR A�� e �� DESCRIPTION �J � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/F LLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS 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 _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ S�PT�I JFINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU;T"YES_NO / � COMMENTS: � W C � J O IV � ( J ` "' � O � W � Q � 2 W � W � � O W Q WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECAND�TIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP OROER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REDUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-46�� OwnedContractor on site: Inspector. White Copylinspector's File Canary CopylSite Notice C �� - DATE TIME " CITY OF ORONO (�'�� cALLED IN � INSPECTION TI SCHEDULED % PERMIT NO. � COMP ETED � ADDRESS � T_ OWNER � ELE NE N . CONTRACTOR ry � � DESCRIPTION ,� � 7�3 3�a-�i�a- � ❑ FOOTING ❑ PLUMBIN FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL p MECHANICAL RI ❑ LAKESHORFJWETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPIACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNEiiICONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � W a � J O � � O � W � Q � 2 W � W � � O W� ❑WORK SATISFACTORY:PROCEED �AOJECT COMPLEfE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WFLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (952) 249-46�� OwnerlContractor on site: Inspector. ^ White Copyllnspector's File Canary CopylSite Notice