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Home My WebLink About2013-01140 - gas fireplace . � CITY OF ORONO �2 0 1 3 - PJ 1 1 4 0 * , 2750 KELLEY PARKWAY DATE ISSUED: 10/25/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952)249-4616 ADDRESS : 2003 SUGARWOOD DR PIN : 34-118-23-21-0010 LEGAL DESC : SUGAR WOODS : LOT 002 BLOCK 002 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 5,326.00 NOTE: HEAT N GLO GAS FIREPLACE-SUPREME-I30C APPLICANT MECHANICAL 66.58 COUNTRYSIDE SERVICES STATE SURCHARGE MECH(VALUATION) 2.66 6511 HWY 12 MAPLE PLAIN,MN 55359 MAIL-IN FEE 2.00 (763)479-1600 TOTAL 71.24 PAID WITH CC# 9617 OWNER BRINK,JEFFREY&VICTORIA 2003 SUGARWOOD 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 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 l80 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. _� � �� ii35�/_3 ia 5 i Applicant Permitee Signature Date s d By Signature Date ' SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. From:COUNTRYSIDE HEATING & COOLING 763 479 2518 10/25/2013 10:27 #838 P.0011003 ` " l-'�= Cs�.[.0 �n� �'et- wa�r�.�,fr i x�o- `163 ,�179. 1doo I'� t + U$E QNLY [,1/_.{�J1 0 P�ty ox Orono �Rr /� ;.:� � �+��' , / ! — � �O O B 66 ec�Vb !�–�� amit#. ��'��_ : 2750 Kelley Parkway ' Crystal Bay,MN 55323 ApprovedBy. pmountS::_^ Phone(952)249�600 Fax(952)249-4616 y� � ��kESHOa�'G CITY OF ORONO—MECHANICAL PERMIT (All Cotnmercial penniu must Ix approved by the Bui]ding Offtcial or Inspe.ctor and/or Fire Marshsll) GENERAL`iNFORMAT.�ON: 1. You may apply for mechanical permits by mail or in person at the City offices. Applications will be reviewed and a permit wil]be issued within two workittg days, 2. Pertnit cards will be sent by return mail after a review is completed. PERMTTS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WQRK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POST�D ON THE JO$SITE. 3. Mechanical Desiens—Complete calculations,deTails and specifications arc reqaired 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 shatl 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 Unifoim Mechanical Code/State Building Code requirements. 6. All work mu�t be inspected(rough-in and fina]). Call(952)249�600. (24-48 hour notice required) '7. f�ouse HeaNng Test Record must be submitted before fmal. TI'.�'E O£.�'ERMIT. Check.All�'hat A 1 �Residential ❑Commercial(Approval Required) a,New ❑Additionat ❑Repairs �Replace Job Site.,/Owner Informahon: _:. Site Address: oC0,03 � wn� � Owner: /� /�']/� Mailing Address: ocAlEl� S�w��( �y'— ��Ty: �� Z�p: M�l' S"�3 .s6 Home Phone: Alternate Phone: �ontractor Iriformadon: / � '� . Contractor: r�c J�l Contact Person: ��/ h� �P�(/� [.� � Address: �5�� l State Bond#: 1`�� S� � 3 City: /�/�� "✓�/Zt Zip:�J�Expiration Date: � 3 � 0�7, Phone: �6�-'I 7'�I. �to�� Alternate Phone: Insurance—Current: k�KS��e�j �IICP,��°� 1 f'�V��l�0�?0�,y_ From:COUNTRYSIDE HEATING & COOLING 763 479 2518 10/25/2013 10:27 #838 P.002/003 , • ��a �� k �,�� y... ,. ..Y. . . . �r,. F,�,,, _ � �� Note:All Geothermal Systems will now require a Site Plan&Review by our Building O�cial. IS THIS GEOTHERMAL? ❑Yes ❑No fIEATING SYSTEMS Quantity: ________ _� _ Make: Model: Fuel: Flue Size: Input BNs: __, ___ � Output BTUs: • --------- ------- CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H.Power � ___ _ FIREPLACES � Gas Factory Fireplace Brand Name: ��w ❑ Wood Buming Fireplace �u �..v�� n� ❑ Wood Stove Modei No.: �vi�ti � w- ❑ Wood Stove with Flue/Masonry VENTILATION ❑ No. Kitchen Exhaust duct recircuiating 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 abando�r tank in place.) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Gritl ❑ Other/List What&Where: 2 From:COUNTRYSIDE HEATING & COOLING 763 479 2518 10/25/2013 10:28 #838 P.003/003 �� a . . s,,�� . .. _ . ❑ Yes,this section applies The replacement of a Residentia)fixture or appliance that meets all three of the following requirements: 1. Does not require modification to etectrical or gas service. 2. Has a total cost of$500.00 or tess;exclu 'n 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 Mai!-In Fee(If Appiicable) $ 2.oa Total Permit Fee S �, ��`R�`°� y.. - - - lf above does not appty;follow guidelines below: l. CONTRACT PRICE *is I.25%of contract price with a(Minimum Fee of 550.00) S3 �(� ao —__ X.oi2s$ �O6.,S� (contract price) (miaimnm$50.00) 2. STATE SiJRCRAItGE / C x .0005 $ -�O v (conuact p�ice) �� 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ��. Ol.� � * CONTRACT PRICE or JOB COST means the actual or estimated doliaz amount charged for the pernutted 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 instatlations are furnished by the owner, tenant or any other party,the reasonabie market value of such items must be added to the estimated cost or contract price for pernnit fee purposes. In the event that thete is a dispute on the amount of the job cost, the City may request the submission of a signed copy of the actual contract. s-:.� �.: - •�• - �-. � 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 Ciry and the regulations of the State of Minnesota, and certifies that all statements made on this application are complete, true and correct. ApplicanYs Signature: G%�� `'' Date: `Or��(J 3 DATE TIME � CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO. " 'a//c!� COMPLEfED �,5� ADDRESS a2CL7� Si.��..�litJcx� �r. OWNER TELEPHON� NO. CONTRACTOR ,E��«r��'�'y Sr��:� 5�"�'� ; �_ - _---- ,. __.— . ---__ >; DESCRIPTION '�4 S �� - � ly ❑ FOOTtNG ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING y ❑ POURED WALL �'.EaECHANICAL RI ❑ LAKESHORE/WETLANDS O ❑ FRAMING �p4ECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP 0 PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. LLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERICONTFiACTOR TO MEET YOU:_YES_NO v�i COMMENTS: a ��';M�� l�o��.- Ya�1��0 �c �-�.�1 �r Q � • . o ��G e.►�soc- ,r`��.,. �. � L � �G :��.� � D 7 /�'Xe��` ., v � i�S e'c�tv•i o �-� W � � 2 /' �S �e�.� Q�`r Z` L+.5�' _ Q 2 1"�'� �• I ot S�=✓� ��1�'O c-�s.�st,�r� �'�1�s . ��- G��o�1y _ � �v►�f 4��.v :�C r.� `�' ��''�'�C�" C�a c°GL��c��j c� � � �/'�� Co,�� «�SG�'l�� I� f �4�5%�� W ❑WOR- KSrATiSFACTORV:PROCEED ❑ PROJECTCOMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED �NSPECTION REQUIRED.CALL TO ARRANGE ACCESS. � � Ca11 forthe next inspection 24 hours in advan . (952� 249-4600 � Owner ontractoronsite:` �' � Inspector � � White Copyllnspector's File Canary CopylSfte Notice