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Home My WebLink About2012-01160 - gas fireplace 1111111111 Hull]= CITY OF ORONO * 2012 - 01160 * _A 2750 KELLEY PARKWAY DATE ISSUED: 11/13/2012 ORONO, MN 55356- (952)249-4600 FAX: (952)249-4616 ADDRESS 1560 TANGLEWOOD RD PIN 26-118-23-32-0012 LEGAL DESC TANGLEWOOD LOT 003 BLOCK 001 PERMIT TYPE MECHANICAL(>$500) PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 7,800.00 NOTE: (2)GAS FIREPLACES-HEAT N GLO-MODEL#ESCAPE I30 APPLICANT MECHANICAL 97.50 FIRESIDE HEARTH&HOME STATE SURCHARGE MECH(VALUATION) 3.90 2700 FAIRVIEW AVE ROSEVILLE,MN 55113 MAIL-IN FEE 2.00 (651)633-2561 TOTAL 103.40 Minnesota State License#:20512060 OWNER BUHMAN,DION&TANYA 1560 TANGLEWOOD RD 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 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``. 111 /3 i /�- Applicant Permitee Signature Date ssu By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. RECEIVED \ City of O 1 3 M6 I�R CITY USE ONLY P.O.Box 66 Date Received: " 3//Y Permit k -2D1 a K Crystal 3 Crystal Approved By. Amount$. / *. .:, A' Phone(952)2494600 Fax(952)249-4616 CITY OF ORONO—MECHANICAL PERMIT (All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall) GENERAL INFORMATION I. 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 Designs—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 Apply) Residential ❑Commercial(Approval Required) (New ❑ Additional ❑Repairs ❑Replace Job Site/Owner Information: Site Address: /5-(,.o Owner: ; o n r-+ek�n Mailing Address: /-5'&0 City: Lbnoa Lake Zip: ss.35�o Home Phone: Alternate Phone: Contractor Information: Contractor: Contact Person: HEARTH & OLOGIES, INC. Address: State Bond#. dba FIRESIDE HEARTH& HOME 060 City: Zip: Expiration Date: 2700 FAIRVIEW AVENUE NROSE. rrr L nota 55113 651.633.2561 Phone: Alternate Phone: ❑ Insurance—Current: 1 i MECHANICAL 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 BTUs: Output BTUs: CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H.Power FIREPLACES Gas Factory Fireplace Brand Name: G ❑ Wood Burning Fireplace ❑ Wood Stove Model No.: La{J G 30 ❑ 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 therGAS LINE ONLY ❑ Outdoor Grill ❑ Other/List What&Where: 2 w PERMrr FEE CALCULATION(S) BASED OFF-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 cow of$500.00 or less;excluding 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 $ PERMIT FEE CALCULATION S -JOBS OVER$500.00 If above does not apply;follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$550.00) 7gae-yo x.0125$ 17.15'& (contract price) (minimum$50.00) r 2. STATE SURCHARGE 7 S�va.�v x.000s $ 3. 9d (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ 6.7. ,Yle ■ * 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 famished 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. MECHAMCAI PERMIT'APFLICA'3014AOREENCBW 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: � ""� Date: 1111,741.2 Reset Fmm: 3 ATE TIME " CITY OF ORONO CALLED IN �� INSPECTION NOTICE SCHEDULED PERMIT N �c PLETED ADDRESS 12, lezIC - 1 OWNER TEL ONE w CONTRACTO >; DESCRIPTION J ❑ FOOTING ❑ aMBING FINAL ❑ EXCAV/GR DING/FILLING Q El POURED WALL p MECHANICAL RI El y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS ❑ FINAL 11 SEWER HOOK-UP El COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP ? ❑ DEMO-FINAL p SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ S T INAL ElFOUNDATION/REMOVAL OWNER/CONTRACTOR TO MEET YOKES_NO COMMENTS: Cc W a J O CC 0 U_ W Cc Q z ❑WORK SATISFACTORY:PROCEED *,ROJECT COMPLETE Cc W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR El CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: Inspector. White Copy/Inspector's File Canary Copy/Site Notice