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HomeMy WebLinkAbout2016-01417 - gas fireplace i CITY OF ORONO 2750 KELLEY PARKWAY * 2 0 1 6 — 0 1 4 1 7 DATE ISSUED: 11/09/2016 ORONO,MN 55356- (952)249-4600 FAX: (952) 249-4616 ADDRESS 970 TONKAWA RD PIN 08-117-23-12-0002 LEGAL DESC AUDITOR'S SUBD.NO.217 LOT 000 BLOCK 000 PERMIT TYPE MECHANICAL PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 4,645.75 NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. (1)HHT ESCAPE I-30 GAS FACTORY FIREPLACE APPLICANT MECHANICAL 58.07 STATE SURCHARGE MECH(VALUATION) 2.32 FIRESIDE HEARTH&HOME TOTAL 60.39 2700 FAIRVIEW AVE Payment(s) ROSEVILLE,MN 55113 CREDIT CARD 4616 60.39 (651)633-2561 Minnesota State License#:mech-20512060 OWNER BAKER,GARY 970 TONKA WA 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. col /// �l //4 Appl' ee Si ur Date Issued 133Wignatuire Date 11-08-'16 15:28 FROM- T-372 P0001/0004 F-457 3WO-e t 6 —o 0 09 FOR rY sly ONLY A} City of Orono 7 i V P.O.Box 66 Date 1Leccived� Q 2750 Kelley Parkway Crystal Bay,MN 55323 Approyed$y: Amount$ Phone(952)249-4600 lax(952)249-4616 �,�° CITY OF ORON'O—MECHANICAL PERMIT bSHO (All Commercial permits must be approved by 1)ujiding Official or Inspector and/or Tiro 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 UNTI1:..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. S. 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. T'Y'PE OF PERMIT Check All That Apply) *idential ❑Commercial(Approval Required) ❑New ❑Additional ❑Repairs Replace Yob Site/Owner Information: Site Address: q 70 7-m- w a 9-0 Owner: Mailing Address: S4,-,t a S St T*- City: zip: Home Phone: Alternate Phone: Contractor Information: Contractor: FIRESIDE HEARTH& HOME Contact Person: ar�-@.� Address: 2700 Fairview Ave N State 13ond#:BC662656, MB662672, PC662671 City: Roseville, MN zip.55113 Expiration Date: Phone: 651-633-2561 Alternate Phone: El Insurance—Current: I 11-08-'16 15:28 FROM- T-372 P0002/0004 F-457 Note:All Geothermal Systems will now require a Site Plan&Review by our Building Official, IS THIS GEOTHERMAL? ❑Yes ❑No HEATING SYSTEMS Quantity: I Make: Model: UL k. a I<ueh 645 Flue Size: Input BTUs: Output BTUs: 0 6 CIFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H.Power FIREPLACES Gas Factory Fireplace Brand Name: Wood Burning Fireplace ❑ Wood Stove Model No.: ,SLR a ❑ 'W'ood Stove with FIue/Masonry VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfm ❑ No. Bath Exhaust(must have duct outside) ofin ❑ No. Other Fans: Locations ofm FUEL STORAGE (Mist be approved by Fre Marshall if proposing to aband'ors 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 11-08-'l 6 15:29 FROM- T-372 P0003/0004 F-457 ❑ 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. Hasa total cost 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 Pee(If Applicable) $ 2.00 Total Permit Fee $ qa r E 0 110,W11 -sr. If above does not apply;follow guidelines below: 1. CONTRACT PRICE a is 1.25%of contract price with a(Minimum Fee of$50.00) �� a-7 SQL._ x.0125S 5e- (contract price) (minimum 550.00) 2. STATE ''rr�' ? 2 - — - q1,#N.J . x.0005 $ � • � (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $. siltlw d, TOTAL PERMIT)FEE(Add Lines 1-3 Above) $ �o + " 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. 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: 3 J "-- DATE TIME CITY OF ORONO CALLED IN �� -J 1� INSPECTION NO�E _D /�SCHEDULED/� - �� PERMIT NO. MPLETED ADDRESS—9�� 1�4_4 W-A, /�_d OWNER — TELEPIJONENO. CONTRACTOR DESCRIPTION ❑ FOOTING ❑ EMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING 0 ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL ..1 ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OMINERICONTRACTOR TO MEET YOU:_YES_NO COMMENTS: �.� C4 ( n 411 Ol t, cXt- 'e—4-1�,A -V 411 �� e, 0 jL Uj [IWORK SATISFACTORYPROCEED COMPLETE ❑CORRECT WORK&PROCEED ❑`ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY tj BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. Cl PHOTO TAKEN INSPECTOR WILL RETURN Cl CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours In advance. (952) 249-4600 Ownerr,ontractor on ite- Inspector: A 7 YYMte Copylinspectoes File Canary CopylSib Notlee