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Home My WebLink About2017-00072 - gas fireplace CITY OF ORONO * 2 0 1 7 - 0 0 0 7 2 2750 KELLEY PARKWAY DATE ISSUED: OV25/2017 ,-. ORONO,MN 55356- (952) 249-4600 5356-(952) 249-4600 FAX: (952) 249-4616 ADDRESS 1120 TONKAWA RD PIN 08-117-23-13-0009 LEGAL DESC AUDITOR'S SUBD.NO.217 LOT 009 BLOCK 000 PERMIT TYPE MECHANICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 4,873.00 NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. REPLACE GAS FIREPLACE(HHT) APPLICANT MECHANICAL 60.91 STATE SURCHARGE MECH(VALUATION) 2.44 FIRESIDE HEARTH&HOME 2700 FAIRVIEW AVE MAIL-IN FEE 2.00 ROSEVILLE,MN 55113 TOTAL 65.35 (651)633-2561 Payment(s) Minnesota State License#:mech-20512060 CREDIT CARD 4616 65.35 OWNER BENDT,JOHN&ANNE 1120 TONKAWA 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. Applicant Permitee Signature Date Issued By Signature Date 01-23-'17 09:33 FROM- T-736 P0001/0004 F-891 3_7M 13-000 FOR c><ry USE ONLY �Q�y City of Orono ? D17 7� {V P.O.Box 66 Dara Received; �� 1/Permit#2750 Kelley Parkway Crystal Bay,MN 55323 Approved layf/ Amount$: Phone(952)249-4600 Fax(952)249-4616 CITY OF ORONO-�-MECHANICAL PERMIT s ti�R� (All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall) GENE.RAr,INEORMATIONN 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 MIDST 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 losstheat 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 Beating Test Record must be submitted before final. TYPE OF PERMIT (Check All That Apply) /// Residential ElCommercial(Approval Required) ❑-I New ❑Additional ❑Repairs XReplace Job Site/Owner Information::� Site Address: /j 7,0 7;n �o Wol RvkJ Owner: �0 ��y1�-�` Mailing Address: 5' w1C, a C; City: �. _ �.a _ Zip: 155 3F& Home Phone: �� qr]I'~ 7&%'� Alternate Phone: Contractor Information: Contractor: FIRESIDE HEARTH& HOME Contact Person: PCl'r iii Address: 2700 Fairview Ave N State Bond#:130652656, M13662572, PC662571 City: Roseville, MN Zip:55113 Expiration Date: [�I f', �Q Phone: 651-633-2561 Alternate phone: ) r `�` Insurance—Current: 1 01-23—'17 09:33 FROM— T-736 P0002/0004 F-891 C H RIN . AN Note:All Geothermal Systems will now require a Site Plan&Review by our Building Official. IS THIS GEOTHERMAL? El 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: Wood Burning Fireplace E] Wood Stove Model No. L] Wood Stove with Flue/Masonry VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfm ❑ No. Bath Exhaust(must have duct outside) cftn E] No. Other Fans: Locations ofm FUEL STORAGE (Must be approved by Fire Marshall jfproposing to abandon tank in place.) Ll Installation El Removal Fuel Oil: gallons El Underground El Inside [I Outside LP Gas; gallons Other: GAS LINE ONLY El Outdoor Grill El Other/List What&Where: 2 01-23-'17 09:33 FROM- T-736 P0003/0004 F-891 c,`4;11 z a ',.j,i{a r ' t�S �QR,'�•�,�QZ. T� :'rS,Cal { �� ;�'�1� mac :.ri'� ;,< <r 1 ❑ 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,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 $ t,f�` ,pE. IVi)`I:F .E.:cAzCrL �rr9N ,.. If above does not apply;follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) L/173 x.0125 $ C (contract price) (minimum$50.00) 2. STATE SURCHARGE ( �� x,0005 $ 2 (contract price) 3_ POSTAGE&HANDLING(Only on Mail-In Applications) $ l� 4. TOTAL PERMIT EEE(Add Lines 1-3 Above) $ ■ * 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. ;` ,,:�1VI�CHAIVI�AL�pERMT`T APELICA`TIQ1�T;t�CRE�IyI�1�T; f_;,, ,, , 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 F,4 and the regulations of the State of Minnesota, and certifies that all statements made n� s application are complete, true and correct. 7 / Applicant's Signature: Date;µ —�3 �! 3 DATE TIME CITY OF ORONO CALLED IN INSPECTION NQ ,4/1/��EDULED 9-/ -/-7 PERMIT NO, -�/!�(/ MPLETED ADDRESS �l o2tg ��G�L OWNER 4 TELEPHONE NO.I'/Z CONTRACTOR DESCRIPTION ty ❑ FOOTING ❑ DEMO INAL ❑ SEPTIC F ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS ❑ INSULATION ❑WOOD BURNER/FIREPLACE ❑COMPLAINT ❑ FINAL ❑WATER HOOK-UP ❑ FOLLOW-UP W ❑AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATIONIREMOVAL r [:1 DEMO-SITE [3 SEPTIC INSTALL Z �fREE OWNBRACTOR TO MT YOU:_YES_NO COMMENTS: 4 F7 IQ' /rlsu I; /,W40 cnx!sejj4s Iy14 S , R. - 00 Y441,L �G:L Al i -Iyerr��Kf -a•� 'i _ ✓ - / ✓ W ve &•l�i I,; C3� pSig _sfyLfA, tud4ow SAnsFACTom PROCEED ❑PROJECT COMPLETE W ❑CORRECT WORK 3 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT O CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REOUIRED.CALL TO ARRANGE ACCESS. Cal for the next inspection 24 hours in advance. (952) 249-4600 OwrmlConbactw on site: Whit CopyAna=W%File Cg^oryC0pyAft NoNei