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HomeMy WebLinkAbout2014-00169 - gas fireplace CITY OF ORONO * 2014 - 00169 * 2750 KELLEY PARKWAY DATE ISSUED: 02/25/2014 ORONO, MN 55356- 952 249-4600 FAX: (952) 249-4616 ADDRESS 1310 VINE PL PIN 07-117-23-42-0001 LEGAL DESC REG. LAND SURVEY NO.0488 : LOT 000 BLOCK 000 PERMIT TYPE MECHANICAL(>$500) PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE FIREPLACE-GAS VALUATION $ 4,000.00 NOTE: QUADRA FIRE GAS FIREPLACE APPLICANT MECHANICAL 50.00 STATE SURCHARGE MECH(VALUATION) 2.00 FIRESIDE HEARTH&HOME 2700 FAIRVIEW AVE MAIL-IN FEE 2.00 ROSEVILLE,MN 55113 TOTAL 54.00 (651)633-2561 Payment(s) Minnesota State License#: mech-20512060 CHECK 2003550 54.00 OWNER FLINN&DARCY DIEDERICH,JASON 1310 VINE 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 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. &A Applicant Permitee Signature Date Issued By . nature Date FOR CITY USE ONLY City of Orono �►O�� P.O.Box 66 Date Received: Permit# 2750 Kelley Parkway Crystal Bay,MN 55323 Approved By: Amount$: Phone(952)249-4600 Fax(952)249-4616 y� ESHO �C CITY OF ORONO—MECHANICAL PERMIT (All Commercial permits 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 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) XI ❑ew Additional El Repairs ❑Replace Job Site/Owner Information: Site Address: 1 310 e r n e P ( . Owner: F't- n Mailing Address: /3/40 Vi'n e- Pt City: Zip: 5-5'3&q Home Phone: Alternate Phone: Contractor Information: Contractor: Contact Person: HEARTH & HOME TECHNOLOGIES RTH & HOME Address: State Bond#: Lic BC662656 2709 FAIRVIEW AVENUE N ROSEVILLE, MN 55113 City: Zip: Expiration Date: 651.633.2561 Phone: Alternate Phone: ❑ Insurance—Current: 1 r MECHANICAL SYSTEMS BEING INSTALLED q 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: cXtAtorc► I";re- "El Wood Burning Fireplace .� ❑ Wood Stove Model No.: ❑ 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 J '. PERMIT FEE CALCULATIONS) BASED OFF-2042 STATESTA'T'UE' ❑ 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 $ PERMIT MC, 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$50.00) 41�rr�D• ya x.0125$ sC7. (contract price) (minimum$50.00) 2. STATE SURCHARGE 4/(lVV•(/a x.0005 $ 2 �a (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ 541. f'-V • * 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. MECHANICAL PERMIT APPLICATION AGREEI T 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: Z2 9 - 11413 6 — Z 02t;jj— TE TIME v CITY OF ORONO CALLED iN �� INSPECTION C �/( SCHEDULED j PERMIT N /�'�11 7 OMPLETED ADDRESS 10le OWNER A TELEPHONE NO.<PI 3&3' CONTRACTOR .lL-� DESCRIPTION ❑ FOOTING ❑ PLUMBING FI ❑ EXCAV/GRADING/FILLING ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ 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 v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO COMMENTS: j 0 0 W Q W W 4: j d Wui RK SATISFACTORY:PROCEED ❑PROJECT COMPLETE ❑ RECT WORK 3 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours inance. (952) OU OwnerfContractor on site: Inspector. White Copy/Inspector's File Canary Copy/Site Notice DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO. 20ZCOMPLETED ADDRESS OWNER TELEPHONE NO. CONTRACTOR DESCRIPTION ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS ti ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS �LEINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT ❑ FOLLOW-UP ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO 2 COMMENTS: QC o T /i.>e �.I✓- est -a �.� 3-�?C� W ccQ ado/e!�s r.- ���� /_'Yo AC-> c,�� Ier Uj ac GW ❑WORK SATISFACTORY:PROCEED ❑PROJECT COMPLETE Cr ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W OO ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR CTION REQUIRED.CALL TO ARRANGE ACCESS. ------- Call for the next inspection 24 hours in advan . (952) 249-460 Owner/Contractor on site: " Inspector. White Copy/Inspector's File Canary Copy/Site Notice (`% DATE TIME CITY OF ORONO CALLED IN -30-15 11:6Q INSPECTION N TICESCHEDULED PERMIT NO. I 27W/ COMPLETED ADDRESS OWNER TELEPHONE NO. Z` CONTRACTOR-- DESCRIPTION A�1e1e l ce- W ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS H Q El FRAMING ❑ MECHANICAL FINAL El TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNERIFIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS )dZINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT FOLLOW-UP 14 ❑ DEMO-FINAL ❑ SEP719 INSTALL ❑ HARD COVER REMOVAL I GRI 11SEF FINAL ❑ FOUNDATION/REMOVAL OWNE TRACTOR TO MEET YOU:_YES_NO OMMENTS:_ (�Y la I awe r 0_L1_ Q. CTA Am cc o RT < 0 W c _ 2 P✓IAS '�/ �v(t��iBb/ W W QC J LIJ ❑WORK SATISFACTORY:PROCEED COMPLETE W ❑CORRECT WORK&PROCEED �,40JECT UE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY U BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. or the next inspection 24 hours in advance. (952) 249-4600 (0�wn;;bntract n site: �✓C Inspector. � White yllnspector's File Canary Copy/Site Notice