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HomeMy WebLinkAbout2012-00894 - gas fireplace CITY OF ORONO * 2 0 1 2 - 0 0 8 9 4 * 2750 KELLEY PARKWAY DATE ISSUED: 09/10/2012 ORONO,MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS 3940 WATERTOWN RD PIN 32-118-23-32-0001 LEGAL DESC UNPLATTED 32 118 23 LOT 000 BLOCK 000 PERMIT TYPE MECHANICAL(>$500) PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE FIREPLACE-GAS VALUATION $ 2,200.00 NOTE: HEAT N GLO 60OC-IPI APPLICANT MECHANICAL 50.00 FIRESIDE HEARTH&HOME STATE SURCHARGE MECH(VALUATION) 1.10 2700 FAIRVIEW AVE ROSEVILLE,MN 55113 MAIL-IN FEE 2.00 (651)633-2561 TOTAL 53.10 Minnesota State License#:20512060 OWNER HEDBERG,CHRISTOPHER&HEIDI 3940 WATERTOWN RD MAPLE PLAIN,MN 55359- 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 cadse. Applicant Permitee Signature Date Issued B ignature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED OVE. FOR CITY USE ONLY O�0 City of Orono Q 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 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) Vew El Additional ❑Repairs El Replace Job Site/Owner Information: Site Address: 2 ! `) 4dj� k4 Owner Mailing Address: 35� 0 City: WU411.1 Zip: SS`' Ll 5- Home Phone: Alternate Phone: c/C Lj�S`.— Wq7 Contractor Information: Contractor: &4" R4a,N!264k" Contact Person: Address: 170p &&vtto1;r 4LA/v State Bond#: City: 1qxZip5yA3 Expiration Date: 7 Phone: loaf—G��i—J!��1 Alternate Phone: .611-363-2-171 ❑ Insurance—Current: aa., I I i ��� it N �a $ Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official. IS THIS GEOTHERMAL? ❑Yes B*No HEATING SYSTEMS Quantity: Make: Model: Fuel: Flue Size: Input BTUs: Output BTUs: CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H.Power FIREPLACES Al Gas Factory Fireplace Brand Name: ❑ Wood Burning Fireplace ❑ Wood Stove Model No.: ©AOG T PT ❑ Wood Stove with Flue/Masonry VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfrn ❑ No. Bath Exhaust(must have duct outside) cfrn ❑ 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 II I�� 'II I III A III J SM BAS r; ONIZO ❑ 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 $ WOW ANA If above does not apply;follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) 22�QO x.0125$ 5eeo (contract price) (minimum$50.00) 2. STATE SURCHARGE 21, 10 ` I O 9.Dd x.0005 $ (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ 6-300 ■ * 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: Q"'Ob `� Date: 3 HEAT& GLOT. Owner's Manual No one builds a better fire Installation and Operation Models: o GAS-FIRED 6000C 6000C-LP '' 6000C-IPI D C O` U$ 6000C-IPILP 8000C LISTED 8000C-LP a' 8000C-IPI "xiD 8000C-IPILP w • NOTICE DO NOT DISCARD THIS MANUAL ";`, Important operating Read,understand and follow Leave this manual with ` and maintenance these instructions for safe party responsible for use instructions included. installation and operation. and operation. A WARNING: If the information in these A WARNING instructions is not followed exactly, a fire HOT SURFACES! or explosion may result causing property Glass and other surfaces are hot during damage, personal injury, or death. operation AND cool down. Hot glass will cause burns. • DO NOT store or use gasoline or other flam- DO NOT touch glass until it is cooled mable vapors and liquids in the vicinity of this NEVER allow children to touch glass or any other appliance. Keep children away • CAREFULLY SUPERVISE children in same room as • What to do if you smell gas fireplace. - DO NOT try to light any appliance. Alert children and adults to hazards of high temperatures. High temperatures may ignite clothing or other flammable - DO NOT touch any electrical switch. DO materials. NOT use any phone in your building. Keep clothing, furniture, draperies and other flammable - Immediately call your gas supplier from a materials away. neighbor's phone. Follow the gas suppli- This appliance has been supplied with an integral barrier er's instructions. to prevent direct contact with the fixed glass panel. DO - If you cannot reach your gas supplier, call NOT operate the appliance with the barrier removed the fire department. Contact your dealer or Hearth & Home Technologies if the barrier is not present or help is needed to properly install one. • Installation and service must be performed by a qualified installer, service agency, or the gas supplier. In the Commonwealth of Massachusetts installation must be performed by a licensed plumber or gas fitter. See Table of Contents for location of additional Commonwealth This appliance may be installed as an OEM installation in of Massachusetts requirements. manufactured home(USA only)or mobile home and must be installed in accordance with the manufacturer's instructions and the manufactured home construction and safety standard, Installation and service of this appliance should be Title 24 CFR, Part 3280 or Standard for Installation in Mobile performed by qualified personnel. Hearth & Home Homes, CAN/CSA Z240MH, in Canada. ° =�m Technologies suggests NFI certified or factory trained This appliance is only for use with the type(s)of gas indicated ,N8T1 ,E professionals, or technicians supervised by an NFI on the rating plate. certified professional. Heat&Glo - 6000C,6000C-IPI,8000C,8000C-IPI 2164-900 Rev.N • 1/11 1 r Q l I� it Ill N ii I u