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Home My WebLink About2013-01091 - gas fireplace ( � CITY OF ORONO * z 0 1 3 - 0 1 0 9 1 * 2750 KELLEY PARKWAY DATE ISSUED: 10/17/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 3884 CHERRY AVE PIN : 08-117-23-33-0084 LEGAL DESC : CRYSTAL BAY VIEW : LOT 000 BLOCK 003 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 3,000.00 NOTE: (2)GAS FIREPLACES APPLICANT MECHANICAL 50.00 FIRESIDE HEARTH& HOME STATE SURCHARGE MECH(VALUATION) 1.50 2700 FAIRVIEW AVE ROSEVILLE,MN 55113 MA1L-IN FEE 2.00 (651)633-2561 TOTAL 53.50 Minnesota State License#: 20512060 OWIYER ENGLUND, DOUGLAS 3884 CHERRY AVE P.O. BOX 285 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 thc State Building Code. This permit is for only the work described and docs not grant permission for additional or related work which requires separa[e 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 constructio��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. � ' � 1D � /� � l 3 � ��'Irt�� /� � /7 � /3 Applicant Permitee Signature Date Issu Ey Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. ( � FORCL"CY USE ONLY' '�A_ City of Orono jO¢ `rQ`' P.O.Box 66 Date Received: Permit# 2750 Kelley Parkway +�, p�'�• h) Crystal Bay,MN 55323 Approved By: _ _ Amount$: _ \?`�_' ��r�d`�t�<� Phone(952)249-4600 Fax(952)249-4616 ��`�v-'; CITY OF ORONO-MECHANICAL PERMIT (All Commercial pennits mus[be approved by the Building Official or Inspec[or and/or Fire Marshall) GENERAL INFORMATION 1. You may apply for mechanical pennits by mail or in person at the City offices. Applications will be reviewed and a pennit will be issued within two working days. 2. Pern7it cards will be sent by retum mail after a review is completed. PERMITS ARE NOT VALID iJNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Desiens—Complete calculations,details and specifications are required for each heating,ventilation,humidification-dehwniditication,and air conditioning installation ineluding heat loss/heat gain calculation,design temperatures,equipment ratings and identification as to type,manufacturer and model. Data shall be presented on form provided. 4. When any new construction or remodeling is involved,a separate building permit must be obtained. 5. All work must be done in accordance with the Uniform Mechanical Code/State Building Code requirements. 6. All work must be inspected(rough-in and 6nal). Call(952)249-4600. (24-48 hour notice required) 7. House Heating Test Record must be submitted before final. TYPE OF PERNIIT Check All That A 1 ' Residential ❑Commercial(Approvai Required) ❑New ❑Additional ❑Repairs ❑Replace Job Site/Owner Information: S�t�: A��-e�5: 3�``� �1 �- Owner:� -�(� �-U�i� Mailing Address: 1�D� �'u��,�j�'� ciry: ,(�-yh�Y(h��-i.�/ zip: 'T�IZy Home Phone: G�Z- ��i Z-Z(�p1 Alternate Phone: Contractor Information: HEARTH & HOME TECHNOLOGIES Contracto�ba FIRESIDE HEARTH st NOME Contact Person: Lic 662656 Address: 2�00 FAIRVIEW AVENUE N State I3ond#: �d?�1`�$ , MN 55113 City: 651.633.?_56�ip: Expiration Date: ��1�1 y Phone: Alternate Phone: ❑ Insurance-Current: 1 . � MECHATiICAL SYSTEMS BEING INSTALLED Note: All Geothennal Systems will now r�re a Site Plan& Review by our Building Official. IS THIS GEOTHERMAL? ❑ Yes No HEATING SYSTEMS Quantity: Make: Model: Fuel: Flue Size: Input B'TUs: _ Output BTUs: CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: �I.Power FIREPLACES �2 � Gas Factory Fireplace X+Z f3rand Name: �111-C� ❑ Wood Buming Fireplace ❑ Wood Stove Model No.: �QO�� ❑ Wood Stove with Flue/Masonry VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfm ❑ No. Bath F.xhaust(must have duct outside) cYm ❑ No. Other Pans: Locations cfm FUEL STORAGE (Must be approved by Fire Marshall if proposing to ahm:don tar:k in place.) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill ❑ Other/List What&Where: 2 I'I::RMI"I'FEE CALCULA"IION(S) BASED OFF - 2002 STATE STA"TiJF; ❑ Yes,this section applies The replacement of a Residential fixture or appliance that meets all three of the following requirements: l. Does not require modilication to electrical or gas service. 2. I-Ias a total cost of$500.00 or less;excludin�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 $ PEIZMIT FEE CALCULATION(S}-JOBS OVER $50�.00 If above does not appl_y;follow guidelines below: 1. CONTRACT PRICE • is 1.25%of contract price with a(Minimum Fee of$50.00) ��C�_ Q� x .0125$ �� (con[ract price) (minimum$50.00) 2. STATE SURCHARGE � 3 �oe. o o Y.0��5 $ c G 5 0 (contract price) 3. POSTAGE&Hi1NDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ �� - * CONTRAC"T PRICE or JOB COST means the actuai 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 fumished by the owner, tenant or any other party, the reasonable market value of such items must be added to the estimated cost or contract pnce for pemvt 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. MECHAI�TICAL PERMIT APPLICATION AGREEMENT The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all work in stnct 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 cot�rect. Applicant's Sig�iature: �� ✓ Date: �� ✓ Reset Form 3 ATE TIME � CITY OF ORONO LLED IN I " INSPECTION NOTICE SCHEDULED — � d PERMITNO.��/3'D/l}9� COMPLETED ADDRESS �� OWNER • TEL NE NO.� � T� CONTRACTOR �� DESCRIPTION �L�-� ��D ( } � � ❑ FOOTtNG ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING y ❑ POURED WALL ❑ MECHANICA�RI � LAKESHORFJWETLANDS Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOO BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP = 0 DEMO-FINAL � SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL � FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU;,��1'ES_NO c�., COMMENTS: / a W a � J O � � O � W � Q � 2 W � W � � J d W� ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE W ❑CORRECT WORK 8 PROCEED O ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY V BEFORE CWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail forthe next inspection 24 hours in advance. (952� 249-4600 OwnerlContractor on site: inspector. T� G White Copyllnspector's File Canary CopylSite Notice C —'� ,�� D E TIME V CITY OF ORONO CALLED IN �D'o� -� INSPECTION N I SCHEDULED I� � --%�— PERMIT NO. � �� O PLETED ADDRESS �o OWNER T LEP NE NO�a' - g S CONTRACTOR � DESCRIPTION � � � ❑ FOOTING LUMBING FINAL EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE HEMOVAL Z ❑ INSULATION ❑ WOOD BURNERIFIREPLACE ❑ SITE INSPECTION Q � RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP � ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNbATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O � � O � W � Q � 2 W � W � � d W��{�t4RK SATISFACTORY:PROCEED ❑ PROJECT COMPIEfE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WIIL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor on s't�e: _ � Inspector. �� _ White Copyllnspector's File Canary CopylSite Notice �/ ITY OF ORONO CALLED IN �,C7l�l�l��3 ��TIM � INSPECT T E SCHEDULED LO ( \C�'.�— PERMIT N�OR�� f�g� COMPLEfED ADDRESS �� 9f OWNER TELEPHONE NO.�� `�"-3a ��'Ol CONTRACTOR ��'S /CI�.P -t�a..�`�L-� � DESCRIPTION ��`'e' ��e� � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWEfLANDS y ❑ FRAMING ❑ ME ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD LACE ❑ SITE INSPECTION Q O RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT Q ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O � � O � W � Q � 2 W � W � J � �WOFiI(SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CdVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail forthe next inspection 24 hours in advance. (952� 249-46�� OwnerlContractor on site: Inspector. White Copy/lnspector's File Canary CopylSite Notice