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Home My WebLink About2011-01457 - gas fireplace • CITY OF ORO O PERMIT NO.: 2011-01457 2750 KELLEY PAR WAY ORONO, MN 553 6- DATE ISSUED: 1U2U2011 952 249-4600 FAX: 95 249-4616 ADDRESS : 4440 BAYSIDE RD PIN : 31-118-23-34-0012 LEGAL DESC : PAINTERS CREEK : LOT O10 BLOCK 001 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RES[DENTIAL CONSTRUCTION TYPE : FIREPI,ACE-GAS VALUATION : $ 3,000.00 NOTE: 1 HEA"T N GLO ESCAPE I30 GAS FP APPLICANT MECHANI AL 50.00 FIRESIDE HEARTH& HOME STATE SU CHARGE MECH (VALUATION) 1.50 2700 FAIRVIEW AVE ROSEVILLE, MN 55113 MAIL-IN F E 2.00 (651)633-2561 MISC FEE 0.00 Minnesota State License#: 20512060 TOTAL 53.50 OWNER MONTECALVO, DAVID&NICOLE 4440 BAYSIDE RD MAPLE PLA[N, MN 55359- AGREEMENT AND SWORN STATEMENT The work for which this permit is�ssued shall be performed according to Ihe approved plans and specifications,applicable City approvals,and the Sta[e Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate pennrts. All provisions of laws and ordinanccs goveming this type of work shall be compied with whether or not specitied herein.This permit will expire and become null and void if construction au[horized is not commenced within l80 days of the date of issuance,or if construction is suspended for a period of 180 days at any time atter work has commenced. The applican[is responsible for assuring all required inspections are requested in conformance with tlie State Building Code.This permit may be revoked at any time for due cause. �"�ti1Gt-l-� Li�, l l l l Applicant Permitee Signature Date Issued y S� ature SEPARATE PERMITS REQUIRED FOR WORK OT ER THAN DESCRIBED AB E. , �� FOR CITY USE ONLY " �-,�"` City of Orono �/O¢ `�`O;� P.O.Box 66 I Date Received: Permit# 2750 Kcllcy Parkway 'p Crystal Bay,MN 55323 Approved By: Amount$: �e ,� �� o�� Phone(952)249-4600 Fas(952)249-4616 ...�pg06�'-��, . CITY OF ORONO—MECH NICAL PERMIT (All Commercial permits must be approvcd by the Building fficial 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 orking days. 2. Permit cards will be sent by return mail after a revie is completed. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WO MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SIT . 3. Mechanical Designs—Complete calculations,details and specifications are required for each heating,ventilation,humidification-dehumidificatio and air conditioning installation including heat loss/heat gain calculation,design temperatures, quipment ratings and identification as to type,manufacturer and model. Data shall be present d on form provided. 4. When any new construction or remodeling is involv ,a separate building permit must be obtained. 5. All work must be done in accordance with the i1Tnifo Mechanical Code/State Building Code requirements. 6. All work must be inspected(rough-in and final). Ca (952)249-4600. (24-48 hour notice required) 7. House Heating Test Record must be submitted befor final. TYPE OF PE IT (Check All That A 1 ) �Residential ❑ Commercial(Approval Required) �New ❑ Additional ❑Re airs ❑Replace Job Site/Owner Information: Site Address: y U �c, ;r�c �I� Owner:�K�;�.� rn�n�t,c�.��o M2�ilin Address: '�5I</c� /3wr s%�� City: CU rono Zip: SS'3S 9 Home Phone: �1Sa p y��-��y Al�ern te Phone: Contractor Information: Contractar: Co�tac Person: OLOGIES, INC. dba FIRESIDE HEARTH & HOME Address: State B nd#: Lic. BC0512060 � 2700 FAIR VENUE N City: Zip: Expirat on Date: ROSEVILLE�M c61 113 Phone: Altern e Phone: ❑ Insur e—Current: 1 I MECHANICAL SYSTEMS B G INSTALLED Note: All Geothermal Systems will now require a Site an&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: (��a.� ,n(� � o Wood Burning Fireplace ❑ Wood Stove Model No.: �S�Q�G,�3 � ❑ Wood Stove with Flue/Masonry VENTILATION K� h n xha t duct recirculatin cfm ❑ No. �tc e E us g ❑ No. Bath Exhaust(must ha e du t outside) cfm ❑ No. Other Fans: Locations cfm FUEL STORAGE (Must be approved by Fire Marshall if roposing to abandon tank in place.) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑ Inside ❑Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill ❑ Other/List Wh t&Where: 2 PERMIT FEE CALCU TION(S) BASED OFF -2002 STA E STATUE ❑ Yes,this section applies The replacement of a Residential fixture or appliance that me s all three of the following requirements: 1. Does not require modification to electrical or ga service. 2. Has a total cost of$500.00 or less; excluding th cost of the fixture or appliance: and 3. Ts improved, installed or replaced by the homeo er or licensed contractor. Skip next section, if this applies; Cost of ermit $ 15.00 State S charge $ 5.00 Mail-In ee(If Applicable) $ 2.00 Total P rmit Fee $ PERMIT FEE CALCULATION S JOBS OVER $500.00 If above does not apply; follow guidelines below: 1. CONTRACT PRICE * is 125%of contract p 'ce with a(Minimum Fee of$50.00) 3�� x.0125 $ S�'� (contraCtpric ) (miniroum$50.00) 2. STATE SURCHARGE � 3 �� ' x.0005 $ I• 5 � (contract pric ) 3. POSTAGE&HANDLING(Only on Mail-In Ap lications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ �3•Sv • * CONTRACT PRiCE or JOB COST means the actua or estimated dollar amount charged far the permitted work including materials, labor, profit, and ot r fixed costs. tt is the amount to be charged to the customer for the work done. If any material, equ' ment, labor or installations are furnished by the owner, tenant or any other pariy, the reasonable mar et value of such items must be added to the estimated cost or contract price for permit fee purpose In the event that there is a dispute on the amount of the job cost, the City may request the submi sion of a signed copy of the actual contract. MECHANICAL PERMIT APP IC TION AGREEMENT The undersigned hereby applies to the City for issuanc of a Mechanical Permit, agrees to do all work in strict accordance with the ordinances of the ity 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: /i' '�� Date: �r t7 1 I Reset Form 3 DATE TIME � CITY OF ORONO CALIED IN /j'/�'/� INSPECTION NOTICE SCHEDULED i1 - /`1-�/ , � �� PERMIT NO. �/�f�7 COMPLETED ADDRESS � '`�� OWNER /y) Zo�+'t� TELEPHONE NO. � F '-�� CONTRACTOR � � ��u�t.�"� '� �"� ' � � >; DESCRIPTION � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/G�tADI /FILLING Q ❑ POURED WAL� ❑ MECHANICAL RI ❑ LAKESHGRE/W TLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O ❑ TREE REPIAOVA Z ❑ INSULATION �[WOOD BURNER/FIREPLACE ❑ SITE INSF�ECTI N Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRE S � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAI T � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW- P _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD CO ER R MOVAL J ❑ PLUMBING RI ❑ SEP I FINAL ❑ FOUNDA IION/R MOVAL � OWNERICONTRACTOR TO MEEf YOU:�YES_NO I � COMMENTS: I � W a � � O � � O ' � W � Q � I Z W � W � j a W ❑WORK SATISFACTORY:PROCEED Q 'ROJECT COMPLETE W ❑ CORRECT WORK&PROCEED � ISSUE CERTIFICATE OjF OC PANCY � ❑ CORRECT WORK,CAIL FOR REINSPECTION TEMPORAFiY V BEFORECOVERING PERMANEMT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL RETURN � CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REOUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� Z�9- 6QQ Owner/Contractor on si : Inspector. White Copyll�spector's File Canary Copy/Site Notice' �� ✓/v' E r TIME � � � CITY OF ORONO CALLED IN INSPECTION NOTICE �HEDULED PERMIT NO. - �� `C MPLETE I ADDRESS ` �`� OWNER � TEL HO O. �� CONTRACTOR � - �; DESCRIPTION � � � � ❑ FOOTING ❑ PLUMBI FINAL ❑ EXCAV/�G�I-RADI G/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHIURE ETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOV L Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE IN�PECT N Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGR SS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMP�INT Q ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOV�-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER EMOVAL v ❑ PLUMBING RI ❑ SEPT C FINAL ❑ FOUNDf�TION/ EMOVAL � OWNER/CONTRACTOR TO MEET YOU:�YES_NO � COMMENTS: ' � � I � � T �''C'� � 0 � � 0 � W � Q � W ' � W � � � d � �iQ(ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLE7E W ❑CORRECT WORK&PROCEED '` ISSUE CERTIFICATE OF O CUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANIENT I ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED � ❑ INSPECTION REOUIRED.CALL TO ARRANGE ACCESS. � Call for the next inspection 24 hours in advance. �952� �49 46QQ Owner/Contractor on site: Inspector. White Copyllnspector's File Canary CopylSite Not�ce