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Home My WebLink About2013-00733 - gas fireplace CITY OF ORONO * 2 0 1 3 — 0 0 7 3 3 * 2750 KELLEY PARKWAY pATE ISsuE�: 07/29/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 110 CHEVY CHASE DR PIN : 36-118-23-41-0046 LEGAL DESC : HILL O'WAY MANOR : LOT 012 BLOCK 002 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPF. : FIREPLACE-GAS VALUATION : $ 3,600.00 NO"CG: 1 HEA"1�N GLO ESCAPF. I30C APPLICANT MECHANICAL 50.00 FIRESIDE HEARTH & HOME STATE SURCHARGE MECH(VALUATION) 1.80 2700 FAIRVIEW AVE ROSEVILLE, MN 55113 MAIL-IN FEE 2.00 (651)633-2561 TOTAL 53.80 Minnesota State License#: 20512060 OWNER HIGGINS, KENNETH&LAURA 110 CHEVY CHASE DR WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT l�he��ork 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 fbr only the work described and does not erant permission for additional or related work which requires separate permits. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified herein.'i'his pennit will expire and become null and void if construction authorized is not commenced within 180 da}'s of the date of issuance,or if construction is suspended fbr a period of 180 days at a�ry time after work has commenced. The applicant is responsible for assuring alI required inspections are requested in confonnance wkh the State 13uilding Code.This permit may be revoked at any time for due cause. `f�-�-C `�- i l � � Applicant Permitee Signature Date Issued By Si ature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED B . ' FOR CITY USE ON I,Y "-� City of Orono 4 � '' P.O.Box 66 Date Received: Permit# �,. �'1} 2750 Kelley Parkway � �it'R ,�''�! Crystal Bay,MN 55323 Approved By: ________ Amount$: '�y�c�;� Phone(952)249-4600 Fax(952)249-4616 ��` _._r�'' CITY OF ORONO-MECHANICAL PERMIT (All Commercial pertnits must be approved by[he Building Officiai or Inspector and/or Fire�farshall) GENERAL INFORMATION 1. You may apply for mechanical permits by mail or in person at the City offices. Applications will be reviewed and a permit will be issued within two working days. 2. Permit cards��ill be sent by retum mail after a review is completed. I'EI2MITS ARF NOT VALID i_JN"I'IL YOtJ RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB STTE. 3. Mechanical Desi�ns—Complete calculations,details and specifications are required for each heating,ventilation,humidificati�n-dehumiditication,and air conditioning installation including heat loss/heat gain calculation,design temperatures,equipment ratings and identification as to type,manufacturer and model. Data shall be presented on form provided. 4. When any new construction or remodeling is involved,a separate building permit must be obtained. 5. All work must be done in accorciance with the Uniform Mechanical Code/State Building Code requirements. 6. All work must be inspected(rough-in and final). Call(952)249-4600. (24-48 hour notice required) 7. I-Iouse Heating Test Record must be submitted before final. TYPE OF PERMIT Check All That A 1 Residential ❑Commercial(Approval Required) �New ❑Additional ❑Repairs ❑Replace .lob Sit�e/Owner Information: Site Address: �� 1.G�J�-� Owner:t��I.�tiC� ��l�i�.j/ Mailing Address: �3�� .�,��vQ- city: .�'�.x�/"� zip: ��'�Z�O Home Yhone: -G li 2-�2�- �0 Ll?i Alternate Phone: Contractor Information: Contr��FI & HOME TECHNOLOGIE�S Contact Person: /�� Lic 662656 Address: 270a �^��•,*�,�, ^,•�•��,� •, State Bond#: (a10 �! �� ROSEVILLE, MN 55113 City: _651.633.2561 "I_.ip: Expiration Date: �-' �� ( Phone: Alternate Phone: �� Z"�� "Z��$ ❑ Insurance—Cunent: HEARTH & HOME TECHNOLOGIES 1 dba FIRESIDE HEARTH & HOME Lic 662656 2700 FAIRVIEW AVENUE N ROS�VTLL�, MN 55113 651.633,2561 MECHANICAL SYSTEMS BEING INST�L,LED Note:All Geothermal Svstems will now require a Site Plan& Review by our Building Official. IS THIS GEOTHERMAL? ❑ Yes �No HEATING SYSTEMS Quantity: / Make: ^�c Model: � ' - 3�. Fuel: � Flue Size: � �� Input BTUs: ��(�� Output BTUs: CFM COOLING SYSTEMS Quantity: Make: Model: Tons: H.Power FIREPLACES �Gas Factory Fireplace Brand Name: [�'��^q' ❑ Wood Buming Fireplace ��,3�� ❑ Wood Stove Model No.: ❑ Wood Stove with Flue/Masonry VENTILATION ❑ No. Kitchen Exhaust duct recirculating cYm ❑ No. Bath EYhaust(must have duct outside) cfm ❑ No. Other Fans: Locations cYm FUEL STORAGE (Must be approved by Fire MarshaU 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 prx��r r1.E c�r�cui.aTloN�s� BASED OFF - 2002 S'TATE S"I'ATIIE ❑ 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 fiYture or appliance:and 3. Is improved,installed or replaced by the homeowner or licensed contractor. Skip next section,if this applies; Cost of Perznit $ 15.00 State Surcharge $ SAO Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ PFRMIT FEE CALCULATION S -JOBS OVER$500.00 IY ab�ve does not apply;follow guidelines below: l. CONTRACT PRICE * is 1.25%of contract price with a(M�imum Fee of$50.00) J��_(�C� x .O125$ ��U (contract price) (minimum�50.00) 2. STATE SURCHARGE 2�DO� 'n� x.0005 $ � g� � (/ (contract price) 3. POSTAGE&HEINDLING(Only on Mail-In App]ications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ,� 1,�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 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 price for permit fee pt.irposes. 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. MECHArTICAL PERMIT APP.LICATION AGREEMENT The undersigned hereb_y applies to the Cit}� for issuance of a Mechanical Pennit, agrees to do all work in strici accordance with the ordinances of the City and the regulations of the State of Miimesota, and certifies that all statements made on this application are complete, true and correct. Applicant's Signature: �G(ilrx � Date: '—' �- � Reset Form 3 �� \�� T TIME " CITY OF ORONO CALLED IN � I.3 INSPECTION NOTICE ,�-7 SCHEDULED _S<�f 1� _�_ PERMIT NO. .�(�/� "��1/ OMPLETED ADDRESS � �`� �' OWNER TELEPHONE NO. �' �� 3�8�j� CONTRACTOR ( Y�P�/Q�, l � DESCRIPTION l� ' rP�l(}C� /'—'� � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ 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 J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O >. � O � W � Q � Z W � W � � d W RK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pH0T0 TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 24Q-46QQ Owner►Contractor on sit • Inspector. White Copy/lnspector's File Canary Copy/Site Notice