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Home My WebLink About2016-00090 - gas fireplace � • � CITY OF ORONO * Z0 16 - 0PJ090 * 2750 KELLEY PARKWAY DATE [SSUED: 01127/2016 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 4315 CHIPPEWA LA PIN : 31-118-23-42-0010 LEGAL DESC : CHIPPEWA : LOT 002 BLOCK 001 PERMIT TYPE : MECHANICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 4,000.00 NOTE: (1)QUADRA FIRE GAS FIREPLACE APPLICANT MECHANICAL 50.00 STATE SURCHARGE MECH(VALUATION) 2.00 FIRESIDE HEARTH&HOME MAIL-IN FEE 2.00 2700 FAIRVIEW AVE ROSEVILLE,MN 55113 TOTAL 54.00 (651)633-2561 Payment(s) Minnesota State License#: mech-20512060 CHECK 2005466 54.00 OWNER HALLDIN,GREGORY 4315 CHIPPEWA LA 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 cause. , ��v�,��-e.�F._ G r� ��Z______ ---� � � i �-�7i / � Applicant Permitee Signature Date Issued B ignature Date � � � RECEIVED �R Cf Y USE ONLY City of Orono � �.j �O�O p-p.g �7 ZO 1 s Date Receive 2� Permit#� (� 2750 IR� ��ay ,/ Crystal Bay,MN 55323 Approved By: Amount$: �r Pho��),2,4�146I19��52)249-4616 a i tJl'VR ti � F � l�kfSHv�� 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,humidiftcation-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 Cheek All That A 1 �Residential ❑Commercial(Approval Required) �New ❑Additional ❑Repairs ❑Replace Job Site/Owner Information: Site Address: �,�I� � ��o e wc` (...r� Owner: V i'Gq (�a��d; n Mailing Address: / G ' w a (. ,-� Clty: �A p�t �)a:� �Y1 n� Zlp: .`��35� Home Phone: 7so�-�-� �� Alternate Phone: Contractor Information: HEARTH & HOME TECHN�LOGIES Contractor. Contact Person: dba FIRESIDE HEARTH & HOME Lic 62656 Address: State Bond#: 2700 FAIRVIEW AVENUE N , N 55113 65Y.633.2�61 City: Zip: Expiration Date: Phone: Alternate Phone: ❑ Insurance—Current: l r � � MEEHANICAL SYSTEMS BEING INSTALLED 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 B'TUs: CFM: COOLING SYSTEMS Quantity: Makc: Model: Tons: H.Power FIREPLACES � Gas Factory Fireplace Brand Name: (X 1ti u o�f w �', ('G Wood Burning Fireplace ❑ Wood Stove Model No.: ,5 A p p h'.('C �� ❑ Wood Stove with Flue/Masonry T VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfin ❑ 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 LTNE ONLY ❑ Outdoor Grill ❑ Other/List What&Where: 2 i 4 . ` PERMIT FEE CALCULATIONS 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) Y��.� x.0125$ ��•�, (contract price) (minimum$50.00) 2. STATE SURCHARGE `/ � 7��` x.0005 $ Z. � (con�ract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMiT FEE(Add Lines 1-3 Above) $ .� 7 .�� • * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted work induding 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 cstimated cost or contract price for pernut 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 AGREEMENT 1'he 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: .�-- ate: � 'j ( 3 �� -� � DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED �L� (�; `��1 PERMIT NO. ZUI l!1 -�'�� COMPLETED ADDRESS 4'�G� C�1i.C.�� .�,(;'�� C.C.�II.Q� OWNER TELEPHONE NO. CONTRACTOR f � DESCRIPTION I-1 I�f�(,��,� � � � �I 1� �� ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADO SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ F ING ❑ MECHANICAL FINAL ❑ RATED WALLS �. ❑ SULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT � FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP �" S BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL v ❑ DEMO-SITE ❑ SEPTIC INSTALL � OWNERICONTFiACTOR TO MEET YOU:_YES_NO v�i COMMENTS: � W a 2 J O ). � 9�'� O y; _�� W � Q � 2 W � W � J d W ❑WORKSATISFACTORY:PROCEED ROJECTCOMPLEfE � ❑CORRECT VYORK&PROCEED ISS E CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION � TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED �� ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection hours in � .;f4 52) 249-46�0 OwnerlContractor on site: Inspector. % � White Copyllnspector's Ffle � Cenary CopylSite Notice