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Home My WebLink About2013-00892 - gas fireplace � � CITY OF ORONO 2750 KELLEY PARKWAY * 2 PJ 1 3 - 0 0 8 9 2 * DATE ISSUED: OS/30/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2700 COPPER VIEW DR PIN : 33-118-23-43-0017 LEGAL DESC : ROSCH ADDN : LOT 001 BLOCK 001 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 2,900.00 NOTI;: GAS FACTORY �[RI;PLACE APPLICANT MECHANICAL 50.00 FIRESIDE HEARTH & HOME STATE SURCHARGE MECH(VALUATION) 1.45 2700 FAIRVIEW AVE ROSEVILLE, MN 55113 MAIL-IN FEE 2.00 (651)633-2561 TOTAL 53.45 Minnesota State License#: 20512060 OWNER PETERSON, JEFFREY & ELIZABETH 2700 COPPER VIEW DR LONG LAKE, MN 55356- AGREEMENT AND SWORN STATEMENT The work for which this permit is issucd shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. 'I'his permit is for only the work described and does not grant permission for additional or rela[ed work which requires separate permits. All provisions oY laws and ordinances goveming 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 I80 days of the da[e 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.'I�his permit may be revoked at any time for due cause. C/ {'�!<^„ �� / �/ �� / �/ Appl�cant Permrtee Signature Date Issued Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � • 8�1� FO O LY ,¢�� City of Orono P.O.Bos 66 Da[e Receiv � Perniit# _"�_ �. �'�l 2750 Kelley Parkway �'' � �}�'� �t C rys[al Ba y,MN 55323 A p p r oved B y: _ . _____ Amoun[$: / )�_ � L-� ��o� Phone(952)249-4600 Fax(952)249-4616 �� •.`�a�_/. CITY OF ORONO—MECHANICAL PERMIT (All Commercial permits must be apptoved by the F3uilding O�cial or Inspector and/or Fire Marshall) GENERAL INFORMA"TION 1. You may�apply for mechanical permits by mail or in person at the Ciry offices. Applications will be reviewed and a petmit will be issued within two working da_ys. 2. Permit cards will be sent by return mail after a review is completed. PERMI'I'S ARF NOT VALID i_JN'I'IL YOU RF.CEN��.A PERMI"T. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED OI�T THE JOB SITE. 3. Mechanical I>esi�ns—Complete calculations,details and specifications are required for each heating,ventilation,humidification-dehumidiYication,and air conditioning installation including heat loss/heat gain calculation,design temperatures,equipment ratings and identification as to type,manufacturer and model. Data shall k�e presented on form provided. 4. When any new construction or remodeling is involved,a separate building permit must be RECEIVED obtained. 5. All work must be done in accordance with the Uniform Mechanical Code/State I3uilding Code 'I requirements. A�l G .� � ��?� 6. All work must be inspected(rough-in and final). Call(952)249-4600. (2-1-48 hour notice required) �%I'1Y�?��RONO 7. l�ouse Heating Test Record must be submitted before final. TYPI; OF PrRMIT (Check All That A 1 ) esidential ❑Commercial(Approval Required) [��w ❑Additional ❑Repairs ❑Replace Job Site/Owner Information: _ � Site Address: �-�7� �,liL ,C2.u�' Owner:��o�� Mailing Address: ��Z 7 '� 1�,.�;Y��" S'� City: '�'i�_ 'I,ip: �5�' 3�� Home Yhone: ��2 "��'"�g�� Alternate Phone: Contractor Information: Contractor: �iEARTN & HOME TECHNOLOGI�ntact Person: & HOME LiC 662656 Address: vnn �nra�rr��n, �v�,'UE N State Bond#: �D�� g� ROSEVILLE, MN 55113 � City: 651.633:��1 Expiration Date: ��d�� Phone: Alternate Yhone: ❑ Insurance—Current: 1 . , MECHA1�tICAL SYSTEMS BEING INSTALLED Note:All Geothernial Systems will now require a Site Plan 8i Revicw by our Building Official. IS THIS GEOTHERMAL? ❑ Yes I�io HEATING SYSTEMS Quantity: Make: Model: Fuel: Flue Size: Input�3TUs: _ Output BTiJs: _ CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H. Power FIREPLACES � Gas Factory Fireplace Brand I�Iame: ��, a Wood I3urning Fireplace ��, ,� __C ,-n,!,�L ��Lt� Wood Stove Model No.: �f� :LJ" ❑ Wood Stove with Flue/Masonry VENTILATION ❑ No. Kitchen Eshaust duct recirculating cfm ❑ No. Bath EYhaust(must have duct outside) cfm ❑ No. Other Fans: Locations cfm FUEL STORAGE (Must he approred by Fire Marshall if proposing to nhando�:tank i�e plac�) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill ❑ Other/List What&Where: 2 t • PERMIT FEE CALCULATION(S) � BAS��I�) OFti� - 2042 STA"lE S'TA"I'LTI? ❑ Yes,thi�section applies The replacement of a Residential fisture or appliance that meets all three of the following requirements: L Does not require modification to electrical or gas service. 2. Has a total cost of$500.00 or less;excludin�the cost of the fixture or appliance: and 3. Is irnproved,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 � pr-.�T r��F c�1,ct�,AT1oN s -Jo�s ovEx�soa.00 If above does not apply; i�,11o�n guidelines bclow: 1. CONTRACT PRICE " is 1.25%of contract price with a(Minimum Fee of$50.00) ZR'�oa X .0125 $ �� (contract price) (minimum$50.00) 2. STATE SURCHARGE -� `Z`��D,�4 X.000s � C,�S (contract price) 3. YOST�GE&I IEINDLINU(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ �i L��J • * CONTRACT PWCF: 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, equipmenl, labor or installations are fumished by the owner, tenant ur any other party, the reasonable market value of such items must be added to the estimated cost or contract price for permit fee put�ses. In the event that there is a dispute on the amount oY the job cost, the City may request the submission of a signed copy of the actual contract. MECHArIICAL PERMIT APPLICATION AGREEMENT The undersigned hereby applies to the City for issuance of a Mechanical Pennit, 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: �� Date: ��'g�� Reset Form 3 � � (�✓V DATE TIM E V CITY OF ORONO CALLED IN � INSPECTION NOTICE SCHEDULED � /3 /-:�� PERMIT NO.�Ol 3 �ID��1 COMPLETED ADDRESS � 7 �l� ��' OWNER ' - T L ONE NO,g��" CONTRACTOR � ' ��--- .J C� `� -- v► . �; DESCRIPTION � � � ❑ FOOTING ❑ PLUMBING FINAL ❑ E GAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREIWETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL O SEWER HOOK-UP ❑ COMPLAINT J O DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP � ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPT FINAL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:�ES_NO � COMMENTS: � W � � J O >. � O � W � Q � 2 W � W � j d � ❑WORKSATISFACTORY:PROCEED //�T COMPIEfE W ❑CORRECT WORK&PROCEED ❑ IS UE CERTIFICATE OF OCCUPANCY � ❑CARRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALLINSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952� 249-4600 OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice r —.� c��_—_ r/ �- _QATF� TIME CITY OF ORONO CALLED IN � � INSPECTION NOTICE �J �S/CHEDULED��' -� 3 ' L�� PERMIT NO. ��"v�°� MPLETED �� ADDRESS � � �� OWNER ' ELEP ONE NO�5��al��' CONTRACTOR �: DESCRIPTION D � � ❑ FOOTING ❑ PL ING FINALv CAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � � O � � O � W � Q � Z W � W � � W �VUORKSATISFACTORY:PROCEED f7 PROJECTCOMPLETE ��CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next i pection 24 hours in advance. (952� 249-4600 OwnerlContrac t . Inspecto . White Copylinspector's File Canary CopylSite Notice