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Home My WebLink About2013-00090 - gas fireplace . � CITY OF ORONO * z 0 1 3 - 0 0 0 9 B * 2750 KELLEY PARKWAY UATE ISSUED: 02/06/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2590 COUNTRYSIDE DR PIN : 04-117-23-11-0010 LEGAL DESC : COUNTRYSIDE MANOR 2ND ADDN : LOT 002 BLOCK 002 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 4,400.00 NOTI?: GAS FACTORY FIRGPLi1CG BRAND: ki-N-G MODGL: GSCAPE- I3�-C APPLICANT MECHAN[CAL 55.00 FIRES[DE HEARTH & HOME STATE SURCHARGE MECH (VALUATfON) 2.20 2700 FAIRVIEW AVE ROSEVILLE, MN 551 13 MAIL-IN FEE 2.00 (651)633-2561 TOTAL 59.20 Minnesota State License#: 20512060 OWNER FIELD,JAMES& CHRISTINE 2590 COUNTRYSIDE DR LONG LAKE, MN 55356- AGREEMENT AND SWORN STATEMENT The work tbr which this permit is issucd shall be performcd according to the approved plans and specitications,applicable City approvals,and the State E3uilding Code. "I'his permit is lor only the work described and does not grant permission for additional or related work which requiros separate permits. All provisions of laws and ordinances governing Uiis type of work shall be compicd with whether or not specitied herein.This pennit 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 conformancc with the State Building Code.'1'his permit may bc revoked at any time for duc caus�. �2� � / /.-� 02/ !� / /� App icant Permitee Si ure l�atc Issu� E3y Si�nature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCR[BED ABOVE. J �C�� / - FEB 2013 �,/j��Y USF.ONL�-� — ��` City of Orono � p / (� � � `r ' Y.O.Boa 6G �! Date Rece�ve,d� �" I erm�t# � 0 / � I C � �,'� 2750[telley Yarkwny . 0 �1 � w , �/`; Crystal E3ay,MN 55323 �F pRpNO Approved By: -_---- Amount$:�- - _ .;., ` � , �r�r',o Phone(952)249-4600 FH��-i -4616 �.. CITY OF ORONO—MECHANICAL PERMIT (All Commercial pertniLs must be approved b�[he Building Oiticial or Inspector andior Fire:1larshal]) GENERAL INFORMATION 1. You ma�•apply Yor mechanical permits bv mail or in person at the City offices. Applications will be re�-ie��ed and a permit will be issued within two working da_ys. 2. Permit cards will be sent bv retum mail after a revic�r�is completed. PERMITS ARE NOT VAI.ID jJNTIL YOU RECEIVE A PI;RMIT. WORK MUST NOT BEGIIv UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Designs—Complete calculations,details and specifications are required for each heating,ventilation,humidification-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 ��ork must be done in accordance with the Uniform Mechanical Code/Statc I3uilding Code requirements. 6. All work must be inspected(rough-in and final). Call(952)249-4600. (24-48 hour notice required) 7. House Heating 1�est Record must be submitted before final. TYPE OF PERMIT Check All That A 1 esidential ❑Commercial(Approval Required) ❑New ❑Additional ❑Repairs ❑Replace Job Site/Owner Informarion: Site Address: 2�� w�, ,,�.(� ,�s� Owner:��,,,,o,QM � y � Mailing Address: ,�-� c��y: C9.,��- z�p: `T-� 3�'G Home Phone: Alternate Phone: Contractor Information: HEARTH & HOME TECHNOLOCII�S, iI�C. Contra�tbg FIRESIDE HEARTH & HOh1E Contact Person: �u�' Lic. BC05�2060 ?-�.-�y Address: �RO FAIRVIEW AVENUE N State Bond#: (�03�� 651,633.25E�� ,J , � City: Zip: Expiration Date: �/ Phone: Alternate Phone: ��2- �4 3- ��7 � ❑ Insurance-Current: 1 MECHAIVICAL SYSTEMS BEING INSTALLED Note:All Geothennal Systems will now require a Site Plan& Re�°iew 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: �"��"� ❑ Wood Buming Fireplace ❑ Wood Stove Model No.: �R�Q1�- '��'�� ❑ —� Wood Stove with Flue/Masonr5� VENTILATION ❑ No. Kitchen F,xhaust duct recirculating cfm ❑ No. Bath E�aust(must have duct outside) cfm ❑ No. Other Fans: Locations cfm FUEL STORAGE (Must be npproved by Fire Marshall if proposing to abandon tank in plac�) ❑ Installation ❑ Removal Fuel OiL gallons ❑ Underground ❑Inside ❑Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill ❑ Other/List VJhat&Where: 2 , , . PERMIT FEE CALCULATION(S) BASED OFF -2002 STATE STATLTE ❑ Yes,this section applies The replacement of a Residential fixture or a�pliance that meets all three of the following requirements: 1. Does not require modification to electncal or gas service. 2. Has 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 Pee(If Applicable) $ 2.00 Total Permit Fee '� PERMIT FEE CALCULATION S —JOBS OVER $500.00 If above does not apply; �i�llo��guidelines below: 1. CONTRACT PRICE * is 1.25°/o of contract price with a(Minimum Fee of�50.00) f� Z ��a6� UC� Y .o�zs$ ��',C�a (contract price) {minimum$50.00) 2. STATE SURCHARGE �f y D6d D� X.000s � ��2� (contrac[price) 3. POSTAGE&IIANDLING(Only on Mail-In Applications) $ 2.00 �3. TOTAL PERMIT FEE(Add Lines I-3 Above) $ ��. � ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted work including materials, labor,profit,and other fiYed costs. It is the amount to be charged to the customer for the work done. If any material,eyuipment, labor or installations are furnished b}� 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 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. MECHAMCAL PERMIT APPLICATION AGREEMENT The undersigned hereb� applies to the Cit�� for issuance of a Mechanical Perniit, agrees to do all w�ork in strict accordance �ti�ith the ordinances of the Ciry and the regulations of the State of Minnesota, and certifies that a11 statements made on this application are complete, true and correct. Applicant's Signature: �G�/i a��" Date: �� 6 ��3 Reset Form 3 �[ �� DATE TIME CITY OF ORONO CALLED IN �'��-� INSPECTION N TICE SCHEDULED �-a 8-/-3 �/.' �l PERMIT NO.�G`J' "�� COMP TED • ADDRESS �� C�%iL�7�Y �l ' �/ � OWNER TELEPHON O. ��-� ^8��r CONTRACTOR � �-�`"� � �: DESCRIPTION � � �� `:��Q'( � � ❑ FOOTING ❑ PLUMBING FINA ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Z 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 J ❑ PLUMBING RI ❑ SEPTIC FINAI ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O a � O � W � Q � Z W � W � � GW ❑WORK SATISFACTORY:PROCEED �JECT COMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. �952� 249-46�0 OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice _ ��-= ✓ DATE TIME CITY OF ORONO CALLED IN ��-3�� INSPECTION �TICE SCHEDULED �-/� -� �� PERMIT NO�v'-3 -��U COMPLETED �_ ADDRESS O2.SCIO (%dZL//l 7�Y�I�� c (/`e OWNER T EPHONE NO. (o' '�'v-3��g7� CONTRACTOR �l p�l� Q%h� fl�l/�� >; DESCRIPTION � � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/G ADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS h ❑ 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 � OWNERICONTRACTOR TO MEEf YOU�IES_NO � COMMENTS: � W C � J O a � O � W � Q � 2 W � W � � d W �f�66RKSATiSFACTORY:PROCEED ❑ PROJECTCOMPLETE � ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITION WITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WlLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CAL�TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (g52) 249-46�� OwnerlContractor on site: Inspector. - � � White Copyllnspector's File Canary Copy/Site Notice