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Home My WebLink About2014-00599 - gas fireplace � CITYOFORONO * z0 14 - 00599 * � 2750 KELLEY PARKWAY ppTE tsSUED: 06/13/2014 � ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 105 CREEK RIDGE PASS PIIY : 03-117-23-12-0012 LEGAL DESC : CREEKS[DE [N ORONO : LOT 001 BLOCK 001 PERMIT TYPE : MECHANICAL(> $500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE- GAS VALUATION : $ 8,200.00 �vo��F: ? �icn�r�v c�o c�As F�ai�.Y�nci:s APPLICANT MECHANICAL 102.50 STATE SURCHARGE MECH (VALUATION) 4.10 FIRESIDE HEARTH & HOME MAIL-IN FEE 2.00 2700 FAIRVIEW AVE ROSEVILLE, MN 55113 TOTAL 108.60 (651)633-2561 Payment(s) Minnesota State License#: mech-20512060 CHECK 2004500 108.60 OWNER ROBIN, JOHN & CYNTHIA 5925 FIELDSTONE PLACE INDEPENDENCE, MN 55359- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed accordine to Ihe approved plans and specifications,applicable City approvals,and thc State Building Code. This pemiit is for only the work described and does not grant pern�ission for additional or related work which requires separatc permits All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specitied herein.This permit N�ill expire and become null and void if construction authorized is not commenced within 180 davs ot[he date of issuance,or if construction is suspended for a period of 180 days al 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. t !-F'•� O / / Applicant Permrte�ignature Dale Issued 13v S' ture Date , F`OR CITY L-SE O_vI.Y , ' Citv of Orono f'�4��`� P.O.Box 66 Date Received: _Permit= _ t��,,; ��j� 27�0 Kelley Parkwar �" � �.,'1 Crystal Bay,MIti 5�32� Approved 5��: �mount$: , — -------- �� v'�� Pho�e(952)249--1600 1'as(9�2)2-19-4616 :�tar,�o��-''� CITY OF ORONO-MECHANICAL PERMIT (All Commcrcial pertnits must be approved by the Building Official or Inspector andlor Fire Marshall) GENERAL [NFORMATION 1. You may apply for mechanical permits bv mail or in person at the City offices. Applications��•ill be reviewed and a pernlit will be issued within t�vo working days. 2. Pennit cards will be sent by return mail after a re�-iew is completed. PERMI"TS ARE NOT VAI,ID UN'C1L YOU RFiC�IVE A PERMIT. WORK MUST NOT SEGIN UNTIL THE PERMTT CARD IS POSTED Oiv THE JOB SITE. 3. Mechanical Desians—Complete calculations,details and specitications are required for each heating,ventilation,humidification-dehumidit7cation,and air conditioning installation ineluding heat loss/heat gain calculation,design temperatures,equipment ratings and identificaYion as to tvpe,manufacturer and model. Data shall be presente�l on forni provided. 4. When any new construction or remodeling is involved,a separate building petmit must be obtained. �. All��ork must be done in accordance with the Uniform Mechanical Code/State Building Code requirements. 6. Ali�vork must be inspected(rough-in and final). Call(952)249-4600. (2�-48 hour notice required) 7. I-fouse Heating Test Record must be submittcd befare final. TYPE OF PERMIT (Check All That A � 1 �) y�Kesidential ❑Commercial(Appro��al Required) �'Nc;w ❑Additional ❑Repairs ❑Replace Job Site l Owner Information: Site Address: ��°7 ,�;��.� ��s� C�'� O�vner: /' ,��2.r�. : �' Mailin Address: j�U�iC.> �� z-�� C g - Cin-: ;�..�vr�.�r-�i Zip: �i ri"Ll�l7 Home Phone: �I L-�, a � -��'i��' Alternate Phone: Contractor Informarion: HEARTi-! & HOMc TECH�OLOGIE�ontact Person: - � Contractor: db HOME Lic 662656 Address: 2700 FAlrzvrFw n��G��UE N State Bond#: G��L'3/�� ROSEVILLE, MN 55113 Cih�: 651.633.�: E�piration Date: 7� � -�y /4yL -� Phone: Alternate Phone: ❑ Insurance-Current: 1 � MECHANICAL SYSTEMS BEING INSTALLED � Note: All Gcothermal S��stems ��ill no��rcquire a Sitc Plan& Re��ie��b�� our Building Official. IS THIS GEOTHERMAL? ❑ Yes ❑No NEATING SYSTEMS Quantity: Make: Model: Fuel: Flue Size: Input B"I'Us: Output RTUs: CFM: COOLWG SYSTEMS Quantity: Make: Model: Tons: H. Power FIREPLACES X2 � Gas Factory�Fireplace Brand Name: /' —�J�_� ❑ Wood I3urning Fireplace y ❑ Wood Stove Model No.: �QG�C-L X��-� ❑ Wood Stove with Flue/Masonry (� �'L, l?f�(�� L X�L VENTILATION ❑ No. Kitchen EYhaust duct recirculating cfm ❑ No. Bath F,xhaust(must have duct outside) ciin ❑ I�Io. 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 LINE ONLY ❑ Outdoor Urill ❑ Other/List What&Where: 2 � PERI��IT FEE CALCULA`I"ION(Sj � BASED�OFF - 20t)2 STATE�STATUE ❑ Yes,this section applies "I'he replacement of a Residential filture 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$�00.00 or less;excludina the cost of the fixture or appliance:and 3. Is improved,installed or replaced by the homeowner or licensed contractor. Skip ne�t section,if this applies; Cost of Pernut $ li.00 State Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 '�'otal Permit Fee $ PERMIT.FEE CA�C�.3L�.T'�� -'JC}��'�R��:{�Q: If�bove does not apply;follow guidelines below: 1. COIVTRACT PRICE * is 1.2�%of contract price with a(Minimum Fee of�50.00) ti ZC`-�L9. t�C� x .0125 $ I F1��:�j L� (contractprice) (minimum$50.00) 2. STATE SURCHARGE ��G.`�„ ��J w.0005 $ � r t`�j (conhact price) 3. POSTAGE&HANDLING�Only on Mail-In Applications) $ 2.00 � � �. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ��' � � ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the pennitted work including materials,labor,profit,and other fited costs. It is the amount to be charged to the austomer 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 thc estimated cost or contract price for pernlit 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. :�� ECHANICA�,'��.RMIT AP1��T�t��-�.�� ` � �"� The undersigned hereby applies to the City for issuance of a Mechanical Perniit, agrees to do all ��-ark 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 conect. .�'�� 1 �j / � � Applicant's Signature: ��u-t ! �� Date: Lc7^ ' �� Reset Form 3 DATE T� CITY OF ORONO CA�LED IN INSPECTION NOTICE SCHEDULED "� PERMIT NO.�_�f �C��l9' COMPLEfED " ADDRESS �G5 C'recfG /2��ye /�tSS OWNER TELEPHONE NO. CONTRACTOR �`��5� ��-�—� �'"�Q � DESCRIPTION r' �� '�� tu ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT ��}Fff�AL ❑ WATER HOOK-UP �.�LLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL J ❑ DEMO-SITE ❑ SEPTIC INSTALL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � — a T�1�s .�c i�c�� .t,�r� �6/ .��.� � br�� .o��.�� a�� -aaa�� 0 �. � 0 � W � Q � 2 W � W 2 � J d W ❑WORKSATISFACTORY:PROCEED � OJECT COMPLEfE � ❑CORRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952� 249-46�� OwnerlContractor on site: Inspector. �''^'' � White Copyllnspector's File Canary CopylSite Notice � D TE TIME � CITY OF ORONO CALLED IN g � INSPECTION I�OTICE �G�G� SCHEDULED PERMIT NO. �n/� � " ' / COMPLETED ADDRESS � r � OWNER TELEPH E N . �l� ��"�� CONTRACTOR ��'-� �p��'°� �: DESCRIPTION � � t~i� ❑ FOOTtNG ❑ PLUMBING FINAL ❑ EXCAV/ ADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWEfLANDS � O ❑ FRAMING ❑ MECHANICAL FINAL p TREE REMOVAL Z � INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB O WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP O COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNbATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES�NO � CO MENTS: � W a � � O . _ � � �ts'�K �wS O � � (�/ � S M'�ll �!QGG' l3� ��i� — �7 �j �x lc�`� � v d� Td� /� � Ca.w�/ � G�r�s.a�t¢,. � l� tt9 S teQs G�owt — C lit�5� � !�� GO��/ J GW ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � �'ORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COYERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALI INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OwnerfContractor on site: /Y�d h�� Inspector. White Copyllnspector's Ffle Canary CopylSite Notiee