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Home My WebLink About2012-01225 - gas fireplace CITY OF ORONO * z 0 1 z - 0 1 Z 2 5 * � 2750 KELLEY PARKWAY �AT� �SSUE�: 12/OS/2012 ORONO, MN 55356- ' (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 3980 DAHL RD PIN : 08-117-23-23-0001 LEGAL DESC : UNPLATTED 08 117 23 : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL(> $500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATIOI�I : $ 14,000.00 NOTL': l HEATILATOR WOOD S"I�OVE[31R50-B 1 H�AT N GLO NA"T GAS FIREPLACE EVEREST 1 HEAT N GLO NAT GAS LOG 6033-IPI-NG APPLICANT M ECHAN ICAL 175.00 FIRESIDE HEARTH & HOME STATE SURCHARGE MECH (VALUATION) 7.00 2700 FAIRVIEW AVE ROSEV[LLE, MN 55113 MA[L-IN FEE 2.00 (65 I)633-2561 TOTAL ]84.00 Minnesota State License#: 20512060 OWIVER MCGLYNN,THOMAS&TONI 3980 DAHL RD MOUND, MN 55364- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specitications,applicable City approvals,and the State E3uilding Code. This permit is for only the work described and docs not grant permission for additional or related work which requires scparate pennits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will espire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if cons[ruction is suspended for a period of 180 days at any time atter 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. `y�CC(.�-� �� l l l _ l Applicant Permitee Signature Date Issucd I y Si ature Datc SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED VE. FOK CITY USE ONLY � � City of Orono O, O Ot, P.O.Bos 66 Date Received: Permit# __-- 4 � - ----- --- ' ''�) 2750 I�ellcy Parkwav � �`''� r+ Crystal F3ay,MN 55;23 APproveJ By: .___-_--- .�nount$: �� ''�� e�� Phone(952)249-4600 Fax(952)249-d616 �+a�o+4,. CITY OF ORONO-MECHANICAL PERMIT (:1ll('ommercial pertnits must be approvcd b}the I3uilding Officiai or Inspector and or}�ire Starshalt) GENERAL INFORMATION 1. You ma5�apply� for mechanical pemiits by mail or in person at the City offices. A�plications��•ill be re�iewed and a permit will be issued within two workin�,da��s_ 2. Permit cards will be sent bv return mail after a review is completed. PERM["1'S AIZI?NOT VALID UNTIL YOU RE;CE:IVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. �. Mechanical Desig�s—Complete calculations,details and specifications are required for each heating,ventilation,humidification-dehumidification,and air conditioning installati��n including heat loss/heat gain calculation,design temperatures,equipment ratings and identifieation as to type,manufacturer and model. I)ata shall be presented on form provided. 4. When any new construction or remodeling is invohed,a separate building permit must be obta ined. 5. All work must be done in accorciance with the ilniform Mechanical CodelState Building Code requirements. 6. All w�ork must be inspected(rough-in and final). Call(952)249-4600. (24-48 hour notice required) 7. Housc I�Icating Test Record must be submitted before final. TYPE OF PERMIT Check All That A 1 Residential ❑Commercial(Approval Required) �le« ❑Additional ❑Repairs ❑Replace Job Site/Owner Informarion: Site Address: � � lS �_ ES�=cz-• � �/`� Owner:��.. ��- Mailing Address: ��r- �0�7 City: ��vl �- Zip: h-�-;3 u 3 Home Phone: ��2" �3`�- �6�1g/ Alternate Phone: Contractor Information: Contr��f�TH & HOM� TECH�JOLQG:ES, :,lV�Contact Person: �� dba FIRESIDE HEARTH & H(�M�. Address: Lic. BC0512060 State Bond #: Op'�I 6� "]-!-l`{ 27 �� R05EVILLE, MN �,5.�1� Cl�: ��1 �� h�.ip: Expiration Date: 7�I'"�'`� Phone: Altemate Phone: ��2'3�3- 2 6 Z� ❑ Insurance-Current: 1 � MECHANICAL SYSTEMS BEING INSTALLED Note: All Gcolhcrmal S��stems�vill no�� requirc a Site Plvi& Re�iew by our Building Official. 1S THIS GEOTHERMAL? ❑ Yes ❑No HEATING SYSTEMS Ouantit��: � _ � � _ Make: ��(� �• — �"�U^'� ��N� — Model: �50-a IE�1�' G o 33 7-�-I��► Fuel: ,�,�oot.✓ � ;► Flue Siic: !0 �,'b.fl Input B"1'Us: _�� / � �� Output 13'TUs: CFM: COOLING SYSTEMS Quantity: Make: Model: 'I'ons: H.Po��°er FIREPLACES � Gas Factory I�ireplace Brand Name: Wood Buming Fireplace ❑ Wood Sto��e Model No.: ❑ Wood Stove with Flue/Masoru�- VENTILATION ❑ No. Kitchen I?Yhaust duct recirculating cfm ❑ No. Bath��,xhaust(must have duct outside) cfm ❑ No. Other Fans: Locations cfm FUEL STORAGE (Must be approved by Fi�e Marshall if proposing to abandon tank in plac�) ❑ Installation ❑ Removal Fuel Oil: �allons ❑ Underground ❑Inside ❑Outside LP Uas: gallons Other: GAS LINE ONLY ❑ Outdoor Gnll ❑ Other/List What 8i Where: 2 PERMTT FEE CALCULATION(S) BASED OFF - 2002 STATE STATUE ❑ Yes,this section applies The replacement of a Residential Pi�ture or a�pliance that meets all three of the following requirements: 1. I�oes not require modification to electrical or gas service. 2. Has a total cost of$500.00 or less;excludin�[he cost oF the fixture or appliance: and 3. Is improved, installed or replaced by the homeowner or licensed contractor. Skip neat section,if this applies; Cost of Permit $ 15.00 State Sureharge $ �.00 Mail-In Fee (If Applicable) $ 2.00 Total Permit Fee $ PERMIT FEE CALCULATION S —JOBS OVER$500.00 I f aboti e does not apply; lollow guidelines below: 1. CONTRACT PRICE * is 1.2�`%�of contract price with a(Minimum Fee of$50.00) t �� -�� o�zs � �7�,c�v (contract price) (minimum$50.00) 2. STATE SURCHARGE � 1 �"{DOl� G�� x.0005 $ 7.L� (contract price) 3. POS'1'AGF,&NANDLING(Only on Mail-In Applications) $ 2.00 �. TOTAL PERMIT FEE(Add Lines 1-3 Above) � {'�Ll,� ■ * CONTRACT PRICE or JOB COS"I' 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 furnished by the owner, tenant or any other party, thc 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. MECHAl�ICAL PERMIT APPLICATION AGREEMENT The undersigned hereb�� applies to the Citv for issua�iee of a Mechanical Permit, agrees to do all w�ork in strict accordancc ��ith thc ordinanccs of the Cily and the regulations of the State of Minnesota, and certifies that all statements made on this application are complete, true and correct. G'�2-3C.�3-2t7� Applicant"s Signature: G �� Date: l `�� '�C2 Reset Form 3 � installation HEARTH &-HOME Instructions technologies"' Models: G024SP-NG or LP,G030SP-NG or LP Installation and service of this G033SP-NG or LP,G035SP-NG or LP,G040SP-NG or LP appliance should be performed by G024SP-REM-NG or LP,G030SP-REM-NG or LP qualified personnel.Hearth&Home G033SP-REM-NG or LP,G035SP-REM-NG or LP, „ Technologies suggests NFI certified G040SP-REM-NG or G024-IPI-NG or LP, G030-IPI-NG or LP or�v 9R\ or factory-trained professionals, G033-IPI-NG or LPG035-IPI-NG or LP, G040-IPI-NG or LP = � 9�� o r t e c h n i c i a n s � supervised by d `"""" I a�°� '"S*�Tu� an NFI certified +�� Grand Oak Gas Log Sets "S professional. '��,'•��rt;�' �.�.,,�.,,�,,.��..,�, . ..�, , Check with your local building code agency before you begin installation to ensure compliance with local codes, including the need for permits and follow-up inspections. If you encounter any problems regarding code approvals, or if you need clarification of any of the instructions contained here, contact the Technical Seroices Dept., Hearth & Home Technologies Inc., 20802 Kensington Blvd., Lakeville, MN 55044, www.hearthnhome.com. CAUTION � DO NOT DISCARD THIS MANUAL O � ` • Important operating • Read, understand • Leave this manual with %�i� � and maintenance and follow these party responsible for C,9 ��. instructions included. instructions for safe use and operation. 'QQ installation and operation. A WARNING A WARNING If the information in these instruc- HOT± oo NOT roucH. tions is not followed exactly, a SEVERE BURNS MAY RESULT. fire may result causing property CLOTHING IGNITION MAY RESULT. damage, personal injury, or death. Glass and other surfaces are hot during ;,�"��;�i�j; titi� operation and cool down. • Do not store or use gasoline or other flam- �: mable vapors and liquids in the vicinity of this or any other appliance. : Keep children away. CAREFULLY SUPERVISE children in same room as • What to do if you smell gas: appliance. • Alert children and adults to hazards of high - Do not try to light any appliance. temperatures. - Do not touch any electrical switch. Do not • Do NOT operate with protective barriers removed. use any phone in your building. • Keep clothing, furniture, draperies and other - Immediately call your gas supplier from combustibles away. a neighbor's phone. Follow the gas supplier's instructions. - If you cannot reach your gas supplier, call th2 flfe d2p81�11'1e11t. In the Commonwealth of Massachusetts: • Installation and service must be performed . This appliance must be installed by a licensed plumber by a qualified installer, service agency, or or gas fitter. the gas supplier. • The chimney flue damper,when used with gas logs,will be welded open or completely removed. • A CO detector shall be installed in the room where the Note: An arrow(�►)found in the text signifies change in appliance is installed. content. Hearth 8� Home Technologies •Grand Oak Gas Log Sets •4004-299 Rev I • 11/08 1 � Owner's Manual +�. �eat� at�r~ Installation and O eration P Tlte�rst ru�me in�repla,ces Models: 0 BIR50-B 0 p � Wood Burning Fireplace � O LISTED � NOTICE � 4� � DO NOT DISCARD THIS MANUAL �tS�C �0 � i • Important operating • Read, understand • Leave this manual with �� ` � and maintenance and follow these party responsible for Q � instructions included. instructions for safe use and operation. installation and operafion. A WARNING A WARNING HOT SURFACES! If the information in these instruc- �,�:� tions is not followed exactly, a Screen/mesh, glass doors and f1Y@ 1118)/ 1'@SU�t CaUSltl9 PfO�J@1't)/ other surfaces are hot during operation AND cool down. damage, personal injury, or death. z DO tlOt StOf2 Ot" US6 QBSOIIf12 Of Othef flatl1- Hot screen/mesh and glass doors will cause burns. • mable vapors and liquids in the vicinity of Do not touch screen/mesh or glass doors until cooled thlS Of 8t1y Oth2f appllatlC2. NEVER allow children to touch screen/mesh or glass doors • Do not overfire. Overfiring will void your • Keep children away W8fT8flty. CAREFULLY SUPERVISE children in same room as fireplace. • Comply with all minimum clearances to . Alert children and adults to hazards of high combustibles as specified. Failure to temperatures. COmply may CBuse house fire. High temperatures may igniteclotning orotherflammable materials. Keep clothing, furniture, draperies and other flammable materials away. � Installation and service of this fireplace A WARNING oP 9Aq should be performed by qualified personnel. \ Hearth & Home Technologies suggests NFI Fire Risk Z � m, certified or factory-trained professionals, or • For use with solid wood fuel or decorative 'Nst�T�t�' technicians supervised by an e �F � gas appliance only. NFI certified professional. T h^�^!T^^°� • Do not install unvented gas logs. Heafilator• Birmingham BIR50-B•4059-682• 11/11 1 H EAT G LO. 4wner's Manual Installation and Operation No one builds a better fire Model: GAS-FIRED Everest ;� C �Lus LISTED • NOTICE j��0� • DO NOT DISCARD THIS MANUAL sc,�R r � Important operating Read,understandandfollow Leave this manual with � and maintenance theseinstructionsforsafe partyresponsibleforuse instructions included. installation and operation. and operation. A WARNING: If the information in these A WARNING instructions is not followed exactly, a fire HOT SURFACES! or explosion may result causing property .� Glass and other surFaces are hot dunng damage, personal injury, or death. operation AND cool down. ;� Hot glass will cause burns. • DO NOT store or use gasoline or other flam- • DO NOT touch glass until it is cooled mable vapors and liquids in the vicinity of this • NEVER allow children to touch glass or any other appliance. • Keep children away • CAREFULLY SUPERVISE children in same room as • What to do if you smell gas fireplace. - DO NOT try to light any appliance. • Alert children and adults to hazards of high temperatures. High temperatures may ignite clothing or other flammable - DO NOT touch any electrical switch. DO materials. NOT use any phone in your building. • Keep clothing, furniture, draperies and other flammable materials away. - Immediately call your gas supplier from a neighbor'S phOfl@. FOIIOW th@ g8S SUppll- This appliance has been supplied with an integra/barrier @f'S IC1StfUCtIOt1S. to prevent direci contact with the �xed g/ass panel. DO - If you cannot reach your gas supplier, Call NOT operate the appliance with the barrier removed. the f re dePat'�ment. Contact your dealer or Hearth 8� Home Technologies if the barrier is not present or help is needed to properly install one. • Installation and service must be performed by a qualified installer, service agency, or the gas supplier. i►, tne Commonwealth of Massachusetts installation must be performed by a licensed plumber or gas fitter. See Table of Contents for location of additional Commonwealth This appliance may be installed as an OEM installation in of Massachusetts requirements. manufactured home (USA only) or mobile home and must be installed in accordance with the manufacturer's instructions and the manufactured home construction and safety standard, Installation and service of this appliance should be Title 24 CFR, Part 3280 or Standard for Installation in Mobile � _+� performed by qualified personnel. Hearth 8� Home Homes, CAN/CSA Z240MH, in Canada. ��8\ Technologies suggests NFI certified or factory trained T h i s a p p l i a n c e i s o n l y f o r u s e w r t h t h e t y p e(s)o f g a s i n d i c a t e d �,:T��; P r o f e s s i o n a l s, o r t e c h n i c i a n s s u p e r v i s e d b y a n N F I on the rating plate_ certified professional. Heat&Glo • Everest • 750-900 Rev.R • 3/11 1