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Home My WebLink About2013-00131 - gas fireplace ' � � CITY OF ORONO * 2 0 1 3 - P1 0 1 3 1 * 2750 KELLEY PARKWAY DATE ISSUED: 02/27/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 560 DEBORAH DR PIIV : 31-118-23-23-0005 LEGAL DESC : MCCULLEY FARM : LOT 002 BLOCK 002 PERM�T TYPE : MECHANICAL(> $500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 3,500.00 NOTE: (1)HEAT N GLO GAS FnC"1'ORY FIREPLACE-MODEL-ESCAPG I30 APPLICANT MECHANICAL 50.00 FIRESIDE HEARTH & HOME STATE SURCHARGE MECH(VALUATION) 1.75 2700 FAIRVIEW AVE ROSEVILLE, MN 55113 MAIL-IN FEE 2.00 (651)633-2561 TOTAL 53.75 Minnesota State License#: 20512060 OWNER LUTH, W& MARCOUX 560 DEBORAH DR 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 rela[ed work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whe[her or not specitied herein.This permit will expire and become null and void if construc[ion authorized is not commenced within lA0 days of Ihe datc of issuance,or if consVuc[ion is suspended for a period of 180 days at any time afrer 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[ime for due cause. i i � �� ,�7� �3 Applicant Permitee Signature Date Issu By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. , FOR CITY USE ONLY ,�� City of Orono OO?� P.O.Box 66 Date Received: Permit# 2750 Kelley Parkway ��,"'X• �i�� Crystal Bay,MN 55323 Approved By: Amount$: �� ,�yc`��'� Phone(952)249-4600 Fa�c(952)249-4616 :�!tsaxae. 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 DesiQns—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 o�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 Check All That A 1 �Residential ❑Commercial(Approval Required) �New ❑ Additional ❑Repairs ❑Replace Job Site/Owner Information: S ite Address: s�� D e h o�� ' Owner. J � a�1 r� �..,�� (� Mailing Address: �� e�o�ti l-� � r' c�ry: mu�I� P I�.:� z�p: s 5 3 s'S' Home Phone: �S�'`�''� �'/-3�� Alternate Phone: Contractor Information: HEARTH & HOME TECHiVOLOGIES, INC. Contractor: Contact Person: dba FiRESIDE HEARTH & MOME Lic. Address: State Bond #: 2700 FAIRVIEW AVENUE N , 55113 City: Zip: Expiration Date: 651.633.2561 Phone: Alternate Phone: n C"`' � !3 C �P��(Q�Go ❑ Insurance—Current: 1 ! MECHANICAL 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 BTUs: CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H.Power FLREPLACES � Gas Factory Fireplace Brand Name: �C L� r-, (�� o ❑ Wood Buming Fireplace r ❑ Wood Stove Model No.: G S�ti fJ+e �3 U ❑ Wood Stove with Flue/Masonry VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfm ❑ No. Bath Exhaust(must have duct outside) cfm ❑ No. Other Fans: Locations cfm FUEL STORAG E (Must be approved by Fire Marshal!if p�oposing to abandon tank in place.) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑ Inside ❑Outside LP Gas: gallons Other: CAS LINE ONLY ❑ Outdoor Grill ❑ Other/List What& Where: 2 . - PERMIT FEE CALCULATION(S) BASED OFF -2002 STATE STATUE ❑ Yes,this section applies The replacement of a Residential fixture 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$500.00 or less;excludine 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 Fee(If Applicable) $ 2.00 Total Permit Fee $ PERMIT FEE CALCULATION S -JOBS OVER$500.00 If above does not apply;follow guidelines below: 1. CONTRACT PRICE * is 125%of contract price with a(Minimum Fee of$50.00) 35a"°� �' X.oi2s$ S�•� (contract pnce) (minimum$50.00) 2. STATE SURCHARGE �� 3 S�• X.000s $ �. S (contract price) 3. POSTAGE&HANDL[NG(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add C.ines 1-3 Above) $ 53.7 S ■ * CONTRACT PRICE 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, equipment, labor or installations are furnished by the owner,tenant or any other parly, 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. MECHANICAL PERMIT APPLICATION AGREEMENT The 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: �� Date: � a�� , Reset Form 3 �O�.Q/� D TE TIME V CITY OF ORONO CALLED IN 3 �� INSPECTION NOTICE � SCHEDULED �` '�3 � PERMIT NO. oZO�3-/.3� COMPLETED ADDRESS �� 4 L/ OWNER TELEPHONE NO.�s� 90� `�l«O CONTRACTOR � '>; DESCRIPTION �l �� "�'Y`� " ' �v �S� � l� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLA�NT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL � ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEEf YOU:_YES_NO � COMMENTS: � W a j \ � � - rJ � � � • Q � "� ' � W � Q ti Z W � W � � GW L�IORKSATISFACTORY:PROCEED �ROJECT COMPLETE � ❑CORRECT WORK&PROCEED Cl ISSUE CERTIFICATE OF OCCUPANCY W � �CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR W{LL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (952� 249-4600 OwnerlContractor on site: Inspector. �r � - White Copylinspector's File Canary CopylSite Notice