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Home My WebLink About2015-00305 - gas fireplace . • CITY OF ORONO * 2 0 1 5 - 0 0 3 0 5 * 2750 KELLEY PARKWAY DATE ISSUED: 03/16/2015 ORONO, MN 55356- (952 249-4600 FAX: 952 249-4616 ADDRESS : 114 CHEVY CHASE DR PIN : 36-118-23-41-0035 LEGAL DESC : HILL O'WAY MANOR : LOT 001 BLOCK 002 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CO1�ISTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 2,965.00 NOTE: GAS FACTORY['IREPLACE BRAND-HEAT-N-GLO MODEL#6000CL-IPI-T APPLICANT MECHANICAL 50.00 STATE SURCHARGE MECH(VALUATION) 1.48 FIRESIDE HEARTH&HOME MAIL-IN FEE 2.00 2700 FAIRVIEW AVE ROSEVILLE, MN 55113 TOTAL 53.48 (651)633-2561 Payment(s) Minnesota State License#: mech-20512060 CREDIT CARD 4608 53.48 OWNER MCLEAN, CHRISTOPHER& ELIZABETH 114 CHEVY CHASE DR WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT 'I'he work for which this permit is issued shall be performed according to [he 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 related work which requires separate permits. All provisions of 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 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 aze requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. C� �✓Yl�_ �J l/� i/S Applicant Permitee Signature Date Issued By ignature Date 03-16-' 15 13:51 FROM- T-612 P4041/0044 F-767 � • ��...�1 �c��( ; , , `� C2 C Y IUS�ONLY City of Orono �`-'� �`� � � G��il" s �� P.O.8Dx 66 � Aata Rc Permic k J!J E 2750 CCelley Parkway M Crystal Bay,MN 55323 Approved t3y: Amount$:�3" � Phonc(952)249-41�00 rax(952)249-4616 _ � y� � 4qK� p��,�' CYT'Y OF O�tOlVO—MEC�IANYCAL�ERiV1YT � S H (A11 Cornmercial permits musf b�approved by Yhc 6u�ld�ng OfF�c�al or Inspector and/or Fire Marshbll) � 5 �ENERAL INFORMATION ' 1. You may apply for mechanical permits by mail or in person at the Ciry offices. Applications will bc rcvicwed and a permit will l�e issued within rivo wor'kiil�days. 2. Perrnit cards will be sent by return mail after a revicw is completed. PERMl7'S AR�NOT VAr.,CI�Y1N'rIL'YOU REC�YVE A PERMIT. WORK MiJST 1VOT BEGIN UNTIL'rH� p�RMrT CA�YS POS1�n OlV'Y'y-C�.�OB STT�. 3. Meehanical Dcsi�ns—Complete calculations,details and specifications are required for each heating,ventilation,humidifieation-dehumidi4ieation,and air conditioning instaUation including heat losslheat gain calculation,desrgn temperatures,equipment ratings antl idontilie�tion as ta typc,manufacturor and model. �7ata shall be presented on form providcd. �F. When any ner�v eonstruction or remodeling is involved,a separate b»'►ldin,�permit tnust be obtained. � 5. All work must be done itz accordance with the Uniforn,Mechanical Codc/State Building Code . requ;rements. ' 6. All work must be rnspected(rough-in and final). Call(952)249-4f00. (24-48 hour notice required) , 7. House Hcating Test Ftecord must be submitt�d bcfore final. ; TYPE O�'1'�RMYT _ . (Check All That APP1Y) � esidential ❑Commercial(Approval Required) ! � ❑Additional ❑Repairs ❑Re�lace ; I Job Site/Owner�nformatiot►: Site Address: � ` "l � r �4 V ��. �� V �' � I � ( f,� ' Owner: �� Mailing Address: 1� � ��j�1 I 1��V� �t' V � �,�: .��M� zrn: ��'�o J Home Phone: Alternate phone: �� VI �-�� 1 . Contractor Tnformation: H�AR�'H &HpME�E�H�OLOGIE Iy �,,� r� I Contractar: dba FIRESIDE HFaRru Q. HQM�ontact Person: ��F�"l.y Jf��Q�U�� l.ic BC662656 � Address: 2700 FAIRVIEV1r AVEN�(�...N....._St�t�I3ond#; __.....-_ �� .__..._...--��-----...- --- .._ _..... .___ { , 1V 55113 Ciry: �52.633.��: ��piraiion Date: __� �'hone: Alternate phone: H�AR�M B� M�PII�tr�HN�L4�I�S dbd FIR�SIDE HEARTH $c FidME � Ynsurance—Current: I Lic BC662656 � i 2700 �AIRVI�W AVENUE N RQSEVILL�, MN 55113 I 651.633.2S6X 03-16-' 15 13:51 FROM- T-612 P0002/0004 F-767 � � �I�y��1i^.�'.iw.it�Yl�4Ff�'ri�'�1¢�Ic�;.� 1-3�Y.�....��A��J=1�,t7.�1?��AY�t?t ��....'....1=�..�!:3:,��F�«+� .�z`'.r�.�*a��.0.y,��e.l`� 7�i,r.4n�7A ! Note: All Geothermal Systzms will r�ow reyuire a Site Plan cC Review by our Buildirrg Official. � �S THYS G�OT�Y�RMAY.? ❑Yes ❑No � � ��pTYNG S'YST�MS E Quantity: _ .,,�,,,,,.._� Make: Model: ..� .�_.w��__._._._—._. Fuel: . �lue Size; .�w�,_w ,w.,.,_ Input BTUs: _��,,, �___, Output BTC�s: � CFM: ��„ , COO�INC S'YST�MS Quantity: � Make: Model: � � Tons: ' r — ��, ._ �:.� ; I-I.Powcr Z FIREYLACES r 1,� �- d1��ea�-� - �1�;�� Gas Factory Fireplace Brand Name; ❑ Wood�urnin��'ireplace (`n�� p"-' � �] Wood Stove Nladel No.; ( �1 � ��I_� ❑ Wood Stove with Plup/Masonry � VEIVTILATION ❑ N0. �Citchen�xhaust duct ��ecirculating _cfm ❑ No. Bath Exhaust(mtfst have duct outsidc) cfm ❑ No. Other f ans: Locations _ �w_�___ _ cfm �C1�I.,STORAC� (Must be approved by�Yre MarslrnCl if proposing to nbandort tank in place.) ! F i ❑ Installation ❑ RemovAl i I _ .. .._ Fuel�il; gallons ❑ [lnderground �Cnside []Outside � LP Gas� gallons ' Other: (CAS�YN�,4NC�Y � Outdoor Crill � Other/�,ist What&'�Vhere: M,,,�,�� 2 I j � 03-16—'15 13:51 FROM— T-612 P0003/0004 F-767 , • e 0 � ,, , ,r�.,, p�� U�. T,ION S ° � > ,� °. , >° � �'� � �< � '` ��7-.i,i)t�] � ' � �' f �ro�r� k�'-�p A��]J� j�"��]�' �(�I, i�.7''� �7i''!'�}� ry � � Y� ��,.�? ��-� ,�`.:�t{e� `+ �1:1 a�5? c� �A�"3Y�,?,�u3�+,..:�VV�'��AA,1�,(;'1�,4��l�,UJ-( l �'� � �� !� 4 � r ,�M.'�' : � t ❑ Yes,this section applies t. r > The replacemenG of a ltesidential fixn�re or appliance that meets all three of the following requirements; . l. Does not requiro modification to elecirical or gas service. 2. Has a fotal cost oP$i00.00 or Icss;exctudin�the cost of the fixture or Appliance:and 3, Cs improved,installed or replaeetl by ihe homeowner or licensed contractar, Skip ncxt section,if this applies; Cost of Permit $ I5.00 State Surcharge $ 5.00 Mail-In Pee(�f Appiicable) $ ?.00 Total Permit�ee � �'y<��,. . 'i:� �''�EIZMTT��GAL��i�'�xXC?h14S�� :;��B.S'�QU�R:$5.o0 00"' , ;,; , ;�: �� ,.,�� , . ..� r ' � If above does not apply;follor�v guiclelines belo��v: 1, CONTRACT PRICE *is 1.25%of contract price with�_{Minimum Fee of$50.00) ! I n J � �� lS/�• � y X.O125$ �� ! (canvacc pricc) (minimum 550.00) 2, STA'1'�SCIRCHARGE G�� Z` x.0005 $ �� ~(CUntraci pricC) • ..,.u.�- 3. POSTAG��&�ANU�,INCr(Only on Mail�In Applications) $_ 2.00 � i , / � 4. `T'OTAY.P�C2My'1'��(Add Lines 1-3 Abovc) �_✓�� `�� 4 ■ * CUNTftACT PR[CE or JOB GOST means the accual or estimatetl dollar amount charged for the permitted work including maCcrials, labor, prafit, and other fixed costs, It is thc a�nount to be charged to the customer for the work done, If any maCtrial,equipm�nt, labor or inst�llations are furnished by ihe o�vner,tenant or any other parry,the reaso��able rryarhet valuc of such items must be added to the • esti►nated eost or contract price for permit fee purposes. In the event tAat there is a dispute on the amount of the job eosf,Yhc City may request the submission of a signed copy of the actual contract. '�'" a,Y��';;;�;s �'•�VI��N��`A�-�,E�tI�%IX'�AR�T� �A".�'�O�.N."P��EE�EN'r';`� ;� ", , ' �.�. << �� The undersigned hercby applies to the C'rty for issuance of a Mechanical Aermit, Agrees to clo all i work in strict accordance wit1� the ordinances of the Ciry ancl the regulations of the StaCe of Minnesota, and certifies that �II statements made on this ap��lication are compleC�, true and co�yect. � Applicant's Signatur � ~` f�ate: � I � � ✓ 3 i � �� DATE TIME• CITY OF ORONO CALLED IN ti INSPECTION 110nT�IC�E_�3� SCHEDULED _�� PERMIT NO. ��/'" COMPLEfED ADDRESS � OWNER TELE HONE NO.�� "��i CONTRACTOR � DESCRIPTION �� ` � � ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP 4� ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL J ❑ DEMO-SITE ❑ TIC I TALL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU�YES�NO . � � COMMENTS: � a eH� �� - ��•�� s - a� - � � O _ � � �l 4�� /i•r�� Derre�r��o•c W � ,�/'`6!/!d G �16 S �j i1 S Qir••�7j�G,�/�� Q Z ��S� 6� W � W � J d W O WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE ��;986�C�T WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. G 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. (g52) 249-4600 OwnerlContractor on site: Inspector. `� i.-�, � White CopyAnspector's File Canary CopylSite Notice �� DATE TI �'CITY OF ORONO �='�� CALLED IN INSPECTION NOTICE . scHe�u�E� " � __��. PERMIT NO.2O�5 �� COMPLETED , � ADDRESS OWNER TELEP NE NO '�' " �� CONTRACTOR r ��Q��l'� � DESCRIPTION � ��re� �� ll� ❑ FOOTING DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ��-� ❑ EXCAV/GRADING/FILLING '- O ❑ FOUNDATION WATERPROOF ❑ PLUMBI FIN,_ A�� ❑ TREE REMOVAL Z ❑ RADON SLAB MECHANICAL RI � ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL J ❑ DEMO-SITE ❑ SEPTIC I S ALL ❑ FOUNDATION/REMOVAL � OWNERlCONTRACTOR TO MEET YOU:_YES�N c�.� COMMENTS: -�-1..� ( i � W a o �•I�� R_ Z �.+sLloc7i�v K, �6 n � bn � 3 - a 3 �� - 0 � W b'� �o�r. � 1�) �o ` � y4 s �,�� ,� �� .� �� Q � _ W � W � J d W��.IOIflRKSATISFACTORY:PROCEED O PROJECT COMPLEfE W ❑CORRECT WORK 8 PROCEED � ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor on site: Inspector.� iw-- `�� White Copyllnspector's File Canary CopyfSite Notice � �'� �►v`�1 DATE TIME ✓ CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED — — /.�.�v PERMIT NO. �OlS'�.� COMPLEfED ADDRESS ��'� �� OWNER TEL PHONE NO. CONTRACTOR / ` � fi��`�• N � � DESCRIPTION ` �� '�-'` W ❑ FOOTING ❑ DEMO-FI AL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL J ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO c�., COMMENTS: � W a � J O �. � O � W � Q � 2 W � W � � d W O WORKSATISFACTORY:PROCEED PROJECT COMPLEfE � ❑CORRECT WORK&PROCEED ❑ UE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE CdVERiNG PERMANENT ❑ CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITAT�ON ISSUED ❑INSPECTION REQUIRED_CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (J5 � 249-4600 OwnerlContractor on site: Inspector. White Copyflnspector's File Canary CopylSite Notice