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Home My WebLink About2013-00299 - gas fireplace • CITY OF ORONO * Z 0 1 3 — 0 0 2 9 9 * 2750 KELLEY PARKWAY DATE ISSUED: 04/29/2013 � ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 800 FOREST ARMS LA PIN : 07-117-23-12-0004 LEGAL DESC : FOREST ARMS : LOT 001 BLOCK 001 PERMIT TYPE : MECHANICAL(> $500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 3,800.00 NOTE: HEAT N GLO 550 TRS � - _ APPLICANT MECHANICAL 50.00 FIRESIDE HEARTH& HOME STATE SURCHARGE MECH(VALUATION) 1.90 2700 FAIRVIEW AVE ROSEVILLE, MN 55113 MAIL-IN FEE 2.00 (651)633-2561 TOTAL 53.90 Minnesota State License#: 20512060 OWNER MAYES, CLIFFORD A& BRENDA L 800 FOREST AIZMS LA MOUND, MN 55364- AGREEMENT AND SWORN STATEMENT "I�he��ork for which this permit is issued shall be performed according to the approved plans and specifica[ions,applicable City approvals,and the State Building Code. This permi[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 governing 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 issuanee,or if construction is suspended for a period of 180 days at any[ime after work has commcnced. The applicant is responsible for assuring all required inspections are requested in conformance�ith the State Building Code.This permi[may be revoked at any time for due cause. `{��t� �K. / / �/ I'V`,cC-� l l Applicant Permitee Signature Date Issued By Si ture ate SEPARATE PERMITS REQUIRED FOR WORK OTHER T AN DESCRIBED A E. � � 1 FOR CITY USE ONLY /�O A. City of Orono / •y P.O.Box 66 Date Received: Permit# / O 2750 Kelley Parkway I Crystal Bay,MN 55323 Approved By: Amount$: �� 1 � Phone(952)249-4600 Fau(952)249-4616 \sF � ' \qkf s H o�l%� 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 wili 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 PERM[T. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Desi�ns—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 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) i � �New ❑Additional ❑ Repairs ❑ Replace Job Site/Owner Information: Site Address: �Uv �o !'c S-� � �/�'� S �-r� Owner: �uS�-f 1'��Y G S Mailing Address: $�� /-DrtS� A�M s L r� City: � fon o zip: 553�0�� Home Phone: Alternate Phone: �� 7��- loY�� Contractor Information: HEARTH & HOME TECHNOLOGIES Contractor: Contact Person: dba FIfCESIDE HEARTH & HOME Lic BC6�'£G56 Address: State Bond#: 2700 FAIRVIEW AVENUE N , 55113 City: Zip: Expiration Date: 651.633.2561 Phone: Alternate Phone: ❑ Insurance-Current: 1 ,r- . , 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 HEATII�IC SYSTEMS Quantity: Make: Model: Fuei: Flue Size: Input BTUs: Output BTUs: CFM: COOLiNG SYSTEMS Quantity: Make: Model: Tons: H.Power FIREPLACES � Gas Factory Fireplace Brand Name: N�C�. t n � � � ❑ Wood Burning Fireplace S 5 0 `n S Wood Stove Model No.: / F ❑ Wood Stove with Flue/Masonry VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfin ❑ No. Bath Exhaust(must have duct outside) cfm ❑ No. _ Other Fans: Locations ___ cfin FUEL STORAG E (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 Grill ❑ Other/List What&Where: 2 t . � PERMIT FEE CALCULATION(S) BASED OFF -2002 STATE STATUE ❑ Yes,this section applies The replacement of a Residential fi�cture 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: l. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) �� .� x.0125 $ �d, CJT� (contract price) (minimum$50.00) 2. STATE SURCHARGE x.000s $ r. 5 � (contract price) 3. POSTAGE& HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ �3.� � ■ * CONTRACT PRICE or JOB COST means the actual or estimaled dollaz 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, 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: 7 � 3 3 ATE TIME ✓ CITY OF ORON�� CALLED IN ' INSPECTION NOTICE SCHEDULED � / � PERMIT NO. o�Dl 3 Q�ZcICf COMPLETED ADDRESS C)vv �i' ��'J , _ ��LLe� OWNER ` T LEPHO NO� .- �7� CONTRACTOR � � DESCRIPTION � , � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNERIFIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HAfiD COVER REMOVAL J �RI ❑ SEPji¢FINAL ❑ FOUNbATION/REMOVAL OWNERIC RACTOR TO MEET YOU:_f�,YES_NO � COMMENTS: W � � J O �. � O � W � Q � 2 W � w � j � ❑WORKSATISFACTORY:PROCEED �ROJECT COMPLETE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN �NSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (952� 249-4600 OwnerlContractor on site: Inspector. � �Y _ - White Copyllnspector's Ffle Canary CopylSite Notiee � � — D E TIME ✓ CITY OF ORONO CALLED IN 5 INSPECTION��3 E a9� SCHEDULED � " 3 � PERMIT NO. cOMPLETED ADDRESS �� OWNER TELEPHONE NO.�� 3-S CONTRACTOR ��-G� >; DESCRIPTION �� p � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION 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 O PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOH TO MEET YOU:_YES_NO � COMMENTS: � W a o � c7 ��Ss �- t c �-�-5 4� � ��'s - i� 0 � w � Q � z W � W � � O ��MI 6RK5ATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑CORRECT WORK R PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. �95Z) Z49-46�� OwnerlContractor on site• Inspector. , �� White Copyllnspector's File Canary CopylSite Notice � ^� C� D TE TIME " v CITY OF ORONO CALLED IN � `Z�� INSPECTION TI E SCHEDULED �L� ' _�— PERMIT NO.� ��'� � conn LETED ADDRESS � OWNER LEPHONE N �$ �� CONTRACTOR a- � DESCRIPTION �� ❑ FOOTING ❑ PLUMBING FIN ❑ E CAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREIWEfLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION 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 v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNbATION/REMOVAL � OWNERICONTRACTOR TO MEEi YOU:_YES_NO c�., COMMENTS: � W a � J O �. � O � � s Q � 2 W � W � � � a � RK SATISFACTORY:PROCEED O PROJECT COMPLETE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR W4LL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor on site: Inspector. ( � White Copyllnspector's Ffle Canary CopylSite Notice