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Home My WebLink About2013-00015 - gas fireplace CITY OF ORONO ., * 20 13 - 0P1P1 15 * 2750 KELLEY PARKWAY UATE ISSUED: O1/OS/2013 � ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 3585 FREDERICK ST PIN : 20-117-23-12-0025 LEGAL DESC : TILLSONS VILLA CARMAN : LOT 005 BLOCK 001 PERMIT TYPE : MECHANICAL(> $500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTIOI�I TYPE : FIREPLACE-GAS VALUATION : $ 3,500.00 NO I E: 1 HGAT N GLO SLR-C G�1S FIREPLACE APPLICANT MECHANICAL 50.00 FIRESIDE HEARTH & HOME STATE SURCHARGE MECH (VALUATION) 1.75 2700 FAIRVIEW AVE ROSEVILLE, MN 551 13 MAIL-IN FEE 2.00 (651)633-2561 TOTAL 53.75 Minnesota State License#: 20512060 OWNER GORMAN,JOHN& SHERRY 3585 FREDERICK ST WAYZATA, MN 55391- ACREEMENT AND SWORIV STATEMENT The��ork 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 related work which requires scparate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein."1'his permit��ill 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 Yor a period of 180 days at 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. � `�'�"`�`�. `�'' / / / / Applicant Permitee Signature Date Issucd By Si ture ate SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED A E. � FOR CITY USE ONLY � Cih of Orono � `� � � ` P.O.Box 66 Date Received: Permit# �- -- —-- ____. �� . '� 2750 Kelley Pazkway �•h �{� t; � Crystal Bay,MN 55323 Approved BV� ___ flmount$: __ ��t� �o�� Phone(952)249-4600 Fax(952)249-4616 �p4,: CITY OF ORONO-MECHAivICAL PERMIT (All C'ommercial pennits mus[bc approved by the Building Official or Inspector andror Fire Marshall) GENERAL INFORMATION 1. You may apply'for mechanical perrriits 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 retum mail after a re�ie�� is completed. PERMITS ARE NOT VAI,ID UNTIL YOIJ RF.CEIVL'A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical DcsiQns—Complete calculations,details and specifications are required for each heating,ventilation,humidification-dehumidiCieation,and air conditioning installation including heat loss/heat�ain calculation,design temperatures,equipment ratings and identification as to tt pe,manuYacturer 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 requuements. 6. All work must be inspected(rough-in and final). Cail(952)249-4600. (24-48 hour notice required) 7. House I�eating'Test Record must be submitted before final. TYPE OF PERMIT Check All That A t � Residential ❑Commercial(Approval Rcyuired) ❑New ❑Additional ❑Repairs ❑Replace Job Site/Owner lnformation: Site Address: �5�� J�e�Z�-L4�,G'� �d�'' Owner: ��.cv�nx� ��o-»v'L2 Mailing Address: IlL:� J LU_n�,��vs� �3t'� c�ty: ��e�.��" �Lti.. z�p: 5'S'y�ff/ Home Phone: Cf�i'2 -�l'7 3- � 5 Z4� Alternate Phone: Contractor Information: Cont��f�TH & HOM� TECHNOLOVIES, INCContact Person: ��cuf�- dba F R IDE HEARTH OME Address: 27 Lic, BC0512060 N State Bond#: OC� 3 1 c�,� ROSEVILLE, MN 55113 City: �,5��_�56�ip: Expiration Date: � �'� - �`� Phone: �Ci 2�� - Z�� Alternate Phone: ❑ Insurance-Current: 1 MECHANICAL SYSTEMS BEING INSTALLED Note:All Geothernial Systems will now require a Site Plan& Review by our Building Official. IS THIS GEOTHERMAL? ❑ Yes ❑No HEATING SYSTEMS Quantiry: Make: Model: Fuel: Flue Size: Input BTUs: Output BTUs: CFM: COOLING SYSTEMS Quantiri�: Make: Model: "I'ons: H.Power FIREPLACES Uas Factory Fueplace Brand Name: ��1�"�{ ❑❑ Wood Burning Fireplace �.�1 � �� Wood Stove Model No.: L ❑ Wood Stove with Flue 1 Masonr�� VENTILATTON ❑ Na Kitchen Exhaust duct recirculating cfm ❑ No. Bath f;xhaust(must have duct outside) cfm ❑ No. Other Fans: Locations cfm FLJEL STORAGE (Must be approved by Fire Ma�shall if proposing to abandon tank in plac�) ❑ Installation ❑ Remov�l Fuel Oil: galions ❑ Underground ❑Inside ❑Outside LP Uas: gallons Other: GAS LINE ONLY ❑ Outdoor Urill ❑ 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 ap�liance that meets all three of the following requirements: 1. lloes not require modification to electncal or gas service. 2. Has a total cost of$500.00 or less;excludin�the cost of the fixhue or appliance: and 3. Is improved,installed or replaced by the homeowner or licensed contractor. Skip next section,if this applies; Cost of Pennit $ 1�.00 State Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ PERMIT FEE CALCULATION S —JOBS OVER $500.00 If above does not apply; lollow�guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of�50.00) ��`�� x .0125$ �j�)..Li7 (contract price) (minimum$50.00) 2. STATE SURCHARGE � 'r��L�.. ��C� x .0005 $ �,75 (contract price) 3. POSTAGE&HANDLING(Ch71y on Mail-In Applications) $ 2.00 a. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ �) �-7 � ■ * COI�iTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted work including materials, labor,profit,and other fi�:ed costs. It is the amount to be charged to the customer for the work done. If an_y matenal,equipment, labor or installations are furnished bv 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. MECHAMCAL PERMIT APPLICATION AGREEMENT The undersigned hereby applies to th� City for issua�ice of a Mechanical Permit, agrecs to do all work in strict accordance with the ordinances of the City and the regulations of the State of Minnesota, and cert�es that a11 statements made on this application are complete, true and correct. Applicant's Signaturc: �� Date: l'�v r �.�_ Reset Form 3 � DATE TIME � CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO.r��3-OdctS COMPLETED F lG -/� ADDRESS 3S�S �/'e��r'�clC 5�. OWNER TELEPHONE NO. CONTRACTOR �i�es��e ��►�'� d �a� � DESCRIPTION 6`� �� - � � ❑ FOOTING ❑ PLUMBING FINAL p EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS � ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � �€JNAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. �FOLLOW-UP _ ❑ DEMO-FINAL O SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO c�., COMMENTS: W /� / ^ a f"'�,/'rw►C /�D�e� ��c�� 9� C4 Cl �r j �^ _/ . . 0 CG i lN.�C. /K 4 d GGt�� - �. � � � /O�Qce.S c Csf.� �lJe i�![.n l� �Lys T� W ' � Sc�c e�ctl�t � �cszgL l�CS/ecZ<<cn. 27 r' Q 2 W t�l�. G`n�., a ��o'iS W � W � /Z?, d K Q �'!D s�K e J d W� ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR �INSPECTION REOUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in a ance. (952� 249-46� OwnerlContractor on site: Inspector. Q�r-• �� White Copyllnspector's File Canary CopylSite Notice � DATE TIME " CITY OF ORONO CALLED w �2 ' dd INSPECTION IyOTICE �SCHEDULED J PERMITNO. olDI3'��1� COMPLETED �� ADDRESS �sg5 � �f OWNER � TELEPHONE NO.�o��3 � ��Z' CONTRACT�R I rP�L,� � DESCRIPTION �� W ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � O ❑ 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 ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � J O � � O � W � Q � Z W � W � � d W WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK 8 PROCEED ;l ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CdRRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED �STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� Z49-46QQ OwnedContractor Inspector. Whi� Copyllnspector's File Canary CopylSite Notice �� "' ATE TIME CITY OF ORONO CALLED IN 9 � INSPECTION NOTICE CHEDULED 9' PERMIT NO.��-3��OMP ETED ADDRESS �� C - � OWNER TELEP E Nt��L ��l r CONTRACTOR � , ^ �� ; DESCRIPTION — ""� � � ❑ FOOTING ❑ PLUMBING NAL ❑ EXCAV/GRADiNG/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVEfLANDS 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 v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNbATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: 0. '/! ll/l��'e- �.le4'�4rll'C- �7 �� 4�4SS " o �y k � h1�� Ges.l — � ' ,5��-0 {� '' �/u !�Q Drovn(?a0 � � 0 � W � Q z W0�'�' Q2—�D/s�� W � W � � � � ❑WORK SATISFACTORY:PROCEED �eOJECT COMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY � BEFORE CWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ p�{OTO TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED O STOP ORDER POSTED.CALL INSPECTOFi O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Catl xt inspection 24 hours in advance. (952� 249-4600 Own ontractor on sit ��`c Insp � White Copyllnspector's File Canary CopylSite Notice