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HomeMy WebLinkAbout2014-00900 - gas fireplace � CITYOFORONO * 2014 — PJ090P1 * 2750 KELLEY PARKWAY �AT� issuE�: 08/14/2014 � ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-�616 ADDRESS : 2220 FRENCH CREEK CIR PIN : 10-117-23-32-0004 LEGAL DESC : FRENCH CREEK : LOT 005 BLOCK 001 PERMIT TYPE : MECHANICAL(> $500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 8,600.00 N07�1:: 2 fll:nA�[�'v GLO GAS I�P APPLICANT MECHANICAL 107.50 STATE SURCHARGE MECH (VALUATION) 4.30 FIRESIDE HEARTH & HOME 2700 Ff11RV[F,W AVE MAIL-IN FEE 2.00 ROSEV[LLE, MN SSl l3 TOTAL 113.80 (651)633-2561 Nayment(s) Minnesota State License#: mech-20512060 CHECK 2004617 113.80 OWNER FAYFIELD, ROBERT& JEANNE 2220 FRENCH CREEK CIR WAYZATA, MN 55391 AGREEMENT AND SWOI2N STATGMENT l�he H�ork ior which Uiis permit is issued shal]be perlormed ticcordine to thc approved plans and specifications,applicable City approvals,and thc State Building Code. 7�his permit is for only thc work described and does not grant permission for additional or related work which requires scparate permits All provisions of laws and ordinances goveming this type of work shall be compied with w�hether or not specitied herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of die date of issuance,or if construction is suspcnded for a period ot�180 days at any time after work has commenced. I�he applicant is responsible for assurin�all required inspections are requested in cont��rmance with the State[3uildine Code.�I�his permit may be revoked at any time for due cause. \�� / / Applicant Pennitee Signature Date Issued By Si •ture Datc w � FOR CITY USE ONLY /�O A;O City of Orono / �y P.O.Box 66 Date Received: Permit# 2750 Kelley Parkway 1 Crystal Bay,MN 55323 Approved By: Amount$: Phone(952)249-4600 Fax(952)249-4616 a � yF � �qk�S H�����' CITY OF ORONO—MECHANICAL PERMIT . (All Commercial permi�c 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 LINTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical DesiEns—Complete calculations,details and specifications are required for each heating,ventilation,humiditication-dehumidification,and air conditioning installation including heat loss/heat gain calculation,design temperahues,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 buiiding 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. (24-08 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: Site Address: � Z Z C7 /C��n c 4. G re a k C� /' � � Owner:�Ca I�(�er I-�0 en c r�.y�:e�Mailing Address: 2 Z 2 O FC�►o l�.C!'�e k C i/' c�ty: D��..o z�p: .�S3y/ Home Phone: 9So�- 9?`/-���J Alternate Phone: Contractor Information: HEARTH & FiOME TECHNOLOGIES dba F�RESIDE HEARTH & HOME Contractor: Contact Person: � g��F��56 27Up FAIRVIEW AVENUE N Address: State Bond#: RnSEVII.LE, MN 55113 651.633.2�61 City: Zip: Expiration Date: Phone: Alternate Phone: ❑ Insurance—Current: 1 �' . . r 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 FIREPLACES X a � Gas Factory Fireplace Brand Name: Ek�'�G(O u�!'c► ��rC Wood Burning Fireplace ❑ Wood Stove Model No.: �c�pe T,3� Q��30 -L ❑ 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 STORAGE (Must be approved by Fire Marshall if proposing to abandon tank in place.) ❑ Installation ❑ Removal Fuei Oil: gallons ❑ Underground ❑Inside ❑Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill ❑ Other/List What&Where: 2 e . , �. 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 Pernut $ 15.00 State Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee S PERMIT FEE CALCIJLATION S —JOBS OVER$500.00 If above does not apply;follow guidelines below: 1. CONTRACT PRICE *is 125%of contract price with a(Minimam Fee of$50.00) p �Pv�. �/� x.0125$ �� �. 'j� (contract price) (minimum$50.00) 2. STATE SURCHARGE �j � �O 7S L�'1� • '/t� x .0005 $ (concract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMTT FEE(Add Lines t-3 Above) $ I � 3 . �� ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the pemutted work including materials, labor,profit, and other fixed costs. It is the acnount to be charged to the customer for the work done. If any material, equipment, labor or installations are fumished 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 Per►nit, 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: � 3 � o �J � � ��i5/�' DATE - �r TIME �� CITY OF ORONO CALLEO IN ZZ �7 --?�-� INSPECTION NOTIC SCHEDULED PERMIT NO. — COMPLETED ADDRESS �� � OWNER TELEPHONE NO.f�aS/���"33�0 CONTRACTOR �_1/l�S/ C�p �� �; DESCRIPTION ��v/ �''T � --7� � ❑ FOOTING ❑ PLUMBING FINAL � ❑ EXCAV/GRADfNG/FILLI G Q ❑ POURED WALL 0 MECHANICAL RI /`)� ❑ LAKESHORE/WEfLANDS Q ❑ FRAMING ❑ MECHANICAL FINAL� as//�^Q. ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIR �CE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP = O DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPT INAL ❑ FOUNbATION/REMOVAL � OWNERICONTRACTOR TO MEEf YOU: YES_NO � COMMEN'f�-^ � W C � � O � � O � W � Q � 2 W � W � j a W ❑WORKSATISFACTORY:PROCEED JECTCOMPLEfE � ❑CORRECT WORK 8�PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALI INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in a ance. (952� 249- 600 -- OwnerfContractor on site: Inspector. White Copyllnspector's File anary CopylSite Notice DATE TIME/ CITY OF ORONO CALLED IN �— INSPECTION NOTICE SCHEDULED �' PERMIT NO. `v��'/y-�;C-fGC= COMPLETED /-/y/_5� ADDRESS ��,��c �r�►�c� �:��.� �'i�- , OWNER TELEPHONE NO. CONTRACTOR ��''�s'���e�'��'z`�' 'E �'`'`'�� >`; DESCRIPTION �� � ���%���� � � O FOOTING O PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS 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 ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS:� :Fv►�,� `lo /�u; ��• ���J � ��� �� �r � a �u , fl -,.�.-t , � o „ � `�'`i :-� �"•�' >' •. O' � �� � � � � �� ��1<�a����►ti 1� - l- /� W r� � ��� �� �ns�rt� ;�rt� ���,.�� �.� Q � O � � Gx� ' c % - � G-���� �����c�,i�f� � f„��� ���l�9 GW ❑WORK SATISFACTORY:PROCEED ROJECT COMPLEfE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CWERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDEH POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. II forthe next inspection 24 hours in advance. (952� 249-4600 Ownerl ntractor on site: � �� � Inspector. White Copyllnspector's File Canary CopylSite Notice