The URL can be used to link to this page

Home My WebLink About2016-00404 - fireplace - gas ►' ' CITY OF ORONO * Z 0 1 6 — 0 0 4 0 4 * 2750 KELLEY PARKWAY DATE ISSUED: 04/2U2016 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 155 GOLDEN VIEW DR PIN : 33-118-23-43-0014 LEGAL DESC : PETERMAN 2ND ADDN : LOT 005 BLOCK 001 PERMIT TYPE : MECHANICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 4,000.00 NOTE: NEW GAS FIREPLACE(HEATILATOR) APPLICANT MECHANICAL 50.00 STATE SURCHARGE MECH(VALUAT[ON) 2.00 FIRESIDE HEARTH&HOME MAIL-IN FEE 2.00 2700 FAIRVIEW AVE ROSEVILLE,MN 55113 TOTAL 54.00 (651)633-2561 Payment(s) Minnesota State License#:mech-20512060 CHECK 0002007C 54.00 OWNER SMITH,DOUGLAS 155 GOLDEN VIEW DR LONG LAKE,MN 55356 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 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 l80 days of the date of issuance,or if construction is suspended for a period of l80 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 time for due cause. ��7 � �'�� y-�,l.�- �c�'�� —�s`��}-�s�, �-I � � I � I � Applicant Permitee Signature Date [ssued By Signature Date `M 7 i FOR CITY USE ONLY City of Orono � I b Q� �ONO P.O.Box 66 Date Received: � t�ermit# �� ^� 2750 Kelley Pazkway V Crystal Bay,MN 55323 Approved By: �Amount$: ��• Phone(952)249-4600 Fa�c(952)249-4616 a � y � � � l�KfSH�� CITY OF ORONO-MECHANICAL PERMIT (All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall) GENERAL INFORMATION 1. You may apply for mechanical pernvts by mail or in person at the City offices. Applications will be reviewed and a permit will be issued within two working days. 2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID UNTiL YOU RECENE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Desi�ns—Complete calculations,details and specifications are required for each heating,ventilation,humidification-dehumidification,and air conditioning installation including heat loss/heat gain calculation,design temperatures,equipment ratings and identification as to type,manufacturer and model. Data shall be presented on form provided. 4. When any new construction or remodeling is involved,a separate building pemut must be obtained. 5. All work must be done in accordance with the Uniform Mechanical Code/State Building Code requirements. 6. All work must be inspected(rough-in and final). Call(952)249-4600. (24-48 hour norice required) 7. House Heating Test Record must be submitted before final. TYPE OF PERMIT Check All That A 1 �Residential ❑Commercial(Approval Required) [Backflow Device:Q AVB ❑PVBJ / � I)4 New ❑Additional ❑Repairs ❑Replace T Job Site/Owner Information: SiteAddress: (�� o��n ��cw pr• Owner: �0�-4 .5 r..', �� Mailing Address: (.SS �o��n V'c�.,+ Ql' City: �-o nq L��e Zip: S5 3 S� �— Home Phone: Alternate Phone: /�S�- fl$K-SS 7� Contractor Information: Contractor: Contact Person: Address: State Bond#: C�g71 9� 'zC� City: Zip: Expiration Date: Phone: Alternate Phone: NGna-rN s� HnMF TFCHNOLOGIES dba FIRESIDE HEARTH & HOME ❑ Insurance-Current: Lic BC662656 1 2700 FAIRVIEW AVENUE N ROSEVILLE, MN 55113 651.633.2561 N� l � MECHANICAL SYSTEMS BEING INSTALLED Note:All Geothermal Systems will now require a Site Plan&Review by our Building O�cial. 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 � Gas Factory Fireplace Brand Name: ��Ck��,ti�o� � Wood Burning Fireplace � � � L �` �� Wood Stove Model No.: � ❑ Wood Stove with Flue/Masonry VENTILATION ❑ No. Kitehen E�chaust duct recirculating cfin ❑ 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 Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill ❑ Other/List What&Where: 2 , � , PERMIT FEE CALCULATIONS 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) 5/(/G'D ' � x.0125$ S0.� (conrract price) (minimum$50.00) 2. STATESURCHARGE � ��"�' x.0005 $ Z•� (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ 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 instailations are furnished by the owner, tenant or any other party, the reasonable market valne of such items must be added to the estimated cost or contract pricc for pemut fec 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: � / Lo 3 / DATE TIME��J CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO. aZo� ' �S�bS� COMPLETED ST �`!� ADDRESS �.�5 �G�tn 1/te� L�r . OWNER TELEPHONE NO. CONTRACTOR /C'�� 't� < � DESCRIPTION G'�s ✓'^�� f«4� 41 ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO c�.� COMMENTS: � W C 0 �"/( dtJO M,� Cb w�11/.Q7i� � �. � 0 � � �r.�+=� �',.-�.1� Q � 2 W � W � J � ❑WORKSATISFACTORY:PROCEED �AOJECTCOMPLEfE W ❑CORHECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOfi ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 2a hours in advance. (g52) 249-4600 OwnerlContractor on site: Inspector. ��"'" �v— White Copyllnspector's File Canary CopylSite Notice �� _ , / � /� � DA E TIME \/ C v 'C_-- � CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED �, PERMIT NO. �'� C� G COMPLEfED ADDRESS ( � �� C � �� cI C�G'1 L' 1 E' t�; � OWNER TELEPHONE NO. �t z `�=� �E�k CONTRACTOR ��1 `1 � DESCRIPTION � I�lG �� C�. I� � � ❑ FOOTING ❑ DEMO-FINAL �/" �`` ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI �� -' ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAI� ; /�� ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI��`'' ' �y- ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL��J ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPL'A�E ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL v ❑ DEMO-SITE ❑ PTIC INSTALL 2 OYYNERlCONTRACTOFi T MEQ ET YOU: YES_NO "'-----� v�, COMMENTS: � � . C ��lS �i�l c G°�" 7i�� ?D�� s�_L��Z��SG ,–�— oS�-tc� ��- .3/ ' lG ^ �. � � veK �� . C�c� ��Y'.�,�' - d� "' W � ._ ��sr�'c l'e►ytc�e �o.�r�✓c�/ /vcJ va/�of.e Q ----� 2 Gc�t�'� i'!o�"�5 �dw� iw Co�t�t�/ S�P � cf �•!�. � � �'i SH�I �s l-.r c da�✓�` o.= � d W ❑'WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE ��F7ECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTiON TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS_ �pHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALI TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952� 249-460� OwnedContractor on site: inspector: � ;r�- '7`�— � White Copyllnspector's File Cenary CopyiSite Notice