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Home My WebLink About2012-00023 - gas fireplace CITY OF ORONO PERMIT NO.: 20��00023 2750 KELLEY PARKWAY • ' ORONO, MN 55356- DATE ISSUED: OU10/2012 952 249-4600 FAX: 952 249-4616 ADDRESS : 825 HUNT FARM RD PIN : 30-118-23-44-0003 LEGAL DESC : HUNTINGTON FARM : LOT 001 BLOCK 002 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 4,000.00 NOTE: 1 HEAT N GLO ESCAPE GAS FP APPLICANT MECHANICAL 50.00 FIRESIDE HEARTH&HOME STATE SURCHARGE MECH(VALUATION) 2.00 2700 FAIRVIEW AVE ROSEVILLE,MN 55113 MAIL-IN FEE 2.00 (651)633-2561 MISC FEE 0.00 Minnesota State License#:20512060 TOTAL 54.00 OWNER LANGTON, WILLIAM&MICHELLE 825 HUNT FARM RD 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. Ail 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 are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. / / / / Applicant Permitee Signature Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. �O�CITY L1SE UNLY � City of Orono ' ��'�"�O P.O.Box 66 Date Received: Permit# 2750 Kelley Parkway +� Crysral Bay,MN 55323 Approved By: Amount$: p � � Phone(952)249-4600 Fa�c(952)249�616 CITY OF ORONO—MECHANICAL PERMIT (All Commercial petmits must be approved by tt�e Building Official or Inspector and/or Fire Mazshall) GENERAL INFORMATION 1. You may apply for mechanical permits by mail or in person at the City offices. Applications will be reviewed and a peimit will be issued within two working days. 2. Pernut cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID UNTIL 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,humidification-dehumidification,and air conditioning installation including heat loss/t�eat 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. fiYPE'QF PERMIT` Check All That A l Residential ❑Commercial(Approval Required) New ❑Additiona] ❑Repairs ❑Replace Job Site/Owner Information: Site Address: ��7� ll��(.�Y ��''� " '� Owner: Mailing Address: City: Zip: Home Phone: Alternate Phone: Cantractor Information: � /''au,G ��`''�" C�� & Contact Person: ECHNOLOGIES, INC. dba FIRESIDE.HEARTH & HOME State Bond#: Address: 2700 FAIRVIEW AV� ,N City: RO�F �r� � � ��;��• Expiration Date: 651.633.2561 Phone: Alternate Phone: G,l z-��3- 217 ❑ Insurance—Current: 1 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 Quanrity: Make: Model: Tons: H.Power FIREPLACES �Gas Factory Fireplace Brand Name: ��/U—�_ ❑ Wood Burning Fireplace ��o-� .��—F� ❑ Wood Stove Model No.: � ❑ Wood Stove with Flue/Masonry VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfrn ❑ No. Bath Exhaust(must have duct outside) �� ❑ No. Other Fans: Locations °� 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 �.; �,. , �. ❑ Yes,this section applies T'he 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;excludins 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 $ If above does not apply;follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) ��DOa�, dD X.oi2s$ �000 (contract price) (minimum$50.00) 2. STATE SURCHARGE ydo��o X.000s $ 2�Co (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ _ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ �_(�� ■ * 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 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. 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: �/�� d+'� _ Date:� ' L' ~l y . . . . ,.., r y:i,�,;9 �� 3 ��I C� DAT TIME � CITY OF ORONO CALLED IN ' �� INSPECTION NOTICE SCHEDULED �.— PERMIT NO. 6'O/ '�� COMPLETED ADDRESS �� -!��(� �i'��/l�I OWNER TELEP ONE NO. s - g J30 f CONTRACTOR — �: DESCRIPTION U U — � W ❑ FOOTING ❑ P MBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WAIL ❑ MECHANICAL RI ❑ LAKESHOREM/ETLANDS ti O ❑ FRAMING 0 MECHANICAL FINAI ❑ 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 ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � d ��'S� � � s ��,NP �. � 0 � � � C�e �C�L c.�c fi- ��,�3��. Q z �'�S c�C ,U,�/ -- � <' C � � ( � � (� �,2 - �.�s ��eC�- W � j d W ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE � RRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O RRECT WORK,CALL FOR REINSPECTION TEMPORARY V FORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN i 7 STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED G INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-4600 OwnerlContractor on site: Inspector. �� White Copyllnspector's File Canary CopylSite Notice � /�I C� ��A� /� TIME CITY OF ORONO CALLED IN 3=�';.,T INSPECTION NOTICE SCHEDULED � � __1�:_�LL�'7V� PERMIT NO. �� —�� COMPLETED ADDRESS c�% `=� � �1�Y� �" }�-�:m r� OWNER TELEPHONE N ,,(�� "� 7� ��5�� CONTRACTOR ''�� r�-'� `9 � �: DESCRIPTION '� � � � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/G ADING IN�� Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/W LAIVDS ' � ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE � SEPTIC MAINT. ❑ FOLLOW-UP ? ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL O�PLL(L,VIBING RI ❑ SE T FINAL ❑ FOUNOATION/REMOVAL J _ ��OWNERI�NTRACTOR TO MEET YOU:' YES_NO � COMMENTS: � W a 0 1 (e �l f-}e �2. j`� �� ° C3� �i N A- \ a l� w � Q � z w � W � � 4 GW ❑WORK SATISFACTORY:PROCEED �PROJECT COMPLETE � ❑CORRECT WORK 8 PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WlLL fiETURN Cl STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED u INSPECTfON REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-46�� OwnedContractor on site• Inspector. White Copyllnspector's File Canary CopylSite Notice