HomeMy WebLinkAbout2013-00288 - gas fireplace _ � CITY OF ORONO * z p� 1 3 - 0 0 z S B *
2750 KELLEY PARKWAY DATE ISSUED: 04/25/2013
ORONO, MN 55356-
952)249-4600 FAX: (952) 249-4616
ADDRESS : 425 HUNTER PASS
PIN : 25-118-23-31-0008
LEGAL DESC : HUNTER PASS
: LOT 004 BLOCK 001
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIREPLACE-GAS
VALUATION : $ 2,700.00
NOTE: HEAT N GLO SL 750TRS-IPI-E GAS FP
APPLICANT MECHANICAL 50.00
FIRESIDE HEARTH&HOME STATE SURCHARGE MECH(VALUATION) 135
2700 FAIRVIEW AVE
ROSEVILLE,MN 55113 MAIL-IN FEE 2.00
(651)633-2561 TOTAL 53.35
Minnesota State License#:20512060
OWNER
Tonkawa,Inc.
301 CARLSON PKWY#275
MINNETONKA,MN 55305-
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 sepazate
permits. All provisions of laws and ordinances goveming this type of work
shall be compied with whether or not specified harein.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 aze
requested in conformance with the State Building Code.This permit may be
revoked at any time for due L`ause.
���� `l�C- / / l l
Applicant Permitee Signature Date Issued By ' ature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
' � F'OH CfCY CSE Oti L)'
,�` City_ of Orono
¢O`r\�� P.O.Box 66 llate Received: Penni[#i
� �," 2750KelleyParkway ---- --
� r`y'y• '� Crystal Bay,MN 55323 Approved By: __ Amount$:_ _
r����t f� Phone(952)249-4600 Fax(952)249-4616
CITY OF ORONO-MECHANICAL PERMIT
(All Commercial permits must be approved by lhe Building Official or Inspector and/or Firc Marshall)
G1;Nl_;RAL INFORMATION
1. You may apply for mechanical permits by mail or in person at the City offices. Applications will
be reviewed and a pertnit will be issued within two working days.
2. Permit cards will be sent by retum mail after a review is completed. PERMITS ARE NOT
VAL,ID UN"I'IL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED ON THE JOB SITE.
� Mechanical Desiens—Complete calculati�ns,details and specifications are required for each
heating ventilation,humidification-dehumiditication,and air conditioning installation including
heat loss/heat gain calculation,design temperatures,equipment ratings and identification as to
ty pe,manufacturer and rnodel. Data shall be presented on form provided.
�3. When any new construction or remodeling is involved,a separate building pennit must be
obtained.
�. 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 fmal). Call(952)249-4600.
(24-48 hour notice required)
7. I Iouse Heating Test Record must be submitted before final.
TYPE OF PERMIT
Check All That A 1 )
Residential ❑Commercial(Approval Required)
❑New ❑Additional ❑Repairs ❑Replace
,Iob Site/Owner Information:
Site Address: ���� ����� ��'�'
Owner��,� ���r>v.tQ, Mailing Address: ��i�"`L �i,.,,,�
✓—
c►ty: ��� `�',,� z�p: '�r3z/�i
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E loine Phone: Alternate Phone: ��-" �� ����7
Contractor Information:
HEARTH & HOME TECHNOLOGIE5 (��ntact Person:
C��ntractc�ba
ME
Lic 662656
��adre5s: 2700 F.4TrtvrF�nr nv������ �� State Bond#: d C�31 g`�"
ROSEVILLE, MN 55113 v
City: 651.633.256]�ip: Fxpirarion Date: ��-� l— �y
f'hone: Alternate Phone:
❑ Insurance-Current:
t
MF,CHArIICAL SYSTEMS BEING INSTALI.ED
Notc: All Geothenual Svstems��i11 no��require a Site Plan& Review by our Building Offi�ial.
IS THIS GEOTHERMAL? ❑Yes ❑No I
HEATING SYSTEMS
Quantity: � _
Make: i
Model: I
Fuel: I
Flue Size:
Input BT'Us:
Output BTUs:
--+--
CFM:
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COOLING SYSTEMS i
Quantity: I
Make:
Model:
Tons:
,
H.Power
�
FIREPLACES I
� Gas Factory Fireplace Brand Name: /�'��'
Wood Buming Fireplace r
❑ Wood Stove Model No.: �,Z'7�T�S '����''�
❑ Wood Stove with Flue/Masonry '
VENTILATION �
❑ No. Kitchen EYhaust duct recirculating �cfin
❑ No. Bath Exhaust(must have duct outside) _�cfm
❑ No. Other Fans: Locations �_cfm
FUEL STORAGE (Must be approved by Fire Marsha/l if proposing to aba�edon tank in plaeeJJ
❑ Installation ❑ Removal I
Fuel Oil: gallons ❑ Underground ❑Inside ❑Clutside
LP Gas: gallons
Other:
GAS I,INE ONI,Y
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❑ 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;exeludine 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 $
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If above does not apply;follow guidelines below:
1. CONTRACT PRICE "is 125%of contract price with a(Minimum Fee of$50.00)
��L7 oB� DD X.oi2s$ ��"t`�
(contract price) (minlmum$50.00)
2. STATE SURCHARGE ��D�. �
X.000s $ 1,3�
(contract price)
3. POSTAGE�F�ANDLING(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
pernutted 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 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 pemut 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.
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'u.;��� � �` -u e i;;��i�� 2'Mh"�'�,.�k��,+R;�i;..:
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 certif'ies that all statements made on this application are complete, true and
correct.
Applicant's Signature: ��"`�/ Date: ������
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INSPECTION NOTICE SCHEDULED �� �
PERMIT NO. 2�3�0��S COMPLETED
ADDRESS �2 S t�-C'`��' �SS
OWNER �� TELEPHONE NO. � �2 -7�� � Z-�"�
CONTRACTOR L� �' �-1 �'�'�e�s �n�R
>; DESCRIPTION �������--�`�P ��
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREM/ETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION �OOD 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
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
��., COMMENTS:
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ppHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
�INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. (g52) 249-4600
OwnerlContractor on ite:
Inspector. B /`'� , �
White Copyll�spector's File Canary CopylSite Notice
�JK/f � D��E , TIME
CITY OF ORONO ��1.�
INSPECTION NOTICE SCHEDULED �. �
PERMIT NO �� COMPLETED �
ADDRESS p
OWNER TELEP ONE NO �°2-� -o ���
CONTRACTOR �
�: DESCRIPTION � �
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� ❑ FOOTING ❑ PLUMBING FINAL EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREJWETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Z
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
� OWNERICONTRACTOR TO MEEf YOU:_YES_NO
� COMMENTS:
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� �CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
n CORRECTUNSAFECONDITIONWITHIN HOURS. O PHOTOTAKEN
INSPECTOR WILL RETURN
fl STOPORDER POSTED.CALL INSPECTOR �CITATION ISSUED
C; INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call forthe next in pection 24 hours in advance. (952� 249-4600
OwnerlContract .
Inspecto . �"�
White Copyllnspector's File Canary CopylSite Notice