HomeMy WebLinkAbout2013-01161 - gas fireplace " CITY OF ORONO
` 2750 KELLEY PARKWAY * � 0 1 3 - 0 1 1 6 1 *
DATE ISSUED: 10/30/2013
ORONO,MN 55356-
(952) 249-4600 FAX: (952 249-4616
ADDRESS : 180 KINTYRE LA
PIN : 32-118-23-43-0018
LEGAL DESC : KINTYRE TWO
: LOT 1 BLOCK 2
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIREPLACE-GAS
VALUATION : $ 4,100.00
NOTE: 2 HEAT N GLO GAS FP
APPLICANT MECHANICAL 51.25
FIRESIDE HEARTH&HOME STATE SURCHARGE MECH(VALUATION) 2.05
2700 FAIRVIEW AVE
ROSEVILLE,MN 55113 MAIL-IN FEE 2.00
(651)633-2561 TOTAL 55.30
Minnesota State License#:20512060
OWNER
Gonyea Homes
6102 OLSON MEMORIAL HIGHWAY
GOLDEN VALLEY, MN 55427-
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 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 appiicant 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 duo cause.
\i��� � � / /
Applicant Permitee Signa re Date Issued By gnature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E.
lR "�' J�,!k��� � � /
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 �C?i
x,2� � Gas Factory Fireplace Brand Name: ��C(
❑ Wood Burning Fireplace —�
❑ Wood Stove Model No.: SL�T�B�L��
❑ Wood Stove with Flue/Masonry ?>O p��j�`�
VENTILA'PiON
❑ No. Kitchen Exhaust duct recirculating cfin
❑ No. Bath Exhaust(must have duct outside) cfin
❑ No. Other Fans: Locations cfin
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
• FOR'CTFY iJSE ONLY
0,���� City of Orono
P.O.Box 66 *�afs Rerxiv�: F�enttit#
_�ry 2750 Kelley Parkway
�� ? �...� Crystal Bay,MN 55323 'Apj�oved$y: Amount$,
�_ ' ` Phone(952)249-4600 Fax(952)249-4616
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CITY OF ORONO—MECHANICAL PERMIT
(All Commercial permits must be approved by the Building Off'icial or Inspector and/or Fire Marshall)
GENERAL INFURMATI�rI'�1
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 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/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 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.
'I`YPE���'ERMIT
Gh�ck All That A l
Residential ❑Commercial(Approval Required)
ew ❑Additional ❑Repairs ❑Replace
1ob Site 1()wrt�r Info�nation:
Site Address: ��`� ��r�9 ��
Owner:-�� �U"+�¢2�— Mailing Address: �D��2 ��t,�., �`a��
c��y: _ ,1�..,Ua ��� z�p: �-ry2z-�1���
Home Phone: 7(0 3���3Z—���Od Alternate Phone:
Contractar Infoz�nation�
HEARTH & HOME TECHNOLOGIES
Contractdbd FIRESmF ucn�T� o �,,.ME ContactPerson:
Lic 662656
Address: 2700 FAIRVIEW AV N State Bond#: �D3( ��
R ILLE, MN 55113
City: 65�•��3•2561Zip: Expiration Date: �'''1�l�
Phone: Alternate Phone:
❑ Insurance—Current:
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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;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 Permit $ 15.00
State Surcharge $ 5.00
Mail-In Fee(If Applicable) $ 2.00
Total Permit Fee $
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[f above does not apply;follow guidelines below:
1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00)
y �,QD� D� X.oi2s$ �/.'Z�
(contract price) (minimum$50.00)
2. STATE SURCHARGE /
�(JJ� �� x.0005 $ ��
(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 mazket 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: ��!����i�ylf�'-�� Date: !/ '— �l
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�� C� ` 1 DATE TIME ✓
� �ITY OF ORONO � CALLED IN I� �' �
INSPECTION NQ�I�� { ��� � scHE�u�eo /'�- " ��
PERMIT NO. �� COMPLETED
ADDRESS � � ' �
OWNER ELEPHON,�.N�� ?/ '���"�f ��If!
CONTRACTOR
� DESCRIPTION .� - f� /-`��C.��IL C'�= S
� �
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS
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
� ❑ 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
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W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY
V BEFORECdVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RE7URN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. (952) 249-4600
OwnerlContractor on sit�
Inspector.
White Copylinspector's File Canary CopylSite Notice
��'��-'� �� DATE TIME V
CITY OF ORONO CALLED IN ` U-
INSPECTION NO E SCHEDULED �- - ��' �
PERMIT NO. � '� l� conn LEfE�
ADDRESS `
OWNER ` LEPH NE � �7 8
CONTRACTO ����
� DESCRIPTION � '
� ❑ FOOTING ❑ PLUMBIN INAL O EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS
��� ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNERIFIHEPLACE ❑ SITE INSPECTION
�ADON 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
Z OWNERICONTRACTOR TO MEET YOU:_YFS�NO
� COMMENTS:
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W O WORKSATISFACTORY:PROCEED ROJECT COMPLEfE
� ❑CORRECT WORK 3 PROCEED ❑ISS E CERTIFICATE OF OCCUPANCY
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0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOMERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pHOTO TAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance. (g52) 249- �
OwnerlContractor on site:
Inspector:
White Copyllnspector's File Canary CopylSite Notice