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Home My WebLink About2014-00236 - gas fireplace CITY OF ORONO * Z 0 1 4 - 0 0 2 3 6 * 2750 KELLEY PARKWAY DATE ISSUED: 03/25/2014 . �"' ORONO, MN 55356- i 952 249-4600 FAX: 952 249-4616 ADDRESS : 75 LEAF ST PIN : OS-117-23-11-0014 LEGAL DESC : GRAHAM HILL PRESERVE 3 : LOT 1 BLOCK 3 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 1,600.00 NOTE: 1 HEAT N GLOR GAS FP APPLICANT MECHANICAL 50.00 STATE SURCHARGE MECH(VALUATION) 0.80 FIRESIDE HEARTH&HOME MAIL-IN FEE 2.00 2700 FAIRVIEW AVE TOTAL 52.80 ROSEVILLE,MN 55113 (651)633-2561 Payment(s) Minnesota State License#:mech-20512060 CHECK 2004023 52.80 OWNER KAPSNER,JASON&JULIE 75 LEAF ST 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 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 I 80 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in confortnance with the State Building Code.This permit may be revoked at any time for due cause. \�� / / Applicant Permitee Signature Date Issued B} S gnature Date �'+FJ�R Cl'1'Y':IIS��NLY d ' City of Orono �� P.O.Box 66 Date Tteceived: P�rmit� �' ° �r� 2750 Kelley Pazkway � �� Y �,w� Crystal Bay,MN 55323 ��'�'��Y: ��; � Phone(952)249-4600 Fax(952)249-4616 CITY OF ORONO—MECHANICAL PERMIT (All Commercial permits must be approved by the Building Of�icial or Inspector and/or Fire Marshall) GENERt1]L INN�ORMATI{)�1 1. You may apply for mechanical pernuts by mail or in person at the City offices. Applications will be reviewed and a pernut 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 Desi�ns—Complete calculations,details and specificadons are required for each heating,ventilation,humidif'ication-dehumidification,and air conditioning installation including heat loss/heat gain calculation,design temperatures,equipment ratings and identif'ication as to type,manufacturer and model. Data shall be presented on form provided. 4. When any new constructior.or remodeling is invol��ed,a s�parate 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. �'�PE��`P�:.�IT ` Chec�All'I'��.�`1�` � Residential ❑Commercial(Approval Required) ❑New ❑ Additional ❑Repairs ❑Replace Job Site 1 tl�r Tnfc��ati�n: ': Site Address: �� t� � Owner:�•l�_ Mailing Address: �''�'� c��y: �:u�— z�p: 5�� z-� Home Phone:� ��"�3`��$� �/?/ Alternate Phone: Contr�ctor Infor�n�tion: ' HEARTH & HOME TECHNOLOGIES Contract�e FTRFSIQE HEARTH � HnME Contact Person: Lic 662656 Address: 2�00 FAIRVIEW AVENUE N State Bond#: t`�O 31`�$ R , 651.633.�3 �yL'H City: Zip: Expiration Date: 7—/��y Phone: Alternate Phone: ❑ Insurance—Current: 1 ��,;>,,, � Note: All Geothermal Systems will now require a Site Plan &Review by our Building Officia1. IS THIS GEOTHERMAL? ❑Yes [�10 HEATING SYSTEMS Quantity: Make: Model: Fuel: Flue Size: Input BTUs: Output BTUs: CFM: COOLING SYSTEMS Qnantity: Make: Model: Tons: H.Power FIREPLACES �/ Gas Factory Fireplace Brand Name: ��"� ❑ Wood Burning Fireplace ❑ Wood Stove Model No.: S L-1��t'R-T�_T� 34GfOD9r'w ❑ 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 plac�) ❑ 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 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;excludin�the cost of the fixture or appliance: and 3. Is impmved,installed or replaced by the homeow�r or licensed contractor. Skip next sectioq if this applies; Cost of Pernut $ 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) �1CL�Q�L�� x.0125 $ �D.� (contract price) (minimutn$50.00) 2. STATE SURCHARGE C l�G`'l�. �D X.000s $ .� � (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ � 2� D D ■ * 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 furnished by the owner,tenant or any other pariy, the reasonable market value of such items must be added to the estimated cost or contract price for pernut 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 Sta.te of Minnesota, and certifies that all statements made on this application are complete, true and correct. Applicant's Signature: �'�[ �4�' Date: "1 — Z� '"l t/ �;�.M. ..� �y�, ��,� . , 3 SL� TIME v CITY OF ORONO CALLED IN 3 � INSPECTION NOTI E SCHEDULED �� ' � PERMIT NO. —0�� COMPLEfED ADDRESS 7 5 KQ.'� 4�t OWNER r S ` TELEPHONE NOg��' �5 �"�a27 CONTRACTOR �—I rE' o�Q �-�-� �--4- � DESCRIPTION F P 1`�=- � ❑ FOOTING ❑ 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 p DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP ? ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNbATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � � j � 0 �. . � 0 W � Q � � W � W � � J d W RK SFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑ RECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY � RRECT WORK,CALL FOR REINSPECTION TEMPORARY FORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWRHIN HOURS. O PHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTIONREWIRED.CALLTOARRANGEACCESS. Cail for the next inspection 2 hours in adva 2) 249-46�0 ONmerlContractor on site: Inspector: White CopyAnspector's File Cenary CopylSlte Notice