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Home My WebLink About2011-01370 - gas fireplace CITY OF ORONO PERMIT NO.: 2011-01370 , 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISsuED: 1U0U2011 ' 952 249-4600 FAX: 952 249-4616 ADDRESS : 3554 LIVINGSTON AVE PIN : 17-117-23-43-0148 LEGAL DESC : NAVARRE HEIGHTS : LOT 000 BLOCK 003 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 4,000.00 NOTE: 2 HEAT N GLO 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 TOTAL 54.00 Minnesota State License#:20512060 OWNER MEIER,RYAN 3554 LIVINGSTON AVE WAYZATA,MN 55391- 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 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 cause. � `tiy(..� I�Y� l l l l Applicant Permitee Signature Date Issued By Si ature ate SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E. FOR CITY USE ONLY ' ,¢0� City of Orono . O O P.O.Box 66 Date Received: Permit# . 2750 Kelley Parkway � n;i ' Crystal Bay,MN 55323 Approved By: Amount$: � i.o�� Phone(952)249-4600 Fax(952)249-4616 �+r�o$�;-' CITY OF ORONO—MECHANICAL PERMIT (All Commerciai permits must be approved by the Building Official or Inspector and/or Fire Marshall) GENERAL INFORMATION 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 retum 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 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 Unifor►n 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. TYPE OF PERMIT Check All That A 1 ) Residential ❑Commercial(Approval Required) New ❑ Additional ❑ Repairs ❑ Replace Job Site/Owner Information: Site Address: 3 ss`� L i��„�-, Afe Owner: �`t�` M e�e r' Mai ling Address: ,3SS�� L�v i �s s��;n �v� city: ��o� o zip: SS3`"i 0 Home Phone: Alternate Phone: C.(i��- 7�3 - g/S8' Contractor Information: HEARTH & HOME TECHNOLOGIES, INC. Contractor: Contact Person: dba FIRESIDE HEARTH & HOME ic. 60 Address: State Bond#: 2�00 FAIRVIEW AVENUE N R$SC��' ��55113 651.633.2561 City: Zip: Expiration Date: Phone: Alternate Phone: ❑ Insurance—Current: 1 ' MECHANICAL SYS MS BEING INSTALLED Note: All Geothermal Systems will now require a Site Plan 8c Review by our Building Official. IS THIS GEOTHERMAL? ❑Yes ❑No HEATING SYSTEMS Quantity: Make: Model: Fuel: Flue Size: Input BTCJs: Output BT[Js: CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H.Power FIREPLACES a, � Gas Factory Fireplace Brand Name: NiCa�I� � � a Wood Burning Fireplace / ❑ Wood Stove Model No.: (�fHn v� �3S� �S o�y�Gs.s/05, ❑ Wood Stove with Flue/Masonry VENTILATION ❑ 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 MarshaU if proposing to abandon tank in plac�) ❑ Installation ❑ Remova( Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill ❑ Other/List What&Where: 2 . PERMIT FEE��ALCULATI4N(S) BASED OFF-2 STATE STATUE ❑ Yes,this section appiies The replacement of a Residential fixture or appiiance that meets all thr�of the following requirements: 1. Dces not require modification to electrical or gas service. 2. Has a total cost of$500.00 or less;excluding the cost of the fixture or appliance:and 3. Is improved,installed or replaced by the homeowner or licensed contractor. Skip neact section,if this applies; Cost of Pennit $ 15.00 State Surchazge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ PERMIT FEE CALCULA 4N S -JO$9 OVER$500.00 If above does not apply;follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$5(1.00) ��0'�. � x.0125$ .SD, �/� (contract price) (minimum 550.00) 2. STATE SURCHARGE y(�'U'D. K� x.0005 $ ��U� (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ S7 . �� ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollaz 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 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 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. MECHA.NICAL PE�RMIT PLICATTt)N AGRE� The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do a11 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 aze complete, true and correct. Applicant's Signature: ��1' i, -� Date: /D Res�t Form 3 � 1 S� DATE TIME ✓ CITY OF ORONO CALLED IN ��' �S INSPECTION NOTICE SCHEDULED � �� PERMIT NO.�DI��DI��O COMPLETED ADDRESS �5 5 �- U� �1 �� OWNER - TEL HONE NO. [p�� 6� �� C�NTRACT�R t�L��L �Q � DESCRIPTION �� `-"��- � � ^ � /i r � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ 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 i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: sG�� P�a -��3"' ��Jr� � W a � J O � � � ��S ` � � � s �— 0 � W � Q � z W � W � � �Q�WORKSATlSFACTORY:PROCEED /❑`rR9JECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT �CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN �NSPECTOR WlLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. �952� Z49-4600 OwnerlContractor on site: Inspector. White Copyllnspector's File Canary Copy/Site Notice