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Home My WebLink About2012-01067 - gas fireplace CITY OF ORONO * z 0 1 z - 0 1 B 6 7 * � 2750 KELLEY PARKWAY DATE ISSUED: 10/23/2012 , ORONO,MN 55356- (952)249-4600 FAX: (952)249-4616 ADDRESS : 1066 LOMA LINDA AVE PIN : 08-117-23-23-0007 LEGAL DESC : LOMA LINDA : LOT 006 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 3,400.00 NOTE: HEAT N GLO 750TRS APPLICANT MECHANICAL 50.00 FIRESIDE HEARTH&HOME STATE SURCHARGE MECH(VALUATION) 1.70 2700 FAIRVIEW AVE ROSEVILLE,MN 55113 MAIL-IN FEE 2.00 (651)633-2561 TOTAL 53.70 Minnesota State License#:20512060 OWNER RADUNZ,CAROL M 1066 LOMA LINDA AVE MOUND,MN 55364- AGREEMENT AND SWORPI 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 dces not grant permission for additional or related work which requires sepazate permits. All provisions of laws and ordinances governing this type of work shall be wmpied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced withia 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. �'r2<..��C �.. � � l l Applicant Permitee Signature Date Issued By Si re ate SEPARATE PERMITS REQUIRED FOR WORK OTHER T AN DESCRIBED AB ' FOR CITY USE ONLY �/,¢p�\ City of Orono �/O �� P.O.Box 66 Date Received: Permit# � �,. �� 2750 Kelley Parkway �\� ,�t *• - o Pho e(952)4�6003 Fax(952)249-4616 Approved By: Amount$: `� �'' �Ax�y CITY OF ORONO—MECHANICAL PERMIT (All Commercial 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 of�'ices. 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 DesiQns—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 fmal). 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 lnformation: Site Address: �U �P� (...o/`^A ��o�w �--^ Owner: �� LJ G(so� Mailing Address: �o li lt �.a r^A. LF-�•-��— ,�,n City: (��o�p Zip: .553Lo'� Home Phone: Alternate Phone: �p/a- .s�/ 7- �5 L3 Contractor Information: Contractor: Contact Person: HEARTH &HOME TECHNOH&GHOMENC. Address: State Bond#: ��e�1RvCEW AVENUE N � ROSEVILLE, MN 55113 City: Zip: Expiration Date: 651.633.2561 Phone: Alternate Phone: ❑ Insurance—Current: 1 h+1EC�-3A1'�ICAL SY�TEII�S HEING iNSTALL�� < ° .. � Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official. IS TAIS GEOTHERMAI:? ❑Yes ❑No HEATING SYSTEMS Quantity. Make: Model: FueL• Flue Size: Input BTUs: Output BT'Us: CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H.Power FIREPLACES �, Gas Factory Fireplace Brand Name: 1-�C�� n�( D � Wood Burning Fireplace '�S 0 T�Q 5 Wood Stove Model No.: ❑ Wood Stove with Flue/Masonry VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfm ❑ No. Bath Eachaust(must have duct outside) cfm ❑ No. Other Fans: Locations cfin . , FUEI,�STORAC'E (Must be approved by F�re Marshall ilP�P�ing to abundon tank fn plac�) .. . , , ' � : ; Iry��li�6on ❑ Removal � � ' Firel Oil: gallons ❑ Underground ❑Inside ❑Outside .. , LP Gas: gallons . , _ Other. GAS LINE ONLY ❑ Outdoor Grill ❑ Other/List What&Where: 2 PE�tMIT FEE CALCULATI03tifi{�} ; BASED QFF-�fl02�TATE STA"�'C1E ❑ Yes,this section applies The replacement of a Residential fi�rture or apnliance that mcets all three of the following requirements: 1. no require modification to electrical or gas service. 2. Has a to�t l�s�of$500.00 or less;ex lu 'n the cost of the fixture or appliance:and 3. Is improved,installed or replaced by the homeowner or licensed contractor. Skip ne�section,if this applies; Cost of Permit $ 15.00 State Surchazge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ PE;Ri4IIT FEE CALCULATION S -JOB�4VER$SOO.Q4 If above dces not apply;follow guidelines below: 1. CONTRAGT PRICE *is 1.25%of contiact price with a(Minimum Fee of$50.00) 3yav.vt� x.oi2s$ So.� (conUact price) (minimam 550.00) 2. STATE SURCFIARGE �3yoo�.000s $ �. �d (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERNIIT FEE(Add Lines 1-3 Above) S J��•7 v ■ s 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 aze 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. R�EC��ICAt,PE,RN�T,�'PL�ATIUI"�A+G�EEMENT The undersigned hereby applies to the City for issuance of a Mecharucal 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 aze complete, true and correct. Applicant's Signature: ��—� Date: O /d" 2, Reset Form 3 `-�� D E TIME v CITY�O� CALLED IN O l � INSPECTION N TI ��_D`��CHEDULED �� PERMIT NO. COMPLETED ADDRESS ��L2��a - �1�4.�� '� OWNER TELEPHONE NO. 3 g�� CONTRACTOR r � DESCRIPTION � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADI /FILLINC'i Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVEfLANDS 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 ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL � ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATIOWREMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO ti COMMENTS: � W a o � �r� � O �� '� S � 0 � / c �+E� o.�S'S�� -�e��'f' � Q � z W � W � � O � ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W �RRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN �STOP ORDER POSTED.CALL INSPECTOR O CITATION ISSUED ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Cail for the next inspection 24 hours in advance. (g52) 249-4600 Owner/Contractor on sit : Inspector. .�7 9 White Copyllnspector's File Canary CopylSite Notice /r D TE TIME ✓ CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED - � /�D PERMIT NO. COMPLEfED ADDRESS �� CC L��Q �'�� OWNER t.�� . TELEPHONE NO. ��Z S� 7 l9� CONTRACTOR ��//f � � DESCRIPTION � S' �� ❑ FOOTING ❑ PLUM ING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PFOGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOILOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATIOWREMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a O o �.J �l � �(1 �GJ � O � � � � � W � Q � Z W � W � � O � ❑WORKSATISFACTORY:PROCEED OJECTCOMPLEfE W �CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFOREC�/ERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WlLL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (g52) 249-46�� OwnedContractor on site: Inspector. / � � White CopyllnspectoPs Flle Canary CopylSite Notice