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Home My WebLink About2011-01459 - gas fireplace ' CITY OF ORONO PERMIT NO.: 2011-01459 2750 KELLEY PARKWAY � ORONO,MN 55356- DATE ISSUED: 1U2U2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 2605 LYDIARD CIR PIN : 20-117-23-14-0001 LEGAL DESC : APPLE HILL : LOT 003 BLOCK 001 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 3,400.00 NOTE: 1 HEAT N GLO ESCAPE I35 GAS FP 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 MISC FEE 0.00 Minnesota State License#:20512060 TOTAL 53.70 OWNER LERVIK,GARY MALTZEN&BONNIE 2605 LYDIARD CIR EXCELSIOR,MN 55331- 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 pertnits. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not speci£ed herein.This permit will expire and become null and void if consWction 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. / / / / Applicant Permitee Signature Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. f � FOR CITY USE ONLY " ` City of Orono i'�'��""� - yO O ' P'O.Box 66 Date Received: Permit# 2750 Kelley Parkway a ,� 'y +►,' Crystal Bay,MN 55323 Approved By: Amount$: �e ' �-' .yo`' Phone(952)249-4600 Fax(952)249-4616 �r�oe.= CITY OF ORONO—MECHANICAL PERMIT (All Commercia]pertnits 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 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. TYPE OF PERMIT (Check All That A 1 ❑Residential ❑Commercial(Approval Required) ❑ New ❑ Additional ❑Repairs ❑Replace Job Site/Owner Information: Site Address: �(o o S �-ti e�-`�a r� �;r' Owner: Mailing Address: �(oo S L ya(;u�� City: �X�� s � �� Zip: � Home Phone: Alternate Phone: ��•!o YS��G 41 Contractor Information: Contractor: Contact Person: H�R��p,,�F€e�yp�pGIES, INC. dba FIRESIDE HEARTH & HOME Address: State Bond#: Lic. BC0512060 2700 FAIRVIE UE N City: Zip: Expiration Date: ROSEVILLE, MN 55113 Phone: Alternate Phone: ❑ Insurance—Current: 1 11rtE(;�.�iCAL S�` ' S B�Il�T�L��"�'�L� Note:All Geothermal Systems will now require a Site Plan&Review by our Building Official. IS THIS GEOTHERMAL? ❑Yes ❑No HEATII�TG SYSTEMS Quantity: Make: Model: Fuel: Flue Size: Input BTUs: Output BTLJs: CFM: COOLING SYSTEMS Quantity. Make: Model: Tons: H.Power FII2EPLACES � Gas Factory Fireplace Brand Name: NeG�'n ��O Wood Burning Fireplace ❑ Wood Stove Model No.: �SckO� T 3 5 ❑ Wood Stove with Flue/Masonry VENTILATION ❑ No. Kitchen E�aust duct recirculating cfin ❑ No. Bath Exhaust(must have duct outside) cfrn ❑ No. Other Fans: Locations cfin 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 �'ER�IIT` �A�T.CtT,�.�A.TI�IN��} BASE�4FF��3T.1�'�'�,��'A'l'{�� ❑ Yes,this section applies T'he replacement of a Residential fixture or apnliance 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 improved,installed or replaced by the homeowner or licensed contractor. Skip next section,if this applies; Cost of Permit $ 15.00 State Surchazge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ ��`��1��'�•�,.�l�. �� '� ��'��'.��.� If above does not apply;follow guidelines below: 1. CONTRACT PRICE "is 1.25%of contract price with a(Minimum Fee of$50.00) 3y/o-o . v-� X.oi2s$ so.� (contract price) (minimum 550.00) 2. STATE SURCHARGE 3yvo•c� X.000s $ /,�o (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ,�3.7v ■ * CONTRACT PRICE or JOB COST means the actual or esrimated 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 esrimated cost or contract price for permit fee purposes. In the event that tliere is a dispute on the amount of the job cost, the City may request the submission of a signed copy of the actual contract. �t��"�'��`�� : ��i�:��I4�'�� ; 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: Jr�-a �----� Date: //�/!o�// :�L�t fOMrm 3 � �� DATE TIME V CITY OF ORONO CALLED IN INSPECTION AIQ��E� / /� SCHEDULED a^/ '�� PERMIT N0. ��U [ �S 7 COMPLETED ADDRESS a/O�'S L-�f�C-t� �� OWNER TELEPHONE NO. �P�� 6J? �Or�7S CONTRACTOR �u'�Q�� >; DESCRIPTION �`�-� �� ❑ 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 � ❑ 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: � w a � � O � � O � W � Q � Z W � W � j d W� ❑WORKSATISFACTORY:PROCEED �OJECTCOMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN �STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED 0 INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952� 249-4600 OwnerlContractor on si : Inspector. � White Copyllnspector's File Canary CopylSite Notice