The URL can be used to link to this page

Home My WebLink About2013-00026 - gas fireplace , , CITY OF ORONO * z 0 1 3 - P1 0 PJ Z 6 * 2750 KELLEY PARKWAY �ATE �SSUED: OU1U2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 3520 NORTH SHORE DR PIN : 08-117-23-43-0009 LEGAL DESC : BALDUR PARK : LOT 003 BLOCK 002 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL COI�ISTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 1,500.00 NOTE: GAS FACTORY FIREPLACE-MODEL-SL-7�0"I'R-[PI 30,000 BTU APPLICANT MECHANICAL 50.00 FIRESIDE HEARTH& HOME STATE SURCHARGE MECH(VALUATION) OJS 2700 FAIRVIEW AVE ROSEVILLE, MN 55113 TOTAL 50.75 (651)633-2561 Minnesota State License#: 20512060 OWNER PETERS ET AL,ANN L 3520 NORTH SHORE DR , MN 55391- AGREEMENT AND SWORIV STATEMENT The work for which this permit is issued shall be performed according to the approvcd 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 separatc permits. All provisions of laws and ordinances governing this type of�work shall be compied with whether or not specified herein.'1'his pern�it 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 are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. ��'�� i l� i �3 � Applicant Permitee Signature � Date Issue By Signature �Dat� � � SEPARATE PERMITS REQUIRED FOR WORK O HER THAN DESCRIBED ABOVE. � � FO CI tiSE ONLY ' ' �1' City of Orono � �` 2 � �O`�' P.O.Box 66 Date Received: �l Permit#Ji�`��d ��4, � 2750 Kelley Parkway � �!, � � ��,a� �� Crystal Bay,MN 55323 Approved By: Amount$:� t��-��o Phone(952)249-4600 Fax(952)249-4616 � PggO$' 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 offices. Applications will be reviewed and a pernut will be issued within two working days. 2. Pemut 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 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 Apply) �]'I�idential ❑ Commercial(Approval Required) ❑ New ❑ Additional ❑ Repairs ❑Replace Job Site/ Owner Information: Site Address: �5 �G� � ��z� Owner: �� ✓y Mailing Address: �-»� City: ��,�� zip: 5�s 3 � S Home Phone: Alternate Phone: Contractor Information: Contractor: �,c,�,,� ��-2- t�e-�.� Contact Person: �a�fZ- Address: 'Z7D0��e�Q�/?/ State Bond#: c�O 3 I�$ City: ��,y��c Zip: ' i�3 ExpirationDate: ?"�'�� Phone: (dSl-�33-loyv AlternatePhone: ��Z- 3G3-Z�7� ❑ Insurance—Current: 1 �. . 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 BTLJs: Output BTUs: CFM: COOLING SYSTEMS Quanrity: Make: Model: Tons: H.Power FIREPLACES �� Gas Factory Fireplace Brand Name: ��'Y� ❑ Wood Burning Fireplace ❑ Wood Stove Model No.: �jL-7SD rR-L1��' 304��w ❑ Wood Stove with Flue/Masonry VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfrn ❑ 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 . x ❑ 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 improved,installed or replaced by the homeowner or licensed contractor. Skip next section,if this applies; Cost of Pemut $ 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$50.00) `�Bm Q'd x.0125$ �'6.OD (contract price) (minimum$50.00) 2. STATE SURCHARGE 15 DD �D X.000s $ .� 7 5" (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applicarions) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ J�d 7� ■ * 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 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. The undersigned hereby applies to the City for issuance of a Mechanical Pernut, 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�ri- Date: 1—!�- �3 3 �� DATE TIME V CITY OF ORONO CALLED IN -�� INSPECTION f�.pTICE �j SCHEDULED F`S--ZI -,l 3 �� PERMIT NO:�Q� ��'��" COMPLETED ADDRESS ��`� /V � �,l�VZ �i OWNER ' ELEPH E NO. CONTRACTOR � DESCRIPTION � � � ❑ FOOTING ❑ PLUMBING INAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WO00 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 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO v�i COMMENTS: � W a � J O �. � O � W � Q � 2 W � W � � J � ❑WORKSATISFACTORY:PROCEED ��COMPLEfE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PEfiMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (g52) 249-46�0 OwnerlConVactor on site: Inspector. �� White Copyllnspector's File Canary CopylSite Notice