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Home My WebLink About2011-00250 - gas fireplace . � -� � CITY OF ORONO PERMIT NO.: 2011-oo2so ;� , ;� 2750 KELLEY PARKWAY '' ORONO,MN 55356- DATE ISSUED: 04/28/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 4415 NORTH SHORE DR , PIN : 07-117-23-43-0017 i LEGAL DESC : SAGA HILL REVISED � : LOT 000 BLOCK 018 � PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 9,800.00 NOTE: (2)GAS FIREPLACES-HEAT-N-GLO AND ESCAPE 42 DV+8000 C (1)WOOD BURNING FIREPLACE-HEAT-N-GLO-MONTANA MODEL APPLICANT MECHANICAL 122.50 , FIRESIDE HEARTH&HOME STATE SURCHARGE MECH(VALUATION) 4.90 �2700 FAIRVIEW AVE I�OSEVILLE,MN 55113 MAIL-IN FEE 2.00 `(651)633-2561 TOTAL 129.40 1Vlinnesota State License#:20512060 OWNER TWOMEY,DAREA&CHRIS 150 2ND STREET NE MINNEAPOLIS,MN 55413- 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 sepazate � permits. All provisions of laws and ordinances governing this type of work =-shall be compied with whether or not specified herein.This permit will t. expire and become null and void if consVuction authorized is not i�ommenced within 180 days of the date of issuance,or if construction is ` ;suspended for a period of 1 SO days at any time after work has commenced. ;'�'he applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be �ievoked at any time for due cause. _%��o� � �� i� � d � ll . pp� ant PermP gnature Date Issue By Signature Date " SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 4 > , F CI USE ONLY �,�` City of Orono / ,�1 O¢ `YO;, P.O.Box 66 Date Received:� �� Permit#��! -� v 2750 Kelley Parkway -a „"�- �� Crystal Bay,MN 55323 Approved By: Amount$: ��' ��e "}'� :•� o`�- Phone(952)249-4600 Fa�c(952)249-4616 t+t�xoe` 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 permit will be issued within two working days. 2. Permit cards will be sent by return maii after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST 1vOT 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) R�CEIVED 7. House Heating Test Record must be submitted before final. TYPE OF PERMIT p�j (Check All That A 1 ) �N� [�Residential ❑Commercial(Approval Required) �) �New ❑Additional ❑Repairs ❑ Replace i\ Job Site/Owner Information: Site Address: y��l� hlo�� S�o�� ('. Owner: ,S��k (e� G�u� Mailing Address: City: Zip: Home Phone: l�S�• 8��- /�� Alternate Phone: Contractor Information: Hearth&Home Technologies,Inc. COritCaCtOt': d�a Fireside Hearth & Home Contact Person: -�eense 29biB969 2700 N. Fairview Ave. Address: post��uie, MN 55113 s��sas-��F1 State Bond#: City: Zip: Expiration Date: Phone: Alternate Phone: ❑ Insurance—Current: 1 1 MECHA1vICAL SYSTEMS BEING 1N�TALLED 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 BTUs: Output BT[Js: CFM: C�LING SYSTEMS QuantitY: Make: Model: Tons: H.Power FIItEPLACES �as �Ic�.�.��lo 's �p2. � Gas Factory Fireplace Brand Name: ��' � Wood Buming Fireplace ❑ Wood Stove Model No.: �S�a�e ya �� g�"� �" ❑ Wood Stove with Flue/Masonry w�o� f3H r�#�� F Plti<< vE1v1'II.�►TIo1v �-lea�n G I v m o•,�--�� ❑ No. Kitchen E�aust duct recirculating cfm ❑ No. Bath Etchaaust(must have duct outside) cfm ❑ No. Other Fans: Locations cfm FUEL STORAGE (Must b8 approved by Fare MarsbaQ Bjpropasing to abandon tank in plac�) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑Inside ❑Ou�side LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill ❑ Other/List What&Where: 2 PERMIT FEE CA��CULATION(S) BASED OFF-200 STATE STATUE ❑ Yes,this section applies , The replacement of a Residential fixhu�e or appliance that meets all thr�of the following requirements: 1. Dces not require modific�tion to el�trical or gas service. 2. Has a�of$500.00 or less;exaluding the cost of the fixture or appliance:and 3. Ls improved,install�or replaced by the homeowner or licensed conh�dor. Skip next section,if this appli�; Cost of Petmit $ 15.00 State Surcharge $ 5.00 Mail-In F�(If Applic�ble) $ 2.00 Total Permit Fe,e $ PERNIIT FEE CALCULATION S —JOBS OVER$500.00 If above does not apply;follow guidelines below: 1. CONTRACl'PRICE *is 1.25%of contract price with a(Minimam F�of S511.�) �gl�.[1U x.0125$ �o��.$O (conhact price) (minimam$50.00) 2. STATE 5URCHARGE L' ef I�v�. (J?� , x.0005 $ �'• cI� (contracttnice) 3. POSTAGE&HANDLING(Only on Mail-In Applic�tions) $ 2.00 4. TOTAL PERMIT FEE(Add L'm�s 1-3 Above) $ ��,�• `/D ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount chazged for the permitted work including tnaterials,labor,profit,and other fixed costs. It is the amount to be charged to the customer for the work done. If any material,equipment,Iabor 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 pennit fee purpos�. In the event that there is a dispute on the amoimt of the job cost,the City may r�uest the submission of a signed copy of the actual contract. MECHAlVICAL PERMIT APPLICATION AGREEMENT The undersigned hereby applies to the City for issuance of a Mechanical Permit, agre,es 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 correc� Applicant's Sigaature: _,�iY � Date: `!� ^,? /1 Reset Form 3 � TIME � CITY OF ORONO CALLED IN �� INSPECTION NOTs E SCHEDULED 'Z / o�:OD PERMIT NO.��`� D�� COMPLEfED ADDRESS y��S �Gr�l"f'� d�C� �J OWNER TELE HO NO.��z 3�3 3�� CONTRACTOR �� j. DESCRIPTION � �/ � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O ❑ 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 ❑ WARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � -� +�o RCJ�-F �l I1.��cI4 c� [_1 �G '�£� � �� , 0 � ° — w, 1 C. Gt-t-��. c�� 1 c9'�t� 2 W � Q � z W � W � � O W ❑WORKSATISFACTQRY:PROCEED ❑ PROJECTCOMPLEfE � ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W � 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOUR.S. p pHOTOTAKEN INSPECTOR WILL RETl1RN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL IPISPECTOR ❑INSPECTfONRE4UIRED.CALLTOARRANGEACCESS. Call for the next inspeatian 24 hours irt advance. (952) 249-4600 Owner/Contractor i • Inspector. WhRe CopyMspacto�s Flle Canary CopylSite Notice