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Home My WebLink About2017-01493 - gas fireplace CITY OF ORONO * 2017 - 01493 * 2750 KELLEY PARKWAY DATE ISSUED: 11/14/2017 ORONO,MN 55356- (952)2494600 FAX: (952)2494616 ADDRESS : 4695 NORTH SHORE DR PIN : 07-117-23-32-0059 LEGAL DESC : TRISTANA COVE : LOT 002 BLOCK 001 PERMIT TYPE : MECHANICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 5,000.00 NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. HEAT N GLO FIREPLACE APPLICANT MECHANICAL 62.50 FIRESIDE HEARTH&HOME STATE SURCHARGE MECH(VALUATION) 2.50 2700 FAIRVIEW AVE MAIL-IN FEE 2.00 ROSEVILLE,MN 55113 TOTAL 67.00 (651)633-2561 Payment(s) Minnesota State License#:mech-20512060 CHECK 2008760 67.00 OWNER PORTER,CAMERON&MOLLY 4695 NORTH SHORE DR MOUND,MN 55364- AGREEMENT 5364AGREEMENT 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 governing 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 are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. 4 Applicant Permitee Signature Date Issued By 61nature Date Fqk CIVY USE ONLY City of Orono � l �/7 < 0 P.O.Box 66 Nate Received. Permit# 2750 Kelley Parkway Crystal Bay,MN 55323 Approved By: Amount$: Phone(952)249-4600 Fax(952)249-4616 y � CITY OF ORONO-MECHANICAL PERMIT lgkES H p��c (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. h° �`'' �� .�u 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 K10V 13 2017 PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Designs—Complete calculations,details and specifications are required for eac �„ OF ORO N O heating,ventilation,humidification-dehumidification,and air conditioning installation inclu i 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)2494600. (24-48 hour notice required) 7. House Heating Test Record must be submitted before final. TYPE OF PERMIT Check All That Apply) Residential ❑Commercial(Approval Required) [Backflow Device:❑AVB ❑PVB] XNew ❑Additional ❑Repairs ❑Replace Job Site/Owner Information: Site Address: 4 lP 15- 1V e P T .S A O re- Lr . Owner: C a c^C o n or �jy (� Mailing Address: I&9 S NO t SA City: M0 u f%&k Zip: 5,5'.3&7 Home Phone: Alternate Phone: lel 2• I-K5- l qk 7 Contractor Information: HEARTH & HOME TECHNOLOWES tf - IDE HEARTH &HOME Contact Person: -Cic BC662656 700 FAIRVIEW AVENUE N AddIMSEVILLE, MN 55113 State Bond#: Ma 651.633.2561 City: Zip: Expiration Date: Phone: Alternate Phone: ❑ Insurance-Current: 1 c Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official. IS THIS GEORMAL? ❑Yes ❑No HEATING SYS MS Quantity: Make: i Model: Fuel: Flue Size: I Input BTUs: Output BTUs: CFM: I COOLING SY�TEMS Quantity: Make: i Model: Tons: H.Power FEREPLACE r Gas Factory Fireplace Brand Name: V a��^ (� o Wood Burning Fireplace L SL - 7 ❑ Wood Stove Model No.: S _ 7 ❑ 1 Wood Stove with Flue/Masonry VENTILATI�N ❑ No. Kitchen Exhaust duct recirculating cfin ❑ I 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) ❑ j Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside LP Gas: gallons Other: GAS LINE ONLY ❑ I Outdoor Grill ❑ Other/List What&Where: I 2 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of($50.00) 5� ' � x.0125$ 6v a?. 540 (contact price) (minimum$50.00) 2. STATE SURCHARGE 2. 50 x.0005 $ (contact price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ 67- 64V ■ * 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 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: �Og Date: / - 3 yDATETIME Ci1TY F ORONO CALLED IN — INSPECTION /�Cj,;,yCHEDULED PERMIT NO. / {�/COM ED u r � ADDRESS OWNER f ELE NE N CONTRACTOR DESCRIPTION W ❑ FOOTING ❑ DEMO-FINAL SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING C ❑ FOUNDATION DRAIN TILE ❑ PLUMBING FINAL ❑TREE REMOVAL Z ❑ LATHE ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT QIINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL i ❑ DEMO-SITE TIC INSTALL OWN RACTOR TO MEET You:--j YES_NO COMMENTS: c7,o eesIF s /IO 0 W QC Q 12 W Z LU ❑WORK SATISFACTORY:PROCEED OC JECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next Inspection 24 hours In advance. (952) 249-4600 Owner/Contractor on site: Inspector: White Co"AnspecWs File Canary Copy/Sift Notice DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE GG SCHEDULED / - - q�� PERMIT NO. w/7 6/ �73coMPLETED ADDRESS IV 3/Yot ,25(I Vim' OWNER TEL HONE NO4 V 53 5 CONTRACTOR t DESCRIPTION /j1A-Cett_C-<-/ "a/4-. t41.1- W ❑ FOOTING 0 DEMO- INAL 0 SEPTIC FINAL Q ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING Q ❑ FOUNDATION DRAIN TILE 0 PLUMBING FINAL 0 TREE REMOVAL ❑ LATHE 0 MECHANICAL RI 0 SITE INSPECTION Q 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS • ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT • 0 FINAL 0 WATER HOOK-UP 0 FOLLOW-UP W ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL ❑ DEMO-SITE 0 SEPTIC INSTALL 2 OWNER/CONTRACTOR TO MEET YOU:_YES_NO 2 COMMENTS: Fi/'`p/ (,t /4.5-i'e//e d per— Q. C.e er — 1, gCf L,tQS <Ree..s cc05.1_5 /41-e. A.0)(-1,.):2) cc u_ cc 2 W W CC J d Lit-61,,VVORK SATISFACTORY:PROCEED O PROJECT COMPLETE CC W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY O 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY C.1 BEFORE COVERING PERMANENT O CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED 0 INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: Inspector. S ''\ White Copy/Inspector's File Canary Copy/Site Notice