The URL can be used to link to this page

Home My WebLink About2015-00304 - gas fireplace • CITY OF ORONO 2750 KELLEY PARKWAY * 2 1 5 - 0 0 3 4 * DAT0 E ISSUED: 03/16/22 015 ORONO,MN 55356- (952) 249-4600 FAX: (952)249-4616 ADDRESS : 450 OLD LONG LAKE RD PIN : 36-118-23-34-0014 LEGAL DESC : SUMMIT STATION : LOT 007 BLOCK 001 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 5,810.00 NOTE: GAS FACTORY FIREPLACE MODEL-TRUE-36C BRAND-HHT APPLICANT MECHANICAL 72.63 FIRESIDE HEARTH&HOME STATE SURCHARGE MECH(VALUATION) 2.91 2700 FAIRVIEW AVE MAIL-IN FEE 2.00 ROSEVILLE,MN 55113 TOTAL 77.54 (651)633-2561 Payment(s) Minnesota State License#:mech-20512060 CREDIT CARD 4608 77.54 OWNER POLICINSKI,CHRISTOPHER&ANNE 450 OLD LONG LAKE RD WAYZATA,MN 55391- 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 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. oej / At. / Applicant Permitee Signature Date Issue y Signature Date . 03-16-'15 11 :39 FROM- 1-606 P0001/0004 F-761 - 1011inco-CWI1 FOR CITY USE ONLY O A rCity of Orono `� 7 tikt..,,..., VP.O,Box 66 ,s-. 1.._Date Received: Permit N i 2750 Kelley Parkway 1. Crystal Bay.MN 55323 Approved By: Amount$: _ 1,1 Phone(952)249-4600 Fax(952)249-4616 KESr CITY OF ORONO MECHANICAL PERMIT i (All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall) y QENEEAL 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 Designs—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) residential 0 Commercial(Approval Required) 0 NewAdditional 0 Repairs ❑Replace E' Job Site/Owner Information; jj 0 Dick L h IA-k-e oao Site Address: """t � Owner:SdwAl6v- 6tp...\,v • Mailing Address: 2140 nil n Kat' le-Q. 16e City: V"a� a Zip: r-j S39 i Home Phone: C-� Alternate Phone: q52.--/-11U-&-llob Contractor Information: ContractoHEAI H &HSM TECHNOLOGIES Contact Person: L� .41��I r L.2u"2,7 1'Z dba FIRESi HOME Lie BC662656 Address: E N State Bond#: ROSEVILLE,-MN 55113 City: dip: Expiration Date: Phone: Alternate Phone: 'f NOLOGlES HEARVil 004—5 MEAaR,IH et HOME ❑ Insurance—Current: dba FIRESIDtr 1 LIC gC66656 2'700 FAIRVIEW AVS5113N RO5E651.633.2 bl 03-16—'15 11 :39 FROM— T-606 P0002/0004 F-761 �s, ,t�V.�� c,:� , `N � NY�I��...Y,S"�E S,�$1��,. ;�'I'AYti�D.` , ,;�•', . : ;;-.. :,,, 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 BTUs: CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: - i H.Power FIREPLACES Gas Factory Fireplace Brand Name: H 1 ❑ Wood Burning Fireplace .r�u � ❑ Wood Stove Model No.: ❑ Wood Stove with Flue/Masonry VENTILATION ❑ No. Kitchen Exhaust duet recirculating cfm ❑ No. Bath Exhaust(must have duct outside) elm 0 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 03-16—'15 11 :39 FROM— 1-606 P0003/0004 F-761 • • ,`:;!n,:..;;:r.:,X+ 1w•'.J..L':a';,.`i,}l. •°�iyy "p,_ �+:. T .,�e `'/ - - :j:;l Ty��'i:."r'; !1 -,�.�.. ,.� ..�._ k!. . `•fir,. ('�1t. ,.4. :l rV .r. �o,fA .:l'1 ..Y. .�•..1' r.1 > :1:�.�,1�. ',(',.,lb; b ,4 ,i.. .`ti�.,,>.,,..,��R y,.y, ,il;<.; ^1•4^�T ..� 7, ',..r';'4"^n„iy�a'1:::?,,`{tf.• .-.r•`r. r,. ,�,�'�r.i.:,:i:..::>.4f_.O.V !l/1-..t...nM�...}!�:,�� ...K,�..�'1.�..Hr�V,Y�i�pKY. .., . .. ... ) - ❑ 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;excluding the cost of the fixture or appliance:and 3, Is improved,installed or replaced by the homeowner or licensed contractor. • Skip next section,Willis applies; Cost of Permit $ 15.00 State Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee S If above does not apply;follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50,00) 5 I0x.0125$ 1 1.--I (contract price) (minimum$50.00) 2. STATE SURCHARGE 5V q 1 x.0005 $ (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ !1 I �_ ■ * CONTRACT PRICE or 30E 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. ` :...:. . �r�: 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 arc complete, true and I� correct. I 5 Applicant's Signature: bate: 3 CITY O NO , CALLED IN DATE TIME V INSPECTION NST CE ?n!�SCHEDULED . �3/5 /t ; ) PERMIT NO. L> G6// COMPLETED ADDRESS 5 D. oh / `, -G 1 OWNER T EP�FN 8� CONTRACTOR Ll_S 4—"i 32 DESCRIPTION NALk�i G%� 1 W ❑ FOOTING ❑ DEMO- 0 SEPTIC FINAL Q0 POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING Q0 FOUNDATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL ❑ RADON SLAB ❑ MECHANICAL RI 0 SITE INSPECTION Q ❑ FRAMING 0 MECHANICAL FINAL ❑ PROGRESS Z ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT Q 0 FINAL 0 WATER HOOK-UP 0 FOLLOW-UP W ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 HARD COVER REMOVAL v ❑ DEMO-SITE 0 SEPTIC INSTALL 0 FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO c• COMMENTS: cc IN rev wf - L'/g‘r44f0s - eilt- ^ V ewtt.G' oor' ,te& rte' '71-1,s. fi••se. o cc Pror *I, G fire 514).60 roof /..rd -- .4 . - u. 0I90r14400s Q (� / cad. cess. B 4., ... 2 - 4/1s IHS`rb/. S%•�P ebeod/s4mo W 4,0 f--5 //4 Q ® VAS ,,i : a W 0 WORK SATISFACTORY:PROCEED ❑PROJECT COMPLETE iX 0 CORRECT WORK&PROCEED CI ISSUE CERTIFICATE OF OCCUPANCY CWORK,CALL FOR REINSPECTION TEMPORARY BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. O PHOTO TAKEN INSPECTOR WILL RETURN CI ❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor on site: Inspect r--' White CopyAnspector's File Canary Copy/Site Notice vPn DATE TI E CITY OF ORONO CALLED IN INSPECTIONNHq T CE SCHEDULED PERMIT NO.,\0IODZ-4.7f COMPLETE ADDRESS 4O l) ( c4 L 0171 ck OWNER TELEPHONE NO. J (38- 3312 CONTRACTOR I r.QS I $ T� DESCRIPTION FF, rep (ace W ❑ FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL Q ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING ❑ FOUNDATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL ❑ RADON SLAB 0 MECHANICAL RI 0 SITE INSPECTION C 0 FRAMING 0 MECHANICAL FINAL 0 PROGRESS • 0 INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT Q 0 FINAL 0 WATER HOOK-UP 0 FOLLOW-UP w 0 AS BUILT-SURVEY 0 SEWER HOOK-UP 0 HARD COVER REMOVAL ❑ DEMO-SITE ❑ TIC�I[9STALL 0 FOUNDATION/REMOVAL OWNER/CONTRACTOR TO MEET YOU: YES NO COMMENTS: --�p LL� _ I � 1 AA-) PDA-AA ( 140 Co re wws pravraeD - cc O _ - ( 'c'c / cc - � �� ,��[ l"br✓Gc�/brlf /ay /nsioec_eia�., Olt _3-013 _ /,6 w cc Q 12 w w d w 0 WORK SATISFACTORY:PROCEED 0 PROJECT COMPLETE CC0 CORRECT WORK&PROCEED 0 ISSUE CERTIFICATE OF OCCUPANCY 0 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY ✓ BEFORE COVERING PERMANENT O CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN INSPECTOR WILL RETURN CISTOP ORDER POSTED.CALL INSPECTOR 0 CITATION ISSUED 41 :CTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: Inspector. White Copyllnspector's File Canary Copy/Site Notice 5Cr DATETIME CITY OF ORONO CALLED IN — �� INSPECTION 0 SCHEDULED 5 7.3v PERMIT NO. ''/I!/ CMP ETED ADDRESS `Z" # (/'C e_ OWNER OTE ONE NO. CONTRACTOR ��" DESCRIPTION a) W ❑ FOOTING 0 DEMO-FINA 0 SEPTIC FINAL Q ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING Q0 FOUNDATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL ❑ RADON SLAB 0 MECHANICAL RI 0 SITE INSPECTION _ 0 F MING 0 MECHANICAL FINAL 0 RATED WALLS NSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT v FINAL 0 WATER HOOK-UP 0 FOLLOW-UP i ❑ BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL ❑ DEMO-SITE 0 SEPTIC INSTALL Z OWNERICONTRACTOR TO MEET YOU: YES_NO C) COMMENTS: cc W J cc O R Q W d W ❑WORK SATISFACTORY:PROCEED ROJECT COMPLETE 0 CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY CO 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY C BEFORE COVERING PERMANENT ❑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 adva = : ) 249-4600 OwnerlContractor on site: Inspector. White Copyllnspector's File Canary Copy/Site Notice