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2016-01391 - gas fireplace
CITY OF ORONO li 1 I1I 1 � 1!' 111111 2750 KELLEY PARKWAY * 2 0 1 6 - 0 1 3 9 1 DATE ISSUED: 11/01/2016 ORONO,MN 55356- (952)249-4600 FAX: (952)249-4616 ADDRESS : 1530 ORCHARD BEACH PL PIN : 07-117-23-43-0003 LEGAL DESC : ORCHARD BEACH : LOT 001 BLOCK 000 PERMIT TYPE : MECHANICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS ACTIVITY : 0/S GENERAL VALUATION : $ 5,300.00 NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. GAS FIREPLACE HEAT&GLO MEZZO60 APPLICANT MECHANICAL 66.25 STATE SURCHARGE MECH(VALUATION) 2.65 GLOWING HEARTH AND HOME 100 ELDORADO DRIVE MAIL-1N FEE 2.00 JORDAN,MN 55352 TOTAL 70.90 (952)495-2927 Payment(s) CREDIT CARD 7847 70.90 OWNER MCDERMOTT,SEAN&GINA 1530 ORCHARD BEACH PLACE 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. App icant Pe 'tee Signature Date Issued By Si ture Date 1110112016 12:32 GLOWING HEARTH&HOME (FAX)952 492 6006 P.002/005 ` _ ;t:4 :4; ...wx; '*• h4r•';t;•..'t•:y ter;.'..^4 4w � City of Orono a� ,<. 1 ;, , i �, Y O P.O.Box 6b �� 4. sQ.t< _;x 2750 Kelley Parkway ^ ti * ! � ; Crystal Bay,MN 55323 , , "a - Phone(952)249.4600 Fax(952)249.4616 "- ' .b '>`,<,..: '' 4 a i: ait:4: 4. CITY OF ORONO—MECHANICAL PERMIT (All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall) __ .a a1. Fl-t'� �,,nY�ory,''+.'"i. .,e a•...�+�.' 'l'.:"• :'�}i:-:.,V:-••.n -Kwx e..,.. h�.� � nV ��17�, ,MV,eib .r..:'.. ..Wn: ..._...,.M.-. .'�-..W:............n............•'''...,..-^,pm.... R�"r ..._ .. —�+lFi.�rFV�`: 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 XS 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 4'•4-'. .. ,...._... final. k4 , , ' 741_ ^: Yiv42'G. 1 esidential ©Commercial(Approval Required) [Backflow Device:❑AVB ❑PVBI Lvew ❑Additional 0 Repairs 0 Replace � • '• •::.'INS:,y.^" r Site Address: 153D 0-C tivOvt y D-Lict O�;er: �- -� -�4\r-Ns Mailing Address: � City: \+ Zip: SS-34 Home Phone:q5' 555—3-d-k.I Alternate Phone: Contractor: vrc .kContact Person: 2-eXN'P, Address: ttn \-10elkaD De. State Bond#: irtN. it3C15 q 5s?s-a- City: .\ kr"~ Zip: Expiration Date: a' 1,14""t•c( Phone: cCS a" t gra'1 so Alternate Phone: ❑ Insurance—Current: • I 1110112016 12:32 GLOWING HEARTH&HOME (FAX)952 492 6106 P.0031005 •+.e- 1; �� LeY ��r'"t1. i'1,, ". ;` • 4 .,..r, .I *a{- ,ter ti , .4 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: H.Power FIREPLACES kAe7,--\---Gas Factory Fireplace Brand Name: k4 (AND ❑ Wood Burning Fireplace ����� 12 Wood Stove Model No.: ViD ❑ Wood Stove with Flue/Masonry VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfm ❑ No. Bath Exhaust(must have duct outside) cfm ❑ No. Other Fans: Locations cfm FUEL STORAGE (Must be approved by Fire Marshall ifproposing to abandon tank in place.) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑Inside 0 Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill 0 Other/List What&Where: 2 1110112016 12:33 GLOWING HEARTH&HOME f AX)952 492 6006 P.0041005 • r _ , ' �� a: - -��... ._ _ • --- �., .._ ,-.�.�.�__. ..,air __ __� _.._� ..,.::�;..;:E 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) co � 5 .,CD x_0125$ * d� (contract price) (minimum 550.00) 2. STATE SURCHARGE x.0005 $ (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 • 4. TOTAL PERMIT PEE(Add Lines 1-3 Above) $ L • * 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: Date: l\-1 3 1110112016 12:32 GLOWING HEARTH&HOME TAX952 492 606 P.0011005 100 Eldorado Drive GLOWING MN 55352 • GLOWING HEARTH 952-492-9276 office 14-oMle 952-492-6006 fax Fax To: Permit/Inspections From: RENEE Glowing Hearth&Home Fay 952-249-4616 Date: November 1,2016 Phone: Pages: 5 including cover Re: PERMIT CC: Hi- Please process the following permit with the attached credit card form. Thanks, Renee Shimek Glowing Hearth &Home 952-492-9276 office 952-492-6006 fax 1110112016 12:33 GLOWING HEARTH&HOME 1009524926006 P.0051005 WE ACCEPT MASTERCARD, VISA, AND,DISCOVER FOR,PERMIT FEES TOTALING LESS THAN $1000 This Information will:be destroyed after the permit has been oroce.ssed, • • Under Minnesota:law the information provided on tbis application is gonsidereck poblic and isayallable to anyone,except for the The'information regarding your creditscard is privateand will be proVided only to you and to those people necessary to process your pernent,This Includes city employees who process your payment and employees of saPPliaablelnienelatinstItLitions..Yotrare not required to titOvide.Yo*Otedit card inforrpatorrifyog want to pay by andOwr:rrtetiva.HOwever,if you choose to pay twaredlt card you must provide your credit card information to pay the appropriate fee,„"OriterWise,,YOtir appEOP9Ori Will not be procesied, To:Pay,By Warne*I it appears oncard: YNNONINk..4 S‘VI:i Credit,Card Type of Ctedit:Catd: EfVita o MasterCard so DitcoVir. • MasterCard Expiration Date: n- / / W Visa or ,Ap000nttiumber: 'Ft fr 5v - kilo IS 17 Discover Signattire: Date: piffling Address: \ktrr-61/4ab qty: State:IfY\IJ Zip Code Notice: Faxed applications will not be.processed without'pay:mot by Credit card • :Rev:10A/2010 14n �jATE TIM OF ORONO CALLED IN I G INSPECTION I�Q LICi,E� b) I SCHEDULED 1/— l ��•3� PERMIT NO. ��((�� ��i S��d PLET D ADDRESS OWNER EPHON NO9^a" a 2" - CONTRACTOR 0 (mVI F ' 1, " EDESCRIPTION ft— c W ❑ FOOTING 0 DEMO-FINAL 0 SE C FINAL IL• ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING 12 0 FOUNDATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL CI Z ❑ RADON SLAB 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 IC W ❑AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL ✓ ❑ DEMO-SITE 0 SEPTIC INSTALL Z OWNNTRACTOR TO MEET YOU:_YES_NO R COMMENS, CtT 4 C/e-,62r a n t e/ (ii) CS gc —f,iPe- Ae -ir,. �r J q "1 CC - --, A-r fa/4 y 74 x-99 5fl o L A it it ec — IQWORK SATISFACTORY PROCEED 0 PROJECT COMPLETE CORRECT WORK 3 PROCEED 0 ISSUE CERTIFICATE OF OCCUPANCY Q 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY C�7 BEFORE COVERING PERMANENT O CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN INSPECTOR WILL RETURN O STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cal for the next inspection 24 hours In advance. (952) 249-4600 OwneriContractor on site: Inspector: ,''7' —A Z1 Whits CopyAnpector s FIN Csnsry Copy/Sits Notice b — 1 DATE / TIME CITY OF ORONO CALLED IN / 1 i S _7 /9�� INSPECTION NOTi�',f^0/,3/ SCHEDULED //--/7—,� lo- �`-' PERMIT NO. ( J 7/COMPL ED ADDRESS /31 ) &� ( Q OWNER 0 - / 4,2'CONTRACTOR7ITEH5 & / /3):Lr DESCRIPTION �\ [-�f C& e3c. W 0 FOOTING 0 DEM -FINALEPTIC FINAL Q ❑ POURED WALL 0 PLUMBING RI 'M EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL Z ❑ RADON SLAB 0 MECHANICAL RI 0 SITE INSPECTION Q 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS 1, ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT Q ❑ FINAL 0 WATER HOOK-UP 0 FOLLOW-UP W ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL ✓ ❑ DEMO-SITE 0 SEPTIC INSTALL Z• OWNER/CONTRACTOR TO MEET YOU:_YES_NO VJ COMMENTS: 14 j CC ' Ci Gr J G-�I,i0 ^r -k_i /' e_/- c� .._ W 32 rii Q 1 W -- „9‘-i. - 7(.S I::C CC FAJI WORK SATISFACTORY.PROCEED 0 PROJECT COMPLETE CC W ❑CORRECT WORK&PROCEED 0 ISSUE CERTIFICATE OF OCCUPANCY O 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY t BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS• 0 PHOTO TAKEN INSPECTOR WILL RETURN ❑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 site: Inspector. a(-.7 (. . White CopyInspector's File Canary Copy/Sits Notice