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Home My WebLink About2016-00800 - gas fireplace � CITY OF ORONO *� 6 - 0 0 8 0 0 * 2750 KELLEY PARKWAY DATE ISSUED: 07/1U2016 ORONO,MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1360 RAILROAD AVE PIN : 10-117-23-31-0007 LEGAL DESC : LJNPLATTED 10 117 23 : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 6,330.50 NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. NEW:GAS FIREPLACE APPLICANT MECHANICAL 79.13 STATE SURCHARGE MECH(VALUATION) 3.17 FIRESIDE HEARTH&HOME MAIL-IN FEE 2.00 2700 FAIRVIEW AVE ROSEVILLE,MN 55113 TOTAL 84.30 (651)633-2561 Payment(s) Minnesota State License#:mech-20512060 CREDIT CARD 4608 84.30 OWNER TWELVES, STEVE&SALLY 1360 RAILROAD AVE 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 Iaws 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 afrer work has commenced. The applicant is responsible for assuring all requiced inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. �,,'�F�-' .� \, l( � c ` I � C ;(� � f"� �� -I � C� __ � � �� Applicant Permitee Signature Date Issued By Signature Date �� / �/� � ��a� � .��it�'�"`[�`_SE�1�� . , City of Orono _._�`'�� -"��'" '.�`! �_ .W�-.� 01��' C'�SC'�, �-�� P.O.Box 66 T��I€.��ved =___�_1�t�mtt�# �_ G 2750 KeIley Parkway ` `� � - �� '�(� Crystal Bay,MN 55323 ��proved By �Amourit� > -��-- �/ Phone(952)249-R600 Fax(952)249-4616 :s . � :., :.,_, , . :�_� �..-. =-_ '�� y�� .�� CITY OF ORONO—MECHANICAL PERMIT �k�s H�� (All Commercial permits must be approved by the 9ui3ding Officia3 or Inspector and/or Fire Marshall) �1✓1\l.�l�^f Y.. �y `.. 3 .' ^^��. � -� .� - .,.�..� � 7.�?�.T`LC.1R� 'F la.__�_3::�C . ... ..r_...� :... . _z ...._.�-... ,. _......�..... _,_ ....,-'.: "��"' ... �. � ........, ._..s.� —_�.:. .. . ,.._.�_�.� ..�: . . '_...... 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 compleked. PERMITS ARE NOT VALID UNTII,YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Desisns—Complete calculations,details and specifications are required for each ' heating,ventilation,humidif cation-dehumidification,and air conditioning installation including heat loss/heat gain calculation,design tamperatures,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 abtained. 5. All work must be done in accordance with the Uniform MechanicaI 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. x�:� , � ; :�- ___ =�- ��'I>'E C3��',I'��I 1 == ;_ `� ' --- � _. : �- — � - :. ` -.�°- —.-.� ._^�C !�� 11dT f� l�r -� _ =�� . ; _� _�.._ � ; ..._,_.�"s�-�=�� _ �n.� : _..- �� _ - _ _ _ � ._._._ �- �esidential ❑ Commercial(Approval Required} ❑New �dditional ❑Repairs ❑Replace :Job Sx��/ O��ier Inf�zma�ionr ..�t.��= Site Address:� ��Q �� j � _.. �� (� Owner• -G�I'(/ � � l ��L MailingAddress: .Sj� c�ry: z�p: ��3c/ Home Phone: (o � ��' g3� Alternate Phone; ��OIIt3's��.. l�'�`4��ri�f10ri == ; ._3=��;a.�.._ . 1 �.`�" .S� Contractor: FIRESIDE HEARTH & HOME Contact Person: Leah Address: 2700 Fairview Ave N State Bond#:BC662656, MB662572, PC662571 Ciiy: Roseville, M N Zip;55113 Expiration Date: Phone: ��1-633-2561 Alternate Phone:Leah #651-638-3312 ❑ Tnsurance—Current: 1 Note: All Geothermal Systcros will now require a Site Plan&ReYiew by our Building Official. IS THIS GEOTHERMAL? ❑Yes ❑No H�ATIN�SYSTEMS Quantity: Make: Model: Fuel: Flue Size: Input BTUs: Output BTUs: CFM: COOLYNG SYSTEM,S Quantity: Make: Model: Tons: H.Power F'IREPLACES Gas Factory Fireplace Brand Name: ��1 J � Wood Burning Fireplace • � ,�. ❑ Wood Stove Model No.: � 3�`�� I P! ❑ Wood Stova with Flue/Masomy VENTILATION ❑ No. Kitchea Exhaust duct recircuiating cfin ❑ No. Bath Exhaust(must have duct outside) cfm ❑ No. Other Fans: Locations cfm FUEL STORAGE {Must be apprnved by FYre MarsbaU�f proposing to abandon tank in place.) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside LP Gas: gallons Other; GAS LINE ONLY Q Outdoor Grill ❑ Other/List What&Where: . 2 �-- "� �-" '�- �,�Z` �� -� �� r r" �:_ .. : �='' a: �- "�,a., `*` �� `�-��. ��`�E T - -�A_. _-.� �. _�. :. -- T - - , ,,� �,�_�:,� �, - ..�_ _ _� ._ .�._ _ . . _� �_Y ._�� _ ❑ Yes,this section applies The replacement af 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 totai cost of$500.00 or less;excludin�z 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 Permit $ 15.Q0 State Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ _ . � - If above does not apply; follow guidelines beiow: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$5�) �336�° �' � �.oias � (contract price) (minimum$50.00) 2, STATE SURCHARGE �" �7/r� (, J�t X.000s � 3� (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4 TOTAL PERMIT FEE Add Lin;es 1-3 Above � �� . � ) ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amoutit charged for the permitted work including materials, labor, profit, and ather fixed costs. It is the amount to be charged ta 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 svent 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 Ciiy and the regulations of the State of Minnesota, and certifies that all statements made on this application are complete, true and correct. , ApplicanYs Signature: _ Date: 3 �� ✓ E / TIME CITY OF ORONO CALLED IN "� INSPECTION N E SCHEDULED "r — � PERMIT NO. l MPL ED ` ADDRESS ' �� OWNER �TE PHON NO. i2�7�—g � CONTRACTO�i � DESCRIPTIOW � �'�� ty ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WAL ' ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION�HATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL 2 ❑ RADON SLAB I ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL � ❑ DEMO-SITE ❑ SEPTIC INSTALL ? OWNERlCONTRACTOR TO MEET Y�U:_YES_NO y COMMENTS: � 1/ei'1�r K t " �,C� �- o —�y �rG d�5� Y►�•K - /� G�e�4r.�.L� U�o�i� � �/C/lL` ��G � ✓�� t�/It!�/4fsrQ�t, ° � S��t/ — g�•r: „ �l��ilzc.�G .G�•te�i`.�'��cs � 1�r �jd�6i+l O� `�/"� G�'SG Q . 2 �� • S�� $�cp�y' � /=•�� c��a�S� 76 sS6�t�, � �� r�t u.,� �.;- ��.,� - � � � �r ��✓s�✓� c•c�,�!�a �%.- ��5�— W ❑_�WtORKSATISFACTOFlY:PROCEED G6��e�`� �PR�OJE_COMP��¢� � /Q�R�CT WORK�PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY � �CORR�CT WORK,CALL FOR REINSPECTION TEMPORARY V BEFOf tE CONERING PERMANENT ❑COR ECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN I SPECTOR WILL RETURN ❑STOF>OR�ER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSFECTION REQUIRED.CALL TO ARRANGE ACCESS_ Ca8 for the next inspection 24 hours in advance. (952) 249-4600 Owr�srfContractor on site: Inspe ` `-� YVhite CopyAnspeeto�'s File Canary CopylSite Notke DATE TIME CITY OF�ORONO cnLLED IN --T�,�, � INSPECTION N ��HEDULED b�l� �v� PERMR NO. c LETED ADDRBSS v OWNEH ' EL HONE CONTi�ACTOR .� �� DESCFiIPTION � ❑ FOOIING ❑ DEM -FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT � AL ❑ WATER HOOK-UP ❑ FOLLOW-UP _� AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL v ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 dWNFJ4CONTRACTOR TO MEET Y�OU:_YES_NO � COMIMAENTS: � ; INOr� G�e� �✓ vec�s "— � 0 � 0 W � Q � W � � _ �Ae�r�.� f•�'e.� � � ❑WpRK SATISFACTORY`.PROCEED ECT COMPLETE W ❑CqRRECT WORK 3 PROCEED ❑I E CERTIFIC/1TE OF OCCUPANCY OO ❑CQRRECT WORK,CALL FOR REINSPECTION TEMPORARY V B�FORE CONERIN(i PERMANENT ❑C�RRECTUNSAFE(X)NDITIONWRHIN HWRS. p pHpTOTAKEN INSPECTOR WILL RETURN ❑StOP ORDER POSTED.CALL INSPECTOR �aTATION ISSUED ❑II�SPEC710N REOUIRED.CALL TO ARRANGE ACCESS. Catl for the next inspection 24 hours in advance. (952) 249-4600 O�ne�IC«�tractor on site: � Ins}pector: �'^' wh+h nn�ec�s F�a C�nary CopylSfb Notle� DATE TIME CITY OF ORONO cnLLED IN INSPECTI�ON N CE HEDULED �fQ'"/L� ��1-'� PERMIT NO. �/��x� ��rE ADDRES$ �� b OWNER TELEPHONE NO. CONTRAICTOR a-�— �� DESCRIPTION �� ✓ �� — �y ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL � ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT v'�.EIDML ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑AS BUI�T-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO•SITE ❑ SEPTIC INSTALL 2 OMMEAIC0I�ITRACTOR TO MEET Y�U:_YES_NO � COMMENT'� � �� lvbr!L L��'r/l/��t de✓ ,D�Sif � j 0 � 0 W aC Q � W g � /p�� /�z�/� , ' _ ' � O WORK SATISFACTORV:PFiOCEED !�PRW ECT COMPLETE ❑OOFiRECT VMORK 8 PROCEED ��❑ISSl1E CERTIFICATE OF OOCUWINCY O ❑Cpqq�T WORK,CALL FOR RHNSPECTION TEMPORARY V BEFORE CdVERINO pERhtANENT O CORRECT UNSAFE CONDITION WITHIN H��• ❑pHpTO TAKEN INSPECTOR WILL RETURN ❑STOP OROER POSTED.CALL INSPECTOR �GTATION iSSUED ❑IN9PECT10N RE(]UIRED.CALL TO ARHAN(iE ACCESS. CaY for the r�xt inspection 24 hours in advanoe. (952) 249-4600 OwnerlCoMractor on site: Inspe�tor:�� WMte CopYAnapector's FII� Camry Copy1SIN Notia