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Home My WebLink About2018-00057 - gas fireplace � _. � CITY OF ORONO * 2 0 1 8 - 0 0 0 5 7 * 2750 KELLEY PARKWAY DATE ISSUED: OU18/2018 ORONO,MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 2695 SHADYWOOD RD PIIv : 21-117-23-24-0056 LEGAL DESC : CHAPMAN ADDN : LOT 002 BLOCK 001 PERMIT TYPE : MECHANICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 8,693.00 NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. (1)HHT ESCAPE-I35 INSERT W/GAS LINE APPLICANT MECHANICAL 108.66 STATE SURCHARGE MECH(VALUATION) 4.35 FIRESIDE HEARTH&HOME MAIL-IN FEE 2.00 2700 FAIRVIEW AVE ROSEVILLE,MN 55113 TOTAL 115.01 (651)633-2561 Payment(s) Minnesota State License#:mech-20512060 CREDIT CARD 4616 115.01 OWNER PAULSON,STEPHEN&BOTHAINA 2695 SHADYWOOD RD EXCELSIOR,MN 55331- 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 dces 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 aRer work has commenced. The applicant is responsible for assuring all required inspections aze requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. �� ! ' ' I'C'� � l �✓ l I V �G�,I � Applicant Permitee Signature Date Issue y Signature Date � ' 01-17-'18 12:12 FROM- T-421 P0004/0007 F-843 ' (�q �.a p_ o p0 �1 �j I� �o�crrv usr;onx,�r City of Orono ��j.� P.O.BOX G6 Da�C Rccei�ed: �—I�Permit p l.J 2750 iC�llcy Park�rmy Crystal Hay,MN 5�323 Appmvcd By: Amount$: Phone(952)�49-A600 Fax(95�)?49-4616 �`��.�,�Fs�o�,e°�Z CYTY OF O�tON'O—MEC�ANYCAL�ERMIT (all Commarciat permirs must be bpproved by the Building Official or Inspecror and/or Fira Ma�shal i) GENETtA�,INFORMATION 1_ You may apply for meehanical permits by mail or in pzrson at the City oftices. Applieations will - bc reviewed and a pern�it will be issued wiEhin two working days. 2. Permit cards wi11 be sent by return mail after a review is completed. PFRMiTS ARE NOT VALID UN7'I�.'StOU R�CEIVE A P�T. WORI�1�ICJS'Y'NOT BECIN UNTMX.T�T� PER1VIlT CARD IS pOSTED ON TY��,�O$SITE. 3. Nlechanical Desi�ns—Comptete ealculations,details and specificatious are required for each heating,ventilation,humidi�eation-dthumidificaiion,xnd air conditioning installation including heat loss/heat gsin calculatior�,design temperatures,equipment rntings and idcntification as to rype,manufacturer and modal. Data shall be presented on form provided. 4. When any new construction or remodeling is involv�J,a SeparaCe buiiding permit must bt obtained. 5. All work must be done in Aeeordance with the TJniform l�fechanieal Codt/State Building Code requirements. 6. All�vork must be inspected(rougli-in and finai). Call(952)�9-4600. (24-48 hour noHce reqaired) 7. House Heating Test Record must be submitted before final. TYPE O�pERMIT (Check All That Appiy) � � „��1:,:� o �Q�'��'i�`�'��.� ❑� 0..'':�aa n'i o .� ,��hl� Job Site/Owne,•Ynformation: Sl e��'�"e�s 2-�� c�'� �100(� �.p G� .� .,��,�j, �o�,�.t 5 ov� ��i�. �'`�A;�di�`�;s�: ��x wi-2� ��S �� -4-e- �� . ,r, � c��y;� �� ,, Hom�P��i�� ""�5�"5p0� Altet�nate Phone: �.W__ Contractor rnforrnation: Contractor: FIRESID�H�ARTH&HOME Contact Person: � � Address: 2700 Fairview Ave N State Bond#:BC662656,M8662572, PC662571 City: Roseville, MN Zip55113 �xpiration Date: Phone: 65'1-�33-2561 Alternate phone. #651-638-3312 ❑ Insurance—Curreat: 1 - ' 01-17-'18 12:12 FROM- T-421 P0005/0007 F-843 1VIECHA;NICAL S'YSTFr1VIS F3EING INSTA�,r,ED Note:All Geotliermal Systems will now requir�a Site Plan&Ttevie�.v by our Building Official. IS THYS G�QT�ERMAL? ❑'Yes 0 No HEATING SYSxE1VIS Qut�ntiry: Make: ModeI: Fuel: �'!ue Si2e: Tnput�fC1s; putput BrCJs: CFM: - COOLING SYSTEI4YS Quantity: - Nlake: Modei: Tons: H.Powcr �� — _,,.. � t I�� `-� � h "T'�• �);,�',"`:::". c��1_ V 1`NL' ' . . q - i�{._E,,�,....Y!+`!.w �;�YF�,ril'Oi�!�?�CP�,p`��cZ��`�""■�'1� �$Cai�d.N�qfe; �::!;^{�-�:i.:�:.-� . o $�irning F.t6p a�..� ` , ,..,., , .. . .. � ❑ o �. �. 1 e c- O '�?:o¢d:.�ta�!ej,,,_ . (Moi el Na? �?��' .�r� ❑ �oQ�.SZqverWitti Flue/M�on � ^� �-'�'� -- - , !y VENTILAI"ION ❑ No. Kitchen�xh�ust duct reeireulating efm ❑ No. Bath Bxhaust(must have duct outside) cfnt ❑ No. Other Fans: Locations cfm FUEL STORA�� (e�rrs�be approved by Fire Marsl�nll ijpropvsing to nban�lon t�trtk�r:place.) � TnstAllation ❑ RemoVal Fual 0i1: gallons ❑ Undeiground ❑Tnsido ❑Outside LP Gas: gallons Othor: GAS I.INE ONLY ❑ Outdoor Grili ❑ Othar/List What&Where; 2 . - 01-17-'18 12:12 FROM- T-421 P0006/0007 F-843 PERIvZIT FEE CALCCJLATYqN(S) .. BASBD�O�F-2002 STATE.STATUE : ' ❑ Yes,this section applies The roplacement of a�tesidential fi:xtur�or appliance that►neets ali thre�of the foliowing requirements: 1. Does not require modification to electricaI or gas serviee. 2. Ht�,s a total cost of$500.00 or less;excludina the cost of ihc flxture or sppliancc:and 3. Ys improved,installed or replaeed by the homeowner or licensed contractor. Skip ne.Sct section,if this applies; Cost of Permit $ I 5.00 State Sureharge � 5.00 Mail-In�ec(If Applicabl�) S 2.00 Total Permit Fee S� pEYtM7T�EE CALCUL;ATrON(S)�70BS OVER�$500.00; ; If abor+e does not apply;follow guidelines below: l. CONTRACT PRICE * is 1.25%of contra/ctj price with a(rilinimum Fee of$50.00) V/ V J •�.'.. •.'.'•.'•!�,• e,/.�K. � , ••-•�'^� � '� Y?S::$�:'�.} ,, ,.;-:,:;.. 0.. � .:�.Y.� ��.�,z. .._`:'.�c "i �n Oo) 2. STAT�SUItCEiARGE /n u ,�j� �tY�� x:QO��,:$�} I ' c'o tte' i�e , 3. POSTAGE 8c HAND�,iNQ(Only on Mail-In Applications) $�_ � ;;�;;o�:;�,'-'�` ( ) $,;,' ::::: .._��,w:�.:,,�;� 4, TOTAL PERNIIT FEE Add�,ines 1-3 Abor+e � �✓[;:'Mi��l't'N.�� ■ � CONTRACT PRIC�or JOB COST n�eans the actual or estimated dollar amount charged for tlte permitted work incl��ding materials,labor,�7rofit,and othCr fixzd costs. It is the amount to be charged to thc customer for the work done. If any material,equipment, (abor or installations are furnished by the owntr,tcnant or any otheP pal'ty, the ressonablc rnarket value of such items must be added to the estimAted eost or contract price for permit fet purposes. In the eveni that there is a dispute on the acnount of the job cost, rhe Ciry may request the submission of a signed copy of the aetual contract. . :MECT�A�IICAL PERIV�IT"Al?PLYCATXON AQREEMENT:. .: � The undersigned hereby applies to the City for issuartee of a Mechanical Permit, agrees to do ali worl: in strict accordance with the ordinances of the City and the i�egulations of tlte State of Minnesota, and certifies that all statements made on this application are complete, true and correct. Applicant's Signature: �� l rl ��/ U ��:��' �.. 3 �/� ��'— D TE TIME CITY OF ORONO LED IN � �� INSPECTION � /� � HEDULED — � PERMIT NO. �J COMP ADDRESS S � � OWNER TE PHONE O.��°3�"lO�f y CONTRACTOR''.� �- �� DESCRIPTION �� ,`� / 4~j ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION DRAIN TILE ❑ PLUMBING FINAL ❑ TREE REMOVAL 2 ❑ LATHE ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT � ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ � ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICONTRACTOR TO MEET YiOU:_YES_NO y COMMENTS: � � ��, Sw� — o Z� i� � Ei>' /�l s s . �vr'1� ��l"�'�cc.T'e�— 0 W � Q � � W OC J W ❑WORKSATISFACTORY:PROCEED ❑PRWECTCOMPLEfE � ❑CORRECT VYORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑(�RRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR YVILL RETURN ❑STOP OROER POSTED.CALL INSPECTOR ❑CITATION ISSUED INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the ne pection 24 hours in advance. (952) 249-4600 OwnedContracto �te: Inspector: , White CopyllnspecMr's File Canary CopylSite Notice �� 1 y � D TIME CITY OF ORONO CALLEO IN �"� '�� INSPECTION N TIC i�� SCHEDULED � - � PERMIT NO.�l��z1�I C MPLETED ADDRESS � OWNER � S�1Yt' TELEP ON NO.il��'!-�SO�O J CONTRACTOR � DESCRIPTION �-�-�" � � � l~y ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION DRAIN TILE ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ LATHE ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ ' J ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: �F►'/`0�6 G� i»S�t�a d �'�, c.kS.S�► �c, � G�i ssi. .�Ja✓� J�i �c y,��SG�"Y�'��5 naG S �k 0 �,L��.�i -�t' r'1'�S� D � � S.� L J+h< C7 JC � � O � W � Q � W � W aC � � O W �WORKSATiSFACTORY:PROCEED ❑PROJECT COMPLETE � O CARRECT WORK S PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOYERING PERMANENT ❑CORRECT UNSAFE CONDITION WRHIN HOURS. p pH0T0 TAKEN �NSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (g52) 249-4600 OMmeHContractor on site: �� /� Inspector: ��'��+ ,/s Whits Copyllnspactor's File Cenary CopylSite Notiee �� C �� DA E�� TIME ✓ CITY OF ORONO CALLED IN � INSPECTION TI SCHEDULED ' PERMIT NO. COMPLETED ADDRESS � g �0 OWNER � T EPHONE NO. — ��—� CONTRACTOR � � DESCRIPTION ' "' ` � � t~N ❑ FOOTING ❑ DEMO-FI AL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION DRAIN TILE ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ LATHE ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT �Gp�1�lAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL J ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICONTRACTOR TO MEET Y�U:_YES_NO c� COMMENTS: � �rt�r5 h� Der �S,m�s - � � /l �Or K �r�.0/�v�� 0 W � Q � � ` � �/� j rM,•ti �C�' � ❑WORKSATISFACTORY:PROCEED �ROJECT COMPLETE W ❑CORRECT W'ORK 6 PROCEED ❑ISSUE CERTiFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CONERING PEHMANENT ❑CORRECT UNSAFE CONDITION WRHIN HOURS. p pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR O CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. CaB for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor on�ite: �nspector: v� wix�e covyn��eccors Fia c.�ary coPy�e Na�e