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Home My WebLink About2016-01284 - wood fireplace � I CITY OF ORONO * 2 0 1 6 - 0 1 2 8 4 * 2750 KELLEY PARKWAY DATE ISSUED: 10/1U2016 ORONO,MN 55356- (952)249-4600 FAX: (952)249-4616 ADDRESS : 1980 SIXTH AVE N PIN : 27-118-23-42-0004 LEGAL DESC : LJNPLATTED 27 118 23 : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-WOOD VALUATION : $ 5,225.00 NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. HHT WOOD BURNING FIREPLACE APPLICANT MECHANICAL 65 31 FIRESIDE HEARTH&HOME STATE SURCHARGE MECH(VALUATION) 2.61 2700 FAIRVIEW AVE MAIL-IN FEE 2.00 ROSEVILLE,MN 55113 TOTAL 69.92 (651)633-2561 Payment(s) Minnesota State License#:mech-20512060 CREDIT CARD 4608 69.92 OWNER KASHKARI,NEEL 1980 SIXTH AVE N LONG LAKE,MN 55356- 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 pertnits. All provisions of laws and ordinances goveming 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 aze requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. � r � �D l /l l/7� Applicant Permitee Signature Date Issued B ignature Date � '10-10-'16 13:58 FROM- T-212 P0001/0004 F-256 �j�.3y `uc� � vUv � ' OR' Y USE ONI,Y � City of Ur000 //�- 7� � �a� P.O.�ox 66 17atc[t�'. � .pamit.8 `'�`•,L�:• � 2756 Koilcy Pazkway �. ` ' .. , '•. ��. Cryste113ay,MN 55323 Approvcd�y�' AlfiaNR�.S-,�"_ �,- ,i. .. . . Phonc(952)249-4600 Fax(952)249-46!6 " ��'i.� ti�`� CITY QF ORON4—MECHANYCAL PERIVIYT '� S ki O�`' (AIf Commercial pumits must be approvcd by the Building Official or Inspector and/or Fire Marshall) GENER.AL INFORMATION : , . , ;. . . , 1. You may apply for mechan'rcal permits by mail or in person aC the Ciry offices. Applications will be reviewed and a permit will be issued within two working days. 2. Permit cards will Be sent by retum mail after a revievv is campletcd. PL1tMTT5 A1tE N'OT � VAI.1D UNTIL YOU RECEIVE A PERMIT. WORK NYUST NOT B�(CIN UN'Y'YL THE P��tMYT CAYtb YS PO_S.TED ON'TY�E J'O�SYTE. 3. Mechanical Designs—Complete calculations,details and speeifications are reguired for each heating>�+cntilation,humidification-dehumidification,and air conditioning instzllation including heat loss/heat gain calculation,design temperatures,equipmant ratings and identification as to type,manu£acturer and model. Aata shaU ba presented on form provided. a. 'VVhen any new construction or remodeling is in�volved,a separate building permit must be obtained. � � 5. All work musC be done in accordance with the Uniform Mechanical Code/State Building Code requirements. 6. All work must bc inspecCcd(rough•in and final}. Call(9S2)249-4600. (2448 hour notice reqaired) 7. Hous�Hoating Tcst Rccord must be subr�itrcd before fmal. . . ... , , � ; .::.. . :T'YpE dF��?ERMIT��;.:. ` `:�. ' . . . . ... , (Check:Al1 That.:4 � 1 � �esidential ❑Commercial(Approval Required) Q N'ew �.Additional ❑Repairs ❑Replace .. :. . . ... Job Site/�O.wner:In�oz�ni�tip�; ; ., .::.::,�..; Site Addr�ss: a d J/� I� � C � Owner;N�� f\�� d�l'�, Mailing Address: U�M� � City: Zip: I�ome �hone: T/ ��3��—�Q�� Alternate Phone: Contractor Ynformation`. < Contractor: FIRESIDE HEARTH & HOM� ContaCt Person: Leah Address: 2700 �airview Ave N State Bond#:BC662656, M6662572, PCfi62571 City: Roseville, MiV Z1p;55113 �xpiration Y7ate: Fhone: 651-633-2561 Alternata Phone:�-eah#651-638-339 2 ❑ Insurance—Current: 1 „ q 0-10—'16 13:58 FROM— T-212 P0002/0004 F-256 '��.`a}.Jt�_---_..rr=' • - � - — - �— .. -..f.,_ � 3�•i2^:��`t�`^,.-`��r_.'�:��_'''�Ec��;i• :Y�1�...a.' -r- - - ' r. - s.'”- �y ��_;_- ��c'v.rc,' Note: All Geothermal Systems v►�ill now reyuire a S_ its Pl�n&Review by our Building Official. IS THXS GEOTT�EI�MAT�? ❑Yes ❑No HEATYNG 3'Y'STEMS Quantity: Make: Modcl: Fuel: Flue Size: Input BTC1s: Output�TC.1's: CFM: GOOL,ING SYSTEMS Quantiry: Make: Model: Tons: H.Power FI�t�PI.ACES Gas Factory�ireplace �rand Name: 1 / 11Vood Burning Fireplace Wood Stove Model No.: (3�1 Q f�7�i� ❑ Waod Stov�with�'lue/Masonry 'V'�NTTY.ATYON ❑ No. rCitehen Exhaus; duet recirculating cfin ❑ No. Bath Exhaust(must have duct outside) cfm ❑ No. � Other Fans: Locations cfm �U��,STOYtAG�_(M,ist be appraved by Fire Marshall if proposing to a6andon tank in p/ace.) ❑ rnstallation ❑ RomOval �uel Oil: gallons � ❑ Underground [�Inside ❑Outside LP Gas: gallons Other; GAS�,YNE UN'�.Y ❑ Outdoor Crrill ❑ Other/List Wh$t&Where: � y � • �10-10—'16 13:58 FROM— T-212 P0003/0004 F-256 i�-=� -�-�`._ '-- _—• - . - ' � .. _�('• _ - ,.— - _ ,- - �: �� ._ _ �- = .. _�:__ - - �. 's� - � �:� � -— _ �y''�;j _l. f.,r� ( �{ S �CCs�1�CC�L��iJ��AG��__��'y^' iw �� - _ .Q:� � �� --�^� T •'�.-.�• � �R Ie'ia" Q 'Yes,this section applies Thc replacement of a Residential fi re pr� liance that meets all thres of ChG following requirements: 1. Does not requirc modification to electrical or gas scr�vice. 2. �ias a total cost of$500.00 or less; x ludin the cost of the fixture or appliance:and 3. Is imprpvcd,installed or replaced by the homcowner or licensed contractor. Skip next section,if this appIias; Cost of Aermit $ 15.00 State Surcharge $ 5.00 Mail-[n Fee(IfApplicable) � 2.Q0 Totsl Pern�it Fee $ �� '� ��. � -- - If above does not apply;follovv guidelines bclow: 1. CONTT2ACT PRICE *is 1,25%of contract price with a(Minimutn Fee ofS50.00) � ZZ� � -�'S� .� x.o�zs� ,� (conaact price) (minimum 550.00) 2. STATESURCHARG� � '3 '-�- x.0005 $. � ConlCaCt priCe) 3. POSTAGE 8c HANDC.ING(Only on Mail-in AppIications) $ 2.Q0 4. TOTAL p�YtMYT F�E(Add Lines 1-3 Above) $ �/ � ■ * CONTYtACT PkTC� or JOA COST means the actual or estimated dollar amount charged for the permitted work including materials, la6pr,pro�#,and other fixed costs_ It is thC amount to be charged to the customer for the work donz. Tf any rnaterial, equipment, labor or installations are furnished b� the owner,tenant or any other parry, tl:e reasonable market value of such items must be added to the estimated cost or contract price for permit fee purposes, Tn the event that there is a dispute on the amount of the job eost, thc Ciry may roquest the submission of a signed eop�of Che aet�,ial contract. ��,Y:�_�. j. •� - -_,�. 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 are complete, true and conect. AppliCant's Sign�ture: . �� Date: � /Q � 3 � �� _DAT _ � TIME CITY OF ORONO cn LED IN INSPECTION NO � � 1`��EDULED � — ' lI� PERMR NO. ��IOMP ED_ � ADDRE..SS O�WNER T LEPHONE NO. � �`3g �'� CONTRACTO �'�^c� �� DESCRIPTION � r ` " ' `� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLINO O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION � ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT � ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATIOWREMOVAL r ❑ DEMO-SITE ❑ SEPTIC INSTALL Z ��,�M��,,:_,►�_� �Ja.-�b3 "�� COMMENT� � 4 Fr�c s�.�•� l�G� �rts�cc �7�✓y 0 6�e L� �r/'c.0�i� /�l��l�.Q � � /� � � � L��6�<tG�� vPYI-t'Y!�'l-S �/ ��/1�4.�c+�fi�G✓ � ,�/ Q l�� l/LG� �pl^ `l! l es c� 2 D rl �r�,o � �' F� �� 7� ryr.� L � �l��a.�� w� z� re s��4.t� -- � � W ❑WORK SATISFACTORY:PFiOCEED ❑PROJECT COMPLETE � ❑OORRECT WORIC 3 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR i�INSPECTION TEMPORARY V BEFORECdNEi�NO PERMANENT p(ARRECT UN3AFE OONDI'T10N WITHIN HOURS. p pHpTO TAKEN INSPECTOR WILL RETURN O STOP ORDER POSTED.CALL INSPECTOR ❑qTATION ISSUED ]�INSPECTION RC-0UIRED_CALL TO ARRAN(iE ACCESS. J � \ / caN�u��t�24 hours M advanoe. (952) 249-4600 on site: Inspector: C —�'/�`' � wnia covrn�.p.o�or.FiM c.�.ry cony�sn.Non�. r � � �e�. � `� DATE TIME C(TY OF ORONO cALLED IN INSPECTION NOTICE , SCHEDULED ' � �- �C� PERMIT NO. t��-.��'' �r'� 1'�1� COMPLETED ADDRESS � � �L �t �c 'f-�L�� N � OWNER TELEPHONE NO. �� `�'3=��iG CONTRACTOR �j r E'�S � �- �� DESCRIPTION ��. - �s�-.�7 . �-��C�C-C� �_�`�-t`��`�, W ❑ FOOTING ❑ DEMO-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 Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL O- ITE ❑ TIC INSTALL OINN R TO MEET Y�OU: YES_NO � COMMENT'� p�.�C � � , � �' �� I I �'?j � o �ece't� � �/� v'� . � � � " _ �. - � �r C�/�y�� _ � ° !�� t�� - W � Q � . � �/�` /�`C ' I��fG P_c./ W � � WJ �� ```��. O VMORKSATISFACTORY:PROCEED / i7�ROJECT COMPLETE � � W O CORRECT NIORK 8 PROCEED ❑ISS CEFiTIFlCATE OF OCCUPANCY 0 O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CdVERIN(3 pERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHpTOTAKEN INSPECTOR NfIIL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR O CITATION ISSUED ❑INSPECTION REOUIRED.CALL TO ARRANGE ACCESS. q for the next inspectfon 24 hours in sdvance. (952) 249-4600 ctor on site:.� �:l nspecMr. ' �'"' /Y ; White CapYAnspecMr'a FIN Canary CopplSib NoUce