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Home My WebLink About2016-00045 - gas fireplace CITY OF ORONO * 2 0 1 6 — 0 0 ,�� 2750 KELLEY PARKWAY DATE ISSUED: ov��ai2o16 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 761 BRIDGEWATER DR P[N : 33-118-23-12-0092 LEGAL DESC : STONEBAY SEVENTH ADDITION : LOT 5 BLOCK 1 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 3,725.00 NOTE: (1) HHT GAS FACTORY FIREPLACE APPLICANT MECHANICAL 50.00 FIRESIDE HEARTH&HOME STATE SURCHARGE MECH(VALUATION) 1.86 2700 FAIRVIEW AVE MAIL-IN FEE 2.00 ROSEVILLE,MN 55113 TOTAL 53.86 (651)633-2561 Payment(s) Minnesota State License#: mech-20512060 CREDIT CARD 4608 53.86 OWNER Stonebrook Development LLC 17149 LINCOLN ST NE #600 HAM LAKE, MN 55304- 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 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 au[horized 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 wi[h the S[ate Building Code.This permit may be revoked a[any time for due cause. <� Cc.�.Q��.� � l � ,► , �.� Applicant Permitee Signature`� Date Issue y Signature Date 41-13-' 16 16:22 FROM- T-559 P0001/0004 F-930 � R crr usE o�r�,r ' /S City of Orono �� /— �� ' c-�- . �� F.O.Bo�:66 Daoc C�eceive . � ��Rermit q _�,�,,,� : Q 2750 kelley Parkway ' Crystal Bay,biN 55323 App�ovcd By: Amount$� � Phone(932)249-4600 Fax(952)249-4616 ti � �`� �' CITY OF ORONO—MEC�TANICAL PERMIT r�k�STM�� (All Commercial pennits rnust be approvc�by the C3uilding Official or Inspectorand/or Fire Marshall) GENER.AL INFORMATION � 1. You may apply for mechanical permits by mail or in perspn at the City oFfices. AppliCstions will ; be reviewed and a permit will be issued w►thin two working days. � 2. Permit cards will be sent by return mail after a review is co�npleted. PERMITS ARE NOT j VAL1D UNTIL YOU RECEIVE A PERM[T. WORK MU$T NOT SEGIN UNTIL THE � PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Desi�ns—Complete calculations,details and spccifications are required for each heating,venfilation,hu��iidificatiorndtl�umidificafion,and air conditioning install2tion including ! heat loss/heat gain calculation,design temperatures,equipment ratings and identification as to G rype,manufacturer and model, bata shall be presented on foml provided. f� 4. When any new consCruction or remodeling is involved,a scparatc building permit must be i obtained. � i 5. All work must be done in aceordance with the CJniform Mechanical Code/State guilding Code requirements. 6. All��ork must.be inspected(rou�h-in and fin�l). Call(952)249-4600. (24-48 hour notice requircd) 7. l�ouse C�eating Test Ttecorcl must be submitted before fir�Al. TY��O�'pBRMYT � Check All That A 1 � � --- ... _ . .............. ` s�denha� ❑�Cammerctal(A�proval Requi� - -�-- -- - ._-... . aw� ❑�Additiona� C]CTZepairs� C]�place� Job Site/Owner Information: �� ' � i Site Address ! � ( �� 1..�` '� 1 `� � � L_-�- - ---�� ; .-�� WOC�C�c��,Q. �..� -_.. (a I�� 1� Cr►� ��, ��lb� ; �4wner: � �Mail�ng.Elddress_� � :_._ i C��.) ��tv1'�Q,�bY�1�-�- �z�� a'�'`� i � r�, G, � Hom pl�one: "J� ~ J Alternate Phone: �.. .. .. ) � I Contractor Information: Contractor: FI�ESIDE HEAh7H & HOME Contact Person: l,eah I Address: 2700 Fairview Ave N State Bond #:BC662656, M6662572, PCG62571 c;�,. Roseville, MN Zi�55113 E�cpiratiort Date: Phone: 651-633-2561 Alternate Phone:Leah#651-638-3312 ❑ Insur�nce—Current: l 01-13-'16 16:22 FROM- T-559 P0002/0004 F-930 M$C�#NIGAL SXS'�EMS BEING INSTALT�ED Note:All Geothermal Systems will now require a Site plan&Review by our Building Offici�i. � i 1S THC9 G�QTC��:RMA�,? �'Y'es 0 No ; 3 C��ATYI�C S'YST�MS � Quantity: Make� t Modei: � E Fuel: Flue Size� Input BTUs: � Output BTUs: ' CFM: � COOLING SYSTEMS f � Quant[ty: Make: � Madel: Tons: T�.Power �—�_.._...... .� {�'IREPLACE � ... . . __ _ , ', .r' . . _....... .. (�as Factory��replace} �Brand Name:� � � .._�,.w..._n._.�. ; � 'VVood Buming��replace� __. r ' 1� —3Lo�;� 21��r ! PI ` Wood 5tove) _ ,,.,, �Model No.� 1��._..,,.,....,.::� , , (] 'Wood Stove with�lue/Masonry� ; VENTILATION ' Q No. Kifchen Exhaust duet recirculating cfm � No. Bath��haust(must have duct outside) cfm ! [� No. �,`�_ Other Fans: T,ocations cfm �C��Y.STOCtA�� (Miist be a/�pwovect by 14Yre A9arshall lfprnposing to alia►�c1on tank in pince.) ; � ❑ Tnstallation ❑ t�emoval � �uel Oil: gai�ons ❑ Undergtbund ❑Inside �Outside � LP Gas: gAllons � Other: � GAS L111rE UNLY � ❑ Outdoor Crrill [� Other/List What 8t Where: __ � 2 j i i I I ! � 41-13-' 16 16:22 FR4M- T-559 P0003/0004 F-930 { ! . , t �'�R]y�T�EE C'AT.C�,LA'TION(S} ; BASEI7�F�-2002 ST'A;'�"k,�'�'AT� : i i ❑ Yes,this section applies The replacement of a Residential fixfure or appliance that meets all three of the following requiremcnts� 1. Does tiot require mqdifiCation to eleCtriCal or gas serviCe. 2. Has a total cost of$500.00 or Icss;excludin�the cost of the fixture or appliance:and 3. Is improved,installed or replaced by the homeowner or licensed conCractor. Skip next section, if this applies; Cost of Permit $ 15.00 � State Surcharge $ 5.00 � Mait-rn Fee(Tf Applicable) $ 2.00 ' Total Permft Fee $ � � ' PBRMI'�'FEE GALCUI,ATIrJN(S),�JOBS OVER$500.00 � . � t If above does not apply;fallow guidelines below: 1. C01V7'RACT P1tICE � is 1.25%of contract price with�(Minimum�ee of�30.00) �� 4� T-FT. / rryr t S}: :��„ —� Y,�~rr ��r--�-tr�4�.�;J�s 1��kry`:t n�l�e;� ��,�U �S-�in�jr�ui�1_�i�Q,� 2. STATE SURCHARGE � � �r' l� �� –� ��-.�-�, „— x'�QQ�,�� 3. POSTAQ�8c�TANn�,T1�Cr(Only on Mail-Tn Applications) �� 'qQ�M�`��";s�� ' i 4. TOTAL PERMIT FE�(Adcl T,ines 1-3 Above) �$��,��xa'.�.�"��..� � ■ �` CONTRACT P1t�C� or .�0�3 COST means the actual or estiinated dollar amount charged for the t permitted work including materials,fabor,profit,and other frxed cosis, It is the amount to be ck►argeii ` to the cuswmer for the work done. If any material,equipme��t, 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 ' astimated cost or contract price for pe�7nit fee purposes, Tn the event tl�at there Is a dispuke ot1 ihe amount of the job eost,the City mAy requesE the submission of a signed copy of the actual contract. � IvIEGHAN'I(>A�C,pT�RTvXZT'A�'P�,YCATION AGR��MEN'T � f The undersigned hereby :�pplies ta the City for issuaizce of a Mechanical Permit, agrees to do all � work in st.rict accordance with the ordinances of the City and the regu3ations of the State of Minnesota, and eertifies that all statements made on this application are complete, true and carrect. Applicant's Signature: �"'�'v �� `e'��' � I � �� 3 � / 1 DATE `TI/E CITY OF ORONO CALLEO IN \ INSPECTION NOTICE SCHEDULED PERMIT NO. :�bIC�'f�fX�,['� COMPLEfED '� ADDRESS_�,�,.��r��v_�e.�.✓ J7� • OWNER TELEPHONE NO. CONTRACTOR �� 5 �� f��—�+l �a"�"r�— � DESCRIPTION G"�' �' '�" 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 W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERfCONTFiACTOR TO MEEf YOU:_YES_NO c�.� COMMENTS: a � ��•��`"�K 9, C`e4✓�nc�S - ��, o �J /i�i� 4�ti �6-�S� �S �'l�c�.•��S � � '� 0 � • Q pZ � �rj 4 9 rj s-��a'R � � � . /� < !� ... Gb�G� � � . -f �- ` w � j W ❑WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLETE � �.ORRECT WORK 8 PROCEED ❑ ISSUE CERT�FICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFOREC01/ERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WFLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor on site: Inspector: � � White Copyflnspector's Ffle Canary CopylSite Notica ATE�/ TINTE CITY�F�R�N� CALLED IN � X� INSPECTION NOTIC��s SCHEDULED o2-�� -� �o .' � PERMIT NO. a l COMPLEfED ADDRESS 7 � OWNER LE NE NO. CONTRACTOR G�0 ��GC�`i-��``� � DESCRIPTION � W ❑ FOOTING ❑ DEM -FINAL ❑ SEPTIC FINAL Q ❑ 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 J AL ❑ WATER HOOK-UP ❑ FOLLOW-UP � ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ SEPTIC INSTALL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: a �� 1��- � J 0 �. � ` � ,,O�e�vu•�'"i-�.�ct/� W � Q � 2 W � W � � J d W� ❑WORKSATISFACTORY:PROCEED ROJECT COMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ IS E CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REOUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (952) 249-46�0 OwnerlContractor on site: � Inspector. � '"� White Copyllnspector's File Csnary CopylSite Notiee