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Home My WebLink About2015-0145 - gas fireplace CITY OF ORONO * z 0 1 5 - PJ 1 4 5 0 * 2750 KELLEY PARKWAY DATE ISSUED: 1 U12/2015 ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 761 BRIDGEWATER DR PIN : 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 : $ 1,795.00 NOTE: HEAT-N-GLO FIREPLACE SL-750TR-IPI-E APPLICANT MECHANICAL 50.00 STATE SURCHARGE MECH(VALUATION) 0.90 FIRESIDE HEARTH&HOME MAIL-IN FEE 2.00 2700 FAIRVIEW AVE ROSEVILLE, MN 55113 TOTAL 52.90 (651)633-2561 Payment(s) Minnesota State License#: mech-20512060 CREDIT CARD 4608 52.90 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 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. �� l/ //02 //J� Applicant Permitee Signature _ Date Issue y Signature Date 11-11-'15 12:16 FR4M- T-424 P0004/001Q F-760 . -�-�,�� 1 ��--t � c��vu t �v� ��.✓ ROk2 C�TY�7SL ON�,Y ��r� City o[Orono 1� P,O.Box 66 batc t�cccivcd: pern,it� 2750�Elley Pnrkway Crystat Bay,MN 55323 Approvefl IIy: Amount$: Phone(9�2):q9•4600 Fax(952)249-4616 y � ��.�,St3aa�.�'� CTT'Y'O�+ OYtONO—MECHANICAL PERMYT (All Cp�nmercial permi�s must be approvcd by�he�ui3din�OPCcial or]nspactor anQ/or Fire Marshall) � � GENERAL INF�RTv1ATION 1. �'ou may apply for mechanical permits by mail or in person at the City officcs, Applicauons will � be reviewed And a permit will bc issued within two rvorking days. 2. Pcrn,it cards wiil be sent by return mail aftcr a rcview is cornplzted. pE�M�TS A��NOT VAL(D UNT1L YOU k2�CEIVE A P�RMIT. WORK 1�I�ST 1V�T��N_Yl�1T�X,'Z`�� PERMIT CARD TS pOST��piV TH�JOB SI'F'E. 3. Mech��af Desi�ns—Complete calculations,detaiis ar,d speeifications are rcquired for each heating,ventilation,humidification-dehumidification,and air conditioning installation including ' hcat losslhcat gain calc�ilAtion,design temperatures,equipment ratings and identification as to , type,manuPacturer and n�odel. �7ata shall be presentcd on form provided. 4, Wlien any new ConsU uction or remodcling is involved,a separatc building permir must bc ' obtaincd. 5. All work must be done in accordance with the Clniform Mccha�ical Code/State Building Code requirements. ' 6. All wark must be inspccted(rough-in�nd final). Call(952)249-4600. . (24-48 hour noticc required) 7. House Heating Test Rccord must be submitted before final. � TYPE OF PEIZMiT � (Check All That Appiy) (�sidential ❑Commercial(Approyal Required) '.f.,� New ❑Additional ❑Repairs ❑Repiace J"ob Site/4wner.Inforcnation: Site Address; � U� C `1 �,� �� Y �.— Qwner: V'`� .��I��l.r _�vlailingAddreas; ---- � Cit�: __ Zip: � � �h i T�ome p�one: � l � �"'��Alternate Phone: , COntrdCtOr lnfprmfttipp: i Contractor: FIRESIDE HEARTH & HOME Contact Persot2: l.eah ; � A.ddress: 2700 Fairview Ave N State Bond#:��626b6, MB662572, PC662571 � City: Ros�vill�, MN �i�:55913 �xpiration Date: � phone: 651-633-25fi1 Alternate Phone:Leah#651-638-3312 ❑ Tnsurance—Current: �� 1 r 11-11-'15 12:16 FROM- T-424 P4005/0010 F-760 " � ..,.;:'�v1�G�ANT.CAI,;SYST�'1\%IS�B�iN'�r;XI�S�'AL�;�Ib. > � � , ��R�> �. Note: All Creotherrnal Systems wiU now require a Site PIAn&Review by our Building Off ciAl. IS THIS GEOTH��tMA�.? ❑Yes ❑No tIEATINC SYSTEMS i Quantity: � ^ Make; Model: � Fuel: Flue Size: Input BTUs� Output BTUs: w_ �� CFM: COOLING SYSTEMS Ik Quantity: �( 1 Make: � Modcl: Tons: H,Power ^�� , �YT2�PLAC�S `1 �1 V`G�.(� � Gas�'actory rireplace Brand Name: � ❑ Wood�3urning Firzplace �_V.^.�� K-��f' I� ❑ Wood Stave Model No.; ❑ Wood Stova with Flue/Masomy 'V�NTrC�ATNON � ❑ No. Kitchc��Bxhaust duct recirculatitlg ��cfm j Q No. Bflfh Exhaust(must havc duct outsidc) cfm ' ❑ No. Other F�ns: Locations �f�p j FUFL STORAG� (A�ust be npprover!by l�re tYlarsha!!if propasing fo aba�rdon trrnk J►r plrtce.) � I [� �nstallation ❑ Removal ` � Fucl OiL• gallons ❑ LJnderground [�Cnsidc ❑OuCside I LP Gas: gallons � Other: GAS L,IN�ON�Y [� Outdoor Grill ❑ Other/List What&Where: 2 � I 11-11—'15 12:16 FROM— T-424 P0006/0010 F-760 . ,�, _ �c � t� 7 ; , ; ';,�?�R��'FEFs CA�,C�,��'�QN(� , : � '- � '. �' a�i i �'` S w ��'i � \ �� r��'� : � n a .; � �°� � � ��y;� � 1� i �"y �(H�1 � y�v-�.R '� ,�./c� ��.yt ,{�.y� `x�, TT`}�y(�� " �� Y t tiJT�I� ��^8 i 1 L� 1. r:�:.DA�+.J+�\�i+.^�,��O�I��S';+A�'1i��4l�Ai:M1/ fi'.�� ! <>'�,4 '?�5. �'i�f i ❑ Yes,this section flpplies ; The repfacement of a Rcsidential fixh,re or appliance that mccts all three ofthe follawing requirements: � 1, C7o,�,e��ot requ'rre n►odification to electrical or�as serviee. 2. Has a total cosc of$500.00 or less;excludine the cost of ihe�xture or appliance: and •` 3. Is improved,installed or replaced b�the homeowner or licenscd contractor, E 4 f Skip next section,if this applies; Cost of Permit $ 15.00 i State Surchargc $ S�Q i Mail-in Fee(IfiApplicable) $ 2.00 ToCal Ycrmit Fee $ � �:, , ,�°�y4 <;�?E;R,MX!'�}�+1.�y�-�(��CAr C�UL>AT�ON '�.IO S �E $SOp,qQ �. ,�, ,.; C '—('-/. J ��y .� ��.. ��. r� � ,�� 1 If above does not apply;Pollow guidclines below: � R L CONTl2ACT P�2TC�: R is 1.25%of contrack pricc with a(Minimum�ce of$SO.UO) � �� x".0125,$: �� (CO11f�.Ct�Y�Cq)- `�,minimum.$Bp,Oq)' � 2. STATE SURCI-�A�2G�, ` � E 1�� x';,:000�5;�:�� v� '.(cbnir�ct prioe) 3. POSTAGE&HANDLiNG(Only on Mail-Irt App]ications) ;$! `2 00' ,: , � �� , 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) ,$ i �-� ', ■ ' CQNTftAC'C' PF2YC� or r0�3 COST means the actual or esYimatc�i dollar amount charged for the � permittcd work including�nzterials, labor,prof'rt,and oEher fixed costs, It is the amount to be charged to the eusTomer for lhe work donc. If any material,equipmen#, labor or installations are fiarnishcd by � the owner,tenant or any oiher parry, the rcasonable market value of such rte�ns rnust be added to the , estimated cost or contraet price for pern�it fee purposes. In the event that there is a dispute on t}ie amount of the job cost,the City may request the submission of a signed eopy of the actual contract. � i > : ::> , :Iv1�CTTANIC��T��Tt7ylx't�A�p�'�Y�AT O A�iREEIvIEN�'��:> „. ' ''., Y `` 's s � , The undcrsigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all � work in strict acco��dance with the ordiriances of the Giry and thC ►•e�ulations of the State of f Minnesota, and certifies that all statemcnts made on this ap�lication are complete, truc and correct. G�W►"V W�/�7/ d�F�I/4+{/G I ,. . �` �l � E Applicant's Signature: ;D'ate:., + � � � �� DAT TIME CITY OF ORONO CALLED IN ��'� INSPECTION NOTICE f�l�L�j(� SCHEDULED ��5 /.'OC- PERMIT NO.o�� MP�Er� __ � ADDRESS OWNER T L�E NO l-�J�- � d"L' CONTRACTOR � � DESCRIPTION '"`� � ly ❑ FOOTING ❑ DEMO-FINAL ❑ S TIC 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 Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ v ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � J O � � o� O � W � Q � / � � 2 W � W � j d W RKSATISFACTORY:PROCEED O PROJECT COMPLEfE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. O PHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR O CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cal1 for the next inspection 24 hours in advance. (952 24 -46�� OwnerlContractor on site: Inspector. White Copyllnspector's Ffle Canary CopylSite Notice � � r DATE TI E CITY OF ORONO CALLED IN O �l INSPECTION NQ�C�,O 'r�il SCHEDULED ' ' /� PERMIT NO. �� `?' � COMPLETED ADDRESS 7 � ! v► OWNER LEPHO E NO�s� 3 �a` CONTRACTOR �� DESCRIPTION f ` Q l� ❑ FOOTING ❑ DEMO-FI AL ❑ 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�.EINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ v ❑ DEMO-SITE ❑ SEPTIC INSTALL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO ti COMMENTS: � W a O !�/✓�l�.S' 'd'" l�l/lls.�ll�� - �,� �. � ° - r�G�� ow�,. � F_ � ,F W � � ,F�� m�s� ,6� �p�.��.�P Q �' � 2 l��G � W � � �r'��-��F G'.�,c� �� rQ�.ts.�cG�.r�. � d W ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pf{OTOTAKEN INSPECTOR WIIL REfURN ❑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. r"'' White Copyllnspector's File Canary CopylSite Notice DATE M CITY OF ORONO CALLED IN INSPECTION NOTI�E SCHEDULED PERMRNO.'��j ��3d COMPLETED -!G�G ADDRESS �l/ �I'c.�4�w<c�'x✓ �r . OWNER TELEPHONE NO. CONTRACTOR � DESCRIPTION �� ` ' � � � ly ❑ FOOTING ❑ DEMO-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 � �A}RL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL v ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNER/CONTFiACTOR TO MEET YOU:_YES_NO y COMMENTS: � a o ��/ �� l�e � � ° �,.�...� .��1� W 2 Q � 2 W � w � J W ❑WORKSATISFACTORY:PROCEED /]�PROJECT COMPLEfE W ❑CORRECT YVORK 8 PROCEED ��❑ ISSUE CERTIFICATE OF OCCUPANCY � �CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WtLL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-46�� OwnerlContractor on site: Inspector. ` White Copyllnspector's File Canary CopylSite Notice