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Home My WebLink About2015-01329 - gas fireplace CITY OF ORONO * z 0 1 5 - 0 1 3 2 9 * , L 2750 KELLEY PARKWAY DATE ISSUED: 10/15/2015 ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 2755 CASCO POINT RD PIN : 20-117-23-23-0007 LEGAL DESC : AUDITOR'S SUBD.NO.265 : LOT 007 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 2,490.00 NOTE: (1)HEAT-N-GLO GAS FACTORY FIREPLACE APPLICANT MECHANICAL 50.00 STATE SURCHARGE MECH(VALUATION) 1.25 FIRESIDE HEARTH&HOME MAIL-IN FEE 2.00 2700 FAIRVIEW AVE ROSEVILLE, MN 55113 TOTAL 53.25 (651)633-2561 Payment(s) Minnesota State License#: mech-20512060 CREDIT CARD 4608 53.25 OWNER BASKFIELD, MICHEAL&SHARON 2755 CASCO PT RD 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 S[ate 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 no[ 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 ( � �� /o / /�/ � Applicant Permitee Signature Date Issued By ' nature Date 10-15-' 15 12:17 FROM- T-358 P0001/0007 F-679 � _� � ��q-� —� c:�1�� - F01� T'1' S�(�N1Ll' Git of Orono �'/ ��0 P.O.l3ox 66 Date Rceeivedla y /�ermit�{ �O�� /�� " ��so K�i��y r��;way Jr-3. Crys[al Aay,MN 55323 ApproVEd By: ,,,Y.'�mount$: _ Phonc(�52)249-4600 Fax(9S2)2k9•461� ��,� � � yF � �'�kesw��'G CITY Ok' ORONO—MECHANICAL P�+RMIT (All Commercial pormita.must be approvod by l��e dU�ld�ng Otrcisl or Inspector and/or Fire M&rShAll) G�N��tAT�TN�'ORMATYON 1. You tnA�Appl�for meChaniC&1 permits by mail or in person at the City oflices. AppliCations will be reviewed And a permit wilt be issued wi[hin two working days. 2. Pcrmit cards will be sent by return m�il�{�zr a review is completed. P�FtMI'1'S A��NOT �. VALID UNT1L YOU RECEIVE A P��2MIT. W��tT�MT,1ST NO'T'��GYN UNTTT�THE PERMIT CARD IS POSTED ON'T'T-��JOB SYTE. 3. Me�1�.��n.J��sigt�—Complctc calculations,details and specifications are reguircd for cAch heating,ventilacion,humidification-dehumidifieation,and air eonditioning installation including heat loss/hcat gain calculation,design tempecatures,equipment ratings and identification as to iype,manufacturCr and motlel. Data shall be prescntcd on form provitled, 4. When any new cot�struction or remodeling is involved,a separate building permit must be obtained. S. All work must be done in accordancc with thc Uniform Mcchanical Codc/Statc Building Codc requirrments. 6. All work must be inspected(rough-'rn and final). Ca11(952)249-4600. � (24-48 hol�r notiCe tequil�ed) � 7, House Heating Test Record must be sub�nitted before final. � i �rY�� o�'n�RMrr s (Cl�eck All That A ly � �sidential �Commercial(A�proval Required) ❑ Ne�v [�.r�dditional ❑RepaVrs ❑,keplaae J�ob Site/4wner Ynformdtion: Site Address; � � � IW V�'/` �.�.�C,o � �`(1 , Owner: ,�1��-��\� Mailing Address; � � � � Cit�: Zip: Ho�e��: �"��-1� nitcrnatc Phone: - s��j�,rs�-�� : ContrctCtor Tnformati�n; C�ntractor_ ��R�SIpE H�ARTH & HOM� Contact Person: l.eah ' .�_.,,_ �----- , Address: 270� Fairview Av� N St�te Band#:5�662656, MB662572, PC662571 ! i City: Roseville, MN zi�;55113 Expiration Date: j p�o�e. 651-633-2561 AlCernate phone:Leah#651-638-3312 ❑ Insurance—Current: ; 1 � � � I � r r 10-15—'15 12:17 FROM— T-358 P0002/0007 F-679 . . - MECHANI�A�;�S�STEM5 B�ING I�STAC;�,�� . ' . :,r � Note: All Geotherrnal Systems will now require a Site PEan &Review by ous-Building Official. YS TY�YS G�OTHL�2MAr,? ❑ �es ❑No ��AT�NG SYsr�ms Quantity: �, , M:�kc� Model: Fuel� �lue Size: Input BTUs: � Output BTtJs: w �� CFM: COO�TI�IC S'YST1E11S ; i Quantiry: � Make: Model: ro„S: H.Power _� . FIREPLACES �Gas Facto�y Fireplace Brand Name: —�'1��U ❑� Woocl Burning Fireplace �j _ '�]��in � �n(� Wood Sfove Mode{No,: t••�' � K�- ❑ VVood Stove�vith Flue/Masonry 'V�NTILAT[01V I � No. Kitchen Exhaust duct rtcirculaYing �Cftn ❑ No. Batli Lxhaust(�nust havc duct outside) cfm ❑ No. Qther Pans; Locations cfm ; FUEL STORAC�� (Musl be apprnve[l by rire A�fnrsi:all if proposing to nb�ndon tank in pdnce.) ❑ Installation ❑ Remova] � I Fuel Oil: gallons ❑ Undergroimd ❑Inside ❑Outside � LP Gas: gallons � Other: � � E GAS LINE ONLY � I ❑ Outdoor Crill � Otlier/l.ist What&Whera � � � 2 f I 10-15-' 15 12:17 FROM- T-358 P0003/0047 F-679 pER1V�TT��CAI�CU�,ATTON�(S) ' � , BAS�l7�:0��•=.`ZQ02:STAT�.�S"�ATC�E ,. : ` ❑ Yes,this section applies . Thq replacement of a Itesidential fixture or applian�,e,thflt rneets all thrce of the toltowing requirements: 1. Does not roquire modi�cation to electrical or gas se�vice. 2. Has a toial cost of$540.00 or less; ludin the cost of the fixture or appliance:and 3, Ts im�roved,installed or roplaced by the homeo�wner or licensed contrACYor. Skip n�xt section,if this Applres; Cost of Pcrmit $ . �.00 State 5urchargt $ 5.00 � Mail-In�'ee(If Applicable) $ 2.00 TQt�]t'erm'rC Fee $ �-�wW-P�RIv1TT F��:GA�,C'(Y�,�ITZON(S)�70�5,QUE�$500.00 ' ' �.�� If above does not apply;foliow guitlelines b�low� � � 1. CONTI2ACT pY�tYC� � 'rs l.25%of Contract price with a(Minimum�ec of$Sp,l�, ; �"1 � � � _—,, V� '� x.01 zs�� (ConErgGt prlce) (minimum 5B0.0E1) � 2. S'1'ATE SURCHAIZGE (`� � � � '�_ � � ....,. �V�f x.0005 $-1�-.�.,_ . � (conl�ac�prica)� i 3. POSTAG�&HANbLING(Only on Mail-In Applications) $ Z,p�p- .`�_: 4, TOTA,�,,r�RMIT FEE(Add Lines I�3 Abovc) $... �� ! ■ �" CONTRACT PRIC� or JO}3 CQST means the actual or estimated dollar amount charged for the � permitted�vork including raatcriais,labor,profit,and other�xed costs. It is thc Amount to be charged to the customer for the r�vork done. If any matcrial, cquipment, labor or ii�stallations are tiirnished by thc owner,tenant or any other purcy,the reasonabie market valuc of such items must be added to tht estimated eost or contract price for permit fee purposes. In the event tl�at there is a dispute on the amount of the job cost,the City may request tl�e siibmission of a signed copy of the actual contract. � j ; + MECHANICAL PE�LMYT APPLTGATTpN ACrRE�MENT � � � __.. The undersigned hc��cby applics to the City for issuance of a MechAnical Pei•mit,agrees to do all I work in striCt aCcordance with the ordinances of the City and ihe rCgulations of the Siate of j Minnesota, and certifies that �tll st�►ternents made on this application Are complete, true and ' coirect. k 1 AppliCanC'S Signature: ��Lf'l/ C..W�"�y� 1]ate:' . l � ! 3 �'� � �- ►� DATE TIME CITY OF ORONO CALLED IN /b' �-D INSPECTION�TI E D��2� SCHEDULED �^2b -/S � PERMIT NO. COMPLETED ADDRESS �� OWNER TEL PHONE NOi��g� � CONTRACTOR " �C ��l�t� � DESCRIPTION � � d� � � W ❑ FOOTING ❑ DEMO FINAL SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING y ❑ 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 41 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ v ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: a YL�✓1 t IN�T C �e4✓��c�s — Z�,�— j O _ � pro v, ,� . :-- ��.,s� 0 � /b D/.2 Go � �•%c e �o� Q �',�r��/a�.e G•'!%� �E �r✓O� a!� d L`�� 2 v✓le�� — . � -3 .S�c.-Ga !� /��1 c �_ W _ � /!r E �o �a lf .r �t � � J O W� ❑WORKSATISFACTORY`.PROCEED ❑PROJECT COMPLETE /�A9fi'FiECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY Ov O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CdVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p p�{OTO TAKEN INSPECTOR NALL RETURN ❑STOP OHDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 2a hours in advaru�e. (952) 249-4600 Owner/Contractor on site: d inspector: ��- White CopyAnspecto�'s File Gnary CopylSite Notice � DATE 1�11�E CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO. ��=v3aQ COMPLETED /— o�d/( ADDRESS a7� � L'.rs�'a �E - /�� OWNER TELEPHONE NO. CONTRACTOR ��Q'�� "��t�� d'"'� � DESCRIPTION v'�f ��e �� ¢ � `� �� v � � ly ❑ FOOTING ❑ DEMO-FINAL SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING y ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FFiAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ;�INAL ❑ 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 c�., COMMENTS: � Cf�v- t�s � Li ��-� ?D .,o s c� � — J O � .d/I r.JaJ�C ��l,e�-e - 0 � W r Q �P1�N.t•(/ �✓t�rl� � Z W � W � J � ❑WORK SATISFACTORY:PROCEED R J CT COMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-460� Owner►Contractor on site: Inspector: Q / r-- � White Copyflnspector's Ffle Canary CopylSite Notiee