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Home My WebLink About2015-01334 - gas fireplace � CITY OF ORONO * Z 0 1 5 - 0 1 3 3 4 * 2750 KELLEY PARKWAY DATE ISSUED: 10/15/2015 ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 2450 COBBLESTONE CT PIN : 33-118-23-11-0082 LEGAL DESC : STONEBAY SIXTH ADDITION : LOT 004 BLOCK 001 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 1,795.00 NOTE: (1)HEAT-N-GLO GAS FACTORY FIREPLACE 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 Wooddale Builders 6117 BLUE CIRCLE DR SUITE 101 MINNETONKA, MN 55343- AGREEMENT AND SWORN STATEMEIVT 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 whe[her or not specitied 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 afrer work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked a[any time for due cause. C S'�� r-� �.�c� �a , �� , �5 Applicant Permitee Signature Date [ssued y ignature Date 10-15-'15 12:17 FROM- T-358 P4004/0047 F-679 . �� `-'� I � � �onc ��or��,�� City of Orono I�� c� �� p.0.Box 66 natc Rcccide��.Jpermi�k ��S L �� 2750 Kcllcy Parkway Crys�al Bay,MN 553?3 Approvcd By: A[nouilt$;��. C Phonc(952)249-a600 Fax(9S2)249-4G1fi .1 a _.�` y � `��q,�- �� CITY 4F ORONO-M�C�TANYCAL��RIVITT F5130 (,qll Commercial pennits must h�=3pptoved by rhe Builaing Official or Inspec�or and/or Fire Marshall) GENERAL INFORMATYQN� � —� _ 1. You may apply for rneehanieal permits by mail or in person at the Ciry affices. Appfications will he reviewed a�ad a permit will bc issuetl within two worki»g days. 2. Permit cards will be sent by retu��n mail aRer a review is completed. PERIvIITS AR�NOT � VALID UNTIL YOU RECEIVE A PEF2MIT, WOI2Tr MT�S�'1VOT��CIN TJNTY�TT-Y� �'��i.IVXX'I'CA.RD IS POSTED ON THE JOS SIT�. 3. Niechanical T7esig��s—Complete calculAtions,details�nd specifications are required for each heating,ventilation,humidificatian-dehumidificaEion,and air conditioning installation incIuding heat loss/heat gain calctilation,dcsign tanperatures,eq�iip�nent r�tings and identification as to type,manufacturer and model, Data sh�ll be presented on form providcd. 4. When any new construction or remodeling is involvctl,a sepa��atc building permit must be ' obiAined. ' t 5. All work must be done in accordance with thc Uniform Mechanical Code/State fluilding Code requirements. � � 6. All work must be inspected(rough-in and final), Call(952)249-46U0. (24-48 hour notice required) 7. House Heating Test Record must Ue submiited before final. TYPE OF PERMIT �� Check All That App��__�____ ' �sidential [�Commercia((Approval�Zcquired) , ew ❑Additional ❑Repairs ❑ Replace �Job Site/�wner Cnformation: µ^�� Site Address: �,�'�' � �� Owner: V �� C J�IA�i 1�h,� MAiling Address: �Qll� �1�l.�� U� � �� Cit�: _ 11��Y��I✓U l 1 " Zip: ��_ , 1�-Tome Phone; Z G Jv�`"�� Alternate�hone: li � ContraCtor 1nf�tm�tiUn; ._._._._�.�,�....�.. �� Cantractor: FIRESIDE HEARTH &HOME �pnt�ct Person: L�ah , Address: 2700 Fairview Ave N State Bond#:8C662656, MB662572, PC662571 i LL..._._� , � Ros�ville, MN 551�3 � City� __ zip��_ Cxpiration Date: � ; � Phone: 651-G33-2561 Altec�nate Phone;�eah #651-638-3312 1 � Insurance-�Current: �� 1 � ; i 10-15—'15 12:17 FROM— T-358 P0005/0007 F-679 . ��.�M�� VCECI�ANICAL SYS7'EMS��TNG 7NSTA�;L�D Note: All GcothCrm�l SystcmS will now rec�uii•e a Site plan&Review by our Building Official. XS TF�IS G�4TH�,RMAL? �,] Yes ❑No �-T�ATTNC S'1�ST�MS Quantity: _� �_ Makc: Model: FucL �'lue Size: lnput BTUs� �,., _...._,w._.,�___ Output STUs; _ ; � C�'Ni; CUOLINC SYSTEMS � � Quantity: �� ^�T� fi# ! Make: i Model: Tons: YI.Powcr • T+Y�i�p�.AC�S �Gas pactory Pireplace Brand Nsme; �� ❑ Wood Buriiing Firepl�CC � ❑ Wood Sto�re Model No.: ��"� ❑ 'l�ood Stove with Flue/Masonry � V�1VTZ�.ATTOiV ; ❑ No. �� :itehen�xhaust duct recirculating cfm ; [� No. Bath�xhaust(must havo duct outsidc) Cfm j ❑ Na, Othcr Fans: Locations____ m�� ,� cfm ; . � FU�:L STORAGE (�Yieesd be npproved by f'li e Mars/tnl/iJ�pr•npnsi�tg fo abnndo�r lrrnl<in place.) � f ❑ Installatinn ❑ RetnoVal � Fuel Oil: ��Ilons ❑ Underground ❑[nside ❑Oirtsidc � LP C�as: gallons f pther: � G.4S LINE ONLY � � i ❑ Outdoor Grill ❑ Other/Lis[What&Wh�re:_µ� ; 2 � � 10-15-'15 12:18 FROM- T-358 P0006/0007 F-679 , , 'PBRMIT�EE CAL�US�ATrON(S)' � B!�S�I?Q'��';-�2002 STA.TE STATiJ�. �•} ❑ Yes,this section appiics The replacement of a Residen i lj�}ce th�t meets all three of the folkowing requirements: i 1, Does nos require modification to electrical or gas se�vice. ; 2, �as a�j,�,st of$500.00 or less;excludin Che cost of thc fixture or appliance:and � i 3. Is improved,installed a�replaced by the homeowner or lieensed contractor. Skip next section,if thi�applies; CosC of Permit $ I5.00 State Surcharge � 5.�0 Mail-ln ree(yf Applica6lc} $�2.00 Totai permit�ee $ j ' P��2M7T��,��:4�C�U�:A I'T{7N�S)—;7U�3S Ct'V�R$�UO.QO .; ,�';;; ; ,..� _ ..�.� �..� ; IFabove does not apply;Pollow guidtlincs bclow: � 1. COIVTRACT�'�t�C� * is 1.25%of contract pr'rce with a(D�inimum Fee of$50.00} � _ 1�� x.a125$' .��, ;(cv�itrsFt p��ice) (minjmum 550,00} � � i 2. STAT�SCJT2CT�ARC� +� I �,� �V�_ � � x`.Q005 $ � �(Gontf�ot pr3Ga)� � 3. POSTAG�,&I-(ANDLING(Only on Mail-Cn Applications) $ 2.00 ; Z��'�- '� 4. TOTA�p��21Y11T��(Add Lincs 1-3 Abavc) $ ; � ■ R CONTRACT PR10E or J013 COST menns thc actual or estunated dollAr amount charged for [he I permitted work ietcluding mate�•ials, labor,profit,and other fixed costs. It is the amount to Ue charged to Yhe customer for the work done. If any mAtcrial, eguipment, labor�r installations arc furnished by the owner, cenant or any other parry, the reasonable markat value of such items must be added to ihe estimated cost or contract price for permit. fee purposes. rn the event that there is a dispute on the ; �mount of the job cost, the City may request the submissio�i of a signed copy of the actual contract. i � � '' '::IyI�CT-�AN]:CAL PE�yIYT AppLICATTON AGI2EETv$EN�':•;" � _..____._. � � � The undersigned hereby applies to the City for issuance of'a Mechanical Permit, agrees to do all i work in strict accordance �vith the ordinances of the City and the regulations of the State of � Minnesota, a��d certifies that aU statemcnts made on this applicat.ion are complete, irue �nd ; correct. 4 Applicant'sSignature: �-��"'''V ��vl'T'L''�'j'" T.7at:e:!_ 1 f� I � 3 � � G .� �' � DATE TIME CITY OF ORONO r/ CALLED IN y� INSPECTION OTICE +� �-�`� SCHEDULED =�-`�(� �-��`- PERMIT N � � COMPLETED -�-�ox- ADDRESS �"t�5� C��/� OWNER TELEPHONE NO.�«�a`7�% � ��=l CONTRACTOR _�c ��Y�+�� C�c�-�=� `��'� � DESCRIPTION ��`n�� ll� ❑ 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 Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL v ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � a s�/j 1 t�K G� ,,,c /-P.-�� O �. � O � W � Q � 2 W � j //Sf�' •�1� '� i�?�fl,Pi9 a W ❑WORKSATISFACTORY:PROCEED OMPLEfE � ❑CORRECT WORK 8 PROCEED C� ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WFLL REfURN ❑CITATION ISSUED ❑STOP ORDER P05TED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952� 249-460� OwnedContractor on site: � Inspector. ''^� White Copylln ector's Ffle Canary CopylSfte Notice `�� ` , ✓ DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTIC scHE�u�E� � PERMIT NO. ' COMPLETED ADDRESS � �iJ�'1,�2�P_S�r1 ��-L- OWNER TELEPHONE NO. G71�"'��.�I3� CONTRACTOR �_� ,�� DESCRIPTION / lu ❑ 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 J ❑ DEMO-SITE EPTIC IN LL Z OWNERICONTRACTORT�� YES O ��., COMMENTS: � W C o �. � ��2 !� � • " C��c�� '' //c�t� �� ' � � . 0 � Q � �i.l e 4, r� �C L� �(� • � ��s �- s'•-*�o stS- v?�i - /S — W ' - ' � /��U t�/ � /SD/atio� �c��' �O G�v c�S /� � �''� e�P a �1►'l a.�aG �� - ¢ d �� e.z i� �pas��t�.-��;. ` /�eS u� -C� W ❑WORK S ISFACTORY:PROCEED ❑ PROJECT COMPLEfE W �RFtECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED_CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952) 249-46�0 OwnerlContractor on site: Inspector. "� �� f i.,—,. _�+ White Copyllnspector's File Cenary CopylSlte Notice