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Home My WebLink About2014-00966 - gas fireplace CITY OF ORONO *� 4 - 0 0 9 6 6 * 2750 KELLEY PARKWAY DATE ISSUED: 08/27/2014 ' ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2630 COUNTRYSIDE DR W PIN : 04-117-23-12-0015 LEGAL DESC : OLD CRYSTAL BAY ROAD ADDN : LOT 007 BLOCK 002 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 4,025.00 NOTE: HEAT N-GLO-CDFL4136 APPLICANT MECHANICAL 50.31 STATE SURCHARGE MECH (VALUATION) 2.01 FIRESIDE HEARTH& HOME MAIL-IN FEE 2.00 2700 FAIRVIEW AVE ROSEVILLE,MN 55113 TOTAL 54.32 (651)633-2561 Payment(s) Minnesota State License#: mech-20512060 CREDIT CARD 4608 54.32 OWNER URNESS, TODD& KATHERINE 2630 COUNTRYSIDE DR W LONG LAKE, MN 55356 AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed accordine to the approved�lans 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 governing 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 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 at any time for due cause. f�� -�-J �jv�Q O � � � � Applicant Permitee Signature Date Issued By Signature Date 08-26—' 14 16:43 FROM— T-879 P0001/0004 F-972 Y" --��4 4.�\,J 1 J . . .��Yl ' �"ri�t!'TTi�VFi�Y��2 y..f�9� ��" . �il�Ot�rOnO .' i G ' , u ,.f;y r � ��,, t}� ��i� ira: . �-��/-� P.O.C3oxb6 pat�r��eiy� a� , ei p�� ti.,?; �'"r r' V 27i0�elley Parkway ,,� �� :� �� ,` :; ,+ � � ';' ; ;� i Crystal l3ay,MN 55323 ''AppYqYe�6y ' ' Am,o��;�t S �' � Phona(952):A9•460� Fax(9S:)249-4616 > �ti�- `�' � '. � ' �' �'��' - �� ' � , �.�' CYT'Y O�ORO1�0—1V1ECT�ANICAL PERMIT l�� SH�� (Al1 CommErcia]pemiits must be approved by the�uilding Ofllcial or Inspector ancUor Fi�Marshall) � 1Jl.r1V�1�` �A�'1��+��1;� ��'�i s r i�d�1 �.i� �. ,K( �� ,� � �e u4 �e�^�� Y�1.�^ a'^��T 1 �� '�.,,� �r,;-a,.i �,,w,.WF: 1. You may apply for rnechanical per►nits by mail or in person at the Ciry offices. Applications will be reviewed and a permit will be issued within two workins days. � 2_ Permit cards will be sent by return mail after a review is completed. PERMITS AR�NOT � VALID UNT1L YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE � PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical besi�ns—Canplete calculations,details ancl specifications are required for each � heating,ventitation,humidification-dehumidification,and air conditioning installation including � hcat loss/hcat ga.in cslculation,design ttmpersh�res,cquipmcnt ratings and idcntification as to � typc,manufacnirer anci model. Data shall be presented on fom�providcd. i a. Whcn any new construction or remodeling is involvecl,a szp�ratc building permit must be ! obtained. ' , S. All work must be done in accord��ce with the CJniform Mechanicai Code/State�uilding Code rcquircmcnts. 6. All work must be inspected(rough-in and final). Call(952)249-4600. (Za�q8 hour notice required) '�. �ouse�-Teat+ng Test�tecord must be submitted before final. ; , �^,�_��}p- �7�,� � �'� ; � �� t � , t .wL � � . � t �; ��" �i' J,�LtLV1�T� a�. 1 '.�s .1 Yi 4t' Y C ��-�� ` S`•'! � \ �, . i', ' 4��KY/� ��iF 'i �(��Kf �r�tJ�i.'i� �} ` +�41 � �,l�r .,,,� ,, a Cli ok�'A11.Th�a I� � '.�..5: r .� '� esidcntial ❑Commercial(Approval Ttequired) I [�New ❑Additional [�l�epairs ❑Replacc ' � Jab��S��e�/�Oivner Tiifoizri�ti�n s � r`� +.:;,�;��r'�� i ,, f Sit�Address: ,U( ��-� � � 1��. � Owner: ��I�.5�� r��yi�, �'� Mailing Address: I I U�'( � ��r��L�l V !�� Cit�: �� "Yl � Zip: �� r� , T-iome phone: � ( Z��U�Q`��V 1 A(ternate�'hone: ��D _ �._. ��[� �l_(/ � i ,.�, � � ,, i ��i�tra�toc;'Xr��or��tion v , � � , :�; I � Contractor��A�"�N �f-f�fM��`t;�'Nr�lO�nGIE�,��ontact Person: �{EAR"t'N �4 k#f�M��'��=��.OGI�� db�'Ib�ARTA� HOM� dba FIRE5IDE �i�AR�'H � HONi� Addr�ss: �-�c ��'��56 � � �tate Bond#: Lic BC662656 � ROSEVILI.�, MN S5x13 2700 A E R! ' �i�y: __6.5;1.,h�:.�y�p`. Expiratioi;l�ate: �OS�VZLLE, MN 55�13 , -- - _"""'6��fi�'�2,�6-� I Phone: Alternate phone: I i ❑ Insurxnce—Current: ! 1 � ; i � I 48-26—' 14 16:43 FROM— T-879 P0003/4004 F-972 � ' , .d ��Y`;'y�� `a � ; � t r ' �{,�K� a�F }r`k' ��', . . .. k � V nr� . ; F,��,,.( 'E{��y � �,� � „��`S�i6.�`�.�i�''�:'��f R��..�' . �.:�_4.4�,l°,��.90^�'�i��.. �-. ..��+:'!>! � �k�rv^��, � .t��Fl��+�h�'r�r" 1�.� y r ',�.'t.�.,�e�et�nr'` n��tcr �Y'�'.w`i}'b '�' a: 1 vi � s ❑ Yes,tilis sectiai applies Ti�e rcplacemcnt of a Resideneial fiixture or appliance that meets all three of Ehe following eeyuirements: � 1. Does not requira modification to electrical or�as service. ; 2. �las a total cost of$500.00 or less;excludinz tiie cost of the fixt�re or 2ppliance:and 3. Ts improved,installed ar replaccd by tho homcowncr or licensed contractor. � Skip next section,if this applies; Cost of Pennit $ 15_00 � State Surcharge $ 5.00 Mai!-In Fcc(If Applic�ble) $ Z.UO ' , Tuttil Permit Fee $ �� , i 1 :` s � � � �.��T r-� �� : �;,� ` J.�) ,�� ,�p Q�� •�: L��.T��L �. u..M1�... L r�.14�. ' J .�', . �. �T�i• f .A %�.KI � 1 1 Tf above does not apply;follow guideli�zes below: i 1. CONTRACT PRiCE � is 1.25%of contract price with a(1Vlini�num l�ee of$Sp.00) (�C,,f�.o�Zs$ �U �� [ICC} {minimum$SO.UO) 2. STATE SiJRCTCARG� ('� /� (,�j� � � � �� L � x.0005 $ ` �� ( ont�act pricc) � 3. POSTAG�&T�lAr1T�L�NG(Onty on Mail-Tn Rpplications) $ 2.00� • � 3� /`� ; 4, TOTAL PERMIT FEE(Add Lines 1-3 Above) � �.� L � � ■ * CONTRAC7' PRTC� or J0� COST mea3�s the acfual or estimatcd dollsr amount charged fot the � permitted work ineh�din�3naterials, labor,profit, and other fi�ccd c;osts. It is thc amount to bc eharged ! to the customer for the work donc. If an�+material, equipment, labor or insli311ations are fiimished by the owncr,tcnant or any other party,the reasonable markei value of such items must be addcd to thc estimatcd cost or cor�tract price for��ermit fee purposes. In the event that thcre is a dispute on the ' amount of the,job cost, the City may request the submission of a signed copy of the actual contract. � " ��`,.:� °�i f .�i� +, ,�•� ' Y� v a �' ,a x � ! -.:;� i d � I The undersigned hcreb� applies to the City for issuanee of a Mechanical Pennit, agrees to do all � work in strict accordance with the ordinanees qf the City and the regulations of the State of ' Mint�esota, and cei�t.ifies that al! statements made on this application are complete, tr��e and ' co�rect. ' ; , � � Applicant's Signature: �� Date: G( � � i � 3 ` i 08-26—' 14 16:43 FROM— T-879 P0002/0004 F-972 �. )_ ..,n ; p ��.' ,,� �. �� • i�s. � ni :�7k� i°y � ' '!�. �A.f�� . Note:All Creothennal S�stiems r�ill now require a Site plan dz Review by our 73ui1Cling Official. � E XS TT�TS G�OTHERMAL? ❑Yes �o � ��ATYIYG SYSTEMS � i Quantiry: —�,,...�.�.......�.:� �— � Make: _ �� _ Model: _ I . �� —�� --- i Puel: _.w.,w..�r_ ,_ 1 � Flue Siz,�: Tnput B�'C1s: --�-�-r�---- Output BTCJs: ,,_,�� .,, � CI'M: �..,. ' COOLfNG SYST�IVIS � Quantity� ---m Make: Model: _�.,w .,� i Tons; j I H,power ; _--_ ---- � FIREPLAC�S ' [� Gas Factory�ireplace BrandNa�ne: ��1��" "h�C IC: � ❑ VVood Buming Fireplace /� f �, ; ❑ Wood Stove Model No.: l._-�� L "I �� ❑ Woad Stovc with F[ue/Masonry ! 'V�NTY�ATIOiV I ❑ No. Kitchen Eschaust_ duct recirculaling �efin [] No. Bath Exhaust(must have duct outsidc) �cfm ( ❑ No. Other�ans; �ocations ___ __ cfm � � i FUEL STORAGE (Must be approved by Fire t�f[trsitall�f propos[ng lo abandon i�rnk in place.} � I 1 ❑ Installation ❑ 1Zemoval fiuel Oil: gxllons Q Undergrpund ❑Insii3e ❑Outsicle � �.P Gas� gallons ', Other: __ � GAS LINE ONY.,`Y �I ❑ Outdoor C�rill ❑ Other/List What&Where: I � i 2 � � i � � � DATE TIME, CITY OF ORONO CALLED IN _� — INSPECTION NOTICE SCHEDULED �-` PERMIT NO..�(�/y^a o9GG COMPLEfED !-/�-/G ADDRESS •2-G�30 C�k�t��s��. t��. OWNER TELEPHONE NO. CONTRACTOR ��'�5.��. L�e.w�Gi�-�r►+Q � DESCRIPTION ��S �✓"• ��''�G lN ❑ 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 � ❑�ON ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT v AL ❑ 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 � COMMENTS: � � n � / G� �V•� (O'l�e�/ I�Y�.rs•.... or _ �,,�� a�F aoi� - oa 4 dn � �i- a� - i4 hy �o�. � - 0 � W � � Q �j e� L/LS_$�!O � 2 W � w � J d W ❑WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � ❑CORRECT WORK 8�PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN 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. (g52) 249-46�� OwnerlContractor on site: Inspector. � ` �'" � White Copyflnspector's File Canary CopylSite Notice � �, � �� D E TIME ITY OF ORONO CALLED IN INSPECTION NOTI E SCHEDULED �,� PERMIT NO. r co LETED ADDRESS � ��'��'�a-�' � � OWNER TELEPHONE �� CONTRACTOR � �; DESCRIPTION �� ly ❑ FOOTING ❑ PLUMBING FINAL Q EXCAV/GRADING/FILLING � ❑ POURED WALL � MECHANICAL RI ❑ LAKESHORENVETLANDS � Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPIAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP 2 ❑ DEMO-FINAL ❑ SEPTIC INSTALL � HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPT FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU: YES_NO � COMMENTS: '�� W a � � O >. � O � W � Q � 2 W � W � j d W ❑WORKSATISFACTOFiY:PROCEED ❑ PROJECT COMPLEfE � ❑CORRECT WORK 8 PROCEED �ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING pERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. % Cail for the next inspection 24 hours in advance. 49-4600 OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopyfSite Notice