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Home My WebLink About2015-01537 - gas fireplace CITY OF ORONO * Z 0 1 5 - PJ 1 5 3� 2750 KELLEY PARKWAY DATE ISSUED: 12/08/2015 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 3325 CRYSTAL BAY RD PIN : 17-117-23-41-0018 LEGAL DESC : WALLACES ADDN TO VIL OF MTKA B : LOT 005 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 3,71325 NOTE: GAS FIREPLACE-BRAND-HHT-MODEL NO. SUPREME-I30-C I 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 JENSEN,THOMAS&CHRISTINE 3325 CRYSTAL BAY RD WAYZATA, MN 55391- AGREEMEIVT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and speci�cations,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 l80 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. C �� l U �� Applicant Permitee Signature ' Date Issued ignature Date , 12-08-' 15 14:40 FROM- T-473 P0001/0007 F-827 . � �� 17i .� �� - � �Yr �5��N�� (;ity of Qrono / ��j�j ` ��/� P.O.Box GG Date Rece�ve Ncrmi�N ��S `� `�� ": V 2750 Krllcy pa�kway - Crystal Bay,MN 55323 ApprovCd Hy. ArtlOUqt$:_�� Phone(952)2�19-9600 Fax(952)2�9-4616 � ' � ' ��1.�,� o4�.G� CITX OI�'ORQNO--M�CF�ANICAL P��tMIT �S N (All CommC�ial permits must bt approved by the Building Offcibl ur InSpeCtor arid/oY FICC Msrshall) 4 —....� i ��, rnr�o�Ma7�Ya�r ; __ . _ � 1. 'You may apply for mechanical permits by mail or in person at the City offices. Applications�vill � bc reviewed and s permit�vill be issued within two working days. � 2. Permit eards will be sent by retuizl►nail after a ceview is completed. PERMITS Al��,NOT VAL�U UNTCI,YOU R�CBC'VE A PEIL'vITT. WORK MUST IVOT B��N�NTTT�TH� p�RMYT CAYiri IS POST�n ON T��JOB SITE. 3. Mecha��ical Dcsiens—Complete ealeul�tions,cletails and specifications are required for c�eh heating,ventilation,humidification-dehumidification,and xir conditioning itlstallatlon inCluding heat loss/heat 6ain calculation,des�gn temperatures,equipment rstings and identificatian as to type,manufacturer and modeL Data sl�all be presented on form provided. 4. When any new construction or rentodeling is involved,a separate buildia�g permit musf be obtained. ' 5. All work must b�done in accordance with thc Uniform Mechanical Code/State Building Coda requirements. ; 6. All work must bc inspccted(rough-in and final). Call(9S2}249-4600. 4 (24-48 hour nocice required) 7. House Heating Test Record must be suhmittcd before final. . . ., � �TYPE OF P�kIY1T'�', , , . . Check Al1:That Appl�), . �sidential Q.Commercial(Appro�val Required)! ' � New ❑.Additidizal ❑,Repairs [��cplace Jab Sita:/.Qwrt�r Tnformdtian; ......___ (� G. \\. _��J` �„�� O� I Site Addres,s; �,� -� �� . � -- % Ow�ier: � d� `��r l �a �/I��- I�%Iailii�g Address:': � ��1 �I'I�YJ�� l� � E City: ��Y1.0 Zip: ' i � Hom�Phone� �.Q iZ��)lY�f.�^Z-Lp�f Alternate�hone: ` i Contractor In£ormataon� ; : t � � Contractor: FIRESIDE HEARTH & HOME �ontact Person: Leeh r Address: 2700 Fairvi�w Ave N State Bond #:g�662656, MB662572, PC662571 C��,: Roseville, MN Z�p;55113 �xpiration Date: � � Phone: 651-633-2561 Alternate T'llone:Leah #651-638-3312 ❑ Ins�rance—Current: 1 I � , 12-48-'15 14:40 FROM- T-473 P0002/0007 F-827 � � � -�. '�.'-�;; j��'p 7j,�,�7,�--��r--.�"'"".�"ti ��( D�] ��` � ,s-..7�T'p`°'�''� E � �� tc ,:' ,.}�-a. �s�.sn,X?r,��'Nky.�-�%�.!��''111� �"�_��?�,�6Yd.�iAfdv.�2rs","4'��tl�L,��"_ �'� `k :?_c � Note: All Geothermal Syste�ns�vill now a��quire a Site Plan&Review by our Building Official. . IS THIS GEOTHERMAL? � Y�s ❑No HEATiNG SYSTEMS ; � Quanti�3'= .,.�w...,. _._�,_... ----- . � Makc: ' Model: ,_,,, ____� Fuel: �'lue Size; � .__ � Input BTUs: _ ___�_�_� ' Output BTUs: ., ' CFM: �,.....- r __�.- COOLING SYST�MS � Quantity: , � N[a1ce: � � Modtl: _..__ Tons: . �-C.Powcr _ --� � FIREPY.,AC� � ` � . ; Gas�actory Pire}ila�e' Brancl Name: ;� �� ❑� �Wood�uiming Nircplace � p � Woad Stove; Model No.: ��J-�� ❑ Wood Stovz with�?tue i Masonry V�NTILATION '' ❑ No. �Citchen Exhaust duct recirculating cfm ; ❑ No. � Ciath Exhaust(must have duct outsitle} ef'm ❑ No. Other Fans: L.ocations cfm ! i FCJ�,X.STdRA�� (Must be np,�roved by 1�'kre Mnrshnll if proposirrg tn ah�rr►ilv��tunk iri place.) � � ❑ Installation ❑ Retnoval � Fue!Oil: gallons ❑ Un�ergrUund ❑ [tlside �Outsidc � LP Gas: gallons Other: � GAS LIN�;ONC.'Y ❑ Uutdoor Grill ❑ Other/List What&Whcre:� t 2 � 12-08-' 15 14:40 FROM- T-473 P0043/4007 F-827 _ � ! �a ��!'�y� � y�-.7� T}}'p--��,�ryN� zyn}�1} r��.y�yyr��f {��r, t ..� i-� r:: . �z,� ��.1�} �,Y Y ,��L'xh��-'�/,�1./.�7�.�-�k��I,JJ.r�,�kV k`I�Y��"�. .S 1 � l,_ _ ! s � 'r�r y � d._ 1 � r xxt 1� ti � �.'��K a ^vy ' :>�- _ - > ` .;:�Y �3�'�S�UFF� ,��Q2�5'Ir�,`I',��'1�1I`�T.�, - �'-''�L-`r -- '>> _- ❑ Yes,this section applies i The replacement af a�esidential fixture or appliance thst meets all three of the following requirements: � �i 1. Does riot require modifieation to electrical or gas service. 2. Has a totAl eost of$SU0.00 or less;excludin�the cost of t11e fixture or ap�liance:and 3. Is impraved,installed or rcplacetl b�Yhe homeowner or licensed contractor. . Skip next section,if this applies; Cost of Permit � 15.00 State Surcharge $ 5.00 Mail-Tn Fee(rf Apr�licable) $ 2.00 Total Permit�ee $_�,__ z �' �,,. D TA�T 7r,}r.,�,_ (��'l,.T, or-.�r(�'��!'�-�--� :J i /1 �yrc acd.��t�a4;`_i . 13-`','c��?a._a_� :*'�!�.!:Y`-�A'G'��1A.,� .��.�E" w�^.�,��1��'��IV��j .�4��0 ll��irt -�-.��:c4K"�.� ��, Tf above does not ap�ly;foUow guidelincs bclo�v: 1, CONTRACT PRICE *is I.25%of contract pricc with a(Minimum�ee of 550.00) ; �� 1� ��:T�12S$� ; `. ,-_'� € {c§ntract_pri�z2; �(nninit�um�SO RQ); ! 2. STATE SURCT-YARC� � �'� `��j . � � �x!;�00�`!''�; �rir�A��.Pt1S�5�� : 3. POSTACrE&Y-IAN�7LCi�IG(Only on MAiI-Yn Ap}�licatipns) ��; _; ��^';��5.�.".,s-,�-.�,' ; ,:. _ 4. 'T'OTAL PERMIT��(Add LinCS 1-3 AbOve) ��$r''` ,r ,'i + + CONTRACT PR�GE or JOS COST means th� actual or esticttated dollar amount charged for the I permitted�vork including materiafs,labor,profit, xnd other fixed costs, yt is the amount to be eharged to tl�e customer f'or the work done. ►f any material,equipment, labor or installations are furnished by thc owner,tenant or any otl�er party, the reasonable market value of'such items must be added to the estimated eost or contract price tor permit fee purposts. In the event that d�ere is a dispute on the amount of the job cost,the Ciry ma� request thc submission of a signed copy of the actual contract. �s-�C F��de��-��1. +.."�'� � ° ��.F'�� 5��11.t��kk�`i��r�..��'z,a.�L":?'�'.�i3t�-��: The undersigned hereby applies to thc Gity for issuance of a Mechanicfl] Permit, agrees to d4 all ! work in strict accordance with the ordinances of the City and the regulfltions of the State of � Minnesota, And cei�ifies t}iat all stAtements lnade on this ap�lication arC Coa►plete, true and i COn'ect. � !� �.fl`t�B�Y'��9�i,�-t�-f _, r Applicant's Signature: _ � �,nate�:' L � � i i 3 � � � � � �� DATE TIME CITY OF ORONO CALLED IN /a�/D�S =_� INSPECTION NOTICE SCHEDULED �� PERMIT NO��L�P��7 MPLETED ADDRESS OWNER T PHONE NO. a` CONTRACTOR >`; DESCRIPTION W ❑ FOOTING ❑ DEMO- iNAL ❑ SE IC 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 ❑ SEPTIC INSTALL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO v�, COMMENTS: � W a � .��1,�/OeG z�'/ts''�„ CD o'Lt�l� Q�I 0 � �f LGPE� � e2 "' ��--�� r ��t c � .. o � � W � Q � 2 W � W � J d W ❑WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL REfURN ❑STOPORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (g52) 249-46�� OwnerlContractor on site: Inspector. �-�`/h.- �-- White Copyllnspector's File Ca�ary CopylSite Notice ,/G J DATE TIME CITY OF ORONO CALLED IN INSPECTION�N,,OTICF�S�.-.T SCHEDULED �r��'�� '�— PERMIT NO��'�" � -- - — COMPLETED ADDRESS ��5 ��'��-°'� � �o� OWNER �bC� `n �12��E,^LEPHONE NO.�(a �� -y�?a' � S -e H��\ CONTRACT�R � �-Q. �C�' , � DESCRIPTION --+--' -�"'�� J r � � �� l� ❑ 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 W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-S�TE ❑ SEPTIC INSTALL 2 OWNER/CONTRACTOR TO MEEf YOU:_YES_NO c�.� COMMENTS: � W a � J O �. � O �-, (.(. W � Q � 2 W � W � j W ❑WORK SATISFACTORY:PROCEED ?�3E�YJ�T COMPLETE � ❑CORRECT WORK 8 PROCEED ❑ UE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECdVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑INSPECTION REQUIRED.CALLTOARRANGEACCESS. Call for the next inspection 24 hours in advance. (95 j 49- 600 OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSfte Notice