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Home My WebLink About2015-01454 - gas fireplace CITY OF ORONO * z 0 1 5 - 0 1 4 5 4 * � � 2750 KELLEY PARKWAY DATE ISSUED: 1U12/2015 ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 908 DAKOTA AVE PIN : 26-118-23-33-0022 LEGAL DESC : JOHNSTONS RGT ALBEES LONG LAKE : LOT 007 BLOCK 000 PERMIT TYPE : MECHAN[CAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATIOl�1 : $ 7,427.15 NOTE: HHT-GRAND 135C F[REPLACE APPLICANT MECHANICAL 92.84 STATE SURCHARGE MECH(VALUATION) 3.71 FIRESIDE HEARTH& HOME MAIL-IN FEE 2.00 2700 FAIRVIEW AVE ROSEVILLE, MN 55113 TOTAL 98.55 (651)633-2561 Payment(s) Minnesota State License#: mech-20512060 CREDIT CARD 4608 98.55 OWNER KNUTSON, SCOTT&JULIE 908 DAKOTA AVE LONG LAKE, MN 55356- AGREEMENT AND SWORN STATEMENT The work for which[his 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 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 l80 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 are requested in conformance with the State Building Code.This permit may be revoked at ny time for due cause. ,�C U -P/�� /� /�� Applicant Permitee Signature Date Issued By gnature Date 11-11-' 15 12:16 FROM- T-424 P0001/0010 F-760 . , /:� ��! ��Lu� _� ��'t �� - For�crr�us�o�vr.� �a A'O City of Orono , +y P.O.Box 66 Date R�ceivpd: Permrt H 2750 K/:lley Parkway Crystal Bay,IvSN 55323 Approved 9y; �,,, Amouqt$; Phone(952)249-4600 r�x(952)249-4616 �"F � �.�KkSNo��.�' CYT'Y OF OR�NO-MECHANICAL PERMIT ; (All Commercial pennics musc be approved by iho auilding Official or Inspeceor an�Uor Fire Marsl�all) � GENE�.AT�TN�'�RMATION . l. You may appiy for mechanieal pet'mits by mail or in person af th�City officcs. Applications w►11 be reviewC�i and a permit wi1)be issued within t�vo working days. � 2. Permit cards will be sent by return maiE after a review is comp(eted. PERMYTS ARE NOT ' VALID YINTIL YOCJ RECEIV�A PERMIT. WO�iYC M�1ST_NpT��GIN CJ]VTTY�T1�T� PERMTT CA12D YS rdST�p ON THE JOB SITE. 3. Meehanieal Desi2ns—Complete calculaUons,details and speeifieations arc required for eaeh heating,vent'rlatron,humidification-dehwnidification,and air conditioning installation including heat lass/heat gain calculation,design temperatures,equipment ratings and identification as to type,manuPacturer and model. T)ata sltall bc presented on form provided, � 4. When any new construction or remodeling is involved,a separ�te building permit must be ' obtaiiied, s 5. All work must be done in�ccordanec with the Uniform Mcchanical Codc/State�uilding Code � requieements. � 6. All worh must be insp�ctcd(rough-in aiid final). Call(95?)249-46U0. � (2�{-48 hour noticc required) '7, f�ouse I-Ieating Test Record must be submitted befbrc tinal. TYPE O��'�T�MTT , ' . (Check Ali That A l�y) ' ddRe�idcntial ❑Commercial(Approval Ttequired) 1]New Q Additional []I�epairs eplace Job Site/Owner Information: ; Sit�Address: �� C�� i�� ; � p��.. + � , _(�,_ �y \., Owner:�,��Yd ,,,_V��lJ�.�1 .�/1� Mailing Address: TI�� +��a ��-' , 'City; Lip: G� (� ? Home Phone: 1�� ~ ��U' ! ��Alternate Phone: ! Contractor Information: Contractor: FIRESIDE MEARTH & HpME Contaci Person: Leah � r I Address: 2700 Fairview Ave N S#ate �ond#�BC662656, M6662572, PC662571 � _ j City: Roseville, MN Zip;55113 �xpiration Date: I 651-633-2569 Leah#651-638-3312 � Phone: Alternate Phone: � ❑ Tnsurance-Current: � _ _ 11-11-'15 12:16 FROM- T-424 P0002/0010 F-760 ' ' ' - ' -�-� ,.� � � �'Iv1�CL�AN�CAL.�YSTEIvIS`��'NG'S�i��.'ALLED� ',, .� � Note:All Geothermal Systetns will now require a Site plan&R�yiew by our Building Official. TS TY-YYS GE�TT-Y�RMA.i.? Q Yes 0 No H�ATIIVG SYST�MS e Quantiry: .w ' Ivfakc: ModeS: I Fuel: Flue Size: Input BTUs: �utput BTCJs: _�,�,.. - - - --- CFM: CqOLYNC S'YSTE]LTS Quantity: _� �ww� ` ,p — — -- i, Make: ` Model: Tons: 1�.Power �--. .-_�.M.,V..w... FIREPLACES L�' Gas Factory Pireplace Bt•and Name: ��:;; ; ❑ Wood Burning Fireplace � [] Woad Stove Mode1 No:: ❑ Wood Stove with Flue/Masonry i VENTILATION i ❑ No. Kitchen Exhaust duct reeireulating �_�ef�n ❑ No. $ath Exhaust(must havc duct outsido) cfm ❑ No. Other Fans: Locations_ �� cfm i �CJ��.STO�A.�� (�Xust be nf�proved by l�ire MarslralC if pwoposing to abnn�lon tnnk l�r place.) � ❑ Insiallation ❑ Removal i I Fuel Oil: gallons ❑ Under�round �f Inside ❑Outside � I.P Gas: gallons � Othcr: � GAS I.TN�UNLY � 1 ❑ Outdoor Grill ❑ Othcr/List Whaf&Where: � 2 � I � 11-11—'15 12:16 FROM— T-424 P0003/0010 F-760 , , . , y r � , . , , � :°PERIy1TT F�E CAL�ULAT�O�(S) `, , fr�A cl�r, n ry,n , � , , �'i 4� r r� , y ",. :$A$��0��,-2UU.2 STAT��;STAT`IJE` °� ,, �� c� ,, �a; � -,, , ❑ Yes,this section applies ; Thc rcplaccmcnt of R Rcsidcntial fixture or appiiancc that meets all three of the following requiremen[s: � 1. Does n�require modification to electrical or gas service. 2. �las a tocal cost of$SOO.OQ or less;excfudin�the cost of the fixture or appliance� and 3. Is improved, installed or rep)aced by the homeawner or liceitscd contraetor. . Skip next section,if this applies; Cost of Permit $ 15.00 - State Surcharge � 5.00 Mail-In F�e(If Applic�ble) $ 2.00 Total Perm'tt�'ee $ ___.'�--�'__�..�..:�'��zT��ax��;��r�rr�s� r��c�'v�u-�soa oo;= � :<, �,:� .�__�....� �.. � ; (f above docs not apply;follow guidelines belo�v: !, COlV1��i?AC�'�'�XC� '� is 1,25%of contract price with a(Minimum Fee of$50.00) � �'�—�•� ,x:oaz5�: � :�'� �, ; (c�ntrapf prict)'. (fifnititu�r}55b.Q0 � 2. STAT�SUY2CHAl2GE � `�](',��"�� j„ �`.ODUS :$' �� ' << f `(con5�lCt price)' ; 3. POSTAGE&HANDLING{Only on Mail-1n ApplicAtians) ;$'„�.,,,,"M,�,QOW�' "=�',_;,: 4. TOTAL PERMIT FEE(Add Lincs 1-3 Abovc) $ ` 1 �`� ■ � CONTRACT P1Z10E or JQB GOST mcans thc actual or estim3Ccd doll�r amount chargtd f'or Yhe permitted wprk including matcrials,labor,protit,&nd other f xed costs. It i3 the amount to bC chArged to thc customcr for thc work done. If any material,equi�iment, labor or ir�stzllations are furnished by thc owner,renant or�ny othcr parry,the re�sonable market vatue of such items rnust be added to the estimated cost.or contract price far permit fee purposos. In the cvcnt that the,�c is a disputc on the � amount of the job cost, the City may request the submission of�Signcd copy of thc actual contraet. ' f � �`,` ' '' ' ��lV1�C�'AI�YCA�,P�,1?1V1I'I'APP�TCA;PIQ�"A�REENIENT: ,, ., j s> , .. •s , ,:�, � ,�� The undersigned hereby applies to the City for issuanee of a Mechat�ical permit, agi•ees to do all Wark in strict accordance with the ordinances of the City and the regulations of the State of Minnesota, and certifies that a(I statements made on this applicarion are complete, true and carrect. � � �� I� 1 i � � �� ' AppliCan�'S SignaiUre: `Date: ' ! f I 3 ! � � � � � � � DATE TIME CITY OF ORONO CALLED IN /I- �O-�S INSPECTION N�I� _D�� CHEDULED //oZ5 15 1.:3� PERMIT NO. o� COMPLET D ADDRESS D C� D OWNER �_�T�LEPHON NO.'��1,�a�"�7�P' �7-� CONTRACTOR ct-e �Q'��- � DESCRIPTION � � � � �- � ly ❑ FOOTING ❑ DEMO-FIN L ❑ 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 �4 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO c�.� COMMENTS: � W a � � 0 � o� 0 k W � Q � � Z W � W � J d W ❑WORKSATISFACTORY:PROCEED PROJECT COMPLEfE � ❑CORRECT WORK 8 PROCEED �I UE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECWERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. O PHOTOTAKEN INSPECTOR WFLL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in a ance. (g52 � OwnerlContractor on site: Inspector. White Copyllnspector's File nary CopylSite Notice