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Home My WebLink About2016-00631 - gas fireplace � CITY OF ORONO * Z 0 1 6 - PJ 0 6 3 1 * � 2750 KELLEY PARKWAY DATE ISSUED: 06/OU2016 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 787 BOULDER DR PIN : 33-118-23-11-0132 LEGAL DESC : STONEBAY : LOT 7&8 BLOCK 1 PERMIT TYPE : MECHANICAL PROPERTY TYPE : RESIpENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS ACTIVITY : 102-SINGLE FAMILY HOUSES,ATTACHED VALUATION : $ 1,795.00 NOTE: 1 GAS FIREPLACE HHT, SL-750TR-1P1-E APPLICANT MECHANICAL 50.00 STATE SURCHARGE MECH(VALUATION) 0.90 FIRESIDE HEARTH&HOME MAIL-IN FEE 2.00 2700 FAIRVIEW AVE TOTAL 52.90 ROSEVILLE,MN 55113 (651)633-2561 Payment(s) Minnesota State License#: mech-20512060 CREDIT CARD 4608 52.90 OWNER PIERCE FAM TRUST,MARY SUE 5491 ANDERSON ESTATES RD MAPLE PLAIN,MN 55359- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicabie 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 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 are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. r� _,n r•� t �� -= J �-� .(��-�� A Lic��ee i nature Date �� —"' � � � � �� pp g Issued�y Signature Date Q6-01-'16 14:29 FROM- F I RES I QE T-059 P4001/0004 F-548 ,� �� `1 �`�(a� pd� 1 . FOR C1TY U3E ONLY ^ �� City of Orono � - j� P.a.Box 66 nbte lteceived: 1'ecmit# 2750 Kcllcy Parkway Cry3cal Bay,MN 55323 Approvcd By: Amount$; phone(952):49-4600 P8x(952)249-4616 �`�� '�� CITY OF 0120N'Q-MECHAIVICAL PL�2MYT f k�s H� (All Commercial pnrmits must be approvcd by Ihe Building OffTcisl or Inspector and/o�Airp Marshall) � G�NERAL INFORMATTON � € i 1. �SCou mAy apply for mechanical permits by mail or in person at the City offtces. Applications will be�viewed and a permit will be issued witf�in cwo working days. ; 2. Permit cards will be sent by return mail after a review is completed. P�RMCTS AI�NOT I VALID UNTiL YOl1 RECEIVE A PERMIT. VVORK MUST NOT BEGNEV T1NTl�.THE PERI�IIT CA�tp CS pOSTED ON TH�.�OS SYTE. 3. Meehanical Desi�ns�Complete ealculations>deLalls and specifications are reGuired for eaeh heating,ventilation,humidification-dehumidification,and air conditionin�installation including heat loss/hcat gain calculAtion,desigii temperatures,equipment ratings and identification as to type,manufacturer and model. Data sl�all be presentecl on form provided. . �. When any new construction or rcmodeling is involved,a scparate building pennit must be obt�ined. - 5. All work must be done in aeeordance with the CJnrform Meehanical Code/State Building C:ode rzquirements. 6. All work must be inspected(rough-in and final). Call(952)249-�600. (24-AS hour notice requirecl) ; 7. House Heating Test Record must be submittcd before finaL 3 � TYPE OF PErtMXT � Check All That A ( __ , . -• ----- . ..__.------ � �Res�dentia, ❑�Commercial(Approval Reguired)� tNew� Q�Additiona� ❑(Re�flirs� ❑�RepEace� Job Site/Qv�mer Ynfonnation: �Site_Address� �U / �0 U.�d�X �f►V'� _ � . .. ; Ovciner� W o�c�aa�� ► ��,yS Mailing.Address� �� Qj�t e �iYG�'e. �Y'i�V 1�� ; �----�---- C � c (ei�;) i'Y1��h��o� k� (z�p) �5 3�3 �Iom1phone: �� c��5�,.� Alternate Phone: �c...._..._..__...� Contractor rnformation: � ContrActor: FIRESIpE HEARTH & HOME ContaCt Person: 1'z�'►��►r Address: 2700 Fairview Ave N State Bond#:B�S62656, MB662572, PC662571 �,ty; RoseviUe, MN L;�55113 Expiration Date: �1�� 8 Phone: 651-633-2561 Alternate Phone: #�Pp.�I-��DJS"l�QID f i ❑ [nsur�nce-Current: ' 1 � 06-01-' 16 14:29 FROM- FIRESIDE T-059 P0002/0404 F-548 � � 'M��,��ANXCAL SYSTEM��3�NG�I�TSTA�L�� , ';` : ��;�, . � Note:All Geothermal Systems will now require a Site Plan�Review by our Building OfficiaL ; IS TH[S GEDTHERMAL? ❑Yes 0 No HEATING SYS'T'�MS � � i Quantity: _� j 3 ! Make: I ! Model: �. � Fuel: I Flue Size: Input BTC�s: � Output�TUs: w ' CFM: � COOLING SYSTEMS �� QuAntiY�: , — Make: Model: Tons: H,power __- -... ��'IR�PLACES� _..._. _._._.... ._..._.. ��.............. _ : � Gas Factory F�raplace�_, �Brand Na�ne:� � ; ❑ '4Vood�urnin��'ireplace�j �--p ❑ Wood Stove) _____ fModeI.No.;� (� ��`��,1 (�j" ��` � � —�--- ----� . .----�---- � [] Wood Stove with 1�1►�e�Masonry� i _..... ..._. � VENTILATIO�` ; � No. T�itchen�xhaust duct recirculating cfm ❑ No. �ath Exhaust(rnust have duct outs;de) ,cfm i C] No. Other Fans: Locations c£m ! �U�;C.STOCtAG� (Must be approver!by Fire Marsirn!(ifproposi��g to Aba�don tank 1n place.J � ❑ CnsCallation ❑ Removal �'uel 0i1: gallons ❑ Underground ❑Inside ❑Outsitle LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill ❑ Other/List What&Where: 2 � 06-01—'16 14:30 FROM— FIRESIDE T-059 P0043/0004 F-548 ' .. � � ....,..,, � . . . , .. ... .. . . . . . . . 4 '�' ' °� �'�� "'r��?��, I � A�;'CULA�'��I � � �� `�� I � � � � � (.) �. s C . 1 � � �� a� .,y �-�.v . e > . y ;: p,,.,;.,�'a.,� `a-,..:1.��,,� �� .�Fx='^�-�02,�'�'�'�'��ATT1k ,, ." .��,,,'� '°�`��;�. � � ❑ Yes,this section appties � The replacement of a Residential frxture or appliance tliat meets all three of thc following requirements: � . � l. Does not requi��e modrfication to electrical or g�s scrvice. � 2. I�as a total cost of$500.00 or[ess;oxcl�the cost of the fixture or appl;ance:and 3. Is improved,installed or replaced by the homeowner or liccnscd contractor. Skip next section,if fhis applies; Cost of Permit $ 15.00 � State Surchar�e $ 5.�0 Mail-In Fee(1fApplicable) $ 2.00 ' Total permit Fee S � ;.P.,F��,��r,�,A,�,�'�7��`TI0�1�5 -'rC)�3S(71�;�'$J`"OOr��,� ' :;7,'� rr,`,. ? � If above does not apply;follow guidelines below� � i 1. CONTRACT PRICE *is 1?5%of eontract price with a(IVlinimum Fee of$50.00) j � 7/� �Q 12S$ -��o^�� (c(1rifF�Gt'(ii't"CZ �(ininimum�s0�o0� 2. STATE SIIRCF�ATZC� � � � �� x�0005;.� �. � (Fo�i�_�a�) i r 3. p�STAG�&HANDLING(Only on MaiC-Cn Applications) $ r2.00.� . ; � L.. ..�.-.---.._:>_� �J O ; 4. TdTAL PERMIT FEE(Add�,'rnes 1-3 Abovc) �$ _----��" ':.__ ,�J � E ■ * CONTI2ACT PRICH or JOB COST means the actual or estimated dollar amount char�ed far the � pertnitted work including matei'iAls,Labor,profit,snd other fixed cosls. Tt is the amount to he ChSrged to the customer for the work done. If any material,equipmcnt, labor or installations are furnished by the owner,tenant or any other party,the reasonable market value of such items must be added to the estimated cost or contract price for �ermit fee purposes. in the event that there is a dispute on the , amount of the job cost,the City may request thc submission of a signed eopy of the actual contraet. i � I i i —•-,— ..: L ,:;� �CHANIGA�;:�'�<�.M�T-A�P�ICt�:TIOI�A��E�MENT,'' , , ;; The undersigned hereby applies to the City for issuance of a Mechanical PermiC, 3�rees to do all work in StriCt acCordance with the ordinances of the City and the regulations of the State Of Minnesota, and certifies that ail statements made on this application are complete, true and correct. Applicant's Signature: Date; �r�^ / �CJ - �..^:._� 3 � � � �� DATE TIME CITY OF ORONO CALLED IN �-8 INSPECTION NOTICE SCHEDULED lv�-!�o � PERMIT NO.� '�� COMPLETED ADDRESS 7�� G��---_''��i�; OWNER EPHONE NO�s�� ^�`�J� CONTRACTOR ' �'�� DESCRIPTION � � �. - � tL ❑ FOOTING ❑ DEM -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 41 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERfCONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: a �'• O• f�1, L . , ��y� � c'l�¢��s- d� O �/w�L /�'/54�. 5'7rt��L ,�lOv/�j�1> � ^ r'rC �� /r �l4Lc � GlGli Y� `isld ' � Lcst `1��' ' ��iS �t�1 G 4� '�' s e��/s� W � y, �� ,y _ �_ / 6 - Q 2 _ �✓�- c�( 9'45 ��-zc ,J�rr ��i�a��r �� .� c��.Sc � �►'r2�'.+' d � �- Gd.sL�.st�c W � j d W ❑WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � �ORRE�T VYORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR W4LL REfURN ❑STOPORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (952� 249-46�� OwnerlContractor on site: Inspector. ��-- `� White Copyllnspector's Ffle Canary CopylSfte Notice DATE TIME CITY OF ORONO CALLED IN INSPECTION NOT CE SCHEDULED � PERMIT NO. v� �3 COMPLETED � ADDRESS ��eG�d.n- t7r i�, T OWNER TELEPHONE NO. CONTRACTOR � DESCRIPTION lN ❑ 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 _ v ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERlCONTAACTOH TO MEET YOU:_YES_NO y COMMENTS: o� W a o ��Q 'e � �t r / �`lJ — � � ��' Z � _ 0 � W � Q � 2 W � w � j a � ❑WORK SATISFACTORY:PROCEED PROJECT COMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING 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) 249-46�� OwnerlCon n site: Inspector: White Copyllnspector's File Canary CopylSite Notice