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Home My WebLink About2016-00771 - gas fireplace CITY OF ORONO * z 0 1 6 - 0 0 7 7 1 * ' � 2750 KELLEY PARKWAY DATE ISSUED: 07/08/2016 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2811 FARVIEW LA PIN : 04-117-23-34-0003 LEGAL DESC : FARVIEW : LOT 012 BLOCK 001 PERMIT TYPE : MECHANICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 9,399.60 NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. (2)HHT GAS FACTORY FIREPLACES APPLICANT MECHANICAL 117.50 STATE SURCHARGE MECH(VALUATION) 4.70 FIRESIDE HEARTH&HOME MAIL-IN FEE 2.00 2700 FAIRVIEW AVE ROSEVILLE,MN 55113 TOTAL 124.20 (651)633-2561 Payment(s) Minnesota State License#: mech-20512060 CREDIT CARD 4608 124.20 OWNER DANIELSON, SCOTT 2811 FARVIEW LA LONG LAKE,MN 55356- AGREEMENT AND SWORN STATEMENT 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 governing this type of work shall be compied with wfiether 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. . [ �� --2 � l �l l /� Applicant Permitee Signature Date Issued By � ature Date 07-01-'16 09:28 FROM- FIRESIDE T-220 P0001/0004 F-733 ,�� v 1 `� � ,-, Cyv v) j��' �� R �r»r u��,��vz,Y 7 2� . � city of orono / �+��o., � � �/� P.O.Bo:c 66 DaCe tt� r . � . Pctnu�� . Oc,�/.!b . V 2750 Kelley Parkway ` ' ' � Crystal Bay,MN 55323 Approvcd$y: A}ilount$; �'�" �' Phona(9�2)249-4600 Pax(952)249-4616 , , � 9 ,, �<.¢K�S��.�' CITY OF ORONO�MECHANICAL PERIVITT (Ail Commercial perrn�ts must Ix approved by the Building Oflicial or Inspector and/or Firc Marshall) �BNERAL�NFO�MATION - , - :�� 1. You msy apply for rneoh&nical permits by mail or in person at the CiYy offices. AppliCations will be rtviewed�nd a pcmiit will be issued within[wo working days. 2. Permit cards will be sent by return mail after a review is complete�i. PERMITS A�E 1VOT VALID UNTiL YOU RECEIVE A PERMI"I'. WORK MUST NOT B�GIN C�NTlC�"i'H� PERMiT CARD IS POSTED ON THE JOB S1TE. 3. Mechanical bcsiens—Complete calculations,details and specifications Are required for eacli heating,'ventilafion,humidi�caEion-dehumidification,and air condiYioning inssall�Sion inCluding heat loss/heat gain ealculation,design temperatures,equiprnent ratings and identif"rcation as w type,manufacturer and model. b�ta shall be presented an form provided. 4. When any new construction or remodeling is in�ol'ved,a separstt building pertnit must be , obtained. S. All work must be done in aecordance with Yhe CJniform Mechanical Code/State Building Code } requirements. 6. All work must be ir�spected(rough-in and final). Call(952)249-46Q0. ; (Z4-48 hour notice required) ' 7. �Touse Heating Test Record must be submitted before frnal. � TYPE O��'ERI�T`T � Check AIl That A `1 ; � �Residentiai ❑Commerceal(Approval Required) f s � ❑New ❑Additional (�Repairs 1teplAce �ob Site/�?wn�r informatio�: Site Address: �� V j��'`� �a'v(� Owner: ��v� $ E � ��c Mailing Address: J�J �a5'�� City: W�VZ C-�Ta �ip: �.�� ` i Home Phone: �� Z~ �i��" �D6� Alternate Phone: ContractQr Znformatian: - f Contractor: ��RESIDE NEARTH & HOME Contact Person: �,'�T~�� Address: 2700 �airview Ave N State Bond#:g�662656, M8662572, PC6B2571 , i i City: Roseville, MN �;p;55113 ��P;ration Date: phone: 651-633-2561 Alternate phone: (�.��f��S��(o ' ❑ rnsurance—Current; 1 07-01—'16 09:28 FROM— FIRESIDE T-220 P0002/0004 F-733 Note: All Geothennal Systems will now require a Site Alan& Review by our�uilding OfficiaL TS T�YS G�O�`H�RMA�? ❑Yes ❑No HEAT�NC SYST�MS Quantity: � Make: 1 Model: �.1 �`!�� J�� _ �uel: a �✓�� lue Size: s Input BTUs: Output BTUs: ��/d d� � abp CFM: � COO�.YNG S'�STEMS � i Quant+ty: � � � Make: ' � Model: � Tons: H.Power �YCt�I'�,AC�� Gas Factory Fine�lace Brand Name: �rl � __�_ �. ❑ Wpod Burning Fireplaca �/ �r �f , ❑ Wood Stove Model No.; ��.i�' /,�.N � �`e t� t8 ( , ❑ Wood Stove with Fluc/Masonry : � V�NTY�.ATTON ❑ No. Kitchen�xhaust duct recirculating cfm li ❑ No. Bath Exhaust(must have duct outside) cfm , ❑ No. Other Fans: Locations cftn �i 1 FUEL STORAGE (Must be�pproved by Fire Marsha!!ifpropasing to abnndon tank 1n place.) i � ❑ Installativn ❑ Removal � I f Fuel Oi1: gallons ❑ Underground ❑Inside ❑Outside �.P Gas: gallons Other; s I �AS�,rN�ON�,'Y � Q Outdoor Grill ❑ Other I List What 8z Where: � � 2 � 1 � 07-41-'16 09:28 FROM- FIRESIDE T-220 P0003/0004 F-733 < ❑ Yes,this section applies . The replacement of a Rcsidential tixture or appliance that meets all three of the Following reQuirements: l. Doos not rtquirc modification to electrical or gas service. 2. �Tas a total cost of$500.00 or less;cxcludinQ the eost ofthc fixture or appliance:and 3. Is improved,installed or replRced by thc homcowncr or licensed contractor. Skip next section,if Chis applies; Cast of Permit $ 15.00 ' State Surcharge $ S.OQ Mail-Tn Fec(Tf Applicable) � 2.00 ` Tot�l Perm9t H'ee 5 4 � If above does not appiy;foliow guidclincs bclo�v: � � 1. CONTRACT pRCC� '"is 1.25%of contract price with a(Minimum�ee of�30.00) 1 g,��'�. �° �.o�zs$ � � �° ' (contract pricc) iuimum Sso,oO)�' � 2, STATE SURCHARGE c� �l1� � d . (}��_t G� . 11 x.0005 $_ � � l (contract price) � 3. POSTAC�Sc NANbL1N'Cr(Only on Mai1-Tn Appl'rcations) $ j, a• � f2� zv � 4. TOTAL PERMIT F��(Add Lines 1-3 Above) $ / � { � ■ * CONTRACT PR10E or JOB COST means the actual or estimated dollar amount charged for the permitted work sncluding m9terials,labor,profit,and other fixed costs. It is the amount to be charged " to the customer for the work done. Cf any material,equipnzent, labar 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 eontract price for permrf fee purposes. In the event that khere is a dispute on the i amount of thc job Cost, the City may request the submission of a si�ned copy of the actual contract. ' i - , � i i I The undersigried hereby applies to the City for issuance of a Meclzanical Permit,agrees to do all work in strict accordance with the 4rdinanees of the City and the regulations of the State of Minnesota, and cerCifies that all statements made on this Application are cornptete, true and i correct. I Applicant's Signature: ' �2� Date: '��` �� 3 ��5 � � � �E TIME CITY OF ORONO CALLED IN INSPECTION T C SCHEDULED �:�� PERMIT NO. —�77I OMPL ADDRESS G OWNER TE E HONE N . �2- `��7S CONTRACTO � � DESCRIPTION a � - ,� ll� ❑ FOOTING ❑ DEM -FINAL ❑ TIC 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 W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNER/CONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: „ a �' � � �/d.�i� rG�� - 1/�G��-r5 Lljde�� ou� - r�..�ov� cc�,d,.� ,��,.�-� �� I��i�K� -� G��'�CG�S ` O � W � Q �. �' / +.' ,�s t�,�G.�. I�J� !/e.Gz`� �' f"`i✓�c ►'�GY��' � �'�I�S -�s9lc— .��5�, 2 � /n`v�4t� �-,�iu /"!aF- , j � '�� i?� t,i �� O�g/S� � W ❑WORKSATISFACTORY:PROCEED C�r�c r�c� ❑ PROJECT COMPLEfE � ❑CORRECT V1fORK&PROCEED �f�� T�� ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPEGTI�If KS��''�' TEMPORARY V BEFORE CWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL RETURN ❑��OP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED '/��.jNSPECTION REQUIRED.CALL TO ARRANGE ACCESS. � Call forthe next inspecti�4 ours in advance. (g52) 249-4600 OwnerlConVactor on site:_T � Inspector.� ► t^-,- � - - White Copy/lnspector's File Canary CopylSite Notice C�1J� - \� DATE TIME ✓ CITY OF ORONO CALLED IN ' �'l INSPECTION NOTICE SCHEDULED 7 Z/�Q --;�'� PERMIT NO / �D7�/ OMPLEfED ADDRESS `-'S �l !J OWNER � LEPHONE NO 2 ��7� CONTRACTOR � DESCRIPTION ��- G� ��Gl�I.Q �1 ly ❑ FOOTING ❑ DEMO-FIN ❑ 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 �U ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL I v ❑ DEMO-SITE ❑ SEPTIC INSTALI 2 OWNERICONTRACTOR T MEET YOU:_YES_NO � COMMENTS: ��-�—�✓d� ' ��PSD OYj �il�c.r LY(�� W a � O _- - , � O � W � Q '' �: �>� 2 W � W � , d W RKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � RECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑pHOTOTAKEN INSPECTOR WFLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR O CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hoy[s-ir��ir"� 952) 249-4600 OwnerlContractor on site: ' Inspector. White Copyllnspector's File Canary CopylSite Notice � � � DATE TIME CITY OF ORONO CALLED IN ��' � INSPECTION TICE�-7-7/ SCHEDULED /�l0�� —/�-T� PERMfTNO. � `� C LEfED ADDRESS � �� 9�''�%C�/� ��C�lGP� _ OWNER TEL ONE NO. CONTRACTOR � � DESCRIPTION � �� " `�- ' t� ❑ FOOTING ❑ DEMO-FINA ❑ SEPTIC FINAL � ❑ 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 ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL J ❑ DEMO-SITE ❑ SEPTIC INSTALL Z OWNERICONTRACTOR TO MEET YiOU:_YES_NO y COMMENTS: � . p. - F� � a F ��:�� 6.�«s - � 0 � �l( G�Jv/K Co►MD�c�c - 0 W OC Q � W � � �;•;� � /Jc `rr• W � 1 J � ❑WORK SATISFAC70RY:PROCEED PROJECT COMPLEfE W ❑CORRECT WORK 6 PROCEED ❑ ISSUE CERTIFlCATE OF OCCUPANCY O ❑CORRECT NfORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CONERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (952) 249-4600 OMrnedCon or on site: Inspector: � White Copyllnapector's Flle C�nary CopylSite Hotiee