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Home My WebLink About2016-01215 - gas fireplace � , CITY OF ORONO * 2 0 1 6 - 0 1 2 1 5 * 2750 KELLEY PARKWAY DATE ISSUED: 09/28/2016 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1932 FAGERNESS POINT RD PIN : 17-117-23-23-0015 LEGAL DESC : FAGERNESS : LOT 027 BLOCK 000 PERMIT TYPE : MECHANICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 3,465.00 NOTE: ALL TESTING REPORTS SHALL I3E ON SITE AT FINAL INSPECTION. (1)HHT GAS FIREPLACE,MODEL RAVE4013 APPLICANT MECHANICAL 50.00 STATE SURCHARGE MECH(VALUATION) 1.73 FIRESIDE HEARTH&HOME MAIL-IN FEE 2.00 2700 FAIRVIEW AVE ROSEVILLE, MN 551 13 TOTAL 53.73 (651)633-2561 Payment(s) Minnesota State License#:mech-20512060 CREDIT CARD 4608 53.73 OWNER MARON, BARRY 1932 FAGERNESS PT RD WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be perfomied according to the approved plans and specifications,applicable City approvals,and the State I3uilding 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 1 AO 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. t O�/ � /�" // Applicant Permitee ignature Date Issued By ature Date 49-28-'16 09:56 FR4M- T-163 P0001/OQ04 F-196 . • �,C� �I "L�� ` �� , ron c �r trs�ovr,� O City of Orono �(� � -� P.O.Box66 DatcR.e Y`� P�rmic#�� lf�� Q 27>0 Kelley Pariavay � Crystal Bay,MN 55323 Approv d By: �____`__ Amount$:� Phone(9�2)249•4600 Fax(952)249-4616 �`��.�� .�� CYTY pF ORONO�MECI�ANYCA�,p�YZ1VIYT FS�� {All Commercial permils musl bc approved Dy thE Building 4ff'iCi31 or TnspCCtor and/or Firc Marshall) GEN'ERAT., YNF0121V1ATYON 1. You may appiy for mcchanical permits by rn�il ot in person at the City offices. Applications will be rcvie�ved and a permit will be issued�vit�lrt�cwo vvorking da�s. 2. Pennit cards will be sent by return m�il a�er�t revle�r�is Completed. PERMITS ARE NOT 'VAY,Ib UNTIL YOU RECEIVE A PERMTT. `�'VORK 1VXUST NOT BEC1N�NTTL THE PERMIT CARD IS POSTED ON THE.TQTi SX"X�E. �^ 3. Mechanical nesi�ns—Complcte ealeulations,dctails and specifications are required for e�ch lieat'rng,ventilatiou,tiumidifieation-dehumidification,and air conditio��i�tg installation ineluding heat loss/heat gain calculatio�t,dzsign temperatures,equipment ratiugs and identification as to type,manufacturer and tnodel. 17ata shall be presented on fonn providcd. 4. When any new construction o�'remodeling is in�olved,a separ3te building permit must be obtAincd. 5. All work must be done in accordance with the Uniform Meehanieal Code/Statc Building Code rec�uirements. G. All work must bz inspeated(rough-in and final)_ Call(952)249-4400, (2A-A8 hoar notice requirecl) 7. House I-�eat.ing�'est Recorcl m��st be submitted beforc final. TYPE OF PERMIT (Check Al1 That A l�y) �Residential ❑Commercial(Approval�teq�iired) i ❑New ❑Additiaial ❑Repttirs ❑Replaco ! I Job Site/Ownc�-Information: li i Site Address: �g�Z �a�J e r n,e�� p0 T✓1�" }Zd I Owner: �C'!.'.�:�i/� �1�cr ��1�'i '�' ��iling Address: �J�Jr �' :.�� /�� i � ciry: �e`�✓ ��-►�N�� 2;�: ��,�l 1� Home Phone: �.� �� ,3�b��.� A.lteznate Phone: Contrxctor Tnformation: Contractor: FIRESIDE HEARTH & HOME Contact Person: QGi�'1r1--�`� Addr�ss: 2700 Fairview Ave N State Bond#:�C662656, MB662572, PC6625%9 City: Roseville, MN Z1p:55113 �,�p�ration Date: phone: 651-633-2561 Alternate Phone: �� Y�� ❑ Tnsurancz—Current: 1 49-28—' 16 09:56 FROM— T-163 P0002/0004 F-196 ��✓� ii��;F k ��iry r��'f�i�.'iLltf.s� ^f .�... . ,.,,...,y� ��.rr' -'�'—;�w-�—c'. . c ••:-�a�K°l Y"F ` � , ...' ' zda,,;�r , _ .,�<�: �.�'��T�.4�j'�Ikl�fi., IC�S�$E��4'��.��`�...��. .:��:;�.<ss�..��ab�f��,��;�y: : ' ,.> .a ��rr, .r.t}._� i � s Note:All Geothermal Systems will now require a Site Plan�,Re�view by our Building Official. IS THIS GEOTHERMA�,? ❑'Y'es ❑No H�ATING SYSTENIS QUflntity: Make: i�fodel: Fuel: Fiue Size: Xnput�3T1Us: putput BTUs: � CFM: COOLING SYSTEMS Qiiantity: Nlake: Model� Tons: T�T.�ower F1R�pY.,ACLS � Cras l�actory Fireplaee Brand Namc: � f I 1 Waod Burning Firepl�ce Q n � a ❑ Wood Stove Model No.: _1�'��IV � �� ❑ Wood Stovc with Flue/Masonry VEIVTILATION I ❑ No. SCitchen�xhai�st duct recirculat;ng efm i ❑ No. Bath�xhaust(must have di�et outside) efm ❑ No. pther pans: �,ocations cfm FUET.,STO�tACE (�Irrsf be nyproved by Fire�11a�shrrll if proposi��g!o a�iattd'orr ta►tk tu place.) II ❑ TnstalC;�tion ❑ Removal F�FeI Oil� gallons ❑ �'nderground ❑Tnside ❑Outside LP Gas: gallons Other: �AS T.YNE 01��,Y ❑ OutdOOr Grill [� Other/�,ist QVhat&'l�Vhere:_ 2 09-28-'16 09:56 FROM- T-163 P0003/0004 F-196 �J{�i�Y�?�f \l�.•'��b,{t� t��'�Ti`4�� ?Yr�^ A. � L' A� ��V� � rn�� Qc��4�ti. �f�u�tif t f�. � �� 1ti9Mr t 4 E 7v (d'� y�� '�`+ � C f � +{�„ ^ 5 Y I ��''�., t�" R�Yj �S�' ��,< < ��°Y��S�� "�,,�x��Y r�a�")�; 3 i �r�„�,�...a t�t � � x� 4 Z ia�...a, r�,� u �a:,�?��Z ur t `�� `p t,�,�z{.�', �i � � 'L�� w'�r i . << a iv� y 1 �7 /�?�.Cic�'y ^�^ � � rti �v � 2f'�i T S 1r°d��',{�� cti�, er�t�t�,��,+.'�^� QY7G��.!,?.{��1�'i J��t J�?T��7 � Y �, y +. ef.a,9'Yn^C E .,�;.�..� t,x Ar,,�.,V,a.... � 1� <i.,n. �.o.�. n .� .�'�di;?�C.i,x�.r. �?�.�ct.��W�:� ❑ Y�s,this section applies The replacement of a Residenti�l fixture or a Ipp iAnce that meets all th,ree of the following requirements_ 1. Does,�ot require modification to electrical or gas service_ 2. Has a otal cost of$500.00 or less;excludine the cost oFthe fixture or appliance:and 3. Ts improved,installed or replaced by the homeowner or licensed contractor. Skip next section,if this applies; Cost of pennit $ 15.00 Stzte Surcharge $ 5.00 Mail-Tn Fee(If Applicable) $ 2.00 I Total�ermit�ee $ � 'p}-�}�� +�t �5 �j�+.Y �c\-�--y--�-T(4-�(�-T�q/,s�-�t� (�(�,--r-� �,y ��r.,1'Y 1 � ��"�� `' �(}K�;,�yis`��Y.�Y�1��.iI1 �r� �`�,1:�.� .L*lll,�,? f��71.1'�1'�v��vN4l�V�+�4�.,�y'��llil��,�..b x$iY.ral��x��C'.�Cf�A�'rl �. Tf above does not apply;follow gu'rdelines below: , 1. CONTRACT PRICE � is 1.25%of contract price�vith a(IVTu�imum Y�'ee of 550.00) �� ,�� , 00 D I _ X,o�zs��_.0.° (contract price) (minimum 550.00} � 2. STATE SURCHARGE ��.� 3 X.0005 $ 1 :�7 3 (contract price) 3. �OSTAG�c�HANDLING(Only on Mail-In ApplicaTions) � $ �6p ', �� 4. TO'I'AL PERiVIIT FEE(Add Lines 1-3 Above) $ ■ 9 CONTRACT PRIC� or JO� COST means the �ctual or estrmated dollar a►nount charged for the peimitted�vork ineluding maCerials,labor,profit,and ot}�ex�xed costs. It is the amount to be charged to the customer for t��e work done. �f any material,equipment, labor or installations are furnished by thd o�vn;eY, tenant or any pther party,the reasonablo mflrket v�lue of SUCh items must be&dded io Llle esti�t�ated cost ar contract price for pzrmit fee purposes. In the event thAt there is A dispute on tlle amount of the job cost, th� City may request the submission of A signed copy of the aCTu�l contr�Ct. ��-;-��,..--r-.� t ' '�j^`q�i'rr �U/��-(�(�li T 7�"�F ��(p7��//�JI `1 ,1p�� '(� �1��r/� � �x(� �'��V�' y��S �,A�'".y�!`,�: .t'�t�1M.�ll'.�`t7��..��.�.13L a��i�v-'�r[,C�ArV.z��.�.".,;.,`�-/h.�^.{a�1�w��N��A�u�'/��V E. �+71��R�1a")�7.nnJ�.Y1�'��``rt-4'�r/:V�� "'f 1 ��;,M The uiide��signed hereby applies Io the City fpr issuance of a Mechanica!Pennit, agrees to do all work in strict accordance with the ordinances of the City �nd the regulations of the State of Minnesota, �ad certifies that all statements made on this application are complete, true and correct. , ��'W"v 1 � ¢�. Applicant s Signature: Date_ �U 3 �� DATE TIME CITY OF ORONO CALLED IN INSPECTIOC��NQ(T�I,C� ]� ,�- SCHEDULED � f�� PERMITN ��-Qv �v `� COMPLETED ` � � ADDRESS I �� G��S � ��' �PLr OWNER TELEPHONE NO.�� 1 �'� CONTRACTOR � DESCRIPTION � ��? /�--� W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL 2 ❑ 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 _ v ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO c�.� COMMENTS: � p.�- -E c s� �or �� /-i� ��s��9 a� o � �� ' �6 �. � ° �•P - �'s - ✓e�;�s � �/�a,-a.u-�s - a� W • Q ��►) �r/ ��S /i.�G � G lCG'FYtl4G �e.tc�rad�o� 2 �r`' d0 fi 6'G/til D Jfr G/�45�,� '�- 5 i�-'C W � � Gor rcG� � O� -�— GO UG✓ � d W ❑/VYO�RK SATISFACTOR�F PROCEED ❑ PROJECT COMPIEfE ��C'�BRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT VYORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CdVERING PERMANENT ❑CORRECT UNSAFE COND�TION WRHIN HOURS. ❑ pHOTO TAKEN INSPECTOR W{LL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca8 for the next inspection 24 hours in advance. (g52) 249-4600 OwnedContractor on site: Inspector.�%`'`� '(� Whits Copy/lnapector's File Cenary CopylSM�Notfce Cy . � �� ,' DATE TIME CITY OF ORONO cnLLED IN INSPECTION NOTICE SCHEDULED ''�-U PERMIT NO. o�(1.�l� `��JS COMPL ADDRESS � �� OWNER TELEPHONE NO. /�� %�S'�p CONTRACTOR �/ YP�S/C� �� /-� , � � DESCRIPTION 1"�f��'��G�C�� ,��k' 41 ❑ 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 _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL J ❑ DEMO-SITE ❑�^�EPTIC INSTALL ? OWNERICONTRACTOR TO MEEi YW:�YES_NO ✓\ � COMMENTS:� � 6 � a �v � o S Qi 4.� �. � 0 W � � � � �� Q � W � W � � W ❑WORK SATISFACTORY:PROCEED `�/��3�Q�JECT COMPLEfE � ❑CORRECT WORK�PROCEED ❑ISSU�CERTIFlCATE OF OCCUPANCY W � O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CONERINO PERMANENT ❑CORRECT UNSAFE CONDITION WRHIN HOURS. p pHOTO TAKEN INSPECTOR WILL REfURN �STOP ORDEA POSTED.CALL INSPECTOR �CITATION ISSUED O INSPECTION REOUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 o,�,�c«,v��L,� Inspector: WMte CopyAnspector's File Cenary CopylSits Notke