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Home My WebLink About2016-01388 - fireplace - gas r r CITY OF ORONO * 2 0 1 6 - PJ 1 3 8 8 * 2750 KELLEY PARKWAY DATE ISSUED: 1UO2/2016 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1885 CONCORDIA ST PIN : 17-117-23-23-0002 LEGAL DESC : COFFEES ADDN TO SHADY WOOD LAK : LOT 000 BLOCK 000 PERM[T TYPE : MECHANICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 29,419.10 NOTE: ALL TESTING REPORTS SHALL BE ON S[TE AT F[NAL INSPECT[ON. (4)HHT GAS F[REPLACES MODELS: SLR-D,TRUE-42,6000CL,AND TRUE-42 APPLICANT MECHANICAL 367.74 STATE SURCHARGE MECH(VALUATION) 14.71 FIRESIDE HEARTH&HOME MAIL-IN FEE 2.00 2700 FAIRVtEW AVE ROSEVILLE MN 55113 TOTAL 384.45 (651)633-2561 Payment(s) Minnesota State License#: mech-20512060 CREDIT CARD 4608 384.45 OWNER KAISER, BERNARD&CAROLYN 2855 PROVIDENCE PLACE fNDEPENDENCE,MN 55359- 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 no[grant permission for additional or related work which requires separate permits. All provisions of taws 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 conunenced 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 � �� ll, �/� Applicant Permitee Signature Date Issued By S� n ture Date 11-01-' 16 12:02 FROM- T-335 P0001/0004 F-415 �(D +� �cn� � ' � (� SS� �� ° � ° Ti tISE ONLY 3{A �CB� $ + CityofOro / /�gg � �� j ��O P.O.�lox 66 �E C E I V E D Aate Rece ed; ' Permit �P� . �/ �� 5 6 � 27501Gtlley Parkway i Crystal T3ay,M?�1 55323 Approvad$y. .�Ainount$; `,7'/'L�/ C'hone(952)24�q�6iQ0 d3aX�99�q�qp-4616 � � • ` " � �, IYIJY la �C7 ` `� ��.�' ��1'O-IVIECY�AiVYCAL pERM�T t�KES H O (�11 COmm e S ved by the Building O£f-icial or Inspector and/or PjCe M�1'Shali) C�NE1tAL xN�'ORMATION , . X. You may apply for rnechanieal permits by mail or in person at the City offices. Appiications will be reviewed aad a�errnit will be issued within two working days. 2. Permit cards wall be sent by return mail aftcr a rcview is completed. FERMTTS A�NOT VALID UNT'II.,'YQU F.�C�Z'V�A P�12MTT. 'WORK MUST NOT BEGIN UN'rIL Tl-T� PEItbIIT CARn IS pOS'X'��ON'X'T-Y�JOB STTE. 3. Meehanieal besi�—Complcte calculations,details and speeifications are required for eaeh heating,'ventilation,humidification-dehumidifefltion,and air conditioning in3tallation including heat loss/heat gain calculaCion,design tcmperatures,equiprnent ratings and identification as to type,manufacturer and model. Data shall be presented on form provided. 4. 'I�hen any tiaw construction or remodelii3g is involved,a separate bu'rlding permit miist be obtained. 5. All work mti�st be done in aceordance with tl�c Uniform Mechanical CodeJState}3uilding Code , rcc�uiroments. 6. All vvork must bc inspected(rough-in and fin21). Call(952)249-4600. (24-48 hour notice required) 7. T�ouse T-Teating Test Record m�ist be submitted before fnai. T�YPB O�PE12M�CT . ' (Chec�A(1 That A 1 ) Residential ❑Commercial(Approval�tequi:red) New [�Additional ❑Repairs ❑Replace rob Site/Owner Ynformatioi�: Site Address: �Yt C Ct-i c� � Ovvner: �o b��- � .ra�q f-Im�t�t�S��M�iling Address: �� Z'�`� S� �� Ciry: �'C-Pi �1� Zrp: ,�]s�c�j� Ho�ne�hone: �D��-��qa~ j 2�0 Alcernate�'hone: Contractor Information: Contractor: �IRESIDE H�ARTH & HOME �o�fact Person: ��,� Address: 2700 �airvi�w Av� N State Bond#:��662656, MB662572, PC662571 City: Roseville, MN zip.55113 Expiration Date. _ Phone: �Q� ��v�y�� Alternate Phone: !y�( `^�c�J�� ❑ Insurance-Current: 1 11-01-'16 12:02 FROM- T-335 P0002/0004 F-415 , . ; Note:All GeotY�ermal Systems will now require a Site�Ian c�Review by our Building Of�icial. IS THIS GEOTHE�tMAL? ❑Yes ❑No HEATING SYST�MS Quantiry; Make: Model: Fuel: �lue S;ie: Input BTC7s: Output B7'CJs: CFM: COOLING SYS'rEMS Quantity: µ Ivfake: Model: Tons� �T.power �'TREPLACES r� � Gas Factory Fircplacc �rand N'Ame: L Wood l3tirnictg�ireplace ❑ �Vood Sto ve Model No.: ,��---�J D� �T��-�� a d Q�G�J ❑ Wood Stove w�th�►ue/Masonry (2,u�"'�� VENTILATION �] No, TCitchen E�chaust duct recirculAting cfm ❑ No. $ath$xhaust(must havc duct outside) cfm ❑ No. Other Faiis: Locations cfm FUEL STORAG� (Mirst be t�pprove�l by 14`ire t�larsl:n/d ifproposirag to a6anrCor:ta►:k in place.) ❑ Instaltation ❑ Reta�aval �'uel 0i1: gallons ❑ Undergroi�nd ❑Tnside ❑Outside L�'Gas: �gatlons Other� GAS LINE ONLY Q Ou[door Orill ❑ Other/List What&Where: � 11-01—'16 12:02 FROM— T-335 P0003/0004 F-415 . .�y,V� �, d� , t��*�}�y j$,�,n � . w '? . 1- _� � - �y'n, --- �� x ky �, t� J _�.�� A Jy� ` A � . " ':t � '�iyi�.l w«�{,L ?��.�'�h.:.� � •e�` .�,�'h�42k 5..'i:�' ' �1. _.W fi' � , � &.a Q �Yes,this section applies The replacement of a Rosidcntiai fixh�re or appliance Chat meets all thrtt of Che follo'wing requiremenYs: 1. Does not reyuire modification to elcctrical or gas service. Z. T�as a total cost o�$500_00 or less;excludin�the cost of the frxkure or appliance:and 3. Ts improved,installed or replaced by the homeowner or licensed cpntractor. Skip next section,if ttiis applies; Cost of Permit $ 15.00 State Surcharge $ 5.00 Mail-Yn ree(Tf Applicable) $ 2.00 Tot�l Permit Fee $ ��:1 ,� 'iill'i�'Lh:V..LRFJ`6'� � �.oA� 4i'f' µ"' If abovc docs not appl�;follow guidelittes beloW: 1. CON'X'�2A,CX'p�tTCE *is 1.25%of contract price with a(Minimum Fee of$50.00) �-9��I I9. i o X.o�a5��:�� (coniract price) (n�inimum�59.00) 2. STA'�'E SYI�LCHARGE �� , L O q f(� '-�� 1 `'( �c.0005 $ . (contract pricc) 3. pOSTA4E&T-TAND�,zNG(Only on Mail-Zn Applications) � �? . ..��-.... ..... . . . 4. T01A.Y.,�k.�iMXT F��(Add T.ines 1-3 Above) $ �U �- ■ '� CONTRACT PRTCE or JOB COST means thc zctual ar estimatcd dollar amount Cliargtd for the permitted wqrk including matcrials,labor,profit,and othcr fixed costs. It is the amount to bt Charged to the customer for the work done. If any material,equipment, labor or installations are furnished by the owner, tenant or tsny other party,the reasonable market value of sucli iterns must be added to the estim�ted cost or contract price �'or permit fee purposes. Yn the event tlzat there rs a dispute on the amount of ttie job eost,the City m�y request the submrssion of a signed copy of the actual conkract. 7�. ` �'�.�_. _ � - The undersigned hereby applies to the City for issuance of a Mechanical Pennit, agrees to do all r.vork in strict accordance with the ordinances of the C'rty and the regulations of the State of Minnesota, and certifies thaC all st�Cements m�de on this, application are complete, true and correct. � Applicant's Signature: _ _ Date: �I�/"�lCp 3 �/� DAT TIME � CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULEO I � PERMIT NO. �� COMPLETED ADDRESS � �� f ' OWNER TELEPHO NO. g �l Z� d�Z� CONTRACTOR e S� � I/� � DESCRIPTION �� ty ❑ 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 ❑ TIC INSTALL 2 O'MINERICONTRACTOR_TO MEEf YOU_�YES_NO \ � COMMENTS: ��- �L � �� a � ,�� VG� �.�s r- . P, — -� � ` Ve�c�i�c` �� S c�S ° - G�ert�s c - O � 0 r6vr �G , �s � .c,:-�� c � � a g�s �. A. - / _ w,.� _ � � .L. - Q 2 f/e��Ky �t- � le��a�es — D/C � - / Gvt�rx�L✓y r�{�.tiS -�4c�or y ,(�w�GL- �w d�sr� - W � ti i 2a✓¢vfC c - � CY�w�-� s rb rc Ci��%-- �r0 cJ�t�� — td1� ❑WORK SATISFACTORY:PROCE� � ❑PROJE COMPLEfE W �CORRECT VMORK 3 PROCEED �� 4� O ISSUE CERTIFICATE OF OCCUPANCY O�O CORRECT WORK,CALL FOR REINSPECTION 5� TEMPORARY V BEFORE CONERINO PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REWIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4g�� OwnerlContractor on site: Inspector: ""' Whits CopyAnspector's Flle C�nary CopylSfts Notlu C�� DATE TIME CITY OF ORONO cnLLED IN f� INSPECTION OTICE SCHEDULED L_L_- PERMIT N . -O I 3 COMPLETED ADDRESS �� OWNER TELEPHONE NO.��" �'� � ��O CONTRACT�R �7 ��"A%�' �E-Y►'�Q,o� �t��-�-C � DESCRIPTION �`�'�� `-( '�� "��• tV ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING �Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHA ICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ M ANICAL FIN ❑ RATED WALLS � ❑ INSULATION NE REP ❑ COMPLAINT v ❑ FINAL WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ v ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OMINERIrA1�fTRACTOR TO MEET YiOU:_YES_NO . � COMMENT'� k.d�l� ��c/�'lev � dn�G�- �i�1�s�r�' � �JorlC �b•��e�. j � l,4S��- �--- ��c �,1,- �Ci y�s�fes �- wa�L'ct�� - �S �<',P �/� 1'�'�LS�`�St.�.'Le- �ti�S�f�S 6K- u)s��'6 Mo�d`'e Q � y�� p. ,;� �.�. .�,�:,y,b�. _ �:�.��_ �� 2 - F,l° rto� o,ou�✓c - . W � S �.�- �� C G � - � 4 � � ` �S G'o�c�..�6sELi j a r a, c� C4s� for r�� `r�a .� a/1 • , W ❑WORKSATISFACTOHY:PROCEED ^Q b � ❑PRWECTCOAAPLETE W ❑OORRECT VMOF�C R PROCEED �C 5 6 O ISSUE CFRTIPICATE OF OCCUPANCY 0 ❑CORRECT Y110RK�LL FOR REINSPECTION TEMPORARY V BEFORE CONERIN(3 PERMANBdT ❑CORRECT UNSAFE CONDITION WRHIN HOURS. p pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP OROER POSTED.CALL INSPECTOR �GTATION ISSUED 1�INSPECTION REWIRED.CALL TO ARRANGE ACCESS. �' \ CaN f�U�e next inspection 24 hours in advance. (952) 249-4600 Owne�lContractor on site: Inspector. CZ e� c.�� YYhite CopyAnepactoPs Ffl� C�nary Copyl8lN Notio� DATE TIME � CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED 5-i?- r7 1 l �3c7 PERMIT NO.�l.t�I(o' a(3�$ COMPLETED ADDRESS l$�5 C DYl (�ta S}= OWNER K�-�, TELEPHONE NO. �n I 2 - O ��ZZ.�j CONTRACTOR �d �ralQ � DESCRIPTION ��f �Q�- �� r �"�'` ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC 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 � RLOGE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP �Y ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ v ❑ DEMO-SITE ❑ SEPTIC INSTALL ? OWNERlCONTRACTOR TO MEET YiOU:_YES_NO . • y COMMENTS: G4s �- . A- L•G • "' 7/�l�S.��s � � Ca 'I�ntl�� 1 � 5 dr 6�-�..b/G— j � �ll� ` � � �' �"a rnr�� •r d K - 0 W � Q � � • � ��rw�-� �//�� , � ❑WORK SATISFACTORY:PROCEED ECT COMPLEfE w ❑CORRECT WORK�PROCEED �E CERTIFlCATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CONERING PERMANENT ❑CORRECTUNSAFECONDITIONWRHIN H��- ❑pHpTOTAKEN INSPECTOR W{LL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �GTATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-48�0 OwneNContractor on site: Inspector: �, � �� WhIM CcPYAnspecMr's Fil� Cenary CopylSlM Notke