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Home My WebLink About2016-01504 - gas fireplace ' ' CITY OF ORONO * Z QJ 1 6 - PJ 1 5 0 4 * 2750 KELLEY PARKWAY DATE ISSUED: 12/02/2016 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 758 BR[DGEWATER DR PIIY : 33-118-23-11-0133 LEGAL DESC : STONEBAY FOURTH ADDITION : LOT 16 BLOCK 1 PERMIT TYPE : MECHANICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 1,890.00 NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. HHT GAS FIREPLACE APPLICANT MECHANICAL 50.00 STATE SURCHARGE MECH(VALUATION) 0.95 FIRESIDE HEARTH&HOME MAIL-[N FEE 2.00 2700 FAIRV[EW AVE TOTAL 52.95 ROSEVILLE, MN 55113 (651)633-2561 Payment(s) Minnesota State License#: mech-20512060 CREDIT CARD 4616 52.95 OWNER RICHARD HAUSTEN& MARY LYNCH 4986 S LAKESHORE DR 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,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 1 AO days of the date of issuance,or iY 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 Stare Building Code.This permit may be revoked at any time for due cause. .-�,1��cQ, _ �� 2-.� 2 l(v � Applicant Permitee Signature Date Issued By S' ature Date 11-30-'16 15:11 FROM- T-480 P0007/0016 F-583 - ��(� �� City oY Orono � R c� ��s�oNr.Y /--� �� P.O.Box 66 Date Recoiv�jA.`��Y/� Perm�t# �� `�v/ � 2750 Kelley Parkway ��(� Crysfal Bay,MN 5�323 Approvcd By; ; Amount$: Phone(952)249-a660 Fax(951)249-4b l6 �`�lq �.�� CYTY OF ORONO,MECHAIVTCA�,�'ERMIT k SN�� All Commercial umits must be a ( p pproved by thc Building Official or Inspector and/or Firz Marshatl) GBN��t.AL TNFORMATTU�'. l. You may apply for mechanical permits by rnail or in person at the City offices, Applications will be rcviewcd and a permit will be issued within two working days. 2. t'ermit cards wiU be sent b�retum mail afrer a review is completed. PERMITS A�t�1�OT 'VALTD UN"i'IL YOC1�C�CVE A PEI�IVIYT. WORI:M�ST 1VOT BEGIN UN7'YIL T�Y� p�TiMIT CAEiri 1S pOSTED ON T��,�013 SITE. 3. ]vlechanical Dcsi�ns—Cornplete calculations,details and specifications are required for each heating,ventilation,humidification-dehumidific�tion,and air conditioning instailation including heat loss/heat gain calculatron,des;gn temperatures,equipment ratings and identification as to rype,manu�'acturar and model, bata shall be presented on form provided. 4. 'When any new construction or remodeGng is involrred,a separate Building permii must be obtained. 5. All work must be done in accordance with the I�niform Mechanical Code/State Building Gode requirements. 6. A[l work mu3t be inspected(rough-in and final). Call(952)249-4600. (24-48 hour notice required) 7. House Heating Test�tecord must be submitted before final. . , T�$OF PERMTT � Ch.eck Alt That A 1 �Residcntial �]Commarcial(Approva)�iequired) �ew ❑Additianal ❑Repairs ❑Replace �J"ob Site/Owt�er Ynformat'ron: ' � Site Address; �6i,1'"-Cr , Owner:, �d��l�i �Irl�( _� Mailing Address: �� IU� Lfr�G�l' ��C�J` City: �f�/1�� „__a, Zip: J � ��I 1--1ome phone: _�� J��} Alternate Phane; Contractor Information: - Contractar; FIRESIDE HEAFtTH & HOME Cantact person: �eah Address: 2700 Fairview Ave N State Bond#:BC662656, MB662572, PC662571 �jtY: Roseville, MN Z;p,56113 �xpiration Date: Phone: 651-633-2561 Alternate Phone:Leah #659-638-3312 ❑ Insurance—Current: ! 11-30—'16 15:11 FROM— T-480 P0008/4016 F-583 • >�� 1 �.. _ . �'9i�k-� 2k_'F �' f � '' � ' ' � ��i;F- `� �e�5�= _. . � � �.. ':� .- .. ,f��Y�;.`� . _�1� _ &� I�-��;;� ^s ��'��.�,� . .. � . -.. ., .�Tt . _ , . . . _ _. . .. . . . , . ..._ , .._. .�: - x. Note: All Geothermal S�stems will now r�quire a Site Plan&Review by our�uilding Official. IS THIS GEQTHERMAL? []'Y'es Q No HEATIIVG S'YSTEMS Quantity_ Mak e: Model: Fuel: Flue S'rze: lnput BT`C)s: ,,, �utput�TUs: C�M: C04GYNC SYSTEMS Quantity: Make� Model: 'fons: �.Power FIl21Ep�,ACES � Gas�actory Fireplace �rand Namc� � I/ / ❑ 'Wood$urning Fireplace _ / � ❑ Wood Stove Model No.: , �L ❑ 4Vood Stove with Flue/Masonry 'VENTiLATYON ❑ No. Tiitchen Exhaust duct recireuiating efm ❑ No. � �ath Exhaust(must havc duct outsrde) � cfm ❑ No. Other Fans: L,ocations cfm �C��,STORAG� (Must be approved by 1�`�re Marsh�el!if praposirrg[o abandon tank in pCace.) ❑ Installation d RemoVAl Fuel Oil: gallons ❑ �l7nderground �Cnside ❑Outsido Lp Gas: gallons Other: CAS LIIVE ONT�'Y Q Outdoor Grill � Othcr/List'W hat&'W hero: � 11-30—'16 15:12 FROM— T-480 P0009/0016 F-583 �� _�K�h�.�f r F54�s♦MY,�'�-:� ��J..f�'i('�.]vf1J-.��i�.I�7�-�Jj . �. �r-=�z�,.^�_�•.. � � � dFi�. Y� l.� lx� `-L�}Ay�} rCG 'f 'yc �.,,�y.y?pw a -G !� .C.c Ff i+ ��s,+r�. .td rrk r-�cl��Y _�:t�"i}>�' � �..:.l.L�?r?�_ �<L�.�_z��Q',�.'�"7'.�1_�'?r�,�iTE�"1 U�;�.�`s` ��- _ ;'� r _ -�;' �� - - _ ❑ Yes,this section applies The rcplacement of a Residential fi ture or a lianco that meets all Chree of the foUowing requirements: 1. Does not requirc modification to electrical or gas service. 2. I-�as a total cost of$500.00 or less;excludin�the cost of thc fixture or a�pliance:and 3. Ts improved, installed or replaeed by the homeowner or licensed contractor. Skip next section,ifthis applies; Cost ofpennit $ 15.U0 5tatc Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2,00 Total Permlt�'ee $ °x��y��T� '�:��'��'_ � -�,' "�:` `=- .�� '4��'fE - .�� _�<��' _� ��--- lf above does not apply;follorv guidelines below: I. CONTRACT��iICE *is 1_25%of contract price with a(Minimum Fee of$$Q,00) a � x.0125$ �� (contracc pricc) (minimum$50.00) � 2. STAT�SYJ�tCY-YAIZGE ��C�a� X,0005 $�� / (Contr�Ct price) 3. PQSTACr�&HANDLING(Only on Mail-In Applications) $ ,_,,,,,2.00 _ 4. TOTA�,P�RMIT FEE(Add�,ines 1-3 Above) $ � %� ■ * CONTRAC"t' PT�1C� or JOB CpST means the actual or estimatzd dollar amount charged for the permitted work including materials, labor,profit,and othcr fixed costs. Ct is the amount to be charged to the eustomer for the rvork donc. If any material,equipment, labor or insiallaCions are furnished by the owner, Ccnant or any other party,thc reasonable market vatue af such items musC be added to the estimated cost or contract price for percnit fee purposes. In the event that there is a dispute on the amount of the job cost, the Ciry may requcst the submission of a signed copy of the actual contract. ��,t2�'£9�l�.l��"'��4� a�z��Y�� ...�.,' li.F�l3a 'b,iA�v � _ `� �. .f�t':4,�. ��A�1�..��IYLL'll_V"J.��.�k�.'�-ry�� .�. x.��&. The undersigned hereby applies to the City for issuance of a Mechanical Permit, ag�eeS to do all Work in strict aceprdance with the ordinances of the City and the rogulaCions of the State of Minnesota, and certifies that all statements made on this application are cornplete, true and COrrCCC. f f . ,,,, l Applicant's Signatur�; Date: �� 3 V DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO.�6 " h1 SU�/ COMPLEfED ��C 3 t � ADDRESS �S� L3d"��G�'C✓� �r . OWNER TELEPHONE NO. CONTRACTOR ��c��c �` ��'�` � DESCRIPTION �� ' 2�� t11 ❑ 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 ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL v ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 01AfNERICONfTRACTOR TO MEET Y�OU:_YES_NO v�i COMMENTS: � ✓�� s ,��/�QvQ�� - oK - � _ ��s li� �J �i- �=- v�,es � nr� Il-a$- l� 0 � ° � %5t��c� q.�s /�� ✓v�.t S��Q,e � F�O, _ W � Q ie�' _ � �• _ � w � � � 0 W ❑WORK SATISFACTORY:PROCEED ❑PRW ECT COMPLETE � �G08RECT WORK 6 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT YYORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CONERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHpTO TAKEN INSPECTOR WFLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-48�� OwnerlContractor on site: � Inspector: � White CopyAnspector's File C�nary CopylSlts Notke � ✓ c� ME DATE TI CITY OF ORONO CALLED IN '� � INSPECTION TICE _ �5-D SCHEDULED /a � � '1� �� PERMIT NO. �'� D MPLETED ADDRESS � � �rC tiG�(-{f�� OWNER T EPH NE N . 'S�' �3 3�O �-" CONTRACTOR �' � ��"'"` �� '' DESCRIPTION � � � " ' `— ty ❑ FOOTING ❑ DEMO-F AL ❑ 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 Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FdUNDATION/REMOVAL � ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OMINEAICONITRACTOR TO MEET Y�U:_YES_NO y COMMENTS: 4 �if•s .�, .oP��ia.;, �a �n/��e�1 �n � �� _ �fd _ . � ✓��rrfr r� � l' /.�`Q�tf�s - C�C ° �ls,3 /�ti�c 4�•%�� o rl ,,U- o �l `� W � Q � W � W � j � �ORK SATISFACTORY:PROCEED ❑PROJECT COMPLETE � W O CORRECT WORK R PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 ❑OORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECONERINO PERMANENT ❑CORRECT UNSAFE CONDITION WRHIN HOURS. p pHpTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspectfon 24 hours in advanoe. (952) 249-4600 OwnerlContractor on site: Inspector: . ,. .�... --��....,.. Whita CopyllnspectoPs Flle Gnary CopylSM�Notfa �,� � � DATE TIME CITY OF ORONO CALLED IN �''� �� INSPECTION I��E��1�D SCHEDULED �� 7 -I 7 � PERMIT NO.�`�J co �eren ADDRESS �J� (ej`'► '�� OMINER � LEPHONE NO � —03 8:�34 y CONTRACTO , '�' � DESCRIPTION ��Z''��u'C � ��-�-P� � ❑ 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 � ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNERIFIREPLACE ❑ COMPLAINT ��FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ r ❑ DEMO-SITE ❑ SEPTIC INSTALL ? OlNNERICOKTRACTOR TO YEET YCU:_YES_NO c��i COMMEN7'S: � �l��s -' ,Qc/ S,p�cs ._ j 0 � �.�1�K ��°-iea.�S G�o.�o��e t 0� � W QC Q � W � � ,�rr.�•� J 6z�E'/.� J � ❑WORKSATISFACTORV:PROCEED ECT COMPLEfE w p COqRECT WORK 3 PROCEED �E CERTIFlCATE OF OCCUPANCY 0 ❑CORRECT YMOFIIC,CALL FOR REINSPECTION TEMPORARY V BEFORE C04IERIN(i PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHpTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER P08TED.CALL INSPECTOR O CITATION ISSUED O INSPECiION REQUIRED.CALL TO ARRANGE ACCESS. caM roru�e next inspecaon 2a no„rs in ad�►snoe. (952) 249-4600 on sfte: Inspector: � /� '� WMb CaPY�=P�tors FlN Gnary Cop�lBib NWks