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Home My WebLink About2016-01502 - gas fireplace CITY OF ORONO * 2 0 1 6 — 0 1 5 0 2 * 2750 KELLEY PARKWAY DATE ISSUED: 12/02/2016 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 100 BAYSIDE TR PIN : 06-117-23-22-0026 LEGAL DESC : BAYVIEW FARMS 2ND ADDN : LOT 1 BLOCK 1 PERMIT TYPE : MECHANICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATIOI�I : $ 5,186.77 NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECT[ON. HHT GAS FIREPLACF APPLICANT MECHANICAL 64.83 STATE SURCHARGE MECH(VALUATION) 2.59 FIRESIDE HEARTH& HOME MAIL-IN FEE 2.00 2700 FAIRVIEW AVE ROSEVILLE,MN 55113 TOTAL 69.42 (651)633-2561 Payment(s) Minnesota State License#: mech-20512060 CREDIT CARD 4616 69.42 OWNER NORD, RANDAL 4420 HARBOR LA PLYMOUTH, MN 55441- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specitications,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 l80 days of the date of issuance,or if construction is suspended for a period of I 80 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. , � �-e �sv � �i a � l.� Applicant Perm ee Signature Da e ssued By nature Date T-480 P0013/0016 F-583 11-30-'16 15:12 F ROM- � �Cp�� V �f FDlt CTTY US�4NLY � , l�� City of Orono pbtC Rece�v�d�l G �._ erh��c# � '�Q�O P.O.Box 66 2750 Kelfey Parkway pppro�ycd By. '.. AmoUnt$: �` ` Crystal Bay.MN 55323 Phane(952)249-4600 Fax(952)249-4616 � CXTY OF�RONO—MECHANYCA�p��tMTT ��`��ES H��4G (All Commcrcial permits must bc approved by tho Building Officia�o�Inspcctor anc}/or Firc Marshall) GENERAL INFORMATION` ' ' 1. You may apply for mechanical permits by mail or in person at the City officcs. Applications will rcviewtd�nd a permit will be issued Within two working d�ys. OT , bc I 2, PermiC cards will be sent by retum mail after a reviow is complctcd. PERMITS ARE VAL1D UNT1L YOU REC$TVE A PERMIT. WORK M[35T NOT BEGIN �JNTIL THE PERMIT CARD IS POSTED ON THE JOS SITE. II 3. Mechanicsl Desie,ns—Complete calculations,details and specifications are required for each heating,ventilation,humidification-dehumidification,and air conditioning installation inctuding heat Eoss/heat gain caicutation,design tzmperatures,equipment ratings and identification as to rype,manufacturer and model. T)ata shall be presented on form provided. 4. When any new construction or remodeling is involved,a separafe building permit musC be obt�ined. S. All�vork must be done in accordance with ihe�nifarm Mechanical Code/State�uilding Co e requiremen�s. G. All work must be inspected(rough-in and fittal). Call(952)249-�600. (Z4_4g hour not,ce requirod) 7. House�Teating Test Record must be submitted before final. : ' ' � ;TY�P�:O��E1�MYT'., _ . : ,' ; , Check All xhat A 1 , ,_ �tesidential �Commercial(Approval Required) Re airs ❑RcplaCc p�zW �aa�t�opa� ❑ a ,�o�i Site/Or�uner Tnforcn�tion: lC1 r � Site Address: U" ' r Owner: Mailing Address: � City: Zip: Home Phone:��'� �l��J'"�7��lternate Phone: Contractor Ynforrnation: Contractor: FIRESIDE HEARTH &HOME Contact Person: Leah Address: 2700 Fairview Ave N State Bond#:�G�62�5fi, M8662572, PC662571 City: Ros�ville, MN Zip;55113 Expiration Date: Phone: 651-633-2561 Atternate Phone:Leah#651-638-3312 � Ynsurance—Current: 1 , 11-30-'16 15:12 FROM- T-480 P0013/4016 F-583 . , . � ��c��y�— � �� . �o�a crrv�rs�orrLy Q Cify of Orono � , y �� F.O.�ox 66 �otC Rece�v�d�.Y � I. erlmt# U� � 2750 Kelley Parkway � Crystal Bay.MN 55323 Approvcd By. .. Amoant.$:� �• Phone(952)249-4600 Fax(952)249-4616 �' �`��qk �G`'� CXT'Y�F ORONO—MECI�ANYCA��E�.tMrT ES H O �Al l Commcrcial permits must bc approvod by thc Building Of�ic�al or Inspcctor�nd/or F�rc Marshau) GENERAL INFORMATIpN` ' 1. You may apply for mechanical permits by mail or in person at the City of�ccs. Applications will I bc reviewtd and a permit will be issued rvithin two working d�ys. , 2. Pcrmit cards will be sent by retum mail af�er a reviow is completed. PERMITS ARE NOT '� VAL1D UNTIL YOU REC�TVE A PERMIT. WORK MUST NOT BEGIN �1NTIL THE PERMIT CARD IS POSTED ON THE JOB SITL. 3. Mechan;csl Desi�ns—Complete calculations,details and specifications are required for each � heating,ventilation,hun�iclifiCation-dehumidifiCation,and air conditioning installation;ncluding heat ioss/heat gain calcufation,design temperatures,equipment ratings and identification as to rype,manufacturer and rnodel. Data shall be prescnted on form provided. 4. Whcn any new construction or remodeling is involve8,a soparate building permit musC be obtained. � S. All�vork must be done in accordance with the CJn;form Mechanical Code/State Bu'rlding Code requirements. 6. All work must be inspected(rough-in and final). Call(952)2a9-�600. � (24-48 hour rtotice requ�rod) � 7. House I�Teating Tzst Record rnust be submitted before final. , , . ;• -TY'P�.O�PE�NITT , , . , � `' .`�.:;'. Clie�k All,That A : i _ , :. > �tesidential j�Commercial(Approval Required) ❑t�ew �►dditianal ❑Repairs ❑Replacc Jab Site/Or�r►er Inforeri�tionc Site Address: l� U- r . � � Owner: Mailing Address: � Ciry: zip: Home Phone:��.� (P��C��v�lternate Phone: Contractor Tnfortnation: Contractor: FERESIDE HEARTH & HOME Contact Person: Leah Address: 2700 Fairview Ave N State Bond#:�G�62fi5fi, M8662672, PC662571 cj�,; Rosevill�, MN Z,p;55113 Expiration Date: Phone: 651-633-2561 Alternate Phone:Leah#651-638-3312 ❑ Insur�nce—Current: 1 11-30-'16 15:12 FROM- T-480 P0014/0016 F-583 � ��-�,�-p/�-- A . ... . �rr „ 7 �1�� C� ��+� b:� ��.y.<Ax ti � '�"lYi1:!V�,�3,�_,1.��'f�71,IE �,� �� ,a�' ' '�'y,`�,�`�.'=1}�+,�}�n}'" .�3�r� �X$at� _ _'E�_. J._.. _ _ l„�i._R"J.�arc�_'_'_",.�� Note: All Geothermal Systems will now require a Site Plan ce, lteview by pur�uilding Offic'ral, XS THIS GEOT�T�121VIAL? ❑ �'es ❑No �IEATING S'YST�MS �uantity: Ma�e: ModeL• Puel: �lue Size: Input BTUs: _ Output�TUs: C�M: Cpp�,CNG SY5TEMS Quantity: Maka: Modei: Tons: H.I'ower �.�Ct�P�ACES � Gas Factory Fireplace Brand Name: �� 'Wood Burnin�Frreplacc �� I�� ❑ Wood Stove Modei No.: � ❑ Wood Stove with Flue/Masonry VENTILATTON ❑ No. Kitchen Lxhaust duct recirculating cfm ❑❑ No. Bath�xhaust(must have duct outside) cfm No. � Ofher FanS: Locations cfm ��1�Y.STORACE (Musl be apprdved by�'ire Marsi:all ifproposing to nba,idpn tank�n place.) ❑ CnstAllation � RemOval Fuel Oil: gallons ❑ Underground ❑ [nsidc ❑Outside �,P Gas: gAllons Other: GAS LINE ONL'Y ❑ Outdoor CrriC! ❑ Other/T,ist'What�Where: 2 11-30—'16 15:13 FROM— T-480 P0015/0016 F-583 , A � .q' �.,�'` � c✓=-� � 'Y � �` £13 , �`'1.`�,I.;h�t�Cf�J-7�rl lk-��1'J�7'�`i ti4� N,� �` �-` ._ � '�-� :'�m �� , c � � .nc � � -. ��s,. �.. r c Y.4 ,i'� r� r � �3, r � - .. `� r�-'f��l��'��5`��,�:��,�{�`��(��'z` ' >-- `t� .�:�:�;' }�4� �f Yes,this section applies '�he replacement of a R�dgntial fixture�r,�ppli��g that meets all three of the following requirements: l. Does not require modification to electrical or gas service. 2. H�s a total cost af$5�0.00 or lass;excludina the cost of the fixture or appliance:and 3. Is improvcd,installed or rcplaccd by tho homeowner or licensed contractor. Skip noxt stcCion, if'this Appties; Cost of Pcrmit $ 15,00 StaCe Surcharge $ 5.00 MaiI-In Fee(TfApplicable) $ 2.00 Total Permit Fee $ . .��.. �-- � . ... 1}(1}1�1¢ , ��J�t'��K�G .�� . .��.. -.""..:- f .�.�JK�c �F ' .JMl�TL]dA�..��c..� — __ ' If above does not apply:follow guidelines below: 1. CONTT2A(:T PRICE * is 1.25%of contract price with a(Minimum Fee of$50,00) �l `7� /'�� C�� x.o�zs$ �Y _ '�, (contract prica) (minimum$50.00) �, STATE SURCHARGE �r�r '� 5"� � � �fl x.0005 $ � (Contract price) 3. POSTAC�8c HAND�,TNCr(Only on Mail-Tn Applications) � 2.00 q Z 4. '�'OTAr.,P�TZ1�7'FEE(Add Lines 1-3 Above} $ �( � _ • * CONTR.ACT PRICE or JOS COST means thc actual or estimated doilar amount charged for the permitted work including materials,labor,pro�it,and other fixed costs. Tt is the amount to be charged to tl�c customcr for thc work done. If any material,equipment, labor or installations are furnished by thc owncr,tenant or any other party,the reasonable market value of such items must be added to the ostimatcd cost or contracC price fbr permiY fee purposes. Tn the event that there is a d"rspute on the amount of the job cost,the City may request the subrnissron of a si�ned copy of the actual contract. d /''� T .pT� r t �- ry, T,1 �fi��Y'�-Z;��'�-,'S��`��$�' � C� �'�yA. .J _ -�� . _ . � ._ 3` ..+ �F _ . .%P 3�.'?� F- '�s�^I a�:�.�.c�11. L ��si X a.M�,:_f �'�. :i: , �'.A�' ��'�� .�� 'ki:*�:�`� .��- ,(�. The undersigned hereby applies to the City for issuance of a MeChanical Permit, agre�s to do alI work in strict accordance w'rth the ordinances of the City and the regulations of the State of Minnesota, and certifies that all statements made on this application are complete, true and correct. � �� Applicant's Signatur�: _ Date: 3 ,� � ��je- TIME CITY OF O ONO � CALLED IN �eZ - �.� INSPECTION N TICE �� EDULED /v� t� 1�0 3:t�U PERMIT NO. C PLETED ADDRESS `� �u�� OWNER T _PGGl�/�'v�Sl— �I 'S,3�i J CONTRACTOR � DESCRIPTION �� v'" " LV ❑ FOOTING ❑ DEMO-FIN ❑ SEPTIC AL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLIN(3 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 ❑ SEPTIC INSTALL 2 OWNENCONTRACTOR TO MEEi YiOU:_YES_NO y COMMENTS: � vG✓I�i r%rs ��,e�.%`rccs — C>K U�! L-L . � -� 1'j1 L� — o _ . _ , � Il � v,e ,�., a t�� I SDJ�tc as /�.�� ✓v vrt 5 e � r�/�, W /�-� � l� 'P/'OVt�'Jl. l,�ES. �M-G rsr✓ �. G<7i.� Q � � � W o� j W ❑WORK SATiSFACTORY:PROCEED ❑PROJECT COMPLEfE W �.�RRECT VMORK a PROCEED ❑ISSUE CEHTIFICATE OF OCCUPANCY O r ❑CORRECT WORK�LL FOR REINSPECTION TEMPORARY V BEFORE CONERINO PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHpTO TAKEN INSPECTOR VNILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ��TATION ISSUED ❑INSPECTION REWIRED.CALL TO ARRANGE ACCESS. CaB for the next inspectfon 24 hours in advance. (952) 249-48�0 OwnerlContractor on site: � Inspector: -,1�,,., <--�._._....r. WhiM CopyAnspecMr's File C�nary CopylSib Notke