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Home My WebLink About2015-01159 - gas fireplace � �' CITY OF ORONO * z 0 1 5 - 0 1 1 5 9 * 2750 KELLEY PARKWAY DATE ISSUED: 09/1U2015 , ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 3375 GRAHAM HILL RD PIN : 05-117-23-11-0018 LEGAL DESC : GRAHAM HILL PRESERVE 2ND ADDITION : LOT 1 BLOCK 1 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 36,955.00 NOTE: (4)GAS FIREPLACES APPLICANT MECHANICAL 461.94 STATE SURCHARGE MECH(VALUATION) 18.48 FIRESIDE HEARTH&HOME MAIL-IN FEE 2.00 2700 FAIRVIEW AVE ROSEVILLE, MN 55113 TOTAL 482.42 (651)633-2561 Payment(s) Minnesota State License#: mech-20512060 CREDIT CARD 4608 482.42 OWNER Wooddale Builders 6117 BLUE CIRCLE DR, STE 101 MINNETONKA, MN 55343- AGREEMENT AND SWORN STATEMENT The work lor 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 separa[e permits. All provisions of laws and ordinances goveming[his 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 180 days of[he 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 S[ate Building Code.This permit may be revoked at any time for due cause. � ' l C7 '/�l // l /5 Applicant Permitee Signature Date Issue Signature Date � 09-11-'15 11 :02 FROM- T-237 P0001/0004 F-499 � �jL��'�`(�l � `��-I ��a��(.�� .�f G��6`�� `�5`7�--(7��1 `��L��- �OR'GI'�'Y iJSE QNLY _ ^ , `Q City of Orono ��! P.O Box bb na�c RcpaivcG l�er�l� 2750 Kelley Parkway Crystal Bay,MN 55323 .4pprovcd By . Amount S:_,,„„,„�_� Phone(952)249-4600 Fax(952)249�4616 y � `� �'� CYT'SC O�O�20N0—1VTEGHAI�YCAT.PERMIT ' `qk�S 1��"� (A31 Commercia]permi�s musi be appcoved by ihe nuilaing Ufficial orins�ector ancUor Gire Marshall) ' t GEI�IERAL 1N�(ORMATXdN . . .' , . _ .�� l. You may apply far mechanical permits by mail or in person at the Ciry offices, Applications will be reviewpd and a permit will be issued within two working days. � � 2. Permit cards will be sent by return mail afler a revicw is complcted. PERMITS ARE NOT VALIb IJNTIL YOCJ REC�IVE A PERMCT, WORK MUST NOT S�(;�TN CJN7'1L T�E • PERMIT CA}tb YS POST�D ON T��.TUB STT�,. 3. Mechanical l]esi�ns�-Complete calculations,details and specifieations are required for each - hc�+ting,vcntilation,humidificKtion-�lchumidification,and air conditioning inscallation including heal loss/heat gAin calculation,design temperatures,equipment ratings and identification as to rype,manufacturer and model, TJata shall be presented on form provided. ; 4. When any new construction or remodeling is involved,a separate building permit must bc � obtained. ' � S. All work must be done in accordance with the Uniform Mechanical Code/State�uilding Coc3e requirements. � 6. All work must he inspected(rpugh-in and final). Ca11(952)249-4600. � (24-48 hour notiee required) � 7. House Heating Test�tecord muat be submitted before final. � ' `f'YpE OF'�'�12MYT` . ` Check All That,A 1 �sic��ntial ❑Comrn�rcial(Ap'p'roval Requireci) �rv ❑Additional ❑Repairs ❑ReplacC Job S�t�/(�wner Ynfor�nation � � � � � � { �� . . � �l � �r-� �r:n � � �ite�:A,ddr�s.s: � Ovy��r� �� <� `� M��ling Address; L��!� ��1�G� �✓r� ��a l �ity,; � � �,�,f V Zip: ��9�--- --- - ' ' l y---� �� Home Phone: � �Z~�"( ��'�r�"I.�Alternate Phane"�� ..� � �" �-�� , ��l�S� � Contractor Inforcnatio�n: i � ! Contractor: F�RESIDE HEARTH & HOME Contact�ersan: ��h f i � Address: 2700 Fairview Ave N State Bot�d#:BC662656, MB662572, PC662571 � i C��,: Roseville, MN L�p 55113 ��piration Date: � � Phone: 651-633-2581 Alternate Phone:Leah #651-638-3312 l 4 ❑ Insurance—Current: � 1 � f � 09-11-'15 11 :02 FROM- T-237 P0002/0004 F-499 k 'Y�l�.r��k'A�.J��J`S�fi�7yp'1��a)/K� :i�� e��yI'� i ¢`�, � `y �1y 5 ��1�, e� � ��i�fi� �i��Ib J,�1.�T�� s�.&: .6�in.�..�Ai\'b�C.r :�iA:37"Nl,rYt<L.��7�. .\��:.FAJi,� ;`)�[��4�f'��d��C�. ...'h�LT��<�,`dv�J.�xn;.i��m.k,�'r.,�,��:��r.,�..ri. Note: All Geothermal Systems will now rcquirc a Sile plan&Review�y our Building OfficiaL IS THIS GEOTHFRMA�,:' ❑Ycs ❑No �1�ATYNC S'YST�MS QuantiCl'� _�.,�....�,.�,--. ...�. ....,,,...��. ,r Make: ModeL ; �uel: Flue Si2e: ' lnput BTUs: -- — -- Output 13't'CJs: CFM: C00�.Y]�G S'YS'1`�MS QuantitY� __.. . _ � Make: � ModeL- ' Tons: I-I.Power FIREPLACES �G �Y�'�� '�� SC�C.�v S} �� J-�I�i� (1'��-��?w�l.�S� [� as:Pactory�'irepla r�n�Nam@; , '� �� ❑ Wciod$uming FircplacG � ❑ Wood StoW,e � Model No.: � �Q�(� . � g� ❑ 'Wood Stove;with.I'll�e/Masoi�iy> ��T��,rY�� -�=;��p a cQ,� -�-�� No. , l�itcl�en�xhaust_ duct recirculating �.��_efm ' Q No. � �ath�xhaust(must have duct outside) cfm ❑ No. Othc�•Fans: Locations cfm i i FUEL STORACE (Must be appro>>e[!by fSre Marshtrll�f�roposing to pbpndon tu��k in plttce.) ` ❑ lnstallation ❑ Removal Fuel Oil: _w��gzllons � CJnderground ❑ Inside ❑Outside Lp Gas: sallons � Other: GAS LiNE ONLY I � ❑ Outdoor Grill ❑ Other/List What c4t Where; +' ! 2 � � � 09-11—'15 11 :02 FROM— T-237 P0003/4004 F-499 * � a�� X�`h �/ri1�}'s�A�,��L�pdSfiQ�"`�qry J�X�,��f �R f! X t1, � ��-, '��,��1�n� �� \ti�(��1� `��M�7J�/:�.'T'�4 l.R��e,��i., y�Y��,�'��1�1 ti`•r``��/s'��y�� s. �I.� xr�7�1 �r.�- 1 S��'' �-�r�� . ` '�,,`ri � h -. v <�` .v��' � � . a'� t1�S4�rc�/, �?� rY f� � y��/� r `(�, L`�n vr,v^1�C �4e h':lrr.•(Y,,1',(`m,; a'S( �"� �./ . ��t\��.f=Y! {t'..y,.7��..�� Y.��f h��4v,{Olf�?T..,�MVGY�l,�y4,.�'�'�1�Vt�'i:.�'�r� 4 �.\..� . )`r tt'��1 Y.la:��<' ❑ Yes,tt�is section applies The rep3acement ofa Rosidential fixYure or appliance that meets all three ofthe f'ollowing requirements: 1. Does not rzquire modificAtion to elactrical or gas service. 2. Has a to al cost of$500.00 or less;g c7,�J�j_t�the cost of the fixture or appliance:and 3. Is improved,installed ar replaced by the homeowner or licenscd contractor. Ship next section,if this applies; Cost of Per►nit $ 15.00 State Surcharge � 5_00 _ Mail-ln Fee(If Applicable) $ 2.00 Total Permit Fee $ �� /� (`.� f(\� �lj1 l�}� {/(+�) y{{y �?�f♦]{/��/�)/,�1/1�, Y� �x �F..,l��lY�`I'�� 4 �p.. Y��,��M�tt� �.�f:� ..��\tK` .l�hM��V.�1��J/�y,fYY�`l`� %/Y�/�.��WS�',7 t C i R ^ . r �,/ �1.t �� 1;? fI ! ,�.� t � J d. i sr�� y !'�! ,?,K ,`1�.� H �✓.,�wl. �f above does not apply;foUow guidelines below: 1. CONTRACT YRTC�, *is 1.25%of contract price with a(Minimum�ee of�SU,UO) � �� .•. , {� �.0�1�� .Qr��$��t� I � .(q32�?I��i PT�cc�` (m,u�inX4tq'�SO�U�)� i M. STAT�Sy1YiCC_CAIt�� r �, C O� ? (� C..�Z> �' �UI � `�J J� a::000s .$_�v+ __ t cci�tt�act pziqej 3. p4STAGE&HANDLING(Qnly on Mail-In Applications) :$; '.2�00 `.' 4. 1COTAC.P�1R1►111(T��lE(Add i.ines 1-3 Ahove) $;.,�:�,'+(, �;� (,��";:;,> • * CONTRACT PRICB or JOB COST means the actual or estimated dollar amount charged for thc permitted work including materials, labor,profit, and other fxed costs. It is tt�e a[nount to be ctiarged ro the customer for the worl�done. Cf any material, oquipment, labor or installations are furnished by ihe owner,tenant or any pther party, the reasonablc markct value of sucli items mvst be added to the cstimatcd cost or contract price f'or permit fez purposzs. In the event that Yhere is a dispuCe on thc amount of the,job cost,the City ma� request the si�bmission of a signed copy of the actual contract. � (� A�T(� �I � Q �1f(� y(��/ �(� �Kv�y�y.�.r � �.Y��nerT '.��i�.nr4.��.�N�il!�A�V�r.!J.�y'?� �J �'�X,��F��..^�R�ls��.�,1i �.�+,a.-�hhb-�l-Ih.�� e�'uTn; �..�,0'nf`Y'`��'"'. 2, !�.!...t J.,/�'. The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all I work in strict accordanc� with thc ordinances of the Ciry and the rcgulations of the State of Minnesota, and ce�tities th all statements made on this applicatio�i are complete, true and correct. � � ' / i Applicant's Signature: �� `��'t•$'�"f'��aC�:'��'� � I � , ; � f 3 � � �� DATE TIM CITY OF ORONO CALLEDnv �(� INSPECTION NOTICE_q SCHEDULED � PERMIT N � COMPLETED ADDRESS � 3 �5 �'�"�—M � �� S �l OWNER TELEPHONE NO. �Cv3--��i7- ��`� CONTRACTOR 1`'C-� �� C��-2 �; DESCRIPTION � ��- U G�ro ly ❑ FOOTING ❑ D O-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 ❑,� EP IC INSTALL � OWNERICONTRACTOR TO MEET YOU: ES_NO � COMMENTS: � W 4 � J O � � , n O �� W � Q � 2 � W � W � j d W WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � ❑ RRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDEH POSTED.CALL INSPECTOR U CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52 9-4600 OwnerlContractor on site: Inspector. White Copyltnspector's File Canary CopylSite Notice �� ; � � , _i V DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED / u �� L', PERMIT NO. :��-C !.`� �//��I COMPLEfED ADDRESS '`� �S %�� ——-7�' �G�`z�9yy! '�f r f�� OWNER TELEPHONE NO. C� S l � �3 ��7c, CONTRACTOR � //�/ � F-/ �Y� � � DESCRIPTION f ��J�'��a- � �� W ❑ 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 ❑ S�P�'IC INSTALL 2 OWNERfCONTRACTOR TO MEET YOU:�YES_NO • � COMMENTS: �� Gt-J G�"YL�2 �1'�� a �C'v t'� CY� ��1� � � � O �. � O � W � Q � 2 W � W � j J d /W� VI�RKSATISFACTORY:PROCEED ❑PROJECTCOMPLEfE � ❑ RRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALI INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspecti 24 hours in advance. 52) 249-46�� OwnerlContractor on site: Inspector: r. � White Copyllnspector's File Canary CopylSite Notice ¢ � �1 `�'i�� DATE TIME � CITY OF ORONO �"v�s CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO. 5 COMPLETED ADDRESS -7 - f%tcz-m � OWNER TEL� �I�O. �� 7C�—��C 9 CONTRACTOR � DESCRIPTI tl� ❑ FOOTING /,' f�('�1❑ D FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL rrr�/��^ ,��f �ING RI ❑ EXCAV/GRADING/FILLING x � ❑ FOUNDATION WATERPRpter LUMBING FINAL ❑ TREE REMOVAL � RADON SLAB MECHANICAL RI Z ❑ ❑ SITE INSPECTION Q ❑ FRAMING �C/�� ❑ MECHANICALFINAL ❑ RATED WALLS � ❑ INSULATION ��Y ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ F I N A L ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ v ❑ DEMO-SITE ❑ SEPTIC I TALL � OWNERICONTFiACTOR TO MEET YOU:_YES NO � COMMENTS: L�`;�� W a o �6�r�G-E�o�, .�ro�ia�,� — � � - - � � -��/�. .5�r�.n On ✓�wt ,�,.oc � ti° �,��,C -�"f0 � olGo� � W � Q 2 ��s� ��! W � � /�(/ �JII S !/✓L os /yJ ��i•s '�r�.,a- � t d W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 �CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (952� 249-46�0 OwnerlContractor on site: Inspector. ` White Copyllnspector's File Canary CopylSite Notice ,�— � DATE TIME V CITY OF ORONO CALLED IN I b' �T% INSPECTION NOTICE scHEou�E� ! O o�.oZ—!S �-� PERMIT NO. a0!5-L�� f co PLETED ADDRESS � 3�S �' �'2�t-ry l �LL� OWNER � TE ONE NO. CONTRACTOR ' L� �f��'�_� � DESCRIPTION � ��-� � � ll� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING y ❑ 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 ❑ SEPTIC INSTALL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO v�i COMMENTS: j � � re ' �� J�� ^ �� ° � - �� ¢ O � W � Q � 2 W � W � j d W ❑ RK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WFLL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALLTOARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. 5 � 249-4600 OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSfte Notice `J ' DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDUIED — Q: PERMIT NO. o��S'��l Sc7 COMPLETED ADDRESS � �7 S �ru�`K-�- l'v'Y�.� OWNER � T�ELFPHOG� � CONTRACTOR ,c�t�� i DESCRIPTION � 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 ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q �1NAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERlCONTRACTOR TO MEET YOU:_YES_NO c�.� COMMENTS: W � a ��'�Bl�Gas t�� v � 0 � Iva t�� le�e -� vp/,�� a/� 0 � W � Q � 2 W � W � J � O WORKSATISFACTORY:PROCEED �IOJECT COMPLEfE � W ❑CORRECT VYORK&PROCEED r ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CWERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor on site: �,T�,i9 Inspector. �/ h-- 7� White Copyllnspector's File Canary CopylSite Notiee