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Home My WebLink About2015-01580 - gas fireplace r CITY OF ORONO * 2 0 1 5 — 0 1 5 8 0 * ` 2750 KELLEY PARKWAY DATE ISSUED: 12/18/2015 �a ORONO, MN 55356- (952 249-4600 FAX: 952 249-4616 ADDRESS : 335 HOLLANDER RD PIN : 25-118-23-43-0009 LEGAL DESC : REG.LAND SURVEY NO. 1429 : LOT 000 BLOCK 000 PERMTT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 4,997.65 NOTE: HHT GAS FIREPLACE APPLICANT MECHANICAL 62.47 STATE SURCHARGE MECH(VALUATION) 2.50 FIRESIDE HEARTH&HOME MAIL-IN FEE 2.00 2700 FAIRVIEW AVE ROSEVILLE,MN 55113 TOTAL 66.97 (651)633-2561 Payment(s) Minnesota State License#:mech-20512060 CREDIT CARD 4608 66.97 OWNER ERICKSON,WALTER&NANCY 335 HOLLANDER RD WAYZATA,MN 55391 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 sepazate permiu. All provisions of laws and ordinances goveming 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 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. 1'he applicant is responsible for assuring all required inspections aze requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. �.. � �cc,ti��-� � �- 1�� i l8 � /S Applicant Permitee Signature Date Issued By Si ature Date 12-18-'15 15:50 FROM- T-501 P0001/0004 F-861 �� `�� r� : � � $UIt CCTY iJ$E QN '�� A} City of Orono (�j�� .� ►� t y P.O.Boa 66 bate Receiv�d:��'Permit 11 � (� ' 0 2750 Kelley Parkway q ; Crystal Bay,Mld'S5323 Appmvcd�y: �Amount$:�_ ; Phone(952)249-4600 Faa(952)249-4616 � a t y�tqk ��o��c�', CITY OF ORONO—1VIECHANICAL PE�IT � (All Commercial pErmits rnust be approvdd by�he�uilding Oflicial or Inspeccor andlor Fire Ma�shalf) � R CrENERAL INFORMATION � i 1. You rnay apply for mechanical permits by mail or in person at the City offices. Applications wi11 f be reviewed and a permit will be issued within two work'ing days. � 2. PermiC cards will be sent by return mail at}er a review is completed. PEC2Ml`('S q��NO'C� � 'V[�,Ib CJNTIL YOU RECEIVE A PERMIT. WQRK MIJS'C'NOT BEGIN UIYTyL THE ; PERMIT CARD IS POSTED O1V THE JOB SITE, 3. Meehanieal b�3iEns—Complere ealeulations,deCails and specifications$re required for each heating,ventilation,humidi4ication-dehumidificatipn,and air conditioning installation including heat los3/hzat gain calculation,design temperatures,equipment ratings and identification as to j type,manufacturer and modeL bata shall be presonted on fnrm provided_ 4. 'When any new construction or remodeling is involvod,a separate building permit must be obtained. S. All work must be dont in�ccordance with the Uniform Mechanical Cade/State Building Code requirements. b. A,U work must bz inspectzd(rough-in and final). Ca41(952)249-4600. (2448 hour notfce required) 7. �Couse Heating Test Record rnust be submirted before final. TYPB O�'p�RMIT Check All That A 1 ) ; � � � esidenria� ❑�Commercial(Appnbyal ReqUiiod)� ❑�New,� ��Additional� ❑Cltepairs} ❑�Re�lace� Job Site/Owner Information: �Site Acldress �� c.� T"1 p�1 �G��'i� �� ` _-----�� ''C ~ .� Mailin .:A ........... O�vner;) .V"(�'1. �.� �l�f�.�1� ddress � C-�-=-_ �---�-- .J � (c�i�� 0�o�t� �z�,�:) E , Hom�Phone,��,�Z' �,SL 1�.Q�'�� Alternate Phone: { Contractor Information: � Contractar: FIRESIDE HEARTH & HQME �ontact Person: Leah Address: 2700 Fairview Ave N State Bond#:BC662656, MB662572, PC662571 City: Raseville, MN �;p 55113 ��;p;ration Date: Phone: 651-633-2561 Alternate Phone:�eah#651-63$-3312 ❑ Insurance—Current: I 12-18-'15 15:50 FROM- T-501 P0002/0004 F-861 � M�CHANICAL SYSTEMS.BEYN'G�1'STALLED , _ Note:All Geothermal Systems will now rcquire a Site p�an$c Review by our�uilding Official, ' YS 1�1S G�OTH'�RMAY,? ❑Yes ❑No � �T�ATCIYG SYST�MS 6 f Quantity: _, � Make: `' Model: , Fuel: • �'lue Size: � Input BTUs: Output STUs: CFM; r COOLINC SYSTEMS � I Quandty: � Make� Model: Tons: H.Power f FIREPLACE.S�, , � ... ... ... ... . � : � Gas FaCto Fireplacs� �Brand Name� � ❑ W'ood�umin�Fireplace� . . Mo . ��r C._. � ❑ Wood,Stove) . . � .. ael No.} G J ....�� ' ❑ Wood 5fo�ve�vith Niue/Masonry� � VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfm ; ❑ No. �ath�xhaust(must have duct outside) cfm ; ❑ No. Othcr Fans: Locations �� FU EL STORAGE (Must be upprove�!by FYre Marshall lf proposi�g to abandon tank in place.) � ❑ [nstallation ❑ Removal � i 3 Fuel Oil: gallons ❑ Clnderground ❑[nside ❑Outside � LP Gas: gallon3 Other: � GAS LINE ONLY ❑ Outdoor Grill ❑ Other/List What 8c Where: 2 I I 12-18—'15 15:50 FR4M— T-501 P0003/4004 F-861 � � • _ . . PERMIT FEE CALCULA,'�`TON(S) - BASED OFF-2002 STA'T�STATUE : [] �'es,this section applies G The replacement of a Residentisl fixturo or an lp IanCe that meets ail three of the fotlowing requiremcnts: f 1. Does n require modification to electrical or gas service. � 2. Has a total cost of$500.00 or less;excludin�the eost of the fixture or appliance:and 3. Ys improved,installed or replaeed by the homzo'wntr or licen3ed contractor. � �. Skip next section,if this applics; Cost of Permit � I5.00 State Surcharge $ 5.00 � Mail-Cn F�(rf Applicable) $ ?.00 - Total Pern�➢t Fee $ PEFtMIT F�3�CALCULATION S —JOBS OVER$SOdAp � If above does not apply;follow guidelines below: ; l. CONTRACT PRIC� *is 1.25%of contract price with a(Minimum Fee of$50.00) �� -�'��;012.5$`;< . f �:,.i}._�t�,r!ce � � . !iiil�ldioiril'fS0.U0`, i 2. STAT�SC112C�TARG� (� � � � "lq� �� ,c�qoos';:$� , Ccoi�@acc..jp'ic� .. .. . 3. POSTAGE&HANDL�NCr(Only on Mail-In Applicacions) �$J �2:UQ';:�� --�-.----....._ 4. TOTAL PERMM'��L��(AddLines i-3 Above) $:',�;;;,�:i,'� ��,.;:.'��.�.. �.:� �. ......_.._ ■ * CONTRACT PRICE or J'OB COST rneans the actual or estimated dollar amoun{charged for the i pern,itted wark inc[uding materials,labor,profit,and other fixed costs. It is the amount to be charged to she customer for the work done. Tf any material,equipment, labor or installations are furnishr.d by ' the owner,tenant or any other party,the reasonable mazket value of such items must be added to the estimated cost or contract price for permit fee purposcs. In the event that thcrc is a dispute on the amount of the job cast,the City may request the submission of a s'rgned eopy of the actual eontraet. ; � MECHAN'YCAL PBRMIT APPLICATIOI�ACrREEMEN7'. � The undersigned hereb� applies to the City for issuance of a Mechanical F'ermit, agrees to do all j work in strict accordance with the ordinances of the City and the regulations of the State of � Minnesota, and ceitifies that all statements made on Chis application are complete, true and � cor�ect. i � Applicant's Signature: ��'v ��dY� fDa,te:) I �I � � I � t..:........ , 3 � � �� I � C--�;J DATE M 3a CITY OF ORONO CALLED IN - __� INSPECTION NOTICE r1 SCHEDULED Z � PERMIT NO. ZG�-5 ' 015�� COMPLEfED ADDRESS � C � � f I a_�(�r-- i+�u OWNER TELEPH NO.InI Z��I��D"�-I� CONTRACTOR � �% �'�rS 1_i�Lt-t�tt � DESCRIPTION U��K�C� � 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 � ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL J DEMO- � E EPTIC INSTALL 2 OWN RACTOR TO MEET YO�YES_NO y COMMENTS: ��,�li �_ (�I^C�-�`C{�— �(�A/(c� I c% � 1 ,f�,'� ��r --�`z-_ � J � 4t�5 " �YI r-.�G'✓t �"�^' r!Z'rs � -��Pa/s�� — � ' UCh��f� '/�'� �EtS � W � Q .� •� ' 2 � C��Q� �v6..�3 "- �s /.�� 4, � � ��f� - ��, -��, s��e ,r�-s��/s— � _ , � ��K.,s�C.- �/'�s�r l/ P� J1?��tr�. G�✓-��'s W�ATISFACTORY:PROCEED O PROJECT OMPCEfE � ❑CORRECT WORK 6 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY V BEFORECONERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTtONREWIRED.CALLTOARRANGEACCESS. Call for the next ins ion 24 hours in advance. (g52) 249-4600 Owner/Contractor on site: Inspector: ��-' � White CopyAnspector's File Canary CopylSite Notice �� / Z D�� TIME CITY OF ORONO CALLED IN INSPECTION NQ�C� ��'�� SCHEDULED � �:� PERMIT NO. ADDRESS � �35 ��!IQ�C�.r�` ,�� OWNER TE HONE NO. � � -o/�7'' CONTRACTOR � � DESCRIPTION � � 4 �- t~N ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FIN 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 v ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO v�i COMMENTS: � � a 6�15 J��' ih3c!✓� iti i�i =' 0 � w �t.SO�t�Fr �•�- - � �1��.. Ic .� " /d� ` i"15 o � /( a1o�K L'1�...c,0/�`c - W � � Q /� 2 .�/'w�G� '�1 �'i�� W � W � � J � ❑WORK SATISFACTORY:PROCEED �R6dECT COMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECObERING PERMANENT ❑CORRECT UNSAFE CONDITION WRHIN HOURS. p pHOTO TAKEN INSPECTOR W{LL RETURN ❑STOP OROER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (g52) 249-46�� OwnerlContractor on site: �'�� Inspector: te CopyAnspector's File Canary CopyfSite Notiee