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Home My WebLink About2016-01503 - gas fireplace ` �' CITY OF ORONO 2750 KELLEY PARKWAY * 2 0 1 6 - 0 1 5 0 3 * DATE ISSUED: 12/02/2016 ORONO,MN 55356- (952)249-4600 FAX: (952)249-4616 ADDRESS : 2503 KELLY AVE PIN : 20-117-23-12-0054 LEGAL DESC : KELLY COVE : LOT 004 BLOCK 001 PERMIT TYPE : MECHANICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 3,299.00 NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. HHT GAS FIREPLACE APPLICANT MECHANICAL 50.00 FIRESIDE HEARTH&HOME STATE SURCHARGE MECH(VALUATION) 1.65 2700 FAIRVIEW AVE MAIL-IN FEE 2.00 ROSEVILLE,MN 55113 TOTAL 53.65 (651)633-2561 Payment(s) Minnesota State License#:mech-20512060 CREDIT CARD 4616 53.65 OWNER REVOR,MARGENE 2503 KELLY AVE EXCELSIOR,MN 55331- AGREEMENT A1vD 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 perrr►it 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 wil( expire and become null and void if construction authorized is not commenced within I80 days of the date of issuance,or if construction is suspended for a period of I80 days at any time after work has commenced. The applicant is responsible for assuring aIl required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. �� / � �� l`�2� a� /�o Applicant Permrtee Signature Date Issued By gnature Date �-30-'16 15:12 FROM- T-480 P0010/0016 F-583 r "- � / � /'�� CJQ �� W Yt CTTY Y7SE ON�.Y �� City oi'Qrono �ii�' � � P.O.Box 66 Data Iiccaiv � Perroit q a�l�p �: �L--� 2750 Kcllcy Parkway Crystal Aay,MN 55323 Approved Sy; Amount$�� Phono(952)249-4600 Fax(952)249-4616 � y`�t.y �w�'�� CITY OF ORONO—MECHAN'ICAL PERMIT k�s H o (AIl Gommercial permits must be approvrd by�ha Building Official or Inspecror and/or Fire Marshalp Cr�I�BRAL INFORMATION ]. You may apply for mechanical permits by mail or in person at the City of�ces. Appl'rcations will be rcvicwed and a permit Wlll be iSsued wiChin two working dzys. Z. Permit cards will be sent by return mail after a revier�v is completed. PERMITS AR�NOT VALID UNTIL YOU R�C�r'V�A P��11�T. WO1tK MUST NOT BECIN �NTII.,THE PERMIT CARD IS pnST�C�ON TY-T�JOB SITE. 3. Mechanical Desi�ns—Complete calculations,details and specifications arc raquired for each heating,vtntilstion,humidification-dehumidification,and sir condiCioning installation including heai losslheai gain ealculation,design temperatut'es,equipment ratings and idCnfification as to rype,manufacturer and modeL Data shal)be presented on form provided. a. When any new construction or remodelin�is involved,a separate building pormit must be obta'rned. 5. All work must be done in accordance with the Uniform Ivlechanical Code/State Building Codo requirements. 6. All work must be inspected(rough-in and final)_ Catl(952)249-4500. ; (2a-48 hour noticc required) 7. House 1-�eating Test Record must be submitted before final. TYPE OF PERMIT _ Check Al1 That A � 1 ), � , : �esidential ❑Commercial(Approval Required) ❑ New �ditional [�Repairs ❑Replace Job Sit�/Q�iiner In�orm�tion: � S ite Address: �� . ��" Y�V� Owner:_ �!/1�'�('C� �,�-Gk�� Mailing Address: ��7' ri9C� c.0 City: Zrp: Home Phone: ��Z�7`/'�� Alternate 1'hone: Contractor Information: Contractor: FIRESlDE HEARTH & MOME Contact Person; Leah Address; 2700 �'airview Ave N State Bond#:8�662656, MB6$2572, PC6S2571 City: Roseville, MN Zlp 55113 �xpiration bate: Phone: 651-633-2561 Altern�te Phone:Leah#C51-638-3312 ❑ Insurance—Current: 1 � ,11,-30-'16 15:12 FROM- T-4$0 P0011/0016 F-583 * , �. ;;; ... ,,, . _ - - - . �y.=_} :.: .. : . . , . .. ;. _ �---: . . . . .. . .a , _.� _ . �• _r '., •. • Re . ' ' '.Y ,q F. . � . r .t `� ` '9._ �.r. •tni�.: •f�`-Tr•ef ._� _ t_ -`+�5. _ Note;All Creothermal Systems will now reyuire a S.ite Pian�Review by our Building Official. YS T�IIS GEOT�Y�YtMAY,? ❑Yes ❑Np �iEATiNG$YS'Y'�MS Quantity: ., Maka: Model: Fucl: Flue Size: Input BTUs: _ Output BTUs: CFM� , COQL�NG S'YST�MS Quantity: Makc: Model: Tons: H,Power FIREPY.AC�S � Gas Pactory�ireplace Brand Name: G7 r7 ❑ Wood�urning�'ireplace ❑ Wood Stove Modcl No.: �� (�� [] Wood Stove with Fluz/MAsonry V�IY I'T�,ATION ❑ No. Kitchen�xhaust duct recirculating cfm � No. �ath�xhaust(must have duct ouuide) cfm � No. Other Pans: Locations cfm FU�L,S7'ORACE (Must be apnroved by Flre Marslrn/1{/'proposing to abandon tank in pla�se,) ❑ Tnstallation ❑ Removal Fuel Oil: .. p,xllons ❑ Underground �,]Inside ❑Outsido LP Gas; gallons Other: GAS�,rN'�ONLY ❑ Outdoor Orill ❑ Other/�.ist What&Where; 2 j ,11-30-'16 15:12 FROM- T-480 P0012/0016 F-583 � , � r ,... _ _ _ _ _ - _� �d , - - - d� � " - - ,�.. . �.�'� .- - .-�'.�= - - ��M� 0 Yes,this section applies The replacement of a Residential fixture or appliancc that meets al!threz of the foltorwing requirements: i. boes not require modification to electrical or gas service. 2. T�as a tota)cost of$500.00 or tess;excludina the cost of the f'rxture or appliance:and 3. Ts improved,installed or repla�ed by the homeown�r or licensed contractor. Skip nzxt section,if this applies; Cost of Permit $ 15.00 State Surcharge $ 5.00 Mail-In Pee(Tf Applicable) S 2.00 � Total permit Fee S �_�; r �� -- ,�. - _ ;� � Tf abor+e does not apply;follow guidzlines belo�v: 1. CONTYtACT p�tlC� * is 1.?5%of contcact priee with a(Minimum�ee of$50.00} ��/� x.012S$ �d� (contract prico) (minimum$SO.oO) 2, S'Y'ATE SiJRCHARGE � ��(� I. ��r x.00OS $ � {ContraCt p�ke) 3. POSTAGE&�TANY7T�TN0(Only on Mail-In Applications) $ 2.00 4. TOTAY.p�RMlf��(Add�.ines 1-3 Above) $ S �� ■ * CONT�tACT PR1C�or 10� COST means the actual or estimated dollar amount charged for the permitted work including materials,labor,proflt,and other fixed costs. Yt is the amvunt to be charged to the customer for the work done. If any material,equipment,labor or installations are furnished by the owner,tenant or any other party,the reasonable marke#value of such items must be added to the estimated cosf or contract price for parmit fae purposes_ In the event that there is a dispute on the amount of thc job cost,thc City may rcquest tht submis3ion of a signcd copy of Che sctual contract. �. ��,��" •-"_ :� .,� _�., ?��`�T •��- �•:� .�� ` The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all work in StriCt accordance with the ordinances of the City and the regulations of the State of Minnesota, and eertifies that all sCatements made on this applicaCion are complete, true and correct, _ i � . ) I/ Applicant's Signature: Date: + � /ld 3 . �-�� -- _ ✓ DATE TIME CITY OF ORONO CALLED IN �r7-�s -�� INSPECTION NOTICE HEDULED ��-Jd-i.(� � PERMIT NO. -O�SD �Ere ADDRESS a�� OWNER TEL HONE NO. -S�2` �-.�`��J CONTRACTOR � DESCRIPTION �P� �_ �- �, 4�j ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL 2 ❑ 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-SUHVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ SEPTIC INSTALL Z O'WNERICONTRACTOR TO MEET Y�01J:_YES_NO y COMMENTS: � Ga5 F. /�- �Ksc�t �n�c� r��►� � — o '"�5' °�,'� ' � - ��.rt.K s • UK ° ' � e� �s /••�� s s /�v�� -f�v�. �t�s. � 'F plD�iac�e� �rt�'i0 yrf.ef.cL J�'./�. - 2 - �i4s /,�� a•:- �a s� - h��o p�s�� ,•�c�c /� - �5- /G - � ' Y �d/J IO G C ��t''ri�c? �� ,1C�4k..� Go i� �io�c( p ,g.�i o-F' C/�. - F.s�s�C %'r5f.s// f�er ��s . W� WORK SATISFACTORY:PROCEED ❑PROJECT COMPLETE � ❑ RRECT WORK d PROCEED ❑ISSUE CEFiTIFICATE OF OCCUPANCY 0 ❑CORRECT VYORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CddERINf3 PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p p�{pT0 TAKEN INSPECTOR YNLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ��TATION ISSUED ❑INSPECTION REW IRED.CALL TO ARRANGE ACCESS. Cail forthe next inspectfon 2a hours in advanoe. (952) 249-4800 OwnerlContractor on site: Inspector: �-- M- � YVhits CcPYAnspxtor'a FII� Cmary CoPYlSifs Notie� � �� 7'�� DATE TI E CITY OF ORONO n�'ueo iN -�— INSPECTION NOTICE � � SCHEDULED �i Zr7�� --��z—'I'� PERMIT NO. .�< I(�" G�--�' --�COMPLETED ADDRESS 2 c' �� ". T�c �� ,� TELEPHONE NO. L� �z 7/��-/.��. OWNE� ��P��V � ,�' CONTRACTOR t-JY��( _- �"{� � � DESCRIPTION ��'.P��.� �l Y-1L� � �y ❑ FOOTINCa ❑ DEMO-FINAL ❑ SEPTIC FINAL ��I� 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 W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ ❑ DEMO-SITE ❑�TIC INSTALL v Z OWNEMCONTRACTOR TO MEET YOU: YES_NO y COMMENTS: ��-�- �� ' � � cc�-C. � �� -. j r � - 0 I n.�, ..J�. .�l ' c...- ' � � t/'�,. � �. � �O � *'� - Q ✓ � � W � j O W ❑WORK SATISFACTORY:PROCEED PROJECT COMPLETE � ❑CORRECT WORK 3 PROCEED ISSUE CERTIFlCATE OF OCCUPANCY W 0 ❑OORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECObERINO PERMANENT ❑CORRECT UNSAFE CONDITION WRHIN HOURS. p pH0T0 TAKEN INSPECTOR WILL REfURN O STOP OR�EFi POSTED.CALL INSPECTOR ��TATION ISSUED ❑INSPECTION RE�UIRED.CALL TO ARRANGE ACCESS. Cafl for the next inspection 24 hours in advance. (952) 249-4600 Owr�IContra on s e: • Inspector: �� r WINte CoPYAnspsctors Flk Gnary CopylBits Notia