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Home My WebLink About2016-01442 - gas fireplace , , CITY OF ORONO * 2 0 1 6 - 0 1 4 4 z * 2750 KELLEY PARKWAY DATE ISSUED: 1U16/2016 ORONO,MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 4325 LAKEVIEW CT PIN : 06-117-23-43-0016 LEGAL DESC : LAKEVIEW OF ORONO : LOT 2 BLOCK 3 PERMIT TYPE : MECHANICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCT[ON TYPE : FIREPLACE-GAS VALUATION : $ 4,834.50 NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. GAS FACTORY F[REPLACE-HHT-MODEL 8000C APPLICANT MECHANICAL 60.43 STATE SURCHARGE MECH(VALUATION) 2.42 FIRESIDE HEARTH& HOME MAIL-IN FEE 2.00 2700 FAIRVIEW AVE ROSEVILLE, MN 55113 TOTAL 64.85 (651)633-2561 Payment(s) Minnesota State License#: mech-20512060 CREDIT CARD 4616 64.85 OWNER Source Land Development Inc. 18215 45TH AVE N STE D PLYMOUTH,MN 55446- 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 5tate 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 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time afrer 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 // / ��/ /� Applicant mitee ignature Date Issued B ignature Date 11-16-' 16 09:35 FROM- T-415 P0001/0404 F-506 �� '°°O� o�� T��Sx o�r. , �' c;ry of oro�io / /� !� ��Q P.O.Hox 66 Date Rccqi�c :{ � Parmit q � v / �7SO KGIICy P9fICWAy ' �) ` Crys�al 13ay,MN 55323 �ipprovcd 13 : Arnount$� �� Phonc(952)249-4600 Fax(952}249-4616 �Fl-dK , �4.G� CIT'Y O�'0120N0—MECHAN'YCAL T�ERMYT E�HO . (All CominefCial pennus must be approved by the IIuilding Official or Inspector andlor Fi�e Marshall) GENERAL 1NFORMATION 1. You ma�appl�for mechanieal permi[s by mail or in person at th�City offices_ Applications will be revie�ved and a permit�vill be issued�r�ithin cwo wo,ki��g days. Z. 1'ermit cards will be sent b�return mail after a revie�v is compltted_ PERMITS ARE NOT �V'AX.XD Y1N�'zL�SCOYJ�CLI'VE A P�TtMTT. '�'VORT�MTJST NOT SEGIN UNTIL THE �'��21�ITT CARn XS�OST��ON T�T�.�0�SYT�. 3_ Mechanieal Desi�ns—Complete calculations,details and speci�cafions are re9uired for eacli heating,ventilation,humidification-dehumidification,and air conditioning installation ineluding hC8t lOSS/hC&[gAin CR1Cl11RCi0n,design temperatures,cc�uipment ratings�nci ident►fication as to rype,manufacturer and mode]_ DatA shall be presentcd on form provided. 4. When an�new construction or remodeling is invol'ved,s soparate building permit must be obtained. 5. Alt work rnust be done in Accordance r�vith the Uniform Mechanical Code/State Building Code requirements. 6. AlI work must be inspected(rough-in and final)_ Call(952)249-4600. (24-48 hour notice required) 7_ HOuse Heating Test Record must be submitted before final. TYpE OP PERMIT I (Check All That A 1 � I �Residentisl ❑Commcrcial(Approval Requ►red) �New ❑Add'rtional ❑Repairs ❑Replace J�ob Site/Owner Tnforrr�ation: Site Address: 7 J � � ��'G u �� 1 , OWner: ��.'� �CYvt�,f LL�i Mailing Address: �� V'd. /� ,li ��: Ply�� z�p: �'�`�K� �o�e��o�e: 7��r �� Alternate Phone: Contractor Information: Contractor: ��SIC7� H�ARTN& NOME Contact person: �a��'� Addr�ess: 2700 Fairview Ave N State Bond�:gC662656, MB662572, PC6625%1 CiCy: Roseville, MN zip:55'i 13 �xp�ration Y7ate� Phone: C�5f��3�'�� Aiternate Phone:' ❑ Xnsuranee—Cur•rent: l 11-16-'16 09:35 FROM- T-415 POOQ2/0004 F-506 "bi" F � "r.�' x. r' i t �� , ;. .`, :� ^ ' ` • s 9 N'ote:All4eotherma.l Systems will now require a Site Plan&Revicw by our�uilding pfficial. IS THIS GEOTHERMAX�? ❑�Ces ❑No HEATiNG SYSTEMS Quantity: Makc. Model: �'uel: Flue Si2e: Input B'I'[Js: Output BTUs: C�'M: COOLING SYST�MS Quantity: MaEce: Modcl: ! _ � Ton3: H.Power rYYt�pY�AC�S � Gas Factory Firtplttct Brand Namo: � ❑ Wood$urnitlg Fir��lace ��O � . ❑ Wood Stove Model No.: . ❑ Wood Stove with�'lue/l�aso�nry V�NTI�,ATYON ❑ No. Kitchen�:�chaust duct recirculAting cfm ❑ No. Bath�xhAust{must have dnet outside) cfm ❑ No_ Other F�ns: I,ocations cfm �YJ�Y,STO�tAG� (MiRsr be nppwoved by�re Marsl'rrr/1 if pwoposiitg ro�6and'ort�arek ln pYace.) ❑ Tnstallation ❑ Removal Fuel Oil: �gallons ❑ Clnderground ❑Inside ❑Outside �,p Oas: gallons Od�er: CAS�.YIV�ONX.,'SI ❑ Outdoor Grill ❑ Other/�ist What&Where: 2 11-16-'16 09:35 FROM- T-415 P0003/0444 F-506 , . � �Y .hM!�/_ �•. � r i jY.i:�.3�`"��`� 4„�Y�,�f;�a�'-,,y.y !: 3�' �i �e ar i � � Y` •. ,,��,�� 'A^. .,. ,�....U. � - . ,G�l.'�i.t�rc+��r'��'��`.1�..��.. �'/.� �M' �' ,,�.�'4 f v Y r� :;�'LC?. . ❑ Yes,this section applies Tht replac�mel►[of�t k��idential fixtura or appliance that meets all three of tho following reqt►irementS: I. Doas not require modiffcation to cltctrical or gas servicc. 2. Has a t�tat cost of$500.00 or less;excluding the cost of the fixture or appliance:and 3. Is impro'ved,insialled or replaeed by the homeor�vner or lieensed contirr�ckar. Skip next section,if tlais applies; Cost of�e�nit $ 15.00 Statc S�uchargc $ 5.00 Mail-In Fco(if Applicable) $ 2.00 Total Permit Fee $ '��iT�.;rY��'".Y�'�:?�icu`,11� ,.k:`..n;,F,.•.i�'.��,�,�.{�:F��ik,`� .';} ' y �i cs�. ..�Y,Q•�!!. .��! 3A..`��',��,a If Above does npt apply;follow guidelinas bclow: 1. CON'TRACT pYtYC� �is 1.25%of contract�rice w'lth�(�X�nin�um Fee of$50.00) �O t{� � 3�. �.oz�s� �wa• ContrNet priCe) (ulfoimum SS0.00) 2. STATE SYJ�tCHARC� )Jp 2 . ,�� 'l o ✓ x.000s $ ��y� (convacc pr�cc> 3. POSTAGE&HANDLTNO(Only ort Mail-Tn Applications) S �� ) `o�• 8fi 4. TOTAL P�RMIT F��(Add Lines 1-3 Above � � * CONTlZACT PItYCE or J0� COS'X' means the actual or estimated dollar amount charged for the permitted�vork including��i�terials,labor,profit,and other fixed costs. It is the amount to be charged to the customer for fhe work done_ If any mattrial,equipment, I&bor or installations are�urnishe.�l by tlxe owner,tenant or any othei•party,the ressonsble mArkeC vglue of such items must be added to the estimated cost or oontracC price for perniit fee purposes. Tn the event th�t theN•e is a dispute on the Amount of the joU COSC, the City mAy request the submission of a sigited eopy of the actual contract. ,.'t_�;:a,;.�;s•.;r...�,!i��:,a �.�:�,r.o �C�rr,;�;� �.��r, �,y,�.� ,..� . �y. ,.��,1, p.. _ x ...r::a,...�,�vs.�,.,.::�'.::'�i.., .. '� y �t 'p�'�'�ro�"-�3`•�4�1%x ��:5'��r:'.I+.J�.�.�� 5P ��'�.+��.,�.�v.�.�%�3#� ��':��,.`C`r."��,�;L:�Q a.�1�,.�I'.��....�.r..�..;.' �•,%�.�,'a��r;s;5,tt.�'�:�±,t,�� l�k, The unde�signed hereby applies to the City for issuance of a Mechanical Permit,&grees to cio all �voi�k in strict accordance wiih the ordinances af the City and the reg«Iations of the State of Minzaesota, and certifies that all statem nts made on t � application are complete, t�•ue and correct. Applicant's Signatwre: � Date: �J~�� `"��w 3 �--5 � � �TE/� TIME CtTY OF ORON� ! CALL�r, �� INSPECTION NOTICE �� DULED l� - 7 —[Jp /D : C�"v PERMIT NO. � COMPLET J ADDRESS � �� OWNEA ` EPH . CONTRACTOR r , — �� '- DESCRIPTION L� `�� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL � ❑ 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 _ J ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICOI�fTMCTOR TO MEET YW:_YES_NO � COMMENTS: � ✓��wtrK �i , (', �P�r��cC�s - a K o �" G c✓ � � - ` �' ,- �i•�. �v3 J1G�.6��2r �� G e �''� — � �O � O l< -f� co�raf. r.�� Q � � W � � � �KSATISFACTORY:PROCEED ❑PRWECTCOMPLEfE W �O CORRECT WORK 3 PROCEED ❑ISSUE CERTIFlCATE OF O(:CUPANCY O ❑(�RRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CONERIN(i PERMANENT ❑CORRECT UNSAFE CONDITION WRHIN HOURS. O PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP OR�ER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REOUIRED.CALL TO ARRANGE ACCESS. Call for the next inspectfon 24 hours in advance. (952) 249-4600 OwneNCorrtractor on sRe: Inspector: ►y WMte CopyAnapector's Fik Canary CopylSits Nodes ` � V � � DATE TIME � CITY OF ORONO CALLED IN INSPECTION NOT CE Y� ��r� SCHEDULED 'I��^ �ERMR NO. �� ' `'T COMPLETED ADDRESS ��- � � �.et-> C�F" OWNER 'TELEPHONE NO. '� � �3�� CONTRACTOR ia-- I {��I �^_ t--f�'`� � DESCRIPTION , +�1 {�,�-� I�r� _ i—i Y�k'1 J ly ❑ FOOTING ❑ DEMO-FINAL ❑ 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 J FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W AS BUILT-SURVEY ❑ SE ER HOOK-UP ❑ FOUNDATION/REMOVAL _ v ❑ DEMO-SITE ❑ TIC INSTALL 2 OWNERICONTRACTOR TO M�T Y'OU: YES_NO -` � COMMENTS: W a O Fi re✓l! ar� �es - ,o�� so�cs - �,"— �. ,.. /� �. �5 op��4�tv�G - � 0 � W / � �"C( �!'K G'o rl,dlc'�� - Q � 2 W � W � J O W� O WORKSATISFACTORY:PROCEED ROJECT COMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ISS CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL REfURN O CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS_ Call for the next inspection 24 hours in advance. (952) 249-46�� OwnerfContractor on site: Inspector: � � White Copyllnspector's File Canary CopylSite Notice / /,& TIME \/ CITY OF ORON%" CALLE IN /� n,TE )ef INSPECTION NOTICE r )L �EDULED 7,--;- "7 —/( 7. /Q : r-c) PERMIT NO. Co P ET j, /, ) ADDRESS 3 ,,5 fit/-[' �/�/ec"L) OWNER EPH CONTRACTOR f .a� -W4/71 DESCRIPTION ./ '`� /L/ TL IQ 0 FOOTING 0 DEMO-FINAL/ 0 SEPTIC FINAL Q ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING 0 0 FOUNDATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL Z ❑ RADON SLAB 0 MECHANICAL RI 0 SITE INSPECTION Q 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS 1, ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT Q 0 FINAL 0 WATER HOOK-UP 0 FOLLOW-UP W 0 AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL 2 v ❑ DEMO-SITE 0 SEPTIC INSTALL Z W - ONERICONTRACTOR TO MEET YOU:_YES_NO • COMMENTS: ct a. — GGOpc✓ 4 Cie2e, 4•.-- e•--e--3 AoiJ' G — 0c___D QO/ -{S co rL l e, ce, .. W Z W CC J �/ W CORK SATISFACTORY:PROCEED ❑PROJECT COMPLETE CCW ❑CORRECT WORK&PROCEED CI ISSUE CERTIFICATE OF OCCUPANCY O 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY u BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. CI PHOTO TAKEN INSPECTOR WILL RETURN O CI 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 Owner/Contractor on site: Inspector. Whits CopyMspector's File Canary Copy/Site Notice (is, ;,k \,( I-k. , DATE TIME CITY OF ORONO CALLED IN - -- INSPECTION NOTICE yJ I l2 SCHEDULED ----' l i '� PERMIT NO. -C.I L L I 7 7 1COMPETED ADDRESS • "1 ��S 1 c c €2iL, Cf c- i �3�5 .> j2 OWNER TELEPHONE NO. CONTRACTOR h- I I -6-;:-. I (Liz `/f`p DESCRIPTION ) Y e p I(mak ('' . t-i ►'�11 Lu ❑ FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL Q ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL Z ❑ RADON SLAB 0 MECHANICAL RI 0 SITE INSPECTION Q 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS 1, ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT v FINAL 0 WATER HOOK-UP 0 FOLLOW-UP W 0 AS BUILT-SURVEY 0 SE ER HOOK-UP 0 FOUNDATION/REMOVAL .4 ❑ DEMO-SITE ❑ TIC INSTALL Z OWNER/CONTRACTOR TO MST YOU: YES_NO y COMMENTS: �\ cc LU IX _CC Frep f at,sPs - re 5Pu.s >. `- f. (5 0ye,46ro,z3.G cc 0 im Q nil r�.},rK Co wt�ic`mac - 2 IQ CC J W ❑WORK SATISFACTORY:PROCEED ROJECT COMPLETE ItW 0 CORRECT WORK&PROCEED 0 ISS CERTIFICATE OF OCCUPANCY C) 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY ✓ BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. 0 PHOTO TAKEN INSPECTOR WILL RETURN ❑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 Owner!Contractor on site: Inspector. 9J kv'-' 4- White Copyllnspector's File Canary Copy/Site Notice