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Home My WebLink About2016-00386 - gas fireplace , CITY OF ORONO * 2 0 1 6 - 0 0 3 8 6 * .., 2750 KELLEY PARKWAY DATE ISSUED: 04/18/2016 ' ORONO,MN 55356- 952)249-4600 FAX: (952)249-4616 ADDRESS : 425 LAKEVIEW PKWY PIN : 06-117-23-32-0004 LEGAL DESC : LAKEVIEW OF ORONO : LOT 1 BLOCK 1 PERMIT TYPE : MECHANICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 1,605.00 NOTE: NEW GAS FIREPLACE(HHT) APPLICANT MECHANICAL 50.00 STATE SURCHARGE MECH(VALUATION) 0.80 FIRESIDE HEARTH&HOME MAIL-IN FEE 2.00 2700 FAIRVIEW AVE ROSEVILLE,MN 55113 TOTAL 52.80 (651)633-2561 Payment(s) Minnesota State License#:mech-20512060 CREDIT CARD 4608 52.80 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 Ciry approvals,and the State Building Code. This permit is for only the work described and dces 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 after work has commenced. 1'he 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. ,�^^ r�►.� y'�a�r � Eu-V �o� ��-�--�--�-Sv �� ! lv Applicant Permitee Signature Date Issued By Signature Date 44-15-'16 13:33 FR4M- FIRESIDE T-858 P0401/0004 F-297 � �� I� FOR ITY USE ON1.X .,:':.;,, . . . City of Orono � ` t � ��/O P.O.Box66 ;DauRbaivr.d'. ' . �f4l�armitVl�.G�lb'�.�. 2750 Kcllcy Parkway ` ; . Crysiul Bay,MfT 55323 A�GrovedBy; Amount;;� ��'�• � Phone(952)7a9-4600 Fax(952)249-4616 � ..�� `- '•; .�` •, � s ��tq �� CYTY OF ORONO–1VYECHANICAL PERMIT - '� s HO� (p�r CommcrCial permits must bo appToved by the Building Otficial or]nspoCtor and/or Firc Marshell) ' 's CrENERAL'INFQRMATIQN`� ::� : :` �:. 1. 'You may apply for mechanical permits by mail or in person at the City ofCces. Applications'Will be re�iewed and a permit r�vill ba issued within two working days. . 2, Permit cards wil!be sent by return mail after a review is completed. PERMIT$A�tE NOT ' VALID UNTIL YOU RECEIVE A PBRMTT. `PVp�C M�ST 1VOT B�GYN C1NTu.'I'HE P�Ci,MYT CARD IS POSTLD ON THE JOB SITE. 3. Mechanical 17esiens—Complete ealeulations,details and speeifieations are r�uired for eaeh heating,vcntilation,humidification-dehumidifiCation,and air conditioning installation including heat loss/heat gain calculation,dosign temper�tures,equipment ratings and idcntification as to type,manufacturer and modal. Data shall be presented on Form provided. 4. When any new construction or ramodeling is involved,a separate building permit must be obtained. ' 5. All work must 6e done in accordance with thc Uniform Mcchanical Code/State Building Codt ' requirements. � 6_ AII work must be inspeCted(rough-in and final), Call(952)249-4600. + (24-48 hour notfce requfred) 7. �iouse Hrating Test Rccord must be submitted before final. � :.,, : :. .... . ...... ... .. . ...•.; . ; ,:.' , . . .. r��Q�.��irr�:� �:: �� :��,; , ;; ,,, , ; ,,,,; , f . . . . .. . . . � . . ... ' ��..�.'� "�" ' "� � . �.: ..'::::"�. . .::',..'.', : ..: , . � ,:� ., .,.. �. ...',."•�;��:. ...�:" �. .. . .:. . . � �� ....:, : :. .�. ., ..�. � � . . . ... , ' ...'•�. :��. �'�� '�'��' , ; .. .. . �. �. . � (Ch,e�k All�Tliat.A : .�. �.;; ..:;°: esidential,. �;Commercial.{Approval.Required)',.� � ew- ❑�Add'rtional' �:AepaiCs� ❑�lteptace' ,. ,.. . • . • �Job:Site;/.4vi�ner,Ynfor�ri�tion;.... : , . ��Site;Address: 'T� 1� ^ � L� ; ...,.. .: ; =C��±rier;�,Fy'�'d/1 �Mf,�,� L.�l�/ M.�.iling'�Address; �� 7��7vGlV �� 5��/� ` �cl�y: � :z�p:� � Home phoiie:, 7��"�Fi��-�� Alternate Phone: , Cqntractor Ynformation: � � Contractor: ��E$�DE HEAR7H & HOME Contact Person: � ' — � Address: 2700 Fairview Ave N State Bond#:8�662656, MB662572, PC662571 '• i P CiCy: Rosevi(le, MN zi�;55113 �p;ration 17ate: phone: 651-633-2561 Alternate Phone:Leah#651-638-3312 � � ❑ Insurance�Current: 1 � � � 04-15-'16 13:33 FROM- FIRESIDE T-858 P0002/0004 F-297 . � - Y � � = • :'ac.;..�S. .. � '�'_� _�J� — _— _ �i � .�y ' J.k, � �v�a.i:: l _ F 1Vote:A11 Geothcrmal Systems will now require a Si Plan&Revicw by our Building Official. YS THYS G�OT�Y�XtMAL? �Yes ❑No • HEA'I'YNG S'YS'Y'�1YI5 � ; Quantity: Make: Model: � Fuel: � l�luc Sizc; Ynput EiTUs: Output BTUs: � � CFM: COO�,XNG SYST�MS i � Quantiry: { f Mako: Model: Tons: 1-I.Power • :FIREPLACES' � ��as.l�actory.Pirepiace. . iBratid.:Ny�ii►e:; � �..' . ;1!�'ood Burniiig Fire�iaca� , • . : r ❑ �Wooif;S.iove; �M , 9aelNo:;: ��1�'"'�� ; � 'W�d Stove with Flue:l iv[asoniy; � V�NTILATYOIV ` ' f � N'o. Kitchen Exhaust duct recirculating cfm ❑ Np, Bath Bxhaust(must havC duCt Outsidc} �$r� ❑ No. OthtrFans: Locations ____ _ __ _ cfm i F�1�L STbRACr� (Mr�s[be npproved by FYre Marsliall if pioposiag lo ubandon tank ir�plac�) � ❑ Installation ❑ Removal I � Fuel 0i1; gallons ❑ Underground �Ynside ❑Ouuide � LP G�as: gallons i Othtr: E � GAS LINE ONLY � ❑ Outdoor Grill ❑ Other/List What 6�Where: � � 2 � f i i 04-15—'16 13:34 FROM— FIRESIDE T-858 P0043/0004 F-297 ' :y �p'J . • ' , ,:r=r_._. - - .e .. r � _ _ Zr� �r `.< ?; ',',�' '�. _.ya �� -��-_ _ ��. twW '`��"'_ .'�a -- __ _ -�Iq�� ?.'s: _ _ ,?f.: _�_'_'�..T, .!''. ._�'Sx=- _�..z„-.�-'�'�a.&x•` s3 ❑ Yes,this section appiies ; The replacement of a 12gsidenUal tixture or appliance that meets all three of the following requirements: � ; 1. Does not require modification to electrical or gas service. ' 2. Has a total eost of$500.00 or less;excludina tho cost of the fixture or app(ianee:and 3. Is improved,installed or repFaced by the homeo�vncr or licensed contractor. Skip nexC section,if this applics; Cpst of Permit $ 15.00 State Surcharge $ 5.00 Mail-In��(IfApplicabte) S _?,Q4 Totai Permit Fec � � .�: � ',�� (� j /�`/� (�(� b _ _ _ ', AVF' 't'�:, ' �' '�" '`r.✓•� •:A�F :V?S(7� ?�v�':�..— 'aa..;, _ f ! If above does not apply;foltow guidelines below: � l. CONTRACT PRICE ' is 1.25%oPcontract price with a(Minimum Fee of 550.00) �F� �d� i . :.� x.,or�s$ : . :(ccmtrac,t'price); �(minfmum�So:Oo) i 2. STATE SCJRCHA,XtC� � � 6 �i1 � x;:QQ45`�$: i U (cdiiS�aci,ptica)' 3. POSTAG�&HANDLrNG(Qnly on Mait-In Applications) ;$.'. '.2:b0'::.;::;'::::.:� 4. TOTA�,p�YiMX'��(Add S.ines 1-3 Above) $'::..; ` :�`'=�.�•.:.; � • � CQNTRwC7' PRICE or JOB COST means the actual or e�Kimated dollar amount charged Por the � permitted work including materials,labor,profit,and other fixed costs. Tt is the amount to be charged � to the customer for the work done. Tf any material>equipment,labor or installations are furnished by ; the owner,tenant or any other party,the reasonable marktt'vslue of such itcros must bc addcd to thc � estimated cost or contract price Por permit fee purposzs. ln the z'vznt that there is a dispute on tht amount of the job co�t,the City may request the submission of a signed copy of the actua! contract. � °� '�_�r _�` :F ��_�_ _ y' - _ .,y� ��151��1�_' 't. _ -�'�L•`�i__ = - � � 1 � Thc undcrsigncd hereb� applies to the City for issuance of a Mechanical Pexmit, agrees w do all I work in strict accordanee with the ordinanees of the City and the regulations of the State of j Minnesota, and certifies that all statements made on t}iis application aro compict�, truc and € correct, f Applicant's Signature: � D1tC: � y � i K/ � I 3 I , t � I I pTf� TI ME v CITY OF ORONO CALLED IN J INSPECTION a T� E �3� SCHEOULED -'�b � � PERMIT NO. ��' co er ADDRESS OWNER � T LEPHO 0.�,�7� 3� CONTRACTOR "— f � DESCRIPTION 4~j ❑ FOOTING ❑ DEMO-FI L ❑ SEPTIC FINAL � ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT � ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL J ❑ DEMO-SITE ❑ SEPTIC INSTALL Z OWNERlCONTRACTOR TO MEET YiOU:_YES_NO � COMMENTS: W �� a �G'�l�%/RS ) Cl�'r✓�C�l«3 � � � �� i�i� .r�� c4� e�n� bK v� �� o _ � (.��4� �i�s /�rt�s `j� Nt�c.,�� o�tf r4c� � � W � Q 2 � � �`t f r�lG� � j ��`5�- /�l$�%�f!� .��.� N✓Q'r�C�¢��✓��S� � SATISFACTORY`.PROCEED ❑PROJECT COMPLEfE ❑CORRECT WORK�PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY � ❑(,bRRECTNfORK��L FOR REtNSPECTION TEMPORARY V BEFORECOA/ERINfa PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR YVILL REfURN ❑STOP OHDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-4600 OwnenContractor on site: Inspector: �- White Copylinspector's Flle Cenary CopyfSite Notfee on� nMe �/ CITY OF ORONO CALLEO IN INSPECTION NOTICE SCHEDULED PERMR NO. '"� ✓I COMPLETED 3 / /� :.3fS ADDRESS � U/ t� r lC. OWNER TELEPHONE NO. CONTRACTOR � DESCRIPTION �e�� W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL � � POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADINGIFILLiNG 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 OWNBUCOKTRACrOR TO M _YES_NO � COMMENT� 4 o �X(� � he � , o � Q,� � / Z � � o�. — / m Q � � W aC .. , W WORKSATISFACTORY:PROCEED O PROJECT COMPLETE � ❑CORRECT WORIC 8 PROCEED ❑ISSIJE CERTIFICATE OF OCWPANCY W � O(�ORRECT W'O�iK,CALL FOR REINSPECTION � TEMPORARY V BEFORE()dVERIN(i PERMANENT ❑(X�FiECT UNS/1FE OONDI710N WITHIN IiOURS• O PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP OROER P03TED.CALL INSPECTOR O CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRAN(iE ACCESS. CaN for the next�spectlon 24 hours in advanoe. (952) 249-4600 on site: � Inspector. W��op�rMn�cto�s Fl» Canary Copy/8N�Notie� �� r DATE TIME CITY OF ORONO LLED IN � INSPECTION NOTICE SCHEDULED PERMIT NO. — � COMPL ED ,�_ ADDRESS �� C� � � �`�C// t�C� �C�(;i„7 OWNER TELEPHONE NO. ��`��7 �� CONTRACTOR Sl c]�C� �X � DESCRIPTION �l {�P/�� --' �/s�lG2... l ly ❑ 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 H OK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ SEPTIC I ALL 2 OWNER/CONTRACTOR TO MEET YOU:_YES NO y COMMENTS: � W C � J O ). � O � W � Q � 2 W � W � J d W� ❑WORK SATISFACTORY:PROCEED PROJECT COMPLETE w O CORRECT WORK 8 PROCEED ❑ SUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. ( 52 249-4600 OwnerlContractor on site: Inspector. White Copyflnspector's File Cenary C pylSite Notice