The URL can be used to link to this page

Home My WebLink About2016-00233 - gas fireplace ' ' CITY OF ORONO * 2 0 1 6 — 0 fd 2 3 3 * - 2750 KELLEY PARKWAY DATE ISSUED: 03/11/2016 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 : $ 4,223.75 NOTE: GAS FIREPLACE-HHT APPLICANT MECHANICAL 52.80 STATE SURCHARGE MECH(VALUATION) 2.11 FIRESIDE HEARTH&HOME MAIL-IN FEE 2.00 2700 FAIRVIEW AVE ROSEVILLE,MN 55113 TOTAL 56.91 (651)633-2561 Payment(s) Minnesota State License#:mech-20512060 CREDIT CARD 4608 56.91 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 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. AI►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. The 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. � -�%�%� �- l�/ i /-C� Applicant Permitee Signature Date Issued Signature Date 03-11-'16 11 :59 FROM- FIRESIDE T-733 P0001/0007 F-141 •�, _ ,.,,. ..... � R� ,X US$ONLY .... .: :... :.. City of Oroho �� .�j • ' �j /{/p� � . �� P.O.Dox 66 DAte Re28t� :/ ` Poimit q o`."�`..` ; 2750 Kelley Parkway . •.._' •. ' ::.'. ' / ; , ,.. • Crystal Eiay.MN 55323 �A rovcd � � Amoimt ' � PP gY=", � Phonc(952)249-4600 Frix(952)249�4416 ` . . .: ' .�;�� ' , : ;: >� e �° CTT'Y OF OROl�I'O—MECk�A . .,. .. , : �� ; t k sKo�. 1VYCAY,P�1tMYT ! (A11 Commercial permic,musc be approved by thd Building Off'icial or rnspector and/or Cire Mazshall) � �GENERAI;INFORtitATION� + ,.. . .. . ., .. . ... .... .... .: . _. . . . . . . .. . . . . .�. ,. . .... .. . : , .. ..., . . . ... . , 1. You may apply for mechanical permits by mail or in person at the Giry offices. Applications will y be reviewed and a permit will be issued within two working days. ; 2. Permit Cards wlll be senY by roturn mail after a rzview is complcted. PERMITS ARE NOT ? VALID UNTIL YOU RECEIVE A PERMIT, 'VVQTtXC MUST lY0'�'B�GX1V UNT1L THE PERMIT CA�iD YS�'OST�D ON THE JOB SITE. � 3. ]vj�,Gi�n'seal Desi ns—Complete caleuEations,details and specifications src rcquired for each ` heating,ventilation,humidi8cation-dehumidification,and air condit'roning installation including � hcat loss/heat gain calculation,design temperaturas,equipment ratings and identification as to � rype,manufscturer and model. �ata shall be presenttd on form providcd. � 4. 'When any new construction or remodelrng is invol'ved,a stparato building permit must be ; obtained. � S. Aq work must be done in accordance with thc Uniform Mechanical Code/State�uilding Code � requiremtnts. � 6. All work must be inspected(rough-in and final). Call(952)249-4600. (24-a8 hour notice roquired) � 7. House Heating Test�tecord must be submitted before final. .. .... . ..:.. . . . � .:.. :. . .. .. ..:' ,. . ... . .. . : .... : ::. :. :::.7"SC�'E. �.��. . . T :.- ;... .. � . � :� :. ;: � :. . `.`, ': .� , .. .. .� Check`�All'That'A� �ly � � � ; , Rcisidont'ial, ��CQiiii'ner.cial;(App�ovAl,`t��ufr�d),� � I�Tea.` (]�:Additional- �+,Repaii�r ❑:Reptace > �; Joti:Site 1.O��uvqer Inf(irm�,tibn:;. ' f i . ., . �S -� '� ��,ro� ' �:Sice:Ai�acess: � Ovi%ner;:�(I /� Ci'UMf� `1V1a,ilirig.;Add�ess;: f��/!�� ` �Ci� #� � . . . � �y � � � 'c�ry;� zip:; _S� y � _ � NomE Phone:� ��0.�`"�� ,7 %��1 Alternate Phone: � Contr . .. . � ::. . .: . . � � actor.Infc�rmat�on:..;.:: : .: . .... . : . . .. Contractor: �IRESIDE MEARTH & HQME Contact Person: Leah Address: 27'00 Fairview Ave N $tate Bond#:gC662656, MB662572, PC662571 �;�,: Roseville, MN zYp;55113 E�cpiration Date: Phorte: 651-833-2581 Alternate phone:Leah#651-638-3312 ❑ Ynsurance—Current: 1 03-11-'16 11 :59 FROM- FIRESIDE T-733 P0002/0007 F-141 �r , , y� ' '�;'�: "• ' �y,''��/,-��A�� y �,,( a• _ •sS-��r,� y.� " '�� '�•. . ,wr�ti. �fF�'a.`�'oft�:��' .:.1?�!Jl2�];'::�:I�i_F..' �8X3��: '� i�,..��.'!.�+�Y�1;J_�i�.�- `.t.ae.�y'_�'_tr�.�a� Note:All Creothermal Systems will now require a Site plan&�t.e_ v„ i�w by our�uilding Official. YS THY5 G�OT��tMAL? [,�Yes ❑No HEATING SYSTEMS Quantity: Make: Modcl� Fuel: Flue Size: • Input BTUs: Output�3T�U's: � CFM: � COOLINCy SYSTEMS i QuanCity: _ __ � Make: � � Modd: Tons: H.Po'wer �,T'�Tt�X'�.,AC�S' ; ,.. . , , .. ,.. ; ;�'}'� , , . . ., � �:Gas Facto,ry;�'ireplace� ;Bran..d N'ame: � fi : I � :�11VQod�ur�ing�irepiace :—r, : ❑ :'1�!�d�S1�oye, Nlodel.No::: ��: � ' . �� ❑ ':Wood Stoyc V�iith Flue/.Masonry� ; VENTILATION � ❑ No. Kitchen Exhaust duct recirculating cfm ❑ No. Bath Exhaust(must have duct outside) cfm �] No. Other Pans: �,ocations cfm ��J�,C.STOYtAG� (Must be approved by F}re Marsl�nR rf pro,pos�ng to abnrrdon tank Fn pinc�) ❑ Installation � Removal � �'uct Oil� gallons [) Underground ❑fnside ❑Outside � LP Gas: gallons } Othcr: ; I GAS LIN�ONLY ` i i (� Outdoor Crrill ❑ Other/List What&Where: � i 2 f � i I I 43-11-'16 11 :59 FROM- FIRESIDE T-733 P0003/0007 F-141 - = __ .��-x � _.; -. �r�� ,,�--�=-�� , .,.�;,--- � � _ : _ , .. _ ,�. -�=:��,�� ,;•�. '��,,,5: ali�.�.g ��,y�� r �� -�e'"r�i3 �1 S e g : .� Y M.y Ij��r�r C'.'.��31'k_."x _ _ $ `�' '=% ��"-' -,:�_�_.-,..�.�.��T.� ❑ Yes,this section applies The repl�tcement of a Ttesidcntial fixturt or aQplianCt Chst mtets xll three of the following rtquirements: i 1. Does not requ'rre modifieation to electrical or gas service. Z. Has a jotal cost of$500.00 or less;excludin tht cost of the fi�cture or appliance:and 3. ls improved,installcd or replaeed by the homeowner or licensed contractor. ' Skip next secdon,if this applies; Cost of Ptrmit $ 15.00 , Statz Surchawgz $ 5.04 Mail-In Fee(If Applicable) $ 2.04 'X'otal permit�ee S �+i� � '�'r�.+�i��v�ci Ta•`..3"'� ��.� 'i" '�?��d�:....,��3` - .`�r2�� fi '�. � �a•59C:,e i"'sc� - � ,i � If above does not appiy;follow guidelines below: ; l. CONT�#CT pY2YC� *is L25%oPcontract price wrth a(Minimum Fee of$50.00) k ,. �� .. ;x`.0125� : ��.�. ,.(�GntiacC p�'i�c); , . (qiinimunl,$3D.00) � 2. STAT�SYJ�tCHA�tGE ; 3� x,;000s�. �� ;�" �So!?ciaix:pricc)` � � ' 3. POSTAG�&HANDLING(Only on Mail-Yn Applications) �$�� ''$!A'�':.,:`•:�' �: � � U ( �.;:-.; .• 4. TOTAC.P��tMYT F�,�(Add Lines 3-3 Above) :$ :'... : � �:�...::, :- -. � : i � ■ "` CONTftACT PRICE or JOB COST mcans the actual or estimated dallar amount charged for the ; permittcd work ineluding rnacerials, labor,profit,and other fixed costs. 1t is the amount to be charged i to Yhe customer for the work done. if any material,equipment, labor or installations arc fumished by • i the owner,tenant or any other parry,the reasonable market value of such items must bc added to the , estimated cost or contract price for permit fee purposes. Tn the evvnt that there is a dispute on the ': amount of tht job eost,the City may request the submission of a signtd eopy of the actual contract. ; � --_C. —� l _ S �� I_�:�3T��.J a e4rT 4S t I F The undersigned hereby applies to the City for issuance of a Mechanica] Permit,agrees to do all vuork in strict aceordanee with the ordinances of the City and the regutations of the State of Minnesota, and cecti$es that ail statements made on this appiication are complete, tcue and correct. Applicant's Signature: ��V ��Gy�� 'Date: i cf" � I s 3 -5 ��- � � ! _�AT�� TIME CITY OF ORONO CALLED IN �� INSPECTION NOTICE SCHEDULED — -�(O �—� PERMIT NO. v � MPLETED ADDRESS OWNER � TE H NE NO. -7 �3� CONTRACTO � � DESCRIPTION �� '� `� 4� ❑ FOOTING ❑ DEMO-FINAL ❑ SE C FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING �� ❑ 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 OYYNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: W � � V�i+��l✓1,�� C l9G rrE"�CG� � �l� j O /� , , ¢ / J� . ,p ro v it�� p/vtcc�,t,,�, o - • �ro c�a� Gv,O„�JG r c�l /.�J� �✓C�� — Q r , P. u.� .� �' ✓� -G ♦t �i�l C 4•r 1i e3�- � /� Cicr�ss s �a L. � '�Cy�� ' W � G o r� � �-�- o� -�6-- Gu v�r a W� ❑WORKSATISFACTORY:PROCEED ❑PROJECT COMPLETE �dFi�N10RK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY V BEFORECOA/ERING PERMANENT ❑CORRECT UNSAFE CONDITION WRHIN HOURS. ❑pHOTO TAKEN INSPECTOR WFLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (952) 249-460� OMrnerlContractor on site: Inspector: � White nspecto�'s File Cenary CopyfSite Notke �� ✓ DATE TIME CITY OF ORONO CALLED IN �� INSPECTION NOTICE ,ObZ�SCHEDULED �I J PERMIT NO. �I in. COMPLETED � 1 � ADDRESS � Z`� �- Q I� �.� � -e�,J I�k w OWNER TELEPHONE NO. ��g� -��'� CONTRACTOR �T�P S l �-(r��{ � DESCRIPTION � �r�- 1-� ��C -� 1� j:y�q� ty ❑ 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 2 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL v ❑ DEMO-SITE ❑ SEPTIC I ALL 2 OWNERICONTRACTOR TO MEET YOU:_YES�NO � COMMENTS: a W � � J O � � O W � Q � 2 W � W � j d W ❑WORKSATISFACTORY:PROCEED ❑PROJECTCOMPLEfE � ❑CORRECT WORK&PROCEED UE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN 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. (g52 2 -46�� OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSfte Notice