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Home My WebLink About2017-00250 - gas fireplace � CITY OF ORONO * z 0 1 7 - 0 0 z 5 0 * 2'750 KELLEY PARKWAY DATE ISSUED: 03/17/2017 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 770 LAKEVIEW PKWY P[N : 06-117-23-34-0011 LEGAL DESC : LAKEVIEW OF ORONO : LOT 8 BLOCK 3 PERMIT TYPE : MECHANICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 17,057.00 NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT F[NAL INSPECTION. (3)GAS FACTORY FIREPLACES -(2)HHT MODEL 8000 CLX AND(1)MONTANA 42 APPLICANT MECHANICAL 21321 STATE SURCHARGE MECH(VALUATION) 8.53 FIRESIDE HEARTH& HOME MAIL-IN FEE 2.00 2700 FAIRVIEW AVE ROSEVILLE, MN 55113 TOTAL 223.74 (651)633-2561 Payment(s) Minnesota State License#: mech-20512060 CREDIT CARD 4616 223.74 OWNER MAJKRZAK,JEFFREY&LISA 770 LAKEVIEW PKWY MOUND, MN 55364- 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 E3uilding 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 specitied herein.This permit will expire and become null and void if construction authorized is not commenced within l80 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 inspec[ions are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. � � � � / � � // G Applicant Pe ' e Signature Date Issued Signature Date 03-16-' 17 09:28 FROM- T-929 P0001/0004 F-126 ,� , -i.� , . " 0�� 5��-� � �'��`�� City o�Orono �� CI 'Y Y1SB:UNLY �� P.O.Boa 66 vate 12ece�v ;��-Permit#•�U� � ' " � 2750 Kelley Parkway g Crystal Bay.Iv1N 55323 Appro�ied By: Amount S:O�Ul �, Phpnc(952)2q9-4600 PAx(952)249-4616 �F � 1q�.�5��4.G CZ'�'Y OF ORONO-MECHANICAL pE1�.MYT (All Commercial permi[s must be approved by the Building OfFicial or TnspeCfor andlor Pire Marshnll) CxENERAL IN�0�2MATTON �] 1. �You may Hpply for mechanical permits by mail or in person at the City offiCes. Applications wilN be revievved and a ptrmit will be issued within tuvo working days. �, 2. Permit cards will be sent by return mail aftcr a re�view is completed. PERMYT5 ARE NOT � VA�.XX7'UNTTL,'SlOYJ RECENE A FE�LMYT. 'VVORK MUST NOT��CXN CJIVTIL THE PETtMXT CAltb TS pUSTED ON TI��,�OB STT�. 3. Mcchani I T)zsi ns—CompleCe oalculations,details and 3peoi�ications are required for each heating,ventilation,hurr►idrfication-dehumidification,artd alr conditioning installatiozl including heat loss/heat gain calculation,design temperaturos,equipme:nt ratings and identification�s to type,manufacturer and model. I7ata 3h�tl be prtsented pn fo�'m provided. 4. When any ntw Construction or retllodeling is invol'ved,a separate building permit must be obtained, 5_ All work rnust be done in accordance with the Uniform Mechanical Code/State Building Code requirements. 6. All work must be inspecCed(rough-in xnd final). Ct�ll(952)2R9-4600. (24-48 hour notice requx�'ed) 7. Nousc Heating Test Record must be submitted before final. TYPE OF PERMTT (Check All That A 1 esidentiai ❑Commcrcial(Approval Reyuired) New ❑Additional ❑Kepairs �]12eplace Job Sife/Own�r Xnformation: Site Address: ��f��/V f�°� ��-�/l� Owner:�4�� 01�GS L�`�Ia�ling r�ddress: ��Z-I � �� /�+�-e. N �D c�ty: �lUw�.o-�,�,�,_ zip: 5�5'�-(�-(Cv Home phone: �� - ��`�/ Alternate Phone: Contractor Tnforrnat'ron: Contractor: FIRESIDE HEARTH & HOME Con#act 1'erson: a.� Address: 2�00 Fairview Ave N State Bond#:BC662656, MB662572, PC662571 City: Roseville, MN zip;55113 Expiration Date: Phone: 651-633-2561 Alternate Phone: ll�� 0 '�� ❑ Insurance—Current: 1 03-16-'17 09:28 FROM- T-929 P0402/0004 F-126 . ,. :�.,.. +•:•e s;�+,�; 'ras�7�.,t�.j:� * � �,�;�c�r �• Nr ,;�;,�:• . �:�:`.:.,`.'J .t � j� ��{(�s'Q�+7��(� �(.A�Y�y� i��;��'��. .;?;,:t�l:�i:`y�"''..+�p�i '.�ie",�ii:::�..�.�'_�:YI'�.:�1^F�rj�.�i,iF�,, �G��y�7;i' b�'��J,iiJJ-Ai.1„!S'.R��.�'1'•t1L;15�a,Y,h•t.•f:.s'I:'a:;�?I�".�;:��i:•;;�}kp. Note:A(1 Geothei•maI Systems will now roquire a Site Plan&Review by our Building Official. IS THIS GEOTHERMA�? ❑'Y'es ❑No �IEATYNG SYSTEMS Quantity: Make: Model: Fuel: Flue Si2e: Input BTUs: Output�TUs: CFM: C04X,KNG SYSTEMS Quantity_ Make: Moa�r: ro�s: H.Power FIREPLACES Gas Factory Pireplace � Brand Name: �� Wood Burning Fireplxce p ❑ Wood Stove Modet No_��n�00 C�� ►a y� [] 'W'ood Stove�r+ith Fluc 1 Masanry �� VENTILATION ❑ No. TCitchen Exhaust duct reeerculating cfm ❑ No. Bath Exhaust(must have duct outside) cfm 0 No. Othcr Pans: Locations �cfm FUEL S'Y'ORA�� (Mr�st be approved by Fire Marsl4al!if proposirrg to nbandoir tatik in plaee.) ❑ Installation ❑ ,l�mova! Fuel Oil: gallons ❑ Undcrground ❑Jnside ❑Outside LP Cras: gallons Other: GAS LINE ONLY � Outdoor�rill ❑ Other/�.ist'l�'liai&Wherc: � 03-16—'17 09:28 FROM— T-929 P0003/0004 F-126 L , ��!A;' :i' :��q>l;.\�.- �:�;. :...S1: � �� 'aiC:h:i :�4yi. ':•�pf �:'�''ii.: �:•�;�,%`k • �;�, :`i;'�C h ��+.!•''�*..,�Y�:�%R•;{r� �,�f'�(� ( •�.. �i� l�w !i�^c i�n ::�y� �..�• ,�, ,;r;�;�ti��. `Z'i�i��? 't1Z'C�.�..I:J�A�b��S ,��f��:��n„.� � r r,y �r;; .:..-�i.: ' �� f .�, :.�'� u�'�;' ,��:s �,�•,,,•!�� + :�i;��`�:"st4�.•r �• �a. Vr�.s�:r.��+G.aw.r;:+. ..�rsiA,L a�,.,:.=.f.,,l�%,� �� s.�.� �.1.�: �.Si. f3`i'•°-" ',?k%`�''i• tr't�3�:",.n;� �v".� n `�,�� (� m r�"�(+;�7�e�' t. .y_ ,d.xr �; f�kY�'.�':" d'n'wt6 �`?t l'^`� �F�~..�5�{i'��':!.�.�?��':;� •..il',s>�:`��L,?,i3�:,Y � 2QaLF,3�.�A��F3.>4.�}.� . ��:��'�J� 'tl��'��r��"a•"v1�+N � � a�i' J.A. � ^V a .�.r....�Nr. �. ..J,i�;,s,. �, .�. •{'::�� "�' .�,_s �C^��'i4.+r.. ❑ 'Yas,this section applies Tho replacement of�Ctesidential fixture or appliance that meets all th['�e of the following requirements: 1. Doos not require xtlodification to electrical or gas service. 2. Has a total cost of$500.00 or irss;excludine the cost of the fixture or appliance:and 3. Ys improved,instailed ar replaced by th�homeowner or licensed eontractor_ Skip next section,if this applies; Cost of Permit $ IS_00 State Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total PeaTnit�ee $ �_�,p;j;��•. :•.Y."Mr,�`��. .. ..,� ', �, t s<¢�,�ati7�.. ySia~fM'::`Pd , ;::'o-. � ,�:� . . . . ....�. . . . . . . . . r��u�� . . ' °A, . ��e5�'�T /� .�;c?...^.e�..,�:•�'-5��,. ,. . �. � �1:i�744,1� �5:'I�.S'l.... ��5. <�:Y';��`>;., r,,1A,r;i��.".'�,�r•' .. .,.,.. �. :y:SLt. " ' ,•� • ' �. :1.... .•...i . .. . �. . . .........�� .. ... �. • ...\' n.^.Y :'Y.: .(... If above does not apply;follow guidetines below: 1. CONT1tACT PRICE $is 1.25%of contract prie�with a(Minimum Fee of$50.00) J7 a5 7 X.o�zs$ Z 1 � ,�� (ontreCt priCe) (miniiuum$50,0� 2. srAr�S�JRC�YaRG� 1 o 5.-7 3 x.0005 $ �• � (omract pric�) 3. pOSTAdE&HANDLING(4nly on Mail-In Appiications) $ � 4. TO'K'AX.��tMC'!'FEE(Add Lines 1-3 Above) $ �� •�� ■ '� CONTRACT PRICE or JO� COST means the actual or estimated dollar amount charged for the ptrmitted work including materisls,labor,profit,and othtr fixed costs_ It is the amount to b�eharged to the customer for thc work done. 1(f any material,equipment, labor or instailations are furnished by the owner,tenant or any other party,the reasonable rnarket value of such itcros must be added to tl�e estimated cost or contract pricc for permit fee purposes. Ir►the evenC that thtre is a dispute on ihe amount of die job cost, the CiCy may request the submission of a signed copy of the aotual contract. •�•� -��;�,;:::.i,.��c:,;; ��IaiT' ..`T:;`P� '�` �R R � ��-±�-��-,;;�,,;;�r•,�:,;��r� �;...��,r.. •_�C�TA CA,. ..�lb�I?�:?:Pi�'�LI��'�'X�rI�A�. ��M��s`,W o, � i, �`�;; ll. N..�N.I.'T.�:i�nl./� S�S Ui�:�'�`. The undersigned hereby applies to the City for issuanee of a Mechanical Permit, agrees to do all work in strict accordanee witl, the ordinances of the City and the regulations of ihe State of Minnesota, and certifies that all statements made on this applieation are complete, true and conect. AppliCanYs Signature: Date: .� r/ C�� / � 3 DATE TIME CITY OF ORONO CALLED IN 3-2.�� INSPECTION NOTICE c�HEDULED 3 -a3�� ;� PERMR NO. ��Z-Xs�MPLETED ADDRESS / 7O � �-�� OWNER ' TE PHON O a�-� � �l CONTRACTOR � DESCRIPTION �-� � �� ly ❑ FOOTING ❑ DEMO-FIN ❑ 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 Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP 41 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 O'WNERICONTMCTOR TO MEET YOU:_YES_NO y COMMENTS: a� �- � 0 — � /' � C � — L ( ( � � L ° — � � � �� J b W QC Q 2 D , W � W � , W KSATISFACTORY:PROCEED �PROJECT COMPLEfE W ❑CO RECT WORK 3 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT NfOflK,CALL FOR REINSPECTION TEMPORARY V BEFORECONERING PERMANENT O CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call ror the next inspection 2a hours in advance. (952) 249-4600 Owner/Contractor on site• Inspector:T v� � ' Whits Copyllnspector's File Cenary CopylSite Notfce �� Dq��, � TIME /� CITY OF ORONO CALLED IN '�� INSPECTION NOTI E G��EDULED —Z — //_ � o PERMff NO. �� '�6MP e � ADDRESS � OWNER TEL O'N�E�NO.��-� �� CONTRACTOR = �G✓c-� v� � DESCRIPTION � - 4~j ❑ FOOTING ❑ DEMO-FI AL ❑ 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 2 OWNEAICONTFiACTOR TO MEET YOU:_YES_NO � COMMENTS: k/�o�'J��✓rtr�tS �'- � a�C .d9o�c� - � �,��.2�5 •�. cl�tirt.�ccs - a K, - F�,:�, , �a�v � rv�r — — 0 � � aa f s�/ a . P- c h�s ° - G4s F �°• - 1�t/�s� e.,.,P- vcK��.sf �� /�.-.��-�3 - � OK — �rN��L aPr��v��—`"� C�s� - O��s. rJofi � - ? 6/� $/o�s5 — Sc�a/ a// �ees �ure � �/�rc�.-��L� �� '' ,��c�i.�,o��— ve.�� y� �/�,- l��cro�..,� - � � Fj 1 � s �'� ✓ 5 GGg � o � �►'ri•%� � �l e•r�.r.c CQ Ea Ea cesb./ s o� �J�r� W� ❑WORKSATISFACTORY:P OCEED��As ��,, L L. ❑PROJECTCOMPLEfE W �RRECT WORK 8 PROCEEDG 5��s �� ❑ISSUE CERTIFICATE OF OCCUPANCV � �O CARRECT WORK,CALL FOR REtNSPECTION b�j� TEMPORARY � BEFORECOVERING � O�J� � ��SG PERMANENT ❑CORRECTUNSAFECONDITION HIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN . ❑STOP ORDER POSTED.CALL INSPECTOR �ITAT ON ISSUED • . �r- �� e,�l,n s •s �Q �INSPEC�TION REQUIRED.CALL TO ARRAN�iE ACCESS. � /r15V�G� - p/�v�pC �ilS•rL . 6�eel� �i�. r're-rt�r4�Q'- Cail for the next inspection 24 hours in advance. (952) 249-46�� OwnedContractor on site: Inspector. � �� Whits Copyllnspector's File Canary CopylSite Notke