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Home My WebLink About2017-00022 - gas fireplace CITY OF ORONO * 2 0 1 7 - 0 0 a 2 2 * + 2750 KELLEY PARKWAY DATE ISSUED: OU1U2017 ; ORONO,MN 55356- (952)249-4600 FAX: (952)249-4616 ADDRESS : 1122 LOMA LINDA AVE PIN : 08-117-23-23-0026 LEGAL DESC : LOMA LINDA : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 5,225.00 NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. REPLACE:GAS FACTORY FIREPLACE(HHT) APPLICANT MECHANICAL 6531 STATE SURCHARGE MECH(VALUATION) 2.61 FIRESIDE HEARTH&HOME MAIL-IN FEE 2.00 2700 FAIRVIEW AVE ROSEVILLE,MN 55113 TOTAL 69.92 (651)633-2561 Payment(s) Minnesota State License#:mech-20512060 CREDIT CARD 4616 69.92 OWNER BERGH,HANS&SHARON 905 WILLOW VIEW DR LONG LAKE,MN 55356- 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 hereia 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 aIl required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. �_._ f� '/� �� :� ��:c 1 u� ��;� � P--�—��J �, � �, r Applicant Permitee Signature Date Issued By Signature Date 01-11-'17 12:31 FR4M- T-681 P0041/0004 F-829 ��09Z81--aoo� � � r•ox cirY trs�z oN�.�r p2 � w ^�� City of Orono � 2�� jW P.O.Box 66 Dau Received: �"��crmit� � 2750 Kelley ParkWAy Crystal Bay,MN 55323 Approved Dy: ��Amo�int$:•�; Phone(952)249-4b00 Fax(952)249-4616 �� `� l.�K�s�o��.� CYTY O�ORONO—MECHAIVICAL PERMIT (AlI Com,nercial pe�mi�s musc be approvea by me Building Official or lnspector�ndlar El'ra Marshalq Cx�NERAL INFORMATION 1. 'You may apply for rreechanical permits by mail ar in person at the Ciry offices. Applications w;ll be reviewed and a permit will be issued within two working days. 2. Permit cards will be sent by retum meil aftcr a rovicw is completed. P�RMITS A1Z�NOT VALID UNTIL'Y'pCJ�CTI'V�A p�RMIT. WQRK MUST NOT BECyIY yJ1V�'X�.'�'�X� PERMIT CA�IS POS'1'ED ON THE J'OB S1TE. 3. Mechanical Desiens—Complete calculations,details and speeifications are required for each heating,ventilation,humidification-dehumidificat'ton,and air eonditioning installation including hcat loss/heat gain calculation,design temperatures,equipment radngs and identification as to type,manufacturer and n�odel_ Data shall be presented on form provid�d. � 4. Whan any new construction or remodcling is invotved,a separate building permit must be obt�ined. 5_ All work must be done in accordanca with the C7niform Meehanical CodeJstate Building Codz requirements. � 6. All work must be inspected(rpugh-in and final). Calt(952)2�19-4600. (24-48 hour notice required) 7. House Heating Test Rccord must be submitted before final. TY'pE O�PET2MYT Check Alt That A ly) Residential Q Commercial(Appro'val Rcquirtd) ❑Ncw ❑AdditionAl ❑Rep&irs J�Replace / \ 3ob Site/Ov�mer lnformation: Site Address: �/ L�� L0�'✓llL �/6'1,C�1_�. �l�Q. 4wner: �� 1 K�'iViQUA.�7�S1V1ailingAddress: �c�D 77 ,lii, jVl �� City: /►'1)V1Y1'CCc,f�O �J S Zip: �'L�� Home Phone: (B j�Z"'�� Altexx�ate Phone: _ Contractor Informatian: Contractor: FIRESIDE HEARTH & HOME Contact Person: �t—�� 2700 Fairview Ave N BC662656, MB662572, PC662571 � Address: State Bond#: C��y,; Roseville,MN Zr�;55113 Expiration Date: Phone: 651•633-2561 Altennate Phone: �Ba I""��ld��J +�d� ❑ Tnsurance—Current; 1 01-11—'17 12:31 FROM— T-681 P0002/0004 F-829 � '.�C'�t....;�� . .�A' ..h.^�nl�'•b,.. �;�..�,...:�.,.�,�i..�'a,�.'G.._ 5"n. „ "y.r �� r i y�rF.'. .�w,f•+�,%:�;+•ay�S��' r�at;i•:J,;:� '�Aw% 5 f�-� %:"�, A4....d•, . r:;� �':;:�:�(�I�t41VICA�tS'Sr�' .�%JS� 1�� ►�T� a• �,�� •:: , o':ar„ r s=-a'�f 7 N h Note:All('xeothermal Systems will now require a Site Plan&Reyiew by our Building Official. YS'�'Y�1S GEOTHERMAY.? ❑'Y'es ❑No �T�ATYN'C SYSTEMS Quantity: Makc: ]vtoaet: Fuel: Flut Size: Inpur BTUs: Output B7"CJs: CFM: COOLING$'YS'1'�MS Quantiry: Mal{e: Model: Tons� H.Power �YR�pLACES � Oas Factory Fireplace Brand Name: '�'�,�� [,] Wood$urning Firoplace �^ ❑ Wood StoWe Model No.: L,`��.~�� ❑ Wood Stove with Flue/Masonry 'VENTILATION ❑ No. Kitchen ExhaUst duct recirculating �cfm ❑ No. Bath Exhaust(must have duct outside) cfm ❑ No. OCher Fans: Locatipns cfm �C)EL STORAGE (Mi�st!Se approve�l by�Yre Mrershrr!l ifproposi►tg!o pbawdor�1[tnk in p(ace.) ❑ Tnstallation ❑ Removal Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside LP Gas: gallons Other: � GA3 IGYN'�ONT.Y ❑ Outdoor Gri11 ❑ Othcr/List What&Wherc: 2 01-11-'17 12:31 FROM- T-681 P0003/0004 F-829 . r . �r'`.�;V'r�}'�"`.@�i�1.G4'tt�,�,:e,.+: �3j'"i;a'Yji�i:t:,` • �7 �('Yf • �A• ��,• �....n,�,;;�,.�i�*';' +�a . /��'..�;,��+r s7t��,�'.��'.A�:.MI��^�,�^�E s.7hti:bK��'.}`��:'�•S+l:j'y��J�•'•�',".�•.'SF`4'Y'� 4.^C1,�. ..�.. �. �( 'Y� �V7' C 1, d:• d 7.�.;1 � �� • � �� y'•� �4 � P , � a t y�^��3�ry�,\.�;E ••.ti.:-�,�• r" �' r '�. �" r• ,,' i �` i 5,Y3,.'' ,.:F• •t i��•• �+ `�.y{ 4 `" Evr"p�=' ,,�,',��.�s{ti.:;��:,;:.;'.,;��:.r;��.t�"�'�A'S�p:9F.�::��Q�2rS'��4,��.;. ~��ti,�,t��;,��s�;,.�.�?:�;f:<,,-;: ❑ Yes,this section Rpplies The replaccmcnt of a Rcsidendal fixture or a iancz that meets all thrtt of the following requirements: 1. Does noi requira modification to electrical or gas serviee. Z. T�as a total eost of$500.00 or less;excludin�the cost of the fixture or applianee:and 3. Is improved,installed or replaeed by thc homeowner or licensed contraetor. Skip next section,if ihis applies; Cost of Permit $ 15.00 State Surchargt $ 5_00 lv�ail-In�e�(Tf Applicable) $ 2_00 Totalpermft Fee $ 'A <�.:;�:,! 'IM;ti 1;{;'G'iP` '/ Y' '�t 0/'y ^r ^,�,� • �• .� .�r r��C�.�r. ��;:y,''x��;:;;� �.. RyRIVIIfiER�,E�.��.� � �� Sr r t� R � ,a. . �, ,,: , ,,, , .. ., , . A :(r �[ ��!� .,. C4..�T:N:d�I�S;,s';l�.�N.��,.'i�J>>X' . . . ...�.. ' .. r-..Y........:.' ��.�� s'.'.Kr.a s�7i �4tiR'nvi4:k'f'. .yYf. �. �:.K.. .�R.�J�!" ..Z.r Ifabove does not apply;follow guidelines below: 1. CO1V'Y'�tA,C`x'PTiYC� '"is 1.25%of contract price with a(Minimum 1Fee o�'$50 5_�.�� 31 x_oias$ r0 � convacc price) (n�foimum 550.00) 2. STATE SURCHARG� � ��r" ! "y -� x.0005 $ �lL�I camrnct price) 3. POSTAG�&HAN7�LTNQ(OnIy on Mail-In Applicatipns) $ �,� . �� 4. TOTAL PE1tMIT Y�E�(Add Lines 1-3 Above) $ . ■ # CONTRACT pRTCE or JOB COST means the actual or estimated dollar amount charged for thc permitted work including mt�ttrials,labor,prpfit,and other fix�d costs. Tt is the amount to be charged to the customer for the work done. If any material,equipment, labor or 3nstallations are furnished by the owner,tenant or any other parCy,the reasonable markct value of such items must be added to the estimated cost or contr�et priee for permit fee purposes. In the event that thera is a dispuie on tlie amount of the job cost, the City may request the submission of a signed copy of the actuai contracE. : ;;:�. �. .,.,..�,.. ..,.,.: . , . . ,;,::,H ...,.,�1,;�,, ..� �� ,.. �r3.;.: .:iC`i�f.l.'�Y.;��;�:i��',' ''j' � +�ti�'.',An%"'.!�'�4��';',�'�Y. • �l, .� . . . �:.., :--;� � ..1�AL:�p�RNt'�,�PpL c� �a� � �Ert��,��.,,..�t� :��}� . ;:. � � � ; :,,, . ....... .: ,....,., . The undcrsig�ed hcrcb�applies to the City for issuance of a Mechanical �ernnit,agrees to do all �vork in strict aecordance with the ordinanees of the City and ttie regvlations of the State of Minnesota, and certifies that all statements made ihis application are complete, trne and correct_ Applicant's Signature. Date: � ` �r� � 3 � "' DATE TIME � CITY OF ORONO c,�►LLED IN � INSPECTION NOTI�� D Z,�SCHEDUIED PERMtT NO. � � - �eOMPLETED ADDRESS l�I Z-�-- L L�7"Yl�- L��'�' C�,�.c�- OWNER TELEPHONE NO. l �� ' �� CONTRACTOR ~ � � DESCRIPTION � � �y ❑ FOOTING ❑ DEMO-FI AL ❑ 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 W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL � ❑ DEMO-SITE ❑ S i_IC INSTALL Z OMfNEiV�CplfTRACTOR TO MEET YOU: YES_NO c�i� COMMENTS: � — t�'.'„G •i,t;�l.� ,�� j - '� 6v • o-� � � � ��L�S � � � ✓e�-� ✓� c o — ► , ��„� �ti � � W Q � �r..,c� �- � �v,��'�= �� ' � � ; �'-� � W � j W K SATISFACTORY:PROCEED ❑PROJECT COMPLETE � ❑ RRECT VMORK 3 PROCEED O ISSUE CERTIFlCATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY V BEFORE COMERINf3 PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOFi �pTATION ISSUED ❑INSPECTION REWIRED.CALL TO ARRANGE ACCESS. Cail tor the next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor on� G Inspector: �� ' WMt�CopyAnapector's FlN Gnary CopylSlb Notiw V �� DATE TIME CITY OF ORONO cnLLED IN INSPECTION N TICE SCHEDULED t��-Z —�— PERMIT NO. �� COMPLETED ADDRESS ` 2- Z' /� �-t` � OWNER TELEPHONE NO. �` �� ] CONTRACTOR ��.� � � � DESCRIPTION �,L/�a� �� W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL � ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GFiADING/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 ❑ FOLtOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ � ❑ DEMO-SITE ❑ SEPTIC I TALL ? OWNENCONTRACTOR TO MEET Y�OU:_YES�NO �., J� � COMMENTS: � — ��t S ,:-�v a�.� �-s c.�ao . _ " �a,s j ' 0 J'/��/7 n-�� G�,/�/'G i... !n/e c�L �i ). � �� / O � C�G�.S' �n,CJi w•�� G O'�r/r/IrA'i/� 1�i7�� /�7Q'� '� W � �,�..'�� n e..� /�'��cv�i�Cr Q � ' � � W � W � � � � WORK SATISFACTORY:PROCEED �PROJECT COMPLETE W�CORRECT YMORK 3 PHOCEED ❑ISSUE CERTIFlCATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECONERIN(3 PERMANENT O CORRECTUNSAFECONDITIONWITHIN HOURS. p prypTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. CaN for the next inspection 24 hours in advsrx:e. (952) 249-46�0 OwnerlContraator on site: � Inspector. /'�']c�r,�, �.• WhiN CapyMnspector's Flls Canary CopylSite Noria