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Home My WebLink About2016-00768 - gas fireplace CITY OF ORONO * 2 0 1 6 — 0 0 7 6 8 * ` " 2750 KELLEY PARKWAY DATE ISSUED: 07/0]/2016 ORONO,MN 55356- (952 249-4600 FAX: 952 249-4616 ADDRESS : 710 NORTH ARM DR PIN : 06-117-23-43-0005 LEGAL DESC : AUDITOR'S SUBD.NO.362 : LOT 003 BLOCK 000 PERMIT TYPE : MECHANICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 4,108.00 NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. GAS FIREPLACE APPLICANT MECHANICAL 51.35 STATE SURCHARGE MECH(VALUATION) 2.05 FIRESIDE HEARTH&HOME MAIL-IN FEE 2.00 2700 FAIRVIEW AVE ROSEVILLE,MN 55113 TOTAL 55.40 (651)633-2561 Payment(s) Minnesota State License#:mech-20512060 CREDIT CARD 4608 55.40 OWNER DICKHAUSEN,K OTTESON&S 710 NORTH ARM DR MOLJND,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 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. 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. 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. ' �Q�/ "aU l � l � � � � Applicant Permitee Signature Date Issued By gnature Date 06-30-'16 14:53 FROM- FIRESIDE T-215 P0041/0404 F-728 ��c� � 7�'`� --pv► � + � •.. X u'SR 01'1LX / �A r Ciry of Orono -�.. . �� ..��(Q : �y� P.O.Box 66 .Aefe.ReoaSv pet'init 1�, 2750 TCblley Perkway ,.'�, -,�.::;, .., .,. , •;,, ,,, ,,,,,,, , Crystel Bay,MN 55323 Ap�i'ovod�y; ;': ...�'��.'!L�wlmt�: Phone(452)249-4b00 Fex(952)249�b16 � �� ,,� . . . . 1�RFSHo��G CYT'Y OF O�ONO—MECHANYCAL P�+RMIT . (All Commerci&I permits must be approved by tAv�uilding OffiCial or Inspxtor endlor t'i�Marshall) cEiv�i�:�ri��o�.rzor� . . . . .. 1. Y'ou may apply fo['ineChaniCal permits by m7il or in persan at tho City OfftCeS. Applications will be reviawed and a permit will be issued within two working days. � 2. Permit eards will be sent by return mail after a review is completcd. PERMITS AR�NOT VAT�TD UNT�,'YOU�t�CErV�A PERMIT, WOR[C MUST NOT��GYN�1NTN[�THE ' PERMCT CARD yS 1'O,ST��UN T��JOB S1TE. 3. Meehanical Desien&—Complete calculations,details and speeifieations are required fpr each heating,ventilation,humidification-dehumidification,and air eonditioning installation including ; heat loss/heat gain calculation,design tomperatures,equipment ratings and identification as to type,manufacturer and model. Data shali ba presented on form prov'rded. � 4. When an�new construction or remodaling is involved,a separate buildirig permit must be ' obtainzd. � 5. All work must be done in accordance with the Uniform Meehanieal CodelState Buiiding Code l rzquirements. 6. All work must be inspectcd(rough-in and final). Call(952)249-4600. � (24-48 hour notice required) � 7. �Touse I-reat�ng'�est Rscord must be submitted before final. � , TXPE Ql?:P�RMX`��;.�:.'. ;:::,.: 1 . . �;° , . �heclt All'T�i��A �1 . ,.. ,,. , . ... . . ... .. .. .. . ; ;L�d Residentiat ❑Commerciai(Approval Required) �' � ❑New C]Additional ❑Repairs (�Replaca �� `J"Qb:Site/(�er.Infor�ation; . . , Site Address: ��a /`�� 'r w�, 1,�r�V�. aS S� Owner: ��'� d'�$6 n Mailing Address: �"^� �' - �,, / f Cit�: �d��f.d Zip: ��0� i � Home phone; 9�� Alternate Phone: � Contiractor Tnfprntation: i i Contractor: FIRESIDE HEARTH &HOME �pntact Person: ��N'r I Address: 270�Faicview Ave N State Bond#:8�662656, MB662572, PC662571 � — ; C;�,; Rose�ille, MN Zip55113 Expiration Date: € phone: 651-fi33-2561 Alternate phone: �� )��`��° � ❑ Insurance—Current: 1 � f � 06-30-'16 14:53 FROM- FIRESIDE T-215 P0002/0044 F-728 , , 7 Note:All('xeothermal Systems will now require&Site Plan&Review by our�uilding Official. IS THIS GEOTHERMAL? ❑Yes ❑No �C�A'�1lYG$YSTEM$ � Quantity: Make; Model: Fuel� F1uB Size: � Input BTUs: OutpuC BTCJs: ' i CFM: � COOLING SYSTEMS � Qu�ntity: � Makt: i I Model: Tons: H.Powzr ^ � FIREPLACES � � G�as T�actory Fireplace �rand Nama: � / LJ " Wood Burning Fireplsce / �/ • ❑ 'VII'ood Stove Model No.: �Lr�/\ �] 'Wood Stove with Fiuo/Masonry T VENTILATION i i ❑ No. Kitchen$xhaust duct recirculating cfm ; ❑ No. Bath Exhaust(must have duct outside) cfm � ❑ No. Other Fans: Locations cfm � ; FUEL STORAGL (Must 6e approved by Flre Mars/iaCC if proposing to abandon tank in place.) I � ❑ Installation ❑ Removal � � Fue(Oil: gallons ❑ Underground �Inside ❑Outside � �,p Gas: gallons Other: CyAS LINE ONLY ❑ Outdoor Crrill Other/List What&'Where: U�'f'� } � ' `u��'�'� � � 06-30—'16 14:53 FROM— FIRESIDE T-215 P0403/0044 F-728 � • . s , ❑ Yes,this section applios The replacement of a Residential fixture or appliance that mzets all three of thz following requiremants: l. . nat require modificaCion to eleeiric�l or gas service. 2. Has a total cost of$500.00 or less;excludin the cost of th�fixture or appliartce:and 3. Is improved,installed or replaced by the homeowncr or licensed contract�r. Skip next seetion,if this applies; Cost of PermiC $ 15.00 State Sureharge $ 5.00 Msil-Tn�'�c(Yf Applicable) $ 2.00 , Total Permit Fee $ • � s +, . If aba�ve does not apply;follow guidelines below: l. CQNTRACT PRYC� � is 1.25%of contract pric�with a(Minimum Fee of$54.00) ; s�a 3(� ; Q 8. X.o�2s$ 5 I• ( ntract pricc) (m3nimam Ss0.00) f t 2. S'Y'A'r�SiJRCHARGE Lf,a g. �� O� � ri x.0005 $ ° (�pn�iaCt p[ice) 3. POSTAGE&�-TANC)�,ING(Only on Mail-Tn Applicetions) $ �"2:4�— ; 4. TOTAL PERMIT�'��(Add Lines 1-3 Above) S 5'.3• y� ■ '� CONTI2ACT PRICE or JOB COST means the actual or esumated dollar amount chasged for the . permitt�d work including materials,labor,profit,and other frxc�costs. It is tho amount to be eharged ' to the customee for the work done. If any material,equipment, labor or insCallations are furnished by the owner,tenant or any other party,the reasonable market valuo of sueh items must be added to the estimated cost or contract price for permit fee purposes. In the event th&t Chere is a d'lspute on the , amount of the job cost,the Ciry may request the submission pf a signed copy of the aetual contract. ' f - r�y..a n ,r� . S'-- .#�., N�,,.m. ,..Ta, . 4 } 1 f The undersigned hereby applies to the Ciry for issuance of a Mechanical Permit, agrees to do all � work in strict accordance with the ordinances of the City and the regulations of the State of Minnesota, and certifies that all statements made on this application are complete> true and correct. . � J ' Applicant's S�gnature: Date: '�� ` � 1 � � 3 � f i r I � � � �_DpT� / TIME CITY OF ORONO CALLED IN / °� INSPECTION E SCHEDULED !3 -/,f� //•� � PERMIT NO. ��7 � COMP ETED � ADDRESS ��D N• � 1�'j �j` � OWNER ` • ELEPHONE NO. / Z-�� 0 7� CONTRACTOR /i`ti -5 � � � DESCRIPTION � tL ❑ FOOTING ❑ DEMO-F AL ❑ SEPTIC FINAL Q ❑ 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 _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL v ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICONTANCTOR TO MEET YOU:_YES_NO v�i COMMENTS: a � c..��s ��•a 4 r�" -�c� �ofdl�y< � , o ��5�. 5 ,•�c�e 7- ��- /6 - � � ° _ ��i[fi/�i � C+�c�r�'-�`Pf - � W � Q � v/� '� C6 l�i�lG�P � �frf�$� /rl��/- 2 W �G� /'/!f/2�[�G�G!/G� S,QCG S � �- � d W� SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCV � ❑CORRECTVYORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. all for the next inspection 2a hours in advance. (952) 249-4600 tractor on site: �� l.�i'� Inspector. � /�'"' �' White Copyllnspector's File Canary CopylSite Notice