The URL can be used to link to this page

Home My WebLink About2016-00635 - gas fireplace � , CITY OF ORONO * z 0 1 6 - 0 PJ 6 3 5 * 2750 KELLEY PARKWAY DATE ISSUED: 06/02/2016 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 4215 NORTH SHORE DR PIN : 07-117-23-43-0006 LEGAL DESC : ORCHARD BEACH : LOT 002 BLOCK 000 PERMIT TYPE : MECHANICAL PROPERTY TYPE : RESIDENTIAL COIYSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 2,784.00 NOTE: GAS FACTORY FIREPLACE-OUTDOOR GREAT ROOM APPLICANT MECHANICAL 50.00 STATE SURCHARGE MECH(VALUATION) 1.39 FIRESIDE HEARTH&HOME MAIL-IN FEE 2.00 2700 FAIRVIEW AVE ROSEVILLE, MN 55113 TOTAL 53.39 (651)633-2561 Payment(s) Minnesota State License#:mech-20512060 CREDIT CARD 4608 5339 OWNER WALDOCH, DOUGLAS&DIANE 4215 NORTH SHORE DR MOLJND, MN 55364- AGREEMENT AND SWORI�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 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 specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of iss�ance,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 Cede.This permit may be revoked at any time for due cause. i . � � ' �i � il(%.:� ( �iLl.[.��, i D � � : } Applicant Permitee Signature�� -� Date Issued Signature Date 06-42-'16 15:14 FROM- FIRESIDE T-069 P0001/0004 F-554 t y ,..�c./U I" `�"W~ `� � � � FOR CffY USE ONLY �,�lQ CiCy of Orono ��/ P.Q.Boz 66 Date Reeaivad: hermic# ? 3750 Kollcy Parkw�y j Crysret Bay,MtN S33Z3 Approved By: Amouat S: t � Phone(952)2d9-q400 FeX(952)249-4616 ; � ; .�<.�,�SHo��.�� C�TY OF ORON'O-MECY�ANYCAL PERM�T � . (Alt CommerCial paCmits mus�be app�ved by the Building Ot�icial or InspeCtor and/o�F�re Ma�shall) i ' i GENERAL T�CIRMATYON � � l. You may apply for mechanical permits by mail or in person at the City offioes. Applications will � be reviewad and a parmit will be issusd within two workin�days. ; 2. Permit cards will be�ene by return mail after a review is completed. P�ItMITS Alt�NOT } VALID IJNTLC,'YOU 1t�C�IVE A PERMIT. '1�VORyC IVI�JSf 111p'Y`�L�C`„YN�J1VTr�,T�i� p1EXtMYT CA�D CS pOSTED ON THE JOB SYT�. � 3. Mechanical Desiens�Complete ealeulations,details and specifications are required for eaeh ; heatin�,ventilation,humidi�ication-dehumidificatian,and air conditioning install�tion including ; heat loss/heat gain calculation,design temperatures,equipment ratings and identifieation as to type,manufacturer and modal. bata sh�ll be presented on form grovided. 4, When any new canstruction or remodeling is involved,a separate buildi[►g permit must be obtained. � S. Ail work must be done in aeeordanee with the Uniform Mechanical Cade/State Building Code � requirements. 6. All work must be inspected(rough-in and final). Call(9S2)249•4600_ ' (24-48 hour notice required) ` 7. Hous�Heating Test Record must be submitted before final. . TY'PE OF PERMIT Check All That A 1 ---��----.._. , � ------.._...---...... � �Residentia� ❑�Commerdal�Approyal R,equired�} ; .......;..... • .._ : C]C��►) ' ,_ditiona D�R�'.ai,�s� ❑�Re�lsce� rob Site/4wner Information: _ ! �l �� S�, �riv�e. ` Sitc Address 1�� C31/'�. E C�----•-�-•-•--.� - ! -` � (ovc►�cr:��ov�q � �c�oc•� (lviai�ir��A,daress:) ��t�.. �-S' Sr'�.. �ci�� (zi�.:) ' Hom Plione: �l ��"�� 1 �"��'��Altern�te Phone: � �----•� I � Contractor Information: � � ��r3�o� Contractor: FIRESIDE HEARTH&HOME Cdh��person: �� Address: 2700 Fainriew Ave N State Bond#:gC662656, MB662572, PC662571 �,�y. Roseville, MN ziP 55113 �xpiration I�ate: phone: 651-633-2569 Alternate Phone: #651�38�?0�, ❑ lnsurance-Current: 1 Q6-02-'16 15:14 FROM- FIRESIDE T-069 P0402/4004 F-554 � . ... ..., .... ... �:.:�...•.,:-.. .<�:..,r��::;..:...;::,,;.� �;,;•.� :,:�,,,;..:: .. . . �...,.,.:.;:..,,:.!:.-;:,:�;-.,.,;:�:. � ECI�ANYCAL�,SYST�iNi� �TA,T. . .. . , .. ... . , . ,. ..;.. .. .._. �$ ;G'r:,Il�i ._I'..•..,�.�...':..�.:;;.:�.:.... .. . . . . ,.,,.::.., ,;..,:•:,.;..:,:;. . f Note:All Geothermal SysTems wi11 now require a Site Flan&Review by aur Building Official. � IS THY$G�OTT�ERMAL? ❑'Yes ❑No � Y��A'Y'I1�G S'YSTEMS Quantity: � ! Malce: G Madel: � _ � Fuel: Flue$iie; Input BTUs: ; Output BTLJg; E CFM: � W^„ ; CQQLYNG S'flS'�'�NIS ; . 3 Quantity: � Make_ _ � Mod�l: Tons: T�.Powcr FIREPLA(`�R j ,---- f�-�� Cr�c�-�+��► i G�s FacEory�ireplace� {Bra��Name} � r� �"'\ '• ❑ Woo�i Buriring Fiieplace� c ❑ Waod Stove)_., Model No:: Ga � �a `'��`'� N� � } ... . .. . .. ............__ •�----�-•—� ❑ 1?�ood,,Stove with Flue I Mason'ry� , , VENTILA'I'ION ! i ❑ No_ Kitchen lExhaust duot recirculating cfm j ❑ No. Bath�xhaust(must hava duct Qutside) cfm G ❑ No. Other�ans: C.bC�fi0n3 cfm f �'Lf EL STORAGE (Must 6e approved by l�ire Marsliall ijpropaci»g to abandon tank fn plac�) ❑ Installation ❑ R�moval Fue!Oil: gallons ❑ Underground [�Inside ❑Outside LP Gas; gallons Qther: GAS LIN�ON�.'Y ❑ Outdoor Grill [] Other/List What Sc Wherc: . , 06-02—'16 15:14 FROM— FIRESIDE T—�69 P�4�3i�444 F-554 . . � i :Y'i�;..-..',�;:>;r�i�; 'T�C:."^+""�:',.',.. `��/ I�Yy� '�y /� yyyyyy... /�'y ,�•..,'i:?,; ..,,n. �, � ,., :>� �i•:i:i :i c,;.,'tit+�.l'�ar �(�y�T+ n�iy• li l'N '.�A ;.�.'?" �.%�•. �jl.: .h. �:�414' �.T�"^7.T•:Y•. �� .�"Cb\ 1 Y}." 7:'7 tiGn ..� .�/.'':,'•.� s�.,�, 'f. �Y:�•: �:��. i.A .� .P �P�{��. `�1i •C" a '�:':`,'.f': �'t4:• �i r �+ ,'i'�'��ir^;'q !:°�.;�., .,o.y.. :>y � •'},��,,�r, ,.�.•�, ..•8�.:.r.•^�i: •Y ',i'.'r•� � `=:t,' a `�;O 2�S'�:P�.�� ;;::;�.. :.:....:..:... s �;:,:: ..,.. A..:,..l��i��,� ..,�,. „�_ _ .��,��;�:,��,:::::��.,. .,�.. �..._... . ... , ...... .. . _. ,. .. , . .,.. - Q d 'i'es,th'ss section applies ; The r�pl�cement of a�esidential fixture or appliance that me�ts all threz of the following requirements: � 1. boes noe rtc�uire madifcation to alecirioal or gas sarvice. � 2. C-�as a tatal cosc of$500.00 or tess;excludin the cost of the fixture or appliance:and 3. Is improved,installed or replaced b�the homeowner or licensed eontractor. � 0 Skip next section,if ehis applies; Cost af Permit $ 15.00 "• State Surcharge $ 5.00 Mail-In�'ee(If Applicable) $ 2.00 Tbtgl Permit Fee S .:.,••;.�:,•..�,.�;'�• �:�..,.:,��-•:•: •,•.. ':,,r::;.>;, -�,Y �1 T: �C �O u �� 'O S�0: :0:'s>::::;;,.;;;::,:��:�:��,::;;;`;;; _..�,1VxI_ .�? '��. ��.. .�( �:�: "�... �;;�_�.. ,.... .. ....�..N...,..>... , i � Ifabove does not appl�+;fallow guidalines belaw: t i � 1. CONTC2AC'C P�C� *is 1.25%of contruct price with s(Minilnum Fee of$50.00) L.�� ..U1ZJr� .�rOC�.. .. .. ...` , 1 Conts�ct pribe) � (roi'nlpium 550.00 --�- L_...._.............y�: 2. STATE SURCHARGE 2 �7� OUOSY$ . � / 6 V�- — �) � �c� � , I CQhpRC�,�1�C % 3. pOSTAGE&HANDLCNG(Only on Mail-Tn Applications) � �2.40�.�� ) � •• E _......_ , 3�. .. ; 4. TOTAC.p�RMYT�'E�(Add T.ines 1-3 Above) �$ �.: ��.�•:••'--.��.� .....} ` ■ * CONT1tACT E'1tIC�or J0� COST maans the actu�l or estimated dollar amount charged for tho � permitted work including materisls,tabor,profit,and other fixed costs. [e is tihe a,nount to be charged to the oustomer for the work done. Tf any material,aquipmant,labar or installations are furn;shed by the owner,tenant or any other parly,the reasonable market value of suoh items must be added to the estimated co�st or contract price for germit fee purpases. Cn the event that th�re is a dispute an the amount of the job eost,the City may r�qu�st the submission of a signed cop�r of the actual contract. � � f ,,,:;,.:..,,:..;:•.•:.>�,:•'. ��.,;,.;.•�... .. ... . . :. . , ., .,.;•:-: ::�:.I�C��:;��rT,.A.P�LY�A�'X(.?�C A(�R�� The undersigned hereby applies to the City for issuance of a Mechanical Permit>agrees to do all work in stricC accordance with the ordinances of the City and the regulations of the State of Minnesota, and certifies 4hat all statements made on ' application are complete, true and GOrrBCt. A Applicant's Signature- . �I�ate:3 � ��'�� 3 �-7 ��-- �f--�� u�' DATE ` T� ��U CITY OF ORONO CAL�ED IN — INSPECTION NOTIC HEDULED • PERMIT NO. `�d��MP ED ADDRESS �V ' OWNER TEL HONE N . a�7�—�3 CONTRA TO � DESC P F ✓` � " lN ❑ 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 W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ v ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO v�i COMMENTS: oc • � �QOc?✓ �S �i�l G �o'� �io 4 5 e ,� L!slc�C s� _ j / � �� L�. '�S � 5 �i/G �r� — � � O �' � • � �/ � •r �/ '� s � �.AS�i Q Z � ��iS ��1� 54.D,rOG �� S �l�sL�rc � —�.i� ddLS � _c`a�StS �tK �ev - w � �f�,� — �� "7�s �6,rl�i�lGl t j W�WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE ` a' ❑C�iRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY ` ' V BEFORE CWERING PERMANENT ' ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. � Call for the next inspection 24 hours in advance. (952) 249-46�� OwnerlContractor on site: Inspector. - White Copyllnspector's File Canary CopylSite Notice ' r' / ,�..�c� �_ D �� TIM CITY OF ORONO CALLED IN _T INSPECTION OTI E �r-SCHEDULED 7 S /,C� //•� GG� PERMIT NO ' � " � COMPLETED ADDRESS � �-` '�- OWNER ' � TEL HO NO. - g 7� CONTRACTOR � 'r"�"�L � DESCRIPTION � ty ❑ FOOTING ❑ DEMO FINAL ❑ 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 4! ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ v ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERfCONTFUCTOR TO MEET YOU:_YES_NO '� ��, c�., COMMENTS: - � � a v � � O �. � O � W � Q � 2 W � W � J d W ❑WORKSATISFACTORY:PROCEED PROJECT COMPLEfE � ❑CORRECT VYORK 8 PROCEED ❑ I E 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 ho rs in advance. (95 249-460� OwnerfContractor on site: Inspector. ` White Copyllnspector's Ffle Canary CopylSite Notice