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2016-01492 - 3 gas fireplaces
JUMMIENERM CITY OF ORONO * 2 0 1 6 - 0 1 4 9 2 2750 KELLEY PARKWAY DATE ISSUED: 11/29/2016 ORONO,MN 55356- (952)249-4600 FAX: (952) 249-4616 ADDRESS 220 NORTHGATE RD PIN 36-118-23-41-0051 LEGAL DESC NORTHGATE TWO LOT 001 BLOCK 007 PERMIT TYPE MECHANICAL PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE FIREPLACE-GAS VALUATION $ 13,196.00 NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. ADDITIONAL:3 GAS FIREPLACES(HHT) APPLICANT MECHANICAL 164.95 FIRESIDE HEARTH&HOME STATE SURCHARGE MECH(VALUATION) 6.60 2700 FAIRVIEW AVE MAIL-IN FEE 2.00 ROSEVILLE,MN 55113 TOTAL 173.55 (651)633-2561 Payment(s) Minnesota State License#:mech-20512060 CREDIT CARD 4616 173.55 OWNER DAU,EDWARD&MICHELL 220 NORTHGATE RD WAYZATA,MN 55391- 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 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 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. yl , 2&/ Applicant Permitee Signature Date Issued By Signature Date 11-28-'16 14:45 FROM- T-469 P0002/0004 F-568 F01tCITY USE,ONLY h City of Oronoq�r� <V P.O.Box 66 IJate Rcxatvad: � "Fcrmtt# �Q� D/t/�Z Q 2750 Kelley Parkway S S Crystal Bay,MN 55323 Approved By Amount$ ` Phone(952)249-4600 Fax(952)249-4616 ES H OV"G CITY OF ORONO—MECHANICAL PERMIT k (All Commercial permits must be approved by the Building Official or Inspector and/or Piro Marshall) GENEkAI INFQRMATION. 1- YOU may apply for mechanical permits by mail or in person at the City offices. Applications will be reviewed and a permit will be issued within two working days. 2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3, Mechanical Designs—Complete calculations,details and specifications are required for each heating,ventilation,humidification-dehumidification,and air conditioning installation including heat loss/heat gain calculation,design temperatures,equipment ratings and identification as to type,manufacturer and model. Data shall be presented on form provided. 4. When any new construction or remodeling is involved,a separate building permit must be obtained. 5, All work must be done in accordance with the Uniform Mechanical Code/State Building Code requirements. 6. All work must be inspected(rough-in and final). Call(952)249-4600. (24-48 hour notice required) 7. House Heating Test Record must be submitted before final. T.YPL OF.PERMIT Chec�kAll:That A I P9esidential ❑Commercial(Approval Required) ❑New )OWdditional ©Repairs ❑Replace Job-Site/Owner Information: Site Address: 1 ;�7_ � Owner: ( Marling Address: 5G04-r_ U r� City: Zip: Home Phone: Alternate phone: Contractor Inforination: Contractor: FIRESIDE HEARTH & HOME Contact person: - Address: 2700 Fairview Ave N State Bond#:13C662656, MB662572, PC662571 City: Roseville, MN Zip.55113 )expiration Date: _ Phone: 651-633-2561 Alternate Phone.Leah#651-638-3312 ❑ Insurance—Current: _ 1 11-28—'16 14:46 FROM— T-469 P0004/0004 F-568 v s : w � y "- - _ Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official. IS THIS GEOTHERMAL? ❑ Yes ❑No `W �rNG # 4 1 Quantity: VVI." ,�w�� ;r'jl /'� t /N t ►Y7�M — - Make: UYT :WT11 Model: Fuel: Flue Size: Input BTUs: ( , GD�r s�� eb Output BTUs: CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H.Power FIREPLACES © Gras Factory Fireplace Brand Name: ❑ Wood Burning Fireplace ❑ Wood Stove Model No.: ❑ Wood Stove with Flue/Masonry VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfm ❑ No. Bath Exhaust(trust have duct outside) cfm ❑ No. Other Fans: Locations cfm FUEL STORAGE (Must be approved by 14Yre Marshall ifproposing to abandon tank in place.) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill ❑ Other/List What&Where: 2 11-28-'16 14:46 FROM- T-469 P0003/0004 F-568 r ❑ Yes,this section applies The replacement of a Residential fixture or appliance that meets all three of the following requirements: 1, Does not require modification to electrical or gas service. 2. Has a total cost of$500.00 or less;excludine the cost of the fixture or appliance:and 3. Is improved,installed or replaced by the homeowner or licensed contractor. Skip next section,if this applies; Cost of Permit $ 15.00 State Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Bee $ dry '�= L � � — S r. c•i:: '�V.• _ � If above does not apply;follow guidelines below: 1. CONTRACT PRICE s is 125%of contract price with a(Minimum Foe of$50.00) 31q� x.01255 I&VO (contract price) (minimum$50.00) 2. STATE SURCHARGE 3,19/ 11;V X.0005 $ (confront price) 3. POS'T'AGE&HANDLINO(Only on Mail-In Applications) $ 2.00 7 �l 4. TOTAL PERMIT FEE(Add sines 1.3 Above) ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted work including materials,labor,profit,and other fixed costs. It is the amount to be charged to the customer for the work done. If any material,equipment,labor or installations are furnished by the owner,tenant or any other party,the reasonable market value of such items must be added to the estimated cost or contract price for permit fee purposes. In the event that there is a dispute on the amount of the job cost,the City may request the submission of a signed copy of the actual contract. - The undersigned hereby applies to the City 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. Applicant's Signature: " Date: 3 DATE TIME CITY OF ORONO CALLED IN ,l INSPECTION NOTICE SCHEDULED PERMIT NO. 2z4 ) h t=IU 9�OMPLETED ADDRESS Z I.� l Y OWNER TELEPHONE NO- CONTRACTOR Z CONTRACTOR El Ecs j A o �ef DESCRIPTION ty ❑ FOOTING C1 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 W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL J ❑ DEMO-SITE ❑ S TIC INSTALL OWNEAJCONTRACTOR TO MEET YOU: YEs_NO COMMENTS: �cc �'�' �S �i� by �� ��•�� �6 n ��'��.�� W Q W ❑WORK SATISFACTORY.PROCEED ❑PROJECT COMPLETE QC ❑CORRECT WORK 3 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W 0 D CORRECT WORK,CALL FOR REINSPECTION TEMPORARY C 1 BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED D STOP ORDER POSTED.CALL INSPECTOR lJ INSPECTION REOUIRED.CALL TO ARRANGE ACCESS. b Call for the next inspection 24 hours in advance. (952)) 249/-460(0 OwnerlContractor on site: Inspector. White CopylInspector's File Canary Copy/Site Notice ASE_/ TIME CITY OF ORONO CALLED IN — 11D INSPECTION ICES/, CHEDULE PERMIT NO. 7` OMPLETED ADDRESS Jh__1_1� OWNER TELE NE NO. CONTRACTOR ��� DESCRIPTION W ❑ FOOTING ❑ D MO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF [IPLUMBING 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 Z OWNEWONTRACTOR TO MEET YOU:_YES_NO COMMENTS: O O CC 0 LL W cc Q 2 W Z W Qc d W U WORK SATISFACTORY:PROCEED ROJECT COMPLETE QC ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W OO ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY C.1 BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR [I CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: Inspector. L D White Copy/Inspector's File Canary Copy/Slte Notice