HomeMy WebLinkAbout2018-00494 - mechanical , � . CITY OF ORONO * 2 0 1 8 - 0 0 4 9 4 *
2750 KELLEY PARKWAY DATE ISSUED: 04/20/2018
ORONO,MN 55356-
(952)249-4600 FAX: (952) 249-4616
ADDRESS : 680 PINEHURST CT
PIN : 06-117-23-33-0015
LEGAL DESC : LAKEVIEW OF ORONO
: LOT 16 BLOCK 1
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIREPLACE-GAS
VALUATION : $ 4,133.00
NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION.
INSTALL 2ND FIREPLACE IN PORCH-VENTLESS OUTDOOR LINEAR GAS FIREPLACE
HHT-MODEL#ODLANAIG-51
APPLICAI�IT MECHANICAL 51.66
STATE SURCHARGE MECH(VALUATION) 2.07
FIRESIDE HEARTH&HOME MAIL-IN FEE 2.00
2700 FAIRVIEW AVE
ROSEVILLE,MN 35113 TOTAL 55.73
(651)633-2561 Payment(s)
Minnesota State Lic,ense#:mech-20512060 CREDIT CARD 4616 55.73
OWNER
MOLINE,JEFF&KARA
680 PINEHLJRST CT
MOLJND,MN 55364-
AGREEMENT AND SWORN STATEMENT
The work for which this pertnit 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 rype 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. �
• �!/I / L�l /�
Applicant Pe itee Signature Date Issue B Signature Date
04-20—'18 13:29 FROM— T-820 P0001/0004 F-302
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P.U.L3os 66 n�tc Recc � � crsu� /
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Cnst�:l Uin•,JI\55323 ;lpproced 8��: Act�af�u5.��
Phont(93�)?J9-d600 Fa�(�52)2��-�616
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<'k�sHo��'c CXTY QF ORpNO--1�I�CHANxCAL PCRitiIIT
t�0 Con4�tic[cial p�fmits must bv npprovcd hy 1hr Building 011icial o�laspaaor wid/or Fire Afarslia:l)
GENERAL 1NfO�MATCON
I. 'You ma}'�pply for mecha�3ical pci�nits by mail a•in perso»1t the City oRices, ApplieAtions��•ill
be reviea'2d A�ld A pCr�nii will be issued�vi[hin hv0��0�"�i31b(�Flys.
2. Permit cards�vill be sent by relurn�ne�il e,fter a review is completzd. PElt,1•IiTS ARE NOT
Vr1LID UNT]L YOU RECEIVE A PER1�iIT. 11'ORK�IUST\OTQ�GIN U\'f1L7'E1L•`
PEC�11tT CARD YS i'OSTED ON THE JOB SITC.
3. �\[echanical I7esiens—Cotnplete catculations,details aiid speciFicatiais nre required far each
he�tting,venlilation,�Rli»id1�ICAt101�-dZhUtniCijflCAtion,�ud�tir Conditiaiing instnllation inciuding
I1CA(I(15SA1CAt gfl�1�CAICl�I8Ii011,design recnper�tures,equipment rn�in;s and identificatiou as ro
fy}�,manufactui•cr ancl moclel. Dala shAll bc presented on form�xovicled,
A. 1VI�e���ny ne�v construction or remodeling is invalved,a separatc building permit must be
obtained.
5, A!I�vork must be done in accordflpce�vitlt til�UfliFom+A•leclit�nicAl Codz/Stve Buildiit�Code
requirentents.
6. All work must be iEispccte<l(rough-in and finAl). Call{952)249-d600.
(Z�i-a8 hou�•notice�•equired)
7. House Henting Test Rtcorcl must be submi;ted before tu�t�L
T'Y'I�E O�' PERVIIT
(Check All 1 hat Apply)
"�RcsidcntiAl ❑Commercial(Approva)ltequired)
{�
�1�iew ❑Addili0nal U Repairs 0 Repl�ce
Job Site/O�vner Info►•matioii�
/�a {�r f 1��
Site Address: ll��� I- ��}t� Sp�' C.�
O�vnei:� (�✓1 T,� Mailing Address; ��_
City: Zip:
Hou�e Phone: Alter��t�te �'ho�ie:
Con[r�croc Information:
Contractor: FIRESIDE H�ARTM & MOM� ContttCt Pc�'son' ��L'��""
Adclress: 2700�airview Ave N State Qand#�BC65�856,M6682572, PC662571
���y: Roseville, MN �i��;55113 EsE�ir�tion Date:
Pho�ze_ 651-j����,35��Ij Alternate Phon�: IvJC�`"(��:���',.��j �i
❑ Insui�ance—Cu��rcnt:
1
04-20-'18 13:29 FROM- T-820 P4002/40Q4 F-302
;
M�CHANICAL S'St'STEMS BEYNG�NSTALL�U
Note:All Geodler��ta) Systems��ill np���require a Sire t'!an��C Revie���by our Buildin�Qftici�l.
IS THIS GEdTHChlVlf\L? [] YeS ❑No
Fi�ar�a�s�•src�rs
Qut�nti4y:
\1nke:
�io<tel:
Fuel:
Flue Size�
lnput BTUs:
putput BTUs:
CF�I:
coar.r�c s��s�rc��s
Qu�»tity:
�lakc:
\[ocleh
Tons:
Fl.Po��•ec
�CREPLA C�ZI� �,�Q I�i �O�G�1 �jf `°`� vLn'��"
`� � � ^� f U��,�n�' �l/1 e�v�
[�, Gas�actory�ireplace �r2nd Name; 1 J
C] SVood 8urnino Pireplace ��� A,���,� ��
❑ �Vood Stove bloAel No.: /V � r
❑ tiVood SCove�vitli Flut/IVlasanry �f�`��
\'E\"1'I LA"1'lU\
[� i�o. Ikitd�eii Exlinirst duct rccirCulflti��g cti�t
❑ ��o. i3�eh L•shaus►(must Itave dt3ct o�rtside) c6n
� t�`o. Other Fnns: Loc:tsiioEis cfm
1�t)E:L SrOR 1GE (,11u,st br eppru�•rd h►�Fire dlnr.sbrdl if proposix�to�iDnadon�ruok l�r plac�.)
❑ r�ista�laYton ❑ Removal
Fuef Oil: g�lloiis ❑ Unclerground ❑insicfe ❑Outside
Lp G:�S: ga110nS
O�her:
GhS i.��L O�LI�
❑ Outcloor Gri11 ❑ OthEC/C.isl 11�h�t tR 11�here:
2
04-24-'18 13:29 FROM- T-820 P0403/0004 F-302
FEItM[T FEE CALCCJLEITION(S)
BASED OFF-2002 STATE STATUE
� Yes,tliis section applies
1'he rcp[nCemeqi Uf e t�esideutial fixturc or appliflnee lhat nleets ull three of the tollowing rcquircments;
I, Does n t reqi�ire nlOdificntion t0 elecirical ar gas servicc.
�, Has a tatnl cosC of�a00.00 or less;excludiiie d�e cost of tlie tixttrre or���plinncec Tnd
3. (s improved,instttHe<I or repEaeecl b��ti�e homeo�vner or liceiised conlrnCtor.
Skip nC\t sec[ipn,if this appties; Cost of Pe�'mit � 15.04
St�[t Surcherge 5 5.00
�-fail•[n Fcc(If Applicable) $ ?.00
Tots►!Perntit�ee �
PERMIT FE�CA�,CU�,ATION S —JOBS OVER$500.00
If above does not apply;follow guidelines belo�ti;
1. CO\TR�\C'T I'nICE �^is I?j%of cOntrRct ptice�vith�(��[ininerun�ee of 550.00)
- -- � ���
X.��zs�^ .�
(rnntract pricej (03iP�mum 530.00)
a. S-I'a"f'E SURCt�:1RC� f./I'7� U7
(/O x.0005 $_��
' (cunlrnct price)
;, POSTAGE�C I•IAI�DLI�G(Only on�lail-ln Applicntions) $ ,�,Of�
:{. TOT�1L 1'E[��11T l"GC(t�dd Lines (-3 Above) � ���
• �` CO\TRACT PRICE or JOB C05T tl�ea��s the actual or estimated dofiar n�nount ehni'ged for the
permitted��'oi•k ii�eluding ml�eeials,labor,profiE,ttncl Otiler fi�ed costs. It is the amowu ro be cl�tlrged
lo[he cusromtr �or tht��'orEc done. If�u�•mnterinl,ec�uipment, fnbor or instollatio�is are furnishtd b}'
the o��nei-,tcnant or flny otlier party, the reasonnble mai•kN v�lue of sucEe items inust L�e nddccf �n thc
estimflted cost or contract pricc for pern,il fa•r ��uiposes. (n thz c��nnt th�t tirore is n clispute on the
�mount of the job cost,tiie City itta}� itiquest the subrnission of�signad eopy of�he netual contract.
M�CHAN[CAC.��RM17'APPLICf1TION AGRE�,MENT
"The undersi�i�ed hereby applies to the Ciry for issuAnee ot a MechanicTl P�rmir, agrecs to do all
���ork ;n su•ict accordance �e�ith the ordinnnces of the Cit�• fl,id the re�ulntions of the St�te ot
Mi�uiesota, �►ncl certifies ti�at all staten�ents m1dE oii �his applicatian arc complete, �rue :inci
�orrec�.
� �� `Ap�licant's Si�naturc: Date;
3