HomeMy WebLinkAbout2017-01404 - fireplace - gas . , .
CITY OF ORONO * Z 0 1 7 - 0 1 4 PJ 4 *
2750 KELLEY PARKWAY DATE ISSUED: 10/27/2017
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 2420 OLD BEACH RD
PIN : 21-117-23-22-0002
LEGAL DESC : SHORE HILLS
: LOT 001 BLOCK 000
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIREPLACE-GAS
VALUATION : $ 26,305.00
NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION.
(4)FIREPLACES -GREAT ROOM,LOWER LEVEL,PATIO,AND MASTER BEDROOM
APPLICANT MECHANICAL 328.81
STATE SURCHARGE MECH(VALUATION) 13.15
FIRESIDE HEARTH&HOME MAIL-IN FEE 2.00
2700 FAIRVIEW AVE
ROSEVILLE,MN 55113 TOTAL 343.96
(651)633-2561 Payment(s)
Minnesota State License#:mech-20512060 CREDIT CARD 4616 343.96
OWNER
SANGUINETTI,JOSEPH
2420 OLD BEACH 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 goveming 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 afrer 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.
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Applicant Permitee Signature Date Issued ignature Date
10-27-'17 07:28 FR�M- T-048 P0001/4004 F-429
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�C�3��� 3Y�3377�0� 1
xo�crr�r�rs�a�rr.Y
City of Orono
�Q�O p.0.13ox 66 Aato Rcceivcd: Pe[mit N
2750 T�'.CllCy L'Firkway
Crystal Bay,MiJ'S5323 A.ppraved ay: Amo►int S:
Pfwna(952)249-4600 �ax(952)249-4616
��t� ��G�� GITY OF O�tONO—MECY�ANYCAL PEI2MYT
k�s�o
(All CollvfrielfClal pe[ri7itS muSt be ApproveQ by fhe Building Ofticiel or lnspeccor andlor Fire Manhail)
l. Xou n�a�y�pply for lncchanic�l permits by mail or in porson at the City offices. Applications will
be revieNved and a pemiit�vill be issued within cwo working days.
2. Pe��rnit cards will be sent by return mail after a revicw is completed_ PERMITS ARE NOT
VALID UNT1Y.YOU REC�1'VE A pB12MCT. WORK MUST 1VOT SEGIN UNTIL THE
PEIi�T CARD YS pQSI En ON�'H��O�SYTE.
3. Mechan�eal Desi�ns—Complete calc�ilations,details and specifcauons are required for eaeh
heating,vcntilation,l�umidification-dehumidification,and air eonditioning installation ineluding
heat loss/heat gain calculation,design Eemperatures,equipment ratings and identification as to
type,manufacturer and n�odel. Data shall be presented on form provided.
4. 'VVhen any ne�v construction or remodeling is involved,a separate building permit rnust be
obtained
5. All�vork must be done in accQrdance�'vith tht Uniform Mechanical Code/State Building Code
requirements.
6. All work must bo inspacted(rough-in and final). Call(952)249-4600.
(24-48 hour notice required)
7. House Headng Test Record must be submitted befoze final.
. T�rp�o�p��r
(Check All That A, 1
[�Residential ❑Commcrcial(Approvai Tteyuired)
'�New ❑AdditionAl ❑Repairs ❑Replace
7ob Site/Owr�e�r Znfox•rnation:
Site A,ddress: 2 �4 d� �.G�
Owner: �����i•IMUG�a..�� Mailing Address: �,��C `�
city. �(r�jl���L, zip: �.5.'�s`�
,(xame Phone: �o�` � /�` 3��� Alternate phone:
Contractor Ynformation:
Conu�actor: ��R�SIDE HEARTH &H4ME Contact Person: Leah
Acidress: 2700 Fairview Ave N State Bond#:���2656, MB662572, PC662571
Ciry: Roseville, MN Z�p:55113 Expiration Date:
Phone: 651-633-2569 Altez•nate Plione:Leah#651-638-3312
❑ Ynsurance—Ctuz•ent:
1
10-27-'17 07:28 FROM- T-048 P0002/0004 F-429
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Note:All Greothermai Systems�vilt now requ'ue a Site Plan&Review by our Building O�cial_
YS THXs G�arH�Rlv1(A,�,? ❑Yes ❑No
NEATTNC SYSTEMS ��� n ��
ISrov' „�,,,
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Make: �-t'� ��'� ��
Model: � „�(; � 1��-� �L�K
�►►e�: 6ws bu..S
Flue Size:
��ut BTvs: �aS � r,�;o � 3_____���0_
Output BTUs:
C�M:
COOL�YN�SYS�'�1VIS
Quandry:
Make:
Modtl:
Tons:
T�.Power
�'Y�PLACES
� (3as Factory Fii�eplace Brand N�sme: �'rI�
❑ Wood Suming Fii�eplace M
❑ Wood Stovc Modcl No.: �rUCr,��i ! 1�7�1�"�
❑ 'W'ood Stove rvith filue/Masonry C�/'C���1�z.�'�.f��.�k'
VENTILATYON
❑ No. Kitcl�en Exhaust duct recirculating cfm
❑ No. Bath Exhaust(must havc duct outsido) cfm
❑ N0. Otl�er Fans: Locations cfm
FU �Y.STOYtAG� (hlrrst be n,pproverl hy�Yre it�ars{:nll ijpro,posf�rg to abar�rlon tar,k ir�plac�)
❑ lnstallation ❑ Removal
Fl�e]Oil: gallons ❑ Uitderground ❑Inside ❑Outside
LP Qas: gallons
Otner:
GAS�,YN�ON7,'Y
❑ Outdoor Grill ❑ Other/List�Vhat�1�Vhei�e:
2
10-27—'17 07:28 FROM— T-048 POQ03/0004 F-429
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❑ 'Yes,this section ap�lies
1. Does not requirc modification to electrical or gas servica.
2. Hss A toCal cost of$500.00 or 1ess;e1�cIudir��the cost of the fixture or appli�ncc_And
3. Is impro�ed,instal'led or'replaced by the homeo�mer or licensed contraetor.
Skip next section,if this applies; Cost of Permit $ 15.00
State Suscharge � 5.00
Mail-In�'ee(Tf Applicable) $ 2.00
TotAl Permit�'ee S
:�'' y�''.�"��;����f....��'�-'.:`�''�.��.�.� '�.�'.��^ ,.��.�.. .... �,.TM
Ifab�ve does not apply;follow guidcIines below:
1. CONTIiACY'PYtYC� *is 1�S%of contract price with a(119inimum Fee of$50.00)
�U�� x.0225$ �� p�
(COMrBCt ptiC6) (minimµm S30_00)
2. STATE S�RC�YA�tCr� �J/i z���' �.0005 $ ��S
(� ./
(Conuact price)
3. P�STAGE&HANDLINCr(Only on Mail-Tn Applicntions) $ 2_00
4. TOTAL PERNIIT�'��(Add�,inr,s 1-3 A.bove) � � ���
■ " CONTRACT pRCCE ot 70B COSx means the actual or astimattd dollar amounC chtuged for the
ptrmitted work including matarials,labor,profit,and other fixed costs. It is the amount to be charged
to the custom�r for the work done. If any mat�•i&l,equipment,labor or installations are furnished by
the otvner,tenant or any othtr parCy,the reasonable market valuz of such items must be added to tht
estimated cost or contract piiee for permit fee purposes. In the event that there is a d'upute on the
amo�mt of the job cost,tht CiCy may rC9uest Ihe submissloln of a Signed cqpy pf the actval contrset_
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.1W:'.,�. �,n•ti y5��we, ,1, a ��ryd t.�.1:: �n L•.
;;t,..}:,�:�t;::�,;���4�'�cr� .4�:�A�l���i;��'..�s��;�rx�`�',A:.�I'����::�I!��Q�..::c�:,��-���$���'�' �� ����:�:
The undersigned hereby applies to the City for issuance of a Mechanical permit,agre�.s to do all
work in strict accordance with tho 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: /(J �
3
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D E TIME
ITY OF ORONO CALLED IN � �,q�,.�
INSPECTION TI E �SCHEDULED � �rr�
�----
PERMIT NO. �� COMPL e
ADDAESS �
OWNER TELEPHONE NO.� � �� ���
CONTRACTOR �
� DESCRIPTION � � v�' —
ty ❑ FOOTING ❑ DEMO-FINA ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
O ❑ FOUNDATION DRAIN TILE ❑ PLUMBING FINAL ❑ TREE REMOVAL
2 ❑ LATHE ❑ 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 OWNERICONTRACTOR TO MEET YiOU:_YES_NO
� COMMENTS: ��� r t,DJaLe S / nS��-I I Q �
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��WORK SATISFACTORY:PROCEED ❑PROJECT COMPLETE
W O CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECONERING PERMANENT
O CORRECT UNSAFE CONDITION WRHIN HOURS. p pHOTO TAKEN
INSPECTOR WILL RETURN
O STOP ORDER POSTED.CALL INSPECTOR �GTATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Can for the next inspection 2a hours in advance. (g52) 249-460�
OwnerfContraator on site-
Inspector: </ ���),� �
YVhite CopyllnspectoPs Flle Canary CopylSite Notfee