HomeMy WebLinkAbout2018-00488 - gas fireplace , �
CITY OF ORONO * 2 0 1 8 - P1 0 4 8 8 *
2750 KELLEY PARKWAY DATE ISSUED: 04/20/2018
ORONO,MN 55356-
(952)249-4600 FAX: (952) 249-4616
ADDRESS : 585 SANDHILL DR
PIN : 33-118-23-24-0014
LEGAL DESC : ORONO PRESERVE
: LOT 7 BLOCK 1
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIREPLACE-GAS
VALUATION : $ 2,911.00
NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION.
HHT GAS FACTORY FIREPLACE
MODEL 6000C-IPI
APPLICANT MECHANICAL 50.00
STATE SURCHARGE MECH(VALUATION) 1.46
FIRESIDE HEARTH&HOME MAIL-IN FEE 2.00
2700 FAIRVIEW AVE
ROSEVILLE,MN 55113 TOTAL 53.46
(651)633-2561 Payment(s)
Minnesota State License#:mech-20512060 CREDIT CARD 4616 53.46
OWNER
OPS Orono LLC
15250 WAYZATA BLVD#101
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.
1'he applicant is responsible for assuring all required inspections aze ,
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
Ll�Y���-(.(.� � i Z�i �
�
Applicant Permitee Signature Date Issue By ignature Date
44-24-'18 47:50 FROM- T-818 P4001/4004 F-300
� ��1��'vf��--�ul .
foiz iry•,•rsr.o��.�� �
Cit�•of Orono � b
����./ 2750f1�eI1G6 Park�ear �a1C RC ��� Pcrn�it K ��
Crystal Ciac,\I\'S53Z3 :lpprovedliy, Amount5:��„� �
Pi�on�:(932}z.19-q600 Fax(93�)2�9•�616
���° fsHo�`�'4,� CITY O�'OY20N0-l��C�-IAIYICAL P�R.1I�ZXT
(Ali Co�nmerci�il p c l i t t i l s n w s t b c a p p ro v c d b��i h r 8 u i l d i ne U�c i a l o r I n s p a c m r a r�d/o r F i ro A l a r s h a'I)
GEN'E1tAL INPOl2MATION
1. You may apply for mechanical peemits by m�il or in persuu at thr Cip�officcs. ApplicTtions��'ill
be revie�ved�nd s�permit�vill be issued witl�in tn>o tivorking days.
2. Permit cArds�vifl be scnt by re�urn int►il aftcr a revie�v is completed. P�Ri�•[17S ARE NOT
VAGID UNT1L 1'Or1 R�CE[VE A PERhIIT. 1VORK i1iC1S'I'\O'Y'SEGI�1 U\'TIL TIYC
PER�11T CARp(S POSTED O!TH�JO�511'F:.
3. �(echanica!C7esi�ns—Complete caleulations,dtlails aiid specificAtians a�e reqtrireil for efl¢h
he�tin�,ventilqtion,hiimidifcati0il-clehuoticlification,�iid Air coitditioni�t;installaiion including
heat loss/he�►t gai�3 calculatinn,design Icmperatures,equipmcnt ratings anc!identific�tion as to
typ�,manufactw•er ancl model. D1ta shaH be prese►ited on foriu provicled,
�i. �Vhc�i auy neu�construction or ren�odelin�is involved,a SepiICBtE building pemtit iriust bG
obtained.
5. All work mus�be done in acco!•dttnce�vith the Clnifor�=t D{tcliatiical CodelSt2tt I3uilding Codc
rCt�UIfCfl7C17I5.
G. AH�vork rnust be insp'ceted(rougli-in�ild firtAl). Call(952)249-q600.
• (2-f-a8l�mir notiee recYui�•ecl)
7. Hou�Hcnting Test Record»>u�t be submitted before Gnaf.
7Yt�E QF PERMLT
Check All ThTt A� I �
�Residential �J Commercia](Appro�at Required}`
Q New ❑Acldicic�nal []Rop.airs ❑lZeplace
Job Site/O�vne��1�7fot'mation:
Site Address: �� 1�,
Ownei•: Mailiilg Address; """��
�ity: ��- .., ?rp:.
Ho►n�e,�I3 np e:���,���'"� Alrernate Phone:
Conh•actor Informt�tion:
COiltr�fCtOr: FIRESIDE H�ARTH& HOME COntflCt l'�rson: �����
Acldress_ 270U Fairview Ave N St�te Bond#:BC632656, Mf3662572, PC662571
City� �oseville, MN Lj��:55113 Expiration Date:
Phone: 651•�3f�' ^d(�j Alte�•n�ite P)lone; UJ����:3�•'..�3 j Z-
❑ Inst�i•ence-Current:
I
, , .04-24-'18 07:54 FROM- T-818 P0042/0004 F-300
�
MECI-IANICAL SYSTEIV,(S BE]NG iN'STALLEI7
Notc; Al! GeorheE�mfl{ Syste�t�s�vill no���require A Site Plan�Revie���by ous•Suilding Officinl.
IS TH1S GCOTFTL•"Ri4if�L? []Yes ❑No
HEAT[\`G Sl'STE��(S
Qunntity:
i�lake;
�Iodcl:
Fuel�
Fluc Siae;
Cnput BTUs:
Outptlt$1�Us:
CE�•L•
COOLiIG Sti'S'i'�l[S
Quantity�
Almke:
�todc[:
Tons:
f f.Pon�er
�'IREPLAC�S .�d��vl pA�f'�lwGr�
!/
� GAs�`actQ�y�irepl�ce 8�•a��d Name:
Wood$urning FirEplacc � �
❑ 'S'Vood Stove Model No.:
❑ �Vood Stovo�vith Flue/Masonry
'1'ENTI L:�TIO\
❑ i�'o., hitclicn Exhnust ducl recirculflting cfm
[] \'o. 13nth Exhausl{must h1�'e ctucl oulsidr3 cfiu
❑ Nu. Oti�er Fnns: Locntions ,,,,,_ Cfm
F UC L STOR�IGF. (,16�st be rq��>rnr�ed h��F'Jre�1lnr.sha!!if prnpvsi���10 aLuu�lan lnnk r�i plaCr.J
� (ustallatio�i ❑ Rcntov�l
Fucl Oil: ,�gallous ❑ Undcrground ❑Inside [�Qutsi�lc
LP Gss� �gallons
Othcr:
G�S I,I�L O\Ll'
❑ Oucdoo�Grill ❑ Otl�er/�,isl 1Vh�l&,1lihero;
�
, , ,04-20-'18 07:54 FROM- T-818 P4403/0004 F-304
PERMIT FEE CALCULATION(S)
BASED 0�'F-2002 STATE STATUE
❑ Yes,�his secCion applies
"Tl�e replacemeitt of�Reside,itial fixiure or nppliancc that meets all three of the foflo�ving r�ryt�irements;
I. D not reqt�irc modific�tion io electrical or�s srrviee.
2. Has a Eotal cosc of$�00.00 or less; u � the Cost of the fixtnre or appli�nce:anci
3. Is improvcd,installed or replpte<i by tht honuo�vncr or liceiised conlractor,
Skip nert section,i�tliis Rpplies; Cost of Pec��nit � 15.00
S(at�SuPCllflt'gC $ S.QU
Mail-Tn Fee([fApplic�blc) �,3.00
Total!'erroit Fee S
pERMIT PEE CA,�,CUC,ATTON'(S)-JOBS OVER$$00.00
If Above does��nt apply;Follow giiidelines beto�ti':
1. CO\TR���T PRiCE, &is l?S'/o of conn•act price tivitl�a(�linimum Ccc of SS0.00)
�9!r =' �,. x.o��s�_1 � ;
(conlract pricej (niinieium S50.00)
2. ST.�T�SURCwI 112C� f (� �j/,
� � x.0005 $ �''
(co0tf8ct prive)
3. POS'I'AG6 R I•rAND�.i\Cr(Oitl�'on\It►il-In�lpplications? $- �2.00
�1. TOTAL PCRIIIT f C�(Add Lines l-3 Above) �� �'�
■ s CO\''C'RACT hf�(C� or JOB COST me�ns the nc�ual ar eslinl�ttd ctolltlr nmow�t clinrgcd for tlie
penllitted o'�rk�i1CIp(jj���InA1C1'ItiIS�Inbor,�rofit,and oclier f:xett costs. fi is d�e Tmoum co be cha,ed
to thc cuslon��r for Uit��•oi•h dane. [f any niaterinl,equipnten[, Inbor or installntions ere fiirnishe<I b}�
thc o�viitr,tcnnnt or any other party,tlie reasoaable markct value of such itenis rnust bc acfided In Ihe
cstimated cost or coi�iract price for pen�iit fce purposcs. tn the event chat Ihcrc is a disputc on the
amount of the job cast, die City r�iap i•tqucst thc subinissioii of�►si;ned eopy of thc actual conu•act.
M�CHANICA,L.C��I�MCT Al'PLrCATION ACCtEEMENT
The u►tdersig��ed hereby applies ta dle Ciry for issu���ce of� Mechanical Permit, a�rees to do All
��•ork i�i su-ict �ccoedance �vith the ordin��nees of the Cit�� aiicE the t'C�t11�1fiotlS Of C11t Si1Y� 01�
IVIi�1�1CSOtfl, �ncl certifies tll�t all Stiitzl11et1IS Illaae 011 II11S RppIiCFlttOn ctt'l: C0111J)IE[Z, EYlle flll(I
CO27'eCl.
s
Applicant's Si�nnture: � D�te: � !J
3