HomeMy WebLinkAbout2016-01162 - gas fireplace • � CITY OF ORONO * z 0 1 6 - 0 1 1 6 z *
2750 KELLEY PARKWAY DATE ISSUED: 09/22/2016
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 658 SANDSTONE CIR
PIN : 33-118-23-11-0055
LEGAL DESC : STONEBAY
: LOT 006 BLOCK 002
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIREPLACE-GAS
VALUATiON : $ 1,360.00
NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION.
(1)HHT GAS FIREPLACE
APPLICANT MECHANICAL 50.00
STATE SURCHARGE MECH(VALUATION) 0.68
FIRESIDE HEARTH&HOME
2700 FAIRVIEW AVE TOTAL 50.68
ROSEVILLE, MN 55113 Payment(s)
(651)633-2561 CREDIT CARD 4608 50.68
Minnesota State License#: mech-20512060
OWNER
Essay Holdings
2110 LYNDALE AVE S
MINNEAPOLIS,MN 55405-
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 pennission for additional or related work which requires separate
permits. All provisions of Iaws 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 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 D'ate Issued B ignature Date
09-22-'16 48:24 FROM- T-110 P0001/0004 F-127
' ��D� €��� .'" 004 �
C C7SE ONLX
��A} City of Orono � . /�� �
�yO P.O.I3ox 66 Date Tteceiyed�.Z� � ermit# �c Gy/�''.`�•
2750 TCcllcy Par}cway y �/
Crystal�3ay,iv.fN 55323 App�oycQ�y. : Amounc$ ��!_.�� J
Phone(952}249-4600 T�ax(952)249-4616
��l�a ��'� CCTY OF O
MESHo� RONO—1V�EC�TAI�YCAL PET2MIT
(AII Commcrcial pcnnits mu3t bc approved by tho IIuilding Offici�l or Inspector and/or Fire Marshall)
G�NERAY;:�iVR.ORIVIA:TION , .
1. You may apply for zneehanical permits by m,�r1 or in person at the City offces. Applications will
be reviewed and a permit will be issued within rivo workizlg ds�s.
2. permit cards will be sent by return mail after�reviaw is comp[eted. P��tMTTS�NOT'
VALID YJNT]L' YOU�CEIVE A�ERMIT. `PV'pI2K MCIST NOT BEGZN CJNTIL TH�
k��TtiVIIT CARD IS POSTED QN T�TE JOB STTE.
3. Mechaniea]Desi2ns—Complete calculations,detaiIs and speciffcations are requircd for each
heating, ventila[ion,humidifiCation-dehumidification,and air condi[ioning instc�Ilatifln includltlg
heat loss/heat gain caleulatiot�,design temper�tures,equipment ratrngs and identi�cation as ta
type,manufacturer arid model. Y7ata shaIl be presented on fonn provided.
4. When c�t1y new constrt�etion or rerrtodeling is in'volved,a separate building permit m,ust be
obtained.
5. Alt work rnust be done in accordanee With khe Un;farm Meehanical Code/State Building Code
reC�uirements.
6. All�vorI�must be inspected(rough-in and final)_ Call(952)249-4600.
(24-48 hour notice required)
7. House�Teating xest Record must be subm'rtted before final.
TYPE Q�'PERMxT ;,
, (Chec�C All That A 1 )
�esidential ❑Commercial(Approval�2eqtaired}
�e�' ❑Addrtional (]Re airs
p (]Replace
7ob Sitz/O�nmer Znfor.mation:
�) J (
Site Address: � ��UZ�•C�'� �G1�.
Ov�mer: � 7'1� 0�.,�(l�(�/�� 1V�ai�ing Address: _�� ��',��� �ch,l��
/�
Cit�: _��� Z�P� � ���
�Tome 1'hone: � ` C�~ �����yAlternate Pl�one:
Co;�tractor.Tnfortriation:
Contractor: FIRESID� HEARTH & HOM� Contact Person: ��'�
Address: �700 Fairview Ave N State Bond#:sC662&56, MB6625%2, PC662571
�ity: I�oseville, MN zrr�,55113 ���iration Date:
plzone: Alternate 1'horte: �651-638-'�`3(�(0
❑ Insurance�Ci�rc•ent:
1
49-22-'16 08:24 FROM- T-110 P0002/0004 F-127
.
.
Note:All Geotheimal S�stems will now require a Site Plan&Review by our Building Of�cial.
IS T�S GEOTY��RMAL? ❑X'es �No
HEA,TYNG SYST�MS
Qtiantity;
Make:
Modcl:
Fuel:
�luc Size: '
Xnput BNs:
Clutput$TUs:
CFM:
CQQ�,Y1V'G SYST�MS
QpRntity�
Make;
Model:
Tons:
H.Power
FIREPY,AC�S
� Oas�'actory Fireplace Brand Name: _
❑ Wood Burning Fireplace nt
❑ Wood Stove Model No.: �v ���j�33
(� Woad Stove with Flue/i�lFtsonry
VENTIY,ATYON �
❑ No. Kitchen��rhaust dttet recirc�dating ��
❑ No. Bath E1;llanst(must have duct outside) �m
❑ No. Other Fans: Locations ��,
�'UEL STO�tACE (l�lr�st be approved by 1�e Mnrsfra[Z ifpropav�'rrg to abafedo�:lank in plrrc�)
❑ Tt13tAllAtion ❑ RemOVA�
Fuel pil: gallons ' ❑ Underground ❑Inside []Outside
LP Gas: gallons
Othor:
GAS LIN�ON7,Y
❑ Outdoor Ori11 ❑ Other/List What Bc Where:
�
09-22-'16 08:24 FROM- T-110 P0003/0044 F-127
' � 5
i
❑ Yes,this section applies
The repiacement of a�'esidential fixture or applianr,�z,,that meets all three of the follovving requirements:
1. boes not require modification to electrical or gas serviec.
2_ Has a t�tal cost of$500.00 or less;�xc}udine the cost of the fixture or apptiarice:and
3. Ts lmpro'ved,insta11ec1 or repiaced by the homeowner or licensed eontractar.
Skip next section,if tlzis applios; Cost of�ermit $ 15.00
State Surcharge $ 5.00
Mail-In Fee(If Appficable) $ 2.00
Total Per�nit�'ee $
If above does not apply;follow guidelines bzlow:
1. CON'T12ACT P�2XC� �is 1.25%of contract pricz with a(Minimum Fee oY$$0.00)
�o �b
�• x.0125$ •�•.
(contract ptite) (mfu mum 530.00)
2. STA'X'�SYIRCFYARCr� �
I��o� X.00�s $ C�. 1 �
(contracc price) � � 1�
3_ POSTACr$8�HA1�Y,TNG(Only on Mail-In Applications) $ �
�0 ��
4. TOTAX.pERMIT���(Add Lines Z-3 Above) g `
� 4 CONTR.ACT��tTC� or JOB COST mcans the actual or eatimated dollar amount charged for the
parmitted work including materials,labor,profit,and other�xed costs. It is the amo�mt to be chargcd
to the customer for the►�vork dona. Tf tsny matcrial,equipment, labor or instaqations are flunished by
the owner,tenant or any other party,the r�asonable market value of such iCems must be addcd ta the
estimated cost or contract price for permit fee purposes. ln the evetlt thAt there is a dispute on the
amount of thz job cost, the City may request the submission of a si�ned copy of the aCtual contract.
;
The undersigned hereby applies to the City for issuance of a Meckianicai Permit, agrees to do all
work in strict accordance with the o�dinances of the City and the regtilations of the State of
Minnesota, end certifies thaC all statements made an this application are complete, true and
correct.
Applicant's Signature: r ��
bate: �� ���J
3
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
PERMR NO. COMPLETED � �
ADDRESS �s� �''��'i�- C�'.
OWNER TELEPHONE NO.
CONTRACTOR ��'��S�• ���'� 'F'����
� DESCRIPTION f` P R'� �
4~j ❑ 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
_ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
v ❑ DEMO-SITE ❑ SEPTIC INSTALL
Z OWNENCONTRACTOR TO MEET Y�OU:_YES_NO
y COMMENTS:
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Wp�.1C61tl6.SATISFACTORY:PROCEED ❑PROJECT COMPLEfE
� ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK��L FOR REINSPECTION TEMPORARY
V BEFORE COMERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUEO
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cal1 forthe next inspection�rs in advanoe. (952) 249-4600
OwneNContractor on site:
Inspector: µ
Whits CopyAnapecMr's File Canary CopylSit•Notice
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DATE TIME �j
CITY OF ORONO CALLED IN --�C�
INSPECTION NOTICE /_ SCHEDULED 1 "T �
PERMIT NO.����— C'//�`�" COMPLETED
ADDRESS �{?� �� �C;c_y'?c�S^� �',�
OWNER TE,�.EP4iONE NO. ��`��-�" .�
/
CONTRACTOR f'�-'�'�� . , ��Lt
� DESCRIPTION �/�������-�'-- —/—" �,�'Y.��
lV ❑ 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 ❑ COMPIAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
i ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
Z OWNERICONTNACT(�R TO MEET Y�U:_YES_NO
� COMMEN7��L�E�-�- �'!1��lL� //�/�lv o7 c-1c,�f Gc.�'1�-� Gl��
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¢ �WORK SATISFACTORY:PROCEED �PROJECT COMPLETE
W ❑CORRECT VYORK 3 PROCEED ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY
V BEFORECONERING PERMANENT
❑CORRECT UNSAFE CONDITION WI7HIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (952) 249-46��
OwnerlContractor on site:
Inspector: r��'��-
White Copyllnspector's Flls Cenary CopylSite Notice