HomeMy WebLinkAbout2016-00082 - gas fireplace A CITY OF ORONO
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2750 KELLEY PARKWAY DATE ISSUED: OU25/2016
' ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 664 SANDSTONE CIR
PiN : 33-118-23-11-0058
LEGAL DESC : STONEBAY
: LOT 009 BLOCK 002
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTIOI�I TYPE : FIREPLACE-GAS
VALUATION : $ 1,320.00
NOTE: NEW GAS FIREPLACE(HHT)
APPLICANT MECHANICAL 50.00
STATE SURCHARGE MECH(VALUATION) 0.66
FIRESIDE HEARTH&HOME MAIL-IN FEE 2.00
2700 FAIRVIEW AVE
ROSEVILLE,MN 55113 TOTAL 52.66
(651)633-2561 Payment(s)
Minnesota State License#: mech-20512060 CREDIT CARD 4608 52.66
O W 1�IER
Stonebay Builders LLC
14870 BROCKTON LANE
DAYTON, MN 55327-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable Ciry 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 l80 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. i1��'�
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Applicant Permitee Signature Date Issued By SignatuY�e Date
01-25-' 16 12:15 FROM- T-598 P0004/4006 F-974
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' �� Cit�of Orono � � � �� � � i � � vi� ` � �.,'�i�' �
/� C'.0.C3ox 66 batiC Receivcd �__t,��/�i�,\;,F'crmit�1 �—�'�� � I
�.J 2750 Kelley parkwxY , �j � �
Crystal Bay.MN 55323 Approved By: �Amouet$:�� � �
Phont(95�)2q9•4600 Fax(952)249-4616
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`qk�SHOQ'�G �Y l,� ��URONO�MECHANTCAL YE�2MYT �
(AIE Commcrciaf penrii[s musi bc approvcd by the Building OFficial or inspcctor anp/or Pirc Marshall)
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GEN�TL4L ZNFOItMATTON - _
_
1. You may apply for mcchanical permits by mail or in person at the City of�'ices. Applications will
be reviewed and a permit will bc issued within two�vorking days.
2. Permic cards wilt be sent by return mail aPter a review is comJ�leted, P�CtMITS Al2�NOT 'i
VAL[l�UNTIL'YOCJ�t�C�C'��A p�RMIT. WORK MUST NOT BFGYIV C1NTY�,`fH� !
PERMIT CARD 18 POSTED ON TI-CE.T�S SITE.
3. Me I�c anie��1� esiens—Complete ealcufAtions,details and specifications are requ'rrecl for eaeh
heating,ventilation,humidification-dehumidification,and air conditioning installatian inCluditig i
hcat loss/hcat gain calculation,design temperAtures,c•quipment ratings antl identificaCion as to
typc,m�nufacturer and modcl. Data sl,all Ue presented on form provideQ. �f
4. When any new construction or remodcling is involved,a separate building permit must be
obtained.
5_ Ali work must be done in accordanee with the C�niform Meehanical Code/State Building Code ,
rCC�uirements.
6. AIl work must be rnspected(rough-in and final). Call(952)249-4600, �
(24-48 hour noti¢e required) �
7. Housc Heating Tcst Ttacord must be submitted before final. �
- TYPE OF PERMIT i
(Check AEI That A�P�Y) :
❑Residentisl ❑Com�nerci�l(ApprovRl RCquirCd) �
❑ New ❑Additional ❑Repairs. �Replace I
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�Job �ite/Owner TnformAtion: � � � � � �I
Site�Address; la���������Y./�� ��
dwner: -C.. � LL� ,Mail�ng Address:` I"(� �O �oG�2.�r� (.�r-�
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�ome phorie;. ���-� ��0�� i Jv� Alternate Phone: �
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Contractor Tnformation: ,
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Gontraator: FIRESIDE HEARTH & HbM� Contact Person; Leah ,
Address: 2700 Fairview Ave N State �ond#:BC662656, MB662572, PC662571
Roseville MN � �55113
C�ty: � Z�p. �xpiratior� Date: ��
�h�ne; 651-633-2561 AlCernate phone:Leah# 651-638-3312 ,
❑ Ynsurance-Current: I
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01-25-'16 12:14 FROM- T-598 P0002/0406 F-974
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Note:All Geothcrmal Systems will now require a Site Pl n c$Review by our Building Of�icial. !
�
YS THIS G�p'T'�TEI2MAL? ❑Yes ❑No �
HEATING SYST�MS
Quantiry:
Make:
Modcl;
t
Fuel: �
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Flue Size:
lnput�TU's:
Output BTLJs� �
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CFM: �
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COO�y1V'G SYSTENTS ;
!
Quantity:
Make:
;
Model: '
Y'ons: •
H,power -
-
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FIRLPLACES '
�I Gas Fadtory Fireplace Brand Name:. � � . : �
� 'V✓ond Buming l�ire�lace, ` �r �
[,� `'W.�od Stove Model No;; __�.V��p�.�.
❑ �Wopd St�ve,�vith Flue`%Masopry' �
VENTILATION ;
❑ No. Kitehen Exhaust duct recirculating �� '
❑ No. Bath Exhaust(must have duct outside) �� i
❑ No. _____ Othec Fans: Locations cfm '
F'U�X,STpRqG� (Mtrst be approved by FYre Marshall ljproposireg to nbanrlon[ank in plaee.J �
❑ Instalfation (� Etemoval �
Ruet Oit� gaitons [J Underground (�lnside �]Outside
LP Gas: gallons
Oth�r:
CAS LTNE ONLY
❑ Outdoow Grill ❑ Other/List What&Where:
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01-25—'16 12:15 FROM— T-598 P0005/0006 F-974
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[' Yes,this section applies
The repl�tcement of a Rcsidential fixfure or��li�nce that meets all three of the following requirements:
1. Does not require modification to electrical or gas service.
2. Has a total cnst of$500.�0 or Izss;excluding thc cost of thc fixture or appliance:and
3. is improved,installcd or replaced by the homzowner or lieensed eontractor.
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Skip next section,if this applies; Cost of'Permit $ 15.00
State Sureharge $. s.oa
Mail-Tn Pee{If Applicablc) $ 2.00 �
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Total Permft�ee � `
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:�`�s.-��.��..�' _,.�T,!%�ta`�?� -`�6�,Fe!�- ��:ISwu/.3;�." ?1,K'T.. � - �'SY.'iVlQr.�:.,.�".���n'-_�`c�'�°���'F� i
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If above does not apply;follow guidelines below: �
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1. CON''�XiACT�XtXC� *is 1.�5°/a of contract price with a(Minimum Fee of$50.00) �
. (� �
x.oizs$ `
�c4ntract.pr!CC) (minimam$30.�w
2, STAT�$rJYtGHARCE � I
• ��d X.000s $ �. �6
COn1raCC piiCz) i
3. POSTAGG&HANDLING(Only on Mail-In Applications) $ �69' '
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4. TOTAL PERMiT FEE(Add Lines 1-3 Above) $ : . .:(J. �.:: � .' � `.
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• * CONTRACT PRICE or ,�0� GQST means the ackual or estimated dollar amount ch�rgod for the �
permitted work including materials, labor,profit,and oCher fixed costs. it is tht amount to be charged I
to the customer for the work done. 1f any imaterial,equipment,labor or installations are furnished by �
the owner,tenant or any other party,the reasonable market value af such items must be added to the `
estimated cost or contract price for permit fee purposes. In Che event that there is a disputt on the
amount of the jab cost,the City may request the submission of a signed copy of the actual eontracC. ;
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The undersigned hereby applies to the City for issuance of a Mechanical Permit,agrees to do all
r�vork in strict accordance with the ordinances of the City and the regulations of ihe State of
Minnesota, and pertifies that all statements made on this appiication are complete, true and
corraCt.
Applicant's Signature: j��'�'v �+'�����"� Date: � .
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�} DATE TIME
qTlf OF ORONO CALLED IN �/`r�
INSPECTION NQTJ� �M p-�HEDULED �-o�'z/lo __��
PERMIT NO.�<</ ��4 COM ED
ADDRESS
OWNER � TE EPHO E N0.6� ' "���
CONTRACTOR ����-°i2'"'�
� DESCRIPTION �-� Q « �
4~j ❑ FOOTING ❑ DEMO-FI AL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
2 ❑ 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
_ �
r ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 O'WN�(�NiRACTOR TO MEET YW:_YES_NO
c�., COMMENT'�
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W�O�RKSATISFACTORY:P�ED ❑PROJECTCOMPLETE
� ❑CORRECT WORK�PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
W
0 ❑(�RRECT WORK,CALL FOR REINSPECTiON TEMPORARY
V BEFORECdVERING PERMANENT
O CORRECTUNSAFEOONDITIONWITHIN HOURS. ❑pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP Of�ER PO6TED.CALL INSPECTOR �CITATION ISSUED
O INSPECTION REQUIRED.CALL TO ARHANGE ACCESS.
CaN forthe next inspection 24 hours in advar�e. (952) 249-4600
On site:�
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Whits CopyAnapactors Flk Gnary CopylSfM Notfce
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� DATE TIME
CITY OF ORONO cnLLED IN �T��
INSPECTIO OTI E �,, ,�c HEDULED ��O `� • ��
PERMIT N�� — a�'coMPLEfED t
ADDRESS �.�/.�CL �/ C�
OWNER TELEPHONE NO.
CONTRACTOR
� DESCRIPTION ,
W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINA
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 ❑ COMPLAINT
� �FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W "LJ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
v ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 �NNERlCONTRACTOR TO MEEi YOU:_YES_NO
y COMMENTS:
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Wa ❑WORKSATISFACTORY:PROCEED ❑PROJECTCOMPLETE
w ❑CORRECT W'ORK d�PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK�►LL FOR REtNSPECTION TEMPORARY
V BEFORE CONERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pHOTO TAKEN
INSPECT�t WILL RETURN ❑CITATION ISSUED
❑ OP ORDER POSTED.CALL INSPECTOR
CTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (g52 j 249-4600
ONmerlCorrtractor on site:
Inspector: �✓ �—
WhiM Copydnspector's File Canary CopylSits Notk:e
�� �/� ✓
�/" pq7� TIME
CITY OF ORONO CALLED IN
INSPECTION NQ _���HEDULED ��JC�--
PERMIT NO. G COMPLET D
�►DDRESS � n�n� �(�1�-���� �//'�--.
p�WNEp TELEPH E NO. S � ���
CONTRACTOR �
� ��-
� DESCRIPTION
1y ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
� ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAWGRADINGIFILLINO
Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REI�VAL
Z ❑ RADON SLAB ❑,MECHANICAL RI � SITE INSPECTION
Q ❑ FRAMING ��LECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑WOOD BURNER/FIREPLACE ❑COMPLAINT
� ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
v ❑ DEMO-SITE ❑ TIC INSTALL
� 01NN6YCONTR�CfOR TO MEET YOU: 11E8_NO
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��WORK SATISFACTORM PROCEED �PFIOJECT COMPLETE
W �f�Of�iECT W�C 8 PROCEED ❑ISSUE CERTIFIGATE OF O�M�NCY
O ❑�qECT MI�IC.CALL FOR i�INSPECTION TEMPORARI/
�j BEFORE(�dVEA1N0 PEqMANBdT
❑pppREC'T UNgAFE OONDITION WITHIN HOURS. ❑pHpTO TAKEN
INSPECTORIMLLRETURN
0 STOP ORDER P08TED.CALL INSPECTOR ❑qTAT10N ISSUED
❑IN8PECTION REQUIRED.CALL TO ARRANOE ACCESS.
caN br u�e next tnspection u nours in sdn�,oe. (952) 249-4600
Inspector:
1NAib CopyAnsp�etor's FIN ��ry�N�