HomeMy WebLinkAbout2014-01442 - gas fireplace t � CITY OF ORONO
2750 KELLEY PARKWAY * z H 1 4 - 0 1 4 4 2 *
DATE ISSUED: 12/17/2014
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 71 1 SANDSTONE CIR
PIN : 33-118-23-11-0045
LEGAL DESC : STONEBAY
: LOT' 042 BLOCK 001
PF,RMIT TYPE : MECHANICAL(> $500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIREPLACE-GAS
VALUATION : $ 1,600.00
NO'I'E: NOVUS GnS I'ACTORY l'IREP[.ACF.
APPLICANT MECHANICAL 50.00
STATE SURCHARGE MECH (VALUATION) 0.80
FIKESIUF, HEARTH & HOME MAIL-IN FEE 2.00
2700 FAIRVIEW AVE
ROSEVILLE, MN 551 13 TOTAL 52.80
(651)633-2561 Payment(s)
Minnesota State License#: mech-20512060 CREDIT CARD 4608 52.80
OWNER
Stonebay Builders LLC
14870 BROCKTON LA
DAYTON, MN 55327-
AGREEMENT AND SWORN STATEMENT
The work for which this pernlit is issucd shall be performed according to
the approved plans and specifications,applicablc 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 ofwork
shall be compied with whether or not specified herein.This permit will
expire and beeome 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 al�ter work has commenced.
I�he applicant is responsible for assuring all required inspections are
requested in conformance with the State Building Code.'Chis permit may be
revoked at any time for duc causc.
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Applicant Permitce Signature Date Issue By Signature Date
12-17-'14 12:43 FROm- T-289 P0001/0004 F-421
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Crystal B�y�MN 553 3 •APP!'OlY,�1�Byt: 'S..;:,f:.;:�Ai1�Otir!t.$:.<`''`'''�:,:;:
Phone(952)249-4600 Fax(9S2)249-4616 �
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`� ��' CITY OF OY20Np—1VIEC�ANYCAL PERMYT
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(All Commcrcia�pennits must bo approved by tha Building Ofllcial or Inspoctor and/or Fire Marshall)
GENEREIL IN'F01�1k1ATION . . � �
�
1. You may apply far mechanical permits by mail or in person at the City offices. �pplications will �
be rC'Viewed and a permit will bc issucd within two working days. �
Z. Pzrmit cards will be sent by return mail aft�r a review is compleCed. PETtNfIT5 ARE NOT �
'VA�,yq'U'N'C'YC.'Y0�Ct�C�I��A P�RMIT. WORK M�'ST NOT��G�N Y1NTY�'���
r��rYr ca�zn ys posr�n orr rH�,�o�sYr�. �
3. Mechanical Desiens—Complete calculations,details and specifications are required for each �
haating,ventilation,humidi�cation-dehumidification,and air conditionin�installation including
heat loss/heat gain calculation,design temperatures,equipment ratings and identification as to
typc,manufacturcr&nd modcl. Data shall be presentcd on form provided.
4. When any new construction or rbmodeling is involved,a separate building perrnit must be �_
obtained.
5. All work must be done in accordance with the Clniform Itiechanical Code/State Bui d g Code '
requircmcnts. � �� L F
6. Alf work must bz Inspected(rouSh-in and final). Call(952)249-4600. 1 c��Q , ^ � �
(Z4-48 hour notieo required) � 0��
7. House Heating Test�Lecord must be submitted befaro final. `!�l�
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�Q Itesidontial ❑Commercial(Approval Requ3red) .�' � �
�ew [)Additional �Rcpairs ❑R e �
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Site Address: i
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Owner: . � ` � ��� M�ilingAddress: ►�4��� �3�e��. L�
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Cit�+: �,�,��1� zip: �'��� ;
Horne Phone:���Q�2.'�3�'��7� Alternate Phone: �
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Contractor: W�e��°w �t��M��'ECHNOLOGI�ontact person: �Y 1 �
dba FIR��Ip� H�ARTH & H�ME E
Address: ��� �C��2���' State�ond#; °
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CiCy: �OS�VILLE,�� 5�.511� Expiration Date:
phone: �0��'��r"J U'�����i Alternate Phone:
❑ Ynsurancc—Current:
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12l17-'14 12:43 FROM- T-289 P0042/4004 F-421
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Nate: All Geothermal Systems will npw requirc a Site Alan 8r Review by our Building OffiCiRl.
� iS THIS GEOTHERMAL? ❑'Yes []No �
H�ATYNG S'YSTEMS �
Quantity: �
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Make:
Modzl:
Fue1: -- i
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Flue Si2e:
Input�TUs: �
Output BTCJs: '
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CFM: `
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COO�,MN'�S'YST�MS
Quantiry:
Make:
Model:
Tons:
H.Power {
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FIREPLACES ;
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Gas Factory Fireplace �rand Name:
❑ Wpod BUrntng FireplaGC � ;
❑ Wood Stovc Modtl No.: #
❑ Wood Stove with filue/Masonry
'VEN'T�Y.ATTQN' �
�) No. Kitchen Exhaust duct recirculating �cfm
i
❑ No. Bath�xhaust(must have duct outside) cfin '
❑ No. Othcr Fans: Locations cfm r
�C���.STOYiAG� (Must be approver!by�re Marsliall ijpropasing to nbandor�tank in place.)
❑ Installation ❑ Removal
�uel Oil; gallons [] Underground �Inside �Outside
�,P Gas: gallons �
Othcr:
GAS LIN�ON'T.'Y �
❑ Outdoor Grill ❑ Other/List What&Where:
2
{
12�17—'14 12:43 FROM— T-289 P0003/0444 F-421
i
�a '
�] Yrs,this seckion applies
Thc rcplacement of a Residential fixturc or annliance that meets alt three of the following requiremvnts:
1. Does not require modifieation eo eloctricat or gas sarviee. �
2. Has a total eost of$500.00 or less;exeludin the cost of thz fixture or appliance:and
3. Is improved,installed or replaced by the homeowner ar licensed contractor.
Skip next section,if this applics; Cost of Pzrmit $ 1�.00
State Surcharge $ 5.00
Mail-In Fce(If Applic$ble) $ 2.DU
7'otal 1'ermit Fee s
�i:Adi".�.�Y.. x. �' � � / G Q.
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If abovc does not apply;folCow guidelines bclow:
1. CONTRACT PYtYC� * is 1.25%of contract pricc with a(lvtinimam�'ce of$50.00}
x.Ol2S$
��"""�.
� (con�r�ct price) (minimum S5A.00)
2, S'X'A�T�SURCHARGE � �C�
_, 1 � x.00OS $� �
(COntmC�PriG4)
3. POSTAGE&I-IAND�,[NG(Only on Mail-In Applications) $ 2.U0
4. TOTAL P��iMIT��E(Add C,ines 1-3 Abovo) $ � �
� * CONT�tAC`'i' P1tICE or JOB GQST means tha actual or estimated dollar amount chargzct for the '
permitted work 'rncluding materials,labor,profit,and other fixed costs. Ft is Chc amount to be charged �
Co t6o customer for the work done. If any matcrial,cquipment,labor or installations arc furnished by
the owner,eenant or any other party,the reasonable market valuc of such items must be added to tho �
estimated cost or contract pricc for permit fee purpos�s, in the event that there is a dispute on the
amount of the job cost,the City may rcquost the submission of a signed cop�of the actual contract.
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The undersigned hereby applics to the City for issuance of a Mech&nical permit, agrees to do all
work in strict accordance with the ordinances of the City and the regulations of the State af
MinnesoCa, and certifies that all �statements made on this application are cornplete, true and
corr�ct.
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Applicant's Signature: _ � Date: �� `�1 ��
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��y� �,i,.c.t,tt�s�-�-���TE � TIME
CITY OF ORONO CALLED IN
INSPECTION N TICE SCHEDULED t �� la � ��'
PERMIT NO. � ' � �,r�� CON�PLETED _T.
ADDRESS l�I 7�,�►'�> i,�'�`.� ``�✓'�"'�'
OWNER TELEPHONE NO.
CONTRACTOR ����, � %�-'�
� DESCRIPTION �t ! y r�):�'--���— ��'
�
� ❑ FOOTtNG ❑ PLUMBING FINAL l ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS
� ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL � ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W KSATISFACTORY:PROCEED ❑ PROJECT COMPLETE
� ❑ ORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O RRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL REfURN
❑CIT ION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. � i
�,;
Call for the next inspection 24 urs in a an `',�2) 249-46�0
OwnerlContractor on site: �
Inspector. "�
White Copyllnspector's Ffle Canary CopylSite Notice