HomeMy WebLinkAbout2015-00397 - gas fireplace ' � ' CITY OF ORONO * 2 0 1 5 - 0 0 3 9 7 *
2750 KELLEY PARKWAY DATE ISSUED: 04/09/2015
ORONO,MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS : 2496 SANDSTONE LA
PIN : 33-118-23-11-0023
LEGAL DESC : STONEBAY
: LOT 020 BLOCK 001
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIREPLACE-GAS
.VALUATION : $ 5,465.00
NOTE: (2)GAS FIREPLACES
HHT AND HEAT-N-GLO
APPLICANT MECHANICAL 68.31
STATE SURCHARGE MECH(VALUATION) 2.73
FIRESIDE HEARTH&HOME MAIL-IN FEE 2.00
2700 FAIRVIEW AVE
ROSEVILLE,MN 55113 TOTAL 73.04
(651)633-2561 Payment(s)
Minnesota State License#:mech-20512060 CREDIT CARD 4608 73.04
OWNER
Wooddale Builders Inc.
6117 BLUE CREEK DR
SUITE 101
MINNETONKA,MN 55343-
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 dces
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 after work has commenced.
The 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.
(//L���iZ� / �— /
Applicant Permitee Signature Date Issue y Signature Dat
04-08-'15 16:28 FROM- T-712 P0001/0047 F-875
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City of Qrono . . /� 3�,
��� P.O.8ox 6b Date Race . .,.;,. Pi;ii�iC�k �t/l :
0 2750 Kelley Parkrvxy , ,,:�,�, ,..:.:•. .. : ;
Cryslal Bay.MN 55323 Approv�d ; �?otwt S: � •
Phone(952)249-4600 Fax(952)249-4616 !
�`�<,� ,��G� CITY OF ORONO-MECHANrCAL PEY2MYT �
k�s H� (All Cortunercial peunits must be sppmved by the Building Ol�iciat or[nspcctor snd/or Fire Mazshell) �
GENERAL TNF/JRMATION
l, You msy apply for mochanical permits by mail or in person at the City offiees. Applieations will �
bo revicwcd snd a permit will be issued within two working days.
2. Permit cards will be sent by return mail after a review is completed. P$RMITS AIi�NOT
VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN'CINTCL THE
PERMIT CARD IS POSTED ON THE JOB SITE. �
3. Mechanical besig�—Complete calculations,details xnd specifications are required for each
heating,ventilation,humidification-dehumidificatian,and sir conditioning installation including
heat loss/heat gain calculation,design temperatures,equipment ratings and identification as to
type,manufacturer and model. Data shall be presented on farm provided. ;
4. Whcn any nevv constructidn or remodeling is invol'ved,a separate building permit rnust be
obC&ined.
5. All work must be donc in accordance with the Uniform Mechan;cal Code/State Building Code -
requiremrnts. �
6. All�work must be inspect�d(rough-in and final). Call(95?)249-4604.
(24-48 hour notice required)
7. House Hcating Test Record must be submitted bzfore final.
. .. . T�'PE O�pBRMYT
. Check AlI That A 1
�idential ❑Commercial(Approval Required)
� 1ew ❑Additional ❑Repairs ❑Replace
Job.Site/Owuer Infarmatinn:
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Site Address: � 1 ` V� � ;
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Owner: Mailing Address: i
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City: Zip: €
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Horne Phone: �'J l��'�"����v�'�lternate Phone:
Contractor�nformativn;
H�AR7H &HOME TECHN�LQGIES � p• � �j�����13� ��
Contractor: db., C.,,«T�� LIL'ADTtI Q. ��MEContact Person: ��
Lic BC66xfiS6
Address: 270b��AIRVIEW AVENUE N State Bond#:
ROS�V.I�LE, MN 55X13
C��,: 651.633.2�: ��iration Date:
Phone: Alternate Phone:
❑ Insurance-Current:
1
04-08-'15 16:28 FROM- T-712 P0002/0007 F-875
,;�.:.t�.•,� ,. , �
Note:All C�eotherm&I S�+sCems will now require a Site Plan&iteview by our Building Qffici�l. �
YS TH1S GEOTHERMAL? ❑Yc3 ❑No
;
HEATING SYSTEM$ `•
S
t
Quantity: �
Make: �
Model:
Fuel:
�'lue Si2e:
Input BTUs:
Output�TUs:
�
CPM: .._ ��
COO�,ING SYSTEMS �
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Quantity: '
Make:
Model:
F
Tons: `
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�T.Power �
#
FICt�PC,ACES ; �r i � i
�Oas�'acrory Fireplace BrandNam� 1-1� � � ����t l.i �
❑ Wood Tiurning�'ireplace i
❑ Wood Stove Model No.:{���-pJ�l �--�P� 'b'�.1��-.�C �
❑ 'UVood Stove r�vith�'lue/Masonry I
'VENTILATION �
�
❑ No. TCitchen��+haust duct rccirculacing cfm �
❑ No. __^___�, Bath�xhaust(must have duct outside) cfm
❑ No. Othtr Fgns_ Locations cfm
FCIEL STORAGE (Must be approved by Fire Marshali ifpropnsing to abandon tank iri plac�)
�
❑ InsCAllation ❑ Removal �
�'uel Oil: gxllons ❑ Underground ❑Inside p Outside �
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill ❑ Other/List What&Where:
2
04-08-'15 16:28 FROM- T-712 P0003/0007 F-875
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❑ Yes,this section applies �
�
The replacement of a Residential fixture or appliance that meeu all threz of the following requirements:
1_ Does not reyuire modifieation to eleetrica!or gas service. `
2. Has a total cost of$500.00 or less;cxeludine the cost of the fixture or appliance:and i
3. Is improved,installed or replaced by the homeowner or ticensed contractor.
Skip noxt section,if this applies; Cost of Permit $ 15.00
State Surohargc $ 5.00
Mail-Tn Fee(If Applicable) $ ?.00
Total Permit Fee $
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If above does not apply;follow guidelines below:
1, CONTRACT PRICE '�is 1.25%of contract pricc with a(Minimum��oP$30.00)
� � �� x.0125 S �� �1.�
(cont►EU prlCe) {mioimum SSO.Op)
2. STATE$C�YtCHAItCE �f j� , n�
� L w x.0005 $ � ���
(contract price)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ ?.00
+� �
4. TOTAL PERMIT FE�(Add�.unes l-3 Above) $ .
■ � CONTRACT PRICE or JOB C�ST mzans the actual or estimated doilar amount charged for the �
permitted work including materials,labor,profit,and other fixed costs, It is the amount to be eharged �
to the custamer for the work done. (f any material,equipment, labor or installations arz furnished by ,
the owner,tenant or any other party,the reasonable market valut of such items must be added to the t
estimated eost or canUract price for permit f� purposes. In the event that there is a disputa on the '
amount of the jab cost,the City may request the submission of a signed copy of the actual contracC. �
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The undersigned hereby applies to the City for is3uance of a Mechanical Permit,agrees to do alI
work in strict accordance with the orclinances of the City and the regulations of the State of
Minnesota, and certifies that all statemeni� made on this application are completC, true and
correct.
Applicant's Signature: Date: '�
3
��� !/ C✓� DATE TIME �
CIn OF ORONO CALLEO IN
INSPECTION N TIC SCHEDULED
PERMIT NO. � �� COMPLEfED
ADDRESS Z�"Q CD S Q..���1�'U1 �
OWNER TELEPHON�NO. ������
CONTRACTOR
� DESCRIPTION � ���1�-� �``�-'
4~j ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF ❑ TREE REMOVAL
Z ❑ RADON SLAB MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING I AL FINAL ❑ PROGRESS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
? ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL
J ❑ DEMO-SITE EPTIC INSTALL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU: YES_NO
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O �CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOA/ERING PERMANENT
❑CORRECTUNSAFECONDITIONWffHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION RE(]UIRED.CALL TO ARRANGE ACCESS.
Call forthe next inspection 2a hours in�dvance. (g52) 249-4600
OwnerlContractor on site:
Inspector:
White CopyAnspecto�'s File nary CopylSke Notke
- ,_
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
PERMIT NO. �dS � 397 COMPLETED �// /5�-
ADDRESS •S� � �s''� L
OWNER TELEPHONE NO.
CONTRACTOR �°���t L�.�vf .
� DESCRIPTION F•� I2"� L •L .
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 ❑ PROGRESS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
� ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL
J ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL
2 OWNERlCONTRACTO�ET YOU:_YES_NO
� COMMENTS: � ,
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�/`�` BBEC�WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
0�❑CORRECTVYORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COYERING PERMANENT
O CORRECT UNSAFE CONDITION WRHIN HOURS. p p�pTO TAKEN
INSPECTOR WlLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REOUIRED.CALL TO ARRANGE ACCESS.
Cail br the next inspection 24 hours in advance. (952) 249-4600
OwnerlContractor on sHe:
Inspector.�
White CopyAnspecMr's File Canary CopylSita Notks
� ��� DATE TIME�
r C�F ORONO CALLED IN �
INSPECTION N TICE SCHEDULED � %
PERMIT NO. ��5' '��R� COMPLETED
ADDRESS 2-�"Q �v `�N�S�t�- L-A"
OWNER TELEPHONE NO. ��Z - �yI-�
CONTRACTOR ��Ce�/�� � �
�: DESCRIPTION /�' /�-C� �
l� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINA ❑ TREE REMOVAL
Z ❑ RADON SLAB ICAL ❑ SITE INSPECTION
Q ❑ FRAMING MECHANICAL FINAL ❑ PROGRESS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL
v ❑ DEMO-SITE ❑ PTIC INSTALL ❑ FOUNDATION/REMOVAL
2 OWNERICONTRACTOR TO MEET YOU: YES_NO
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❑CO ECT WORK 8 PROCEED O ISSUE CERTIFICATE OF OCCUPANCY
O O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE CWERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in adva . 52) 249-46�0
OwnerlContractor on site:
Inspector.
White Copyllnspector's Fil Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
PERMIT N0.�6.L5'�31�7 COMPLETED �
ADDRESS a�C y� �-ro�S�a�r� L�1 •
OWNER TELEPHONE NO.
CONTRACTOR �-�'/�l� •���s .
� DESCRIPTION �v. �S� �'P;^s-o�� ^
tV ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
� ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ��GIECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
�4 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL
v ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL
2 OWNERICONTRACTOR TO MEET 1(�U:_YES_NO
h COMMENTS:
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� �CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITiON WRHIN HOURS. ❑pH0T0 TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑INSPECTION REWIRED.CALLTOARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-46�0
OMmedContractor on site•
Inspe�tor:�t�—�--
Whits Copyllnspecto�'s File Canary CopylSMe Notiee
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTIC� SCHEDULED �
PERMIT NO. 0�0� "G��'7 COMPLETED ��?��
ADDRESS a4� �.,�a�Q- Gn - I
OWNER 4 TELEPHONE NO.
CONTRACTOR F��s�� �✓�k��"'"�a'"
�; DESCRIPTION � �a5 '�` "�'
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� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL O MECHANICAL RI ❑ LAKESHORFJWETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� �� ❑ SEWER HOOK-UP ❑ COMPLAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
Z OWNERICONTRACTOR TO MEET YOU:_YES_NO
c�., COMMENTS:
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W
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V BEFORECWERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pH0T0 TAKEN
INSPECTOR WILL REfURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REOUIRED.CALL TO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (952) 249-4600
OwnerlContractor on site: ��
Inspector. \
Wh e Copyllnspector's File Canary CopylSite Notice