HomeMy WebLinkAbout2015-01470 - gas fireplace � � CITY OF ORONO
2750 KELLEY PARKWAY * 2 0 1 5 - 0 1 4 7 0 *
DATE ISSUED: 1 U17/2015
ORONO, MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS : 2498 SANDSTONE LA
PIN : 33-118-23-11-0022
LEGAL DESC : STONEBAY
: LOT 019 BLOCK 001
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIREPLACE-GAS
VALUATION : $ 1,795.00
NOTE: GAS FIREPLACE HEAT-N-GLO
APPLICANT MECHANICAL 50.00
FIRESIDE HEARTH&HOME STATE SURCHARGE MECH(VALUATION) 0.90
2700 FAIRVIEW AVE MAIL-IN FEE 2.00
ROSEVILLE,MN 55113 TOTAL 52.90
(651)633-2561 Payment(s)
Minnesota State License#:mech-20512060 CREDIT CARD 4608 52.90
OWNER
Wooddale Builders Inc
6117 BLUE CIRCLE DR
SUITE 101
MINNETONKA,MN 55343-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be perfortned according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. 1'his 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 l80 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 are
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
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GQ. er" ..� // ��7 ��S
Applicant Permitee Signature Date I su d y Signature Date
1'!`16-'15 15:31 FROM- T-438 P0001/0007 F-778
� ������ e���� �'O�t ITY C�SE 4N�,Y -
City of Orono
�� p.o,sox 66 nate��v� /�Patm�i a eZl�/$: b/�7�
�� 2750 Kellpy Parkway ' " .
R��"'` Crystal 8ay,MN 55323 Ap}lrovpd$y- Amowif S:��� D
v�� Phone(952)249-4000 Pax(952)2a9.4616 .
q y� ���� CYT'Y UF ORONO—MECHANYCAY�PER1VrCT .
�
V I � � K6S H� (Ail Commcrcial pcnnits must do approved by the 13uilding Official or InspeCtor end/or Fire Marsh0tl) �
C1TY 0� RAT;TNFORMATION � . , '
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1_ You may apply for mzchaeical permits by mail or in person at the City offices. Applieations will �
bo reviewed and a parmit wi11 be issued within two working days. '
2. Pcrmit cards will bc sent by return mail after a review is compictcd. PERM[TS ARE NOT
'VAC.ID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT B�G1N UiVTIL THE
�'�RM�'�'CARD IS POSTED ON THE JOB SIT�.
3. Mechanical Desies►s—Complete calCulation3,dttails and specifications are required for each
heating,ventilation,humidification�dehumidifieation,and air conditioning insCallation including
heat toss/heat gain catculation,dcsign temperatures,aquipmznt ratings�nd identification as to :
type,manufacturer�rcd rnodel. Data shall be presented on form pravided.
a. When any new consiruction or remodeling is involvcd,a scparatc building permit must be
obtained. `
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5. A!)work must be done in accordancc with the Unifonn Mzchanical Code/Statz Building Code ;
rcquircments, :
6. Ail work must bc inspected(rough-in and�nal). Call(952)249-Q600. f
�
(24-Q8 hour notice required) �
7. House Heating Test Record rnust be submiited beforc final.
TY�?k�OF pERMTT, i
� (Check All That A 1 . , ;
�idcntial. �.Gomm�rcial(Approval�quired)
L�Ve�v ❑.Additional ❑Repairs ��tepla�e`
�7ob Site/Oi�vner lnformatian: '
�ite'Address: � � l) ��� 7U��. �C�V ►'�-' , x
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O�i�vner: � Mailing Address:
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C.iCy:�. Zip: ;
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Horne one:. A ternate Phone: i
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Contractor Information: �
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Contractor: FIRESIDE H�ARTW & HOM� Contact person; Leah �
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Address: 27A0 Fairoiew Ave N State Bond#:BC66265fi, MBfi62572, PC662571
City; Rosevills, MN Zip;55113 Expiration Date:
Phone: 651-633�2561 Alterr�ate Phone:�eah#651-638-3312
❑ Insurancc—Current;
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11�16-'15 15:31 FROM- T-438 P0402/0007 F-778
�,.io!!Ci�.�;4'.rF;'%\lhi;:��!l���:"l.�rr3:�: ;Ih�. ;(:.,sy;�/�;`.�1f}";`,-�`�? ,
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Notc: All Qeothermal Systems will now require&Site plan&Review by our Building Official. �
YS THYS G�OTH�CtMAL? ❑Yes ❑No �
HEATIIVG SYST�MS
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Quantiry: ;
's
Make: �
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Modcl: �
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�uel:
Fluc Siz�:
Input�T�Js:
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Output BTUs: .
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C�M: i
COOY.INC S'l''ST�MS {
Quantity:
Make:
�
Model:
Tons:
�,Power
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�iREp�,nc�s
� Gas Factory Pirepl�ce Brand N'amz: `�'1 .� �I..V'"' . �(�7 �
[J Wood Buming,Fireplacc �` 1� ;
(] .'VJ�obd Stove Modol No�: S`s��.V>` ��( �, �� E
❑ �Wood Stoyz with l�lue/Masonry.
VENTILATION ?
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❑ No. �itchen Exhaust duct rccirculating cfm j
❑ No. Bath�xhaust(must have duct outsidz) cfrn i
❑ No. Othcr Fans: Locations cfm j
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�UL�C.STO�tAG� (M��st be up,proved 6y FYre Mnrshnll fprupos�ng to nbandon tank in p►nce.) �
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❑ Inst�tllation ❑ R.emoval i
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Puel Oil: �gallons ❑ Underground 0 Tnside �Outside
�.P Gas: gallons
Othcr:
GA.S y.,XNE ONLY
❑ Outdoor Grill ❑ Other/List What&Where:
2
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, 11416-'15 15:31 FROM- T-438 P0003/4007 F-778
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Q Yes,this section applies �
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The replacement of a ltesidential fixture or ap��iance that meets al!three of thc following requirements; '
1. Docs not require modifcation to electrical ar gas service. �
2. Has a total cost af$SOO.OQ or less;exeludin the cost of the�xture or appliance:and ;
3. Cs i►nproved,installed or replaced by the horneowner or licensed contractor. '
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Sklp ncxt section,ifthis applies; Cost of Permit $ 15.00
State Surcharge $ 5.0(1
Mail-Cn Fee(If Applicabl�) $ 2.00 ,
Total permit Fee $
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°,�t.'fN:r. :�.-�'f.�,�4i,�.�< :�d�kC/��'�'%r `:G '��'+�V�ATI�lr S .�T3�V��U;.�aY.F`,.�R��D.?QN V�.:. �$���,l�'a i q � i'
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Tf above does not appty;follow guidelincs bolow: �
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1. CONTRACT�YtYC� *is i�5%of contracC prict 't a(1Vtinimum�ee aP 550.00) �
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1 ,�c;:olzs:$' ::'.`�.;.::;;.;..::; . ;:;:....
;(con�ractppca)� '(mini�uom.i$0.00)'I
2. STATE SURCHARGE 1 � ��
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/�x�;4�Q5'',��
�{eontr�ct prico)�
3. POSTAG�&CIANDLING(Onty on Mail-In Applications) �$'���2.00.>.� �;:':`��:�`'��i
4, fQ'�'AK,,p�RMTT FEE(Add Lints l-3 Abovc) +$:�, ��' '�"�
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■ '� CONTRACT PRICE ar J013 COST means the actual or estimataA doliar amount charged for the �
permitt�d work including matorials,labor,profit,and other fjxed costs. Ct is the amount to bc charged ;
to the custoroer for the work done. If any material,cyuipment,labor or installations are furnished by ;
the awner,tenant or any other party,the reasonable market�valuc of such items must be added to the
estimaCcd cost or contract price for permit fee purposes. Tn the event that there is a dispute on the ;
amount of tht job cdst,the City may request the submission of a signed eopy of thc actual contract,
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The undersigned hcreby applies to the City for issuance of a Mechanical Permit, agrees to do all �
work in striet accordance with the ordinanees of the City and tha regulations of the State of
Minnesota, and certifies that all statements made on this application are complete, true and
coirect.
A.pplicant's Si�nature: t.G''R.l�(/ L�J`�/�i^GYL�'l.G�'/^ rpati�::� 1 ` �,�
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DATE TIME
CITY OF ORONO cnLLED IN �s
INSPECTIO NOTIC SCHEDULED '
PERMR N COMPLETED
ADDRESS � y � ��" �
OWNER TELEPH NO. - (0/a � �O-I�
CONTRACTOR ��L�� �j�S
� DESCRIPTION
� � � �' /o�-�
W ❑ FOOTING ❑ EMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
O ❑ FOUNDATION WATERPROOF ❑ PIUMBING 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
41 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_ ❑ DEMO-SITE ❑ SEPTIC�ALL
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2 OWNERfCONTRACTOR TO MEET Y'OU:_YES NO
� COMMEN'T�; �� �� "''=��
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Wr4J�f3ATISFACTORY:PROCEED ❑PROJECT COMPLEfE
�O CORRECT WORK d�PROCEED ❑ISSUE CERTIFlCATE OF OCCUPANCY
O ❑CORRECT YYORK����R REINSPECTION TEMPORARY
V BEFORECONERING PERMANENT
❑CORRECT UNSAFE CONDITiON WITHIN HOURS. ❑pHOTO TAKEN
INSPECTOR WFLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ��TATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Calt for the next inspection 24 hours in advance. (952) 249-4600
OwnerlCoMractor on site:
�
Inspector. � � �' �- -
WhiN CapyAnspecMr's FIN Canary CopylSite Notfce
�
�� „ / 1 /
��� DATE TIME
CITY OF ORONO '' cnLLED IN
INSPECTION NOTICE SCHEDULED Z � ; �'
PERMIT NO. �� I ��-�� �I�L� COMPLETED
ADDRESS 7 � �� � .� �Y�a .�_�- O r"1� L I-�
OWNER TELEPHONE NO.
CONTRACTOR
� DESCRIPTION
C��' -�}- i `����� � �i��� 1
ly ❑ FOOTING ❑ DEMO-FINA :r ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI � ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINA ���� ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI �j ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
�L ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNERlCONTRACTOR_T�EET YOU:_YES_NO
� COMMENTS: �- - ��, — � � _, � .
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Q —��,� 6 � r.�rk �n w���e� 1� 4.�
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W� ❑WORK SATISFACTORY:PROCEED CT COMPLEfE
� ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERINCa PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail forthe next inspection 24 hours in advance. (g52) 249-46��
OwnerlContractor on site:
Inspector. � � v
White Copyflnspecto�'s File Canary CopylSite Notice