HomeMy WebLinkAbout2014-01357 - gas fireplace CITY OF ORONO * 2 0 1 4 - 0 1 3 5 7 *
2750 KELLEY PARKWAY DATE ISSUED: 1U20/2014
� ' ORONO,MN 55356-
(952) 249-4600 FAX: (952 249-4616
ADDRESS : 2526 SANDSTONE LA
PIN : 33-118-23-I1-0018
LEGAL DESC : STONEBAY
: LOT O15 BLOCK 001
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIREPLACE-GAS '
VALUATION : $ 4,760.00
NOTE: 1 GAS FIREPLACE HEAT-N-GLO
APPLICANT MECHANICAL 59.50
STATE SURCHARGE MECH(VALUATION) 2.38
FtRESIDE HEARTH&HOME MAIL-IN FEE 2.00
2700 FAIRVIEW AVE
ROSEVILLE,MN 55113 TOTAL 63.88
(651)633-2561 Payment(s)
Minnesota State License#:mech-20512060 CREDIT CARD 4608 63.88
OWNER
Stonebrook Homes
1016 COVEWTRY PL
EDINA,MN 55424-
AGREEMENT AND SWORN STATEMEIVT
The work for which this permit is issued shall be perfortned according to
the approved plans and specifications,applicabte 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 sepazate
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 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 Perrnitee Signature Date Issued B Signature Date
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11-24-'14 13:38 FR4M- T-197 P0001/0046 F-318
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2750 Kelloy Psuicway � ��`"'_ '�� "T;'::;�:`r`. :,r;ti;',:;.,�.;-.r�'t' e
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Crystal Bay,MN 55323 V` 'rA�p,[uye�BYi` 'Akiifotlpi,�c.:,:;f'`:`;` �:'`; i
Phono(952j 249-4600 Fax(452)z49-4616 �� �'" "��''' '
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`��.�k sr�o��,`'~. CYTY OF URONO-�MEC�ANYCAL PERMIT �
(All Commercial prsmits must be approved by the Building OfliClal 0!'IIISpCCtor and/o�Fire Mdrshall)
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1. You may apply for nieehanieal permits by mail or in person at the City offices_ Applications will �
bc revicwcd and a perm;t�+vill be issued with'rn two working days.
2. Permit earcis wiU be sent by return mail after a review is completed. PERMITS AR�NOT �
VALID UNTIL'YOCJ X�CECVE A PERMCT. 'WORK MU5T NOT$E(DM1V�JNTIr,T�� i
p�I2MXT CARn yS�'OSTED ON THE JOB SITE. �
3. Mechanical Dosiens—Complete ealeulations,details and specifications are raquired for eaeh �
heating,ventilation,humidification-dehumidification,and air conditioning installation including ,
hesi loss/heat gain calculation,dosign ttmperatt►rts,tquipment ratiRgs and identification as to
type.manufacturer and model. Data shall bz prescnted on form provided. �i
4. When any new canstruction or rernodeling is involved,a separate building permit must be {
obtained. '
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5. All work must be done in accordance with the Uniform Mechanical Code/State�uilding Codc '
requirements. �
6. All wotk must be inspected(rough-in and final). Call(952)249-a600. �
(24-a8 hour notice required)
7. House Heating Tost Record must be submitted befote�inal.
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Residontial ❑Commercial(Appraval Ttequired)
,�New ❑Additional [J Ttepairs ❑Replace j
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7ob Site/Owner.Information: �
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SiteAddress: ���U',,.Jc.,`•►�t'w���"� ��- '
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Owner: V V ) �c�1�^N� Mailing Address: �.P�+ I �I I/lQ CI V� ������ i
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City: ��Yl������V.�.1JLty��l" �� Zip: .�'����'� ;
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Horne Phone: _ � ����)� Alternate Phone: I
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Contractor Xnfor�riation: � . i
W��At��°M &H4ME TECHNOLOGI En (��]�"l¢3�-��12,
Contractor: d & r�QM�ontact person_ � Qs�.
�.ic BC662656 �
Addre3s: 2700 FAIRVi�w av��ru�� State$ond#: "b���Z���
R05EVI�L�, MN 551i�
C�ry; fiS1,633.��a. _ Expiration Date:
�hone: Alt�rnate phone: ���~� a J�����
[' Insurance—Current:
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11-20-'14 13:38 FROM- T-197 P0002/0006 F-318
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Note:All Creothermal Systems wil!now require�Site Plan 8c ReView by our Building OffiCjal. `
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IS T�YS G�O'r��RMAL? ❑Yes �No j
H�ATYNG SYSTEMS �
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�uantity: „w�_ s
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Makc� �,,,_,,,,� -----
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Model: --- °
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�lue Size: `
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Input BTUs:
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Output STUs: j
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CFM:
COOLING SYSTEMS
Quantity:
Make:
Madel:
Tans: ,
H.Power
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FIREPLACES ;
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� Gas Factory Firepla /� �rand Name: ��Qc�� 1�'l"��u f
❑ Wood Buming Fireplace �h,,,��� (�iC �
❑ Wood Stove Model No.: �,��„ . V
❑ Wood Stove with Fluo/Masonry � ,�j �����I _.r��,r f P� �
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'V�1V'Y'yC.ATION
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(� No. Kitchon ExhausC duct recirculating cfm ,
❑ No_ Bath Exhaust{rnust have duct outside) cfm �
❑ No. �„,^, Other�ans: C.ocations �cfm �
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FU��,STO�tAG� (Musf be approved by F1re Mara/rall tfproposing to abandon tank in p!'ace,) �
❑ Installation (� Removal
Pucl Oil: gallons Q �Jndergtaund ❑Inside ❑Outside
LP Gas: �gallons
Other:
Gr#S�.yN�ONY.Y
�] Outdoor Grilt ❑ Other/List What&Where;
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11-20—'14 13:39 FROM— T-197 P0003/0406 F-318
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� Yes,this section applies r.
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The replacemcnt of a Residential fixture or a liancc that meeu a11 three of the following requirements: ;
1. boes requirc modification to eleatrical or gas serv;ce. '
2. i�as a total cost of$SU0.00 or less;excludin the cost of the 6xfure or appliance:and �
3. Is improved,installed or repiaccd by the homeowner or licensed contractor.
Skip neatt section,if this applies; Cost of PormiC $ 15.00 �
State Surcharge $ 5.U0 I
Ma41-Cn Fee(yf Applicable) $ 2.00
Total Permit�'ee $ �
,�� � ?� 1,.* (� (5�:�"''�i� '.:4s'R�yi� a�:
;St!,J!.lA+ .4'� i � i 1: ��' � .s%' J �n.{..����4L,�. NS.��,�.'r�Np,�nlj.}?Yi.Y`^fAty''i.�YJaeVe �
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1f above docs oot appty;follow guidotines below: �
�. CON'Y'RACT PR1C$ �'is 1.25%of contract priee with a(Minimum Ree of 550.00)
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(conaact prica) (minimum S�.do)
2. STAT�S'C1�Af:�ARGE �"J
` O x.0005 $
(contract pricc)
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3. POSTAGH&HANDLING(Only on Mail-Cn Applications) $ 2.00 �
( n�j'[�� I
4. TOTA�.P�RMIT FEE(Add T�ines 1-3 Above) S �Y ✓'�`� i
� � CONTRACI' PR10E or J0� GOST means thz actual or estimated dollar amoune ctrarg�ci for the
perm;tted work ineluding materiats,labor,profit,and other fixed costs. It is the amount to be charged
to the castomer for thc work donz. �f any material,cquipment, labar or installations are fumished by
the owner,tcnant or any other parry,the roasonablc market value of such items must be added to the
estimatcd cost or contract price for permit fee purposzs. In the event that there is a dispute on the
amount of the job cost,the City may request the submission of a signod copy of the actual contract.
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The undersigned hereby applies to tho Ciry for issuance of a Mochanical permit,agrees to do �ll �
work in sCrict accordance with the ordinances of the City and the regulatiqns of the State of `
Minnesota, and certife3 that all statements madC on this application are complete, true and �
correct.
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Applicant's Signature: DaCc: � ��! �
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11-20-'14 13:39 FROM- T-197 P0004/0006 F-318
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Hi?nK•r�ir.HOW�-
Best Brp�ds, ProfeSsionally Installed, Service For Life
2700 N Fairview Ave � Raseville,MN 55l 13 ;
P: (b51) 633-2561 �F: {651) 633-888� '
Roseville_Builder Ops�hearthnhome.com �
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From: �eah
Phone: (653) 638-3312
Comrnents:
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� � � o Master Card fpr Permit Payment: �
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Q # 5569-6300-0079-460$
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o �xpires 07/2Q 17 � i
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o CCID #577 I
o Name on card: Jocina Hammer HNI Corporation �
o Address: 2700 Fairview Ave N RosevilEe, MN 55113
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11-20-'14 13:39 FROM- T-197 P0045/0006 F-318
MEMORY TRANSMISSlON REPOR7
' , �, TIME :11•19-2014 18:32
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FILE N0. : 307 ;
DATE : 11.19 18:31 �
70 :� 9522494616 a
DOCUMEN7 PAGES : 4 i
START TlME : 11.79 18:31 :
END TIME : 11.i9 18:32 �
PAGES SENT : 0 �
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11-20-'14 13:39 FROM- T-197 P0006/0006 F-318
MEMORY TRANSMISSION REPORT
TlME :11•19-2014 18:37 :
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NAME . ;
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FILE N0. : 311 ft
DATE ; 11.19 18:33 k
TO :$ 9522494616 �•
DOCUI�ENT PAGES : 5 �
START TIME : 11.19 18:36 P
END TIME : 11.19 18:37 6
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CITY OF ORONO C LLED IN
INSPECTION NOTIC �-�7 SCHEDULED
PERMIT NO. a��� "'C��'J/ COMPLEfED
ADDRESS � �J o�Ln ,�Ct.h c��f7�7'tP ��
OWNER TELEPHONE NO. �`" 3 3�`�
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ly ❑ FOOTING ❑ PLUMBING FINAL p EXCAV/GRADING/FILLING
� ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREM/ETLANDS
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Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEP�FINAL ❑ FOUNDATION/REMOVAL
2 OWNERICONTAACTOR TO MEET YOU: YES_NO -.
� COMMENTS: /'d v t�_f�f�S���(Gr� �Cc�/� �—
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W ❑WORKSATISFAC70R . ED ❑ ROJECTCOMPL
� ORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECWERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WILL REfURN
❑STOPORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-4600
OwnerlContractor on site: �d' �G
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Inspector.
White C ylinspector's Ffle Canary CopyfSite Notice