HomeMy WebLinkAbout2015-00639 - gas fireplace CITY OF ORONO * z 0 1 5 - 0 PJ 6 3 9 *
2750 KELLEY PARKWAY DATE ISSUED: OS/20/2015
, �i ORONO, MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS : 2771 SHADYWOOD RD
PIN : 21-117-23-24-0059
LEGAL DESC : REG. LAND SURVEY NO.0358
: LOT 000 BLOCK 000
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIREPLACE-GAS
VALUATION : $ 4,816.15
NOTE: BRAND:HHT
MODEL#:ESCAPE 130-F
APPLICANT MECHANICAL 60.20
STATE SURCHARGE MECH(VALUATION) 2.41
FIRESIDE HEARTH&HOME MAIL-IN FEE 2.00
2700 FAIRVIEW AVE
ROSEVILLE,MN 55113 TOTAL 64.61
(651)633-2561 Payment(s)
Minnesota State License#: mech-20512060 CREDIT CARD 4608 64.61
OWNER
OGLE, RICHARD&MARLY
2771 SHADYWOOD RD
EXCELSIOR,MN 55331-
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 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.
1 ��(� i I �`-ut �. `f--�.� c.�y� c c �i � ,��� � �:S _
Applicant Permitee Signature Date Issued By Signature Date
05-20—'15 14:58 FROM— T-827 P0001/0004 F-008
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r. ° Fo�c�TY uS�oN�.'�
, �A r City otOrono , �_y ' � 1S= l�v lo `j�
i y P.O.Box 66 T7atn RCCCi?'cA � f�pc�m�t#�
� 2750 K�lley Aarkway �'; ,'.' ' , ` _ �, �
CrysW1 Bay,MN 55323 Appro'Ved,Sy ,����"'AmOS�nC$ Gl��
� Plionc(952)24N-4600 Fax(952}249-4616 ` � �
�F G� � �'�/
�.�K�SHo��c CITY OF ORONO-MECHAN�CAX� �'EI�MTT �+ y�,�g
(All Gommcrcial permits must bc dpprovpd by the Building OtTcial or In9peCCor end/or Fire Ma�shell)
�.VL�`I.la.t�.AA,S:!! �,�',ll�-lYlta;�..� .:;;�. � , ;Ir �,.,,,�
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1, You may apply for mechanical permits by mail or in perSon at the City offteeS. ApptiCaYions will
bc rcvicwcd and a permit will be issued within tWo working days.
2. Permit cArds will be sent by return mAil after a review is cornpleted. P�RMITS ARE NOT
'I�ALTb�1N'I'r�,'Y'4L112FC�;T'V�A P�}tMIT. WQ�tK MC1fiT NOT BEGIN UNTIL THE
r�nr�Y�r�arzn Ys rosr��oH r�r�.ro�a sYx��.
3. Mcchvnica3 Desi�ns—Complete calculaFions,details and specifications are required for eacl�
heating,�ventilation,humidifieation-dehumidif►cation,and zir conditioning installation including
heat loss/heat gain calculat�on,design temperatures,equipment ratings�nd identif cafion As to (
type,manufacturer and model. Data shall be presented on form provided. '
4. When any new construction or remodeling is invol�ved,a separate building permit must be �
obtained.
5. All work must be done in accordance with the Uniform Mechanical Code/State Suilding Cade =
requirements, i
� 6. All work must be inspected(rough-in�nd final). Call(95?)249-4b00. ;
(Za-a8 hour notice required) f
7. �-Cause Heating Test Rccord must be submitted before final. �
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�,��s�denfjai; ❑;Co��fic�cial,(�.pp7q.va1�e�73�'ed); f
❑�N�!?!� �i!�.�ld�ttp�i�l� ❑t�,G,P�)�� ❑Re�il�cz:
'rob�S�te/O�'Y�er"Itiforniatiot� ` �,'' �
s�t�;�ddr�ss�; 2771 SHADYWOOD RD
4Q��1��;`� MARY OGLE �Yta�l�ng,P►;�d�eSS,: 2771 SHADYWQQD RD
,,�,,.,,,,,:.� _ ,,,
��p�;:;r ORONO ?Zip;.; 55321
" ,'':' `'°,i 952-471-8635
Home,�Plipn�:;� Alternate Phone:
Coiii�ractor'�nfo�mation: ;� ��
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Contractor: FIRESIDE HEARTH & HOME Cont�ct person: �-eah
Address: 2700 Fain,iew Ave N State Bond#:�C662656, Mg662572, PC662571 �
City: Roseville, MN_ zi�;55113 Expiration Date:
Phone: 651-633-25fi1 Alternate Phone:Leah#551-638-3312
❑ tnsurance—Current.
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05-20-'15 14:58 FROM- T-827 P0002/4004 F-Q08
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Note:All Geothermal Systems wi11 now reyuire a Site Alan&Review by our�uilding Official.
IS THIS CCEOTHERMA�,? �Yes 0 No '
�C�ATYN'G SYST�M3
QuantiCy:
Make:
Model:
Fuel:
Flue Size:
Cnput BTUs:
+
Output BTUs: �
CfiM: E
COOLING SYSTEMS �
Quantity:
Malce:
s
Modcl: �
f
Tons:
T-I.Powcr
�•�A4%A']
' ��
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❑ . -- �������`�y����� �
�.: �. °
VEN"['ILATIOIV �
❑ No. Kitchan Exhaust duct recirculating �cfin
❑ No. Bath Exhaust(must have duct outside) efin
❑ No. 4ther Fans: Locations cfm
�U�Y.STOYtAG� (Must be app�over!by FYre Marshall if propostng to abandon�ank fn p(ace.) '
1
�
❑ InstallatlOn Q Etemoval
Fuel Oil: gallons (� CJnde�ground Q lnside Q Outside
LP Gas: ��allons
Other:
CAS�,YNE ONLY
Q 4utdoor Grill ❑ Other/List What&Where:
2
05-20—'15 14:58 FR4M— T-827 P4003/0004 F-008
❑ Ycs,this scction applias
The replacement of a�tesidential fixture or applianct that mccts all three of the following rcquiroments:
1. Dots not require modification to electrical ow�as service.
2. Has a total eost of$500.00 or Iess;oxcludin�the cost of the fixtuee or appliance:and
3. ls improved,installed or replaeed by the homcowner or licensed conhactor. �
Skip next section,if this applies; Cost of Permit $ 15.00
State Surcharge $,�„_,,,,,,�QQ '
Mail-In Fco(If Applicablc) $ 2.00
Tnt�ll Permit Fee �
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If above does not apply;follow guidelines below: �
1. CONTRACT PWCE *is 1.25%of contract price with a(Minimum�ee of$50.00) '
4896.15 i�;i�;OX2�5.��'"���'_=`;��fi��i��;�;,��r��+���4x ;
����±D�CS;�] .(i�li�A. .!�lDi:� ;'�9, �
2. STATE SURCHARGE '
4816.15 x;;,._:NA,;;;,. 2.�41 E
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3. E'OSTAG�&HA.N�C.INO(Oniy on Mail-In A lications ��:00:';Y'`e`��<.'�.:;;
. pP ) �'3 ,;: �.;
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4. TOTAT.P�RMIT�E�(Add�,ines !-3 Above) .�,, �� .�r� 1 r � ,
i��+w-�*��..���` -1iA���,IC':1��'`"����o�
� � CONTR.ACT PR10E or JOB COST means the actual or estimated dollar amount charged for the
permitted work including matarials,labor,profit,and other fixed costs. 1t is the amount to be eharged
to the customer for thc work done. If any material,equipment,labor or installations are furnished by �
the owner,tenant or any other party,the reasonable mawket�value of such items must be added to the
estimated cost or contract price for permit fee purposes. 1n the event that there is a dispute on the �
amount of the job cost,the City may requesf the submission of a signed copy of lhe actual contl'act.
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The undersigned hereby applies to the City for issuance of a Mechanieal Perrnit,agrees to do all ':
work in strict accordance with the ordinances of the City and the rzgulatipns of the State of j
Minnesota, and certifies that ali statements made on this application aro complete, true and
COI78CL.
Applicant's Signature: l.P'LWI� ��"� ���;::,� 5/20/15
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� � "�� DATE TI1�1��/
j CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED �
PERMIT NO.����g COMPLETED
ADDRESS � ? �
OWNER TELEPHON Q.�vS I ? 3535
CONTRACTOR �Y'e�/ � 1��
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� DESCRIPTION
W ❑ FOOTING ❑ DEMO-FINAL �/ ���p��PTI IN ��Lj�
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING e
O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ 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
J ❑ DEMO-SITE ❑ EPTIC INSTALL ❑ FOUNDATION/REMOVAL
2 OWNERICONTRACTOR TO MEET YOU: YES_NO
c�.� COMMENTS: `-!�
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� ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE
W ❑CORRECT WORK 8 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
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. (952) 249-4600
OwnerlContractor on site:
Inspector. ��'�: i r� �
White(Copylinspector's File Canary CopylSite Notice