HomeMy WebLinkAbout2016-00281 - gas fireplace CITY OF ORONO * z 0 1 6 - 0 0 2 8 1 *
2750 KELLEY PARKWAY DATE ISSUED: 03/25/2016
� ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 725 SIXTH AVE N
PIN : 26-118-23-44-0006
LEGAL DESC : LJNPLATTED 25 118 23
: LOT 1 BLOCK 2
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : COMMERCIAL-BUSINESS
CONSTRUCTIOPi TYPE : FIREPLACE-GAS
VALUATION : $ 4,665.65
NOTE: A NEW ADDITIONAL GAS F[REPLACE(HHT)
APPLICANT MECHANICAL 58.32
STATE SURCHARGE MECH(VALUATION) 233
FIRESIDE HEARTH&HOME MAIL-IN FEE 2.00
2700 FAIRVIEW AVE
ROSEVILLE,MN 55113 TOTAL 62.65
(651)633-2561 Payment(s)
Minnesota State License#:mech-20512060 CREDIT CARD 4608 62.65
OWNER
Spring Hill Golf Club
725 SIXTH AVE N
WAYZATA,MN 55391-
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 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.
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Applicant Permitee Signature Date Issued By Signat re Date
03-24-' 16 12:13 FROM- F I RES I DE T-781 P0041/4004 F-198
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� O City of Orono Z� ,
� �O P.O.[3ox 66 Date Reczived:� ZSII RpC�m�t t�. U
275o Kclley Parkway
Cryatal Bay,MN 55323 :4pprovcd ay: :�,,,��Amount�;��
Phone(95z)3a9.a600 Fax(95z)za9�4616
y���r w�� CITY OF ORONO—MECk�ANXCA�,PERIVIYT ,
�bs HO�` (Al]Commorcial petmiw must!x approved by the Bwlding Off'icial or Inspccror anQ/or Fire Marshatl)
GEN�RA�,rNFORMATY�N ,
1. You may apply for rnechanical permits by mail or in person at th�Crry offices. Applications will
be revitwed and a permit rvill bc issued within two working days.
2. Permit cards will bc sent by return mail after a rev'rew is complctcd. PEFtIv11TS A�t�NOT
'�AI.CTJ CJNTIL YOU RLC�1V�A PERMI'f. 'WOyiK MUST N�T BEGIN�1lVTYL T�i�
P�f2M1T CA�b IS POS'I'EY1 ON THE JOB STT�.
3. Meehanical nesi�ns—Complete caIculations,details and speci6cations aee required for each
heating,ventilation,humidificAtion-dehumidifcation,and air conditioning installation'rncluding
heat loss/heat gain ealculation,des'rgn temperatures,equipment ratings and identification as to
rypc,manufacturer and model. Data shall be prestntcd on form prov'rded. ,
�. Whtn any new construction or remodeling is involved,a separate building permit musC be
obtained.
�. All work rnust be done in accordance with the CJniform Mechanical Code/State Building Code
rcquirements.
6. All work must be inspectcd(rough-in and final). C&11(952)249•4600.
(z4-48 hour notice required) �
7. House i�eating Test Rocord must be submitted bcforc final, �
T�p�a���xMcT . r
_ Check All Thaf A [ !
:Residcntia3 �CommeTcial(Approv�,l Reau'rred)'
���
❑New �dditionaC ❑,Repairs ❑EZCpiBCc
r�b Site/Qvvner Infortnatiori; ;
�Site,Addres's: ��� �Vl� �, �j ',
f �+� �. �A�
Ovvi'icr:' �� 1 (�l Ub M�i�ing.tlddress: ��/
'Ciiy: ��yp: '
Home Phone: __ Alternate Phone:
(:ontractor Information:. �
Contractor: FIR�SfpE HEARTH & HOM� Contact Petson; Leah �
Address: 2700 Fairview Ave N State Bond#:BC662656, M6662572, PG662571 $
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City; aoseville, MN zip;55113 gxpiration Date: ;
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Phone: g51-633-2561 Alternaie Phone;Leah#651-638�3312
❑ Insurance—Current: �
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43-24-'16 12:13 FROM- FIRESIDE T-781 P0002/0004 F-198
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�i���'..1��� ���?T: ��1�T;��"'_'"-_`.::_:._`.--- ,.��,.:�.�:;:;�,:;�.�..:.
Note:All Geothermal Systems will now require a Site PIan&Review by our Bailding Official.
�s r��s c�orx�����,� ❑�es Q No �
HEATING SYSTEMS �
Quantity: .'
i
Mak�:
Model:
_,,.,.__
Fuel:
Plue Size: .
input BTUs:
Output B'I'CJs� :
CFM:
CA4�iN�S'YST�MS
Quantity: 4
�
t
Makc:
Model:
Tons�
�C.Power �
tFIREPLACES •
� �.Gas Ractorj+Firsplaco:. . $tai(d Nazite: _''���� � _
; .. . . .
❑ Wood;BumingFireplacz .. . ,
❑ Wood�3toye' ModelNo.:' � ��:
(] :`I�V'ood Stove with:Flue/.Masonry
�
'V'�NTI�.ATYOIV '
❑ No. Kitchen Exhaust duct rtcirCulating cfm ;
❑ No. Bath Exhaust(must have duct outside) cfm i
❑ No. Other fians: �,ocations cfm
i
FOEY,STOXiA('x� (Must be approved by 14'Yre Marslrrtfl if proposi�ig to abandon tnnk in pl[�ce.) �
❑ Installation ❑ Removal �
Fuel Oil: gallons ❑ Underground ❑lnside ❑Outside �
Lp Gas: gallons �
Other: i
�
GAS LINE ONLY I
1
❑ Outdoor Grill ❑ Other/T.ist Wha#&Where:
2
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03-24-'16 12:13 FROM- F I RES I DE T-781 P0003/0004 F-198
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.Y a��3�x5�iK�F�e'�s�'�� Y�Si ,F x� ���.5 2 ,�'���?��',r � ��t �� 3� '
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[,) Yes,this section applies
The replaecmenC of a Residential�xture or applianee that mccts all three ofthe follow'rng reguirements:
1. l�oes.nQt require modifieation to electrical or gas service. =
2. �as a total cost of$500,00 or less;excludine the cost of the fixture or applianez:ar►d
3. Is improved,installed or repl�ccd b�the homeowner or licensed contractor.
Skip next section,if this appl'res; Cost of Permit $ 15,00
Stafe Surchargt $�,_w„�Q,.Q
Mail-In Fee(lf Applicable) $ 2.00
ToEal Perrnit Fco S
�1'�x-����� c ?nc' .6� � p�£�4 _.�'°I L D �'�An„ .�tr�F �} � � '
Tf above does not apply;follow gu;delines btlow: '
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1. CONTRACT p12CC� '�is 1.25%of contract p�c,�with a(141in➢mutn Fee of$SOY00) �
r,, b �
5� � x.012$$ . � � . .
'(onl��ciprice) (n�in;mumSso.00)
2. STAT�S�Y2�:�ATiG� � ! �" ,°'�
�/(0 x'.04QS $ �� �
( ntract price) s
3. POSTAC�E&HANDLING(Onty on Masl-Tn Applications) $� '�� ' '�,�
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4. TOTAX,��RMYT�'��(Add Lints 1-3 Above) $' .`� ' `��
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■ � CONTRACT PR10E or .�OB COST means the actual or estimated dollar arr�ount charged for the
ptrmitCed work incfud'rn�materials, labor,profit,and other fixed costs. lt'rs the amount to Ue charged :
So the custorner for the work donc_ If any material, equipment, labor or installations arc fiirnished by
the owner,tenant ar any othcr party,the reasonable market vah�c of such items must be added to the ,
esfimatcd cost or contract price for permit fee purposes. in ihe event that there is A dispute on the
amount of thc job eost,the Ciry may request the submission of a signed copy of the actual contract. �
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The underSi$ned hereby applies to the City for i5suance of a Mechanical Perm'rt, agrees to do all I
work in strict aceordanee r�ith the ordinances of the City and the regulations of the State of
Minnesota, and certifies that all statements made on this appliC�C►on are Complete, true and
coxrect.
Applicant's Signature: � ��_ n.ate: � �/y `�
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DATE TIME �
CITY OF ORONO CALLED IN ��
INSPECTIONSIQ�JCE�� SCHEDULED I�
PERMIT NO.��`� �o COMPLETED ��{� � '�
ADDRESS Z `
OWNER TELE ONE NO.
CONTRACTOR �reS! �j ��� ttt?r�k Pi
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� DESCRIPTION
W ❑ 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
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
? ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL
J ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
� . COMMENTS:
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W SATISFACTORY:PROCEED ❑PROJECT COMPLETE
� ❑CORRECT VYORK 8 PROCEED O ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOYERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-46��
OwnerlCon or on site:
Inspector. �
White Copyflnspector's Fils Canary CopylSite Notice
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� _ b- i �,-���� DATE TIME
CITY OF ORO���� b � CnLL'ed iN
INSPECTION NOTI E scH�E�p�ED /
PERMIT NO. � '�Z����:���d�'er�� ,
ADDRESS ��,?�-�?� �-�-k '� t �-i``�'� /�l
OWNER TELEPHONE NO. �o�Z`?�(�--�,(��
CONTRACTOR �
� DESCRIPTION ` � �`��
ty ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL I�JT� yJ�/
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILUfNCdQT`�
Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING 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
�U ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
J ❑ DEMO-SITE ❑ SEPTIC INSTALL � �JZ�
2 OMfNERlCONTRACTOR TO MEET YOU:_YES_NO � Y��
c�., COMMENTS:
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W ❑WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE
� RRECT VYORK&PROCEED CJ� ❑ISSUE CERTIFICATE OF OCCUPANCY
�COR ECT WORK,CALL FOR REINSPECTION TEMPORARY
EFORE COVERING PERMANENT
O CORRECT UNSAFE CONDITION WITHIN HOURS. O PHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR O CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. (952) 249-4600
OwnerlCorttra r on site: '�
Inspector:
White Copyllnspector's File Canary CopylSite Notice