HomeMy WebLinkAbout2016-00321 - gas fireplace • `' CITY OF ORONO
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2750 KELLEY PARKWAY DATE ISSUED: 04/04/2016
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 60 SMITH AVE
PIN : 02-117-23-21-0003
LEGAL DESC : ORONO ORCHARDS
: LOT 041 BLOCK 000
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIREPLACE-GAS
VALUATION : $ 3,300.00
NOTE: HHT GAS FACTORY FIREPLACE
APPLICANT MECHANICAL 50.00
STATE SURCHARGE MECH(VALUATION) 1.65
FIRESIDE HEARTH&HOME MAIL-IN FEE 2.00
2700 FAIRVIEW AVE
ROSEVILLE, MN 55113 TOTAL 53.65
(651)633-2561 Payment(s)
Minnesota State License#:mech-20512060 CREDIT CARD 4608 53.65
OWNER
MILLER, ROBERT
60 SMITH AVE
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 Signatu Date Iss Signature Date
04-01—'16 15:54 FROM— F I RES I DE T-816 P0001/0004 F-246
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O UTY USL ONT,Y
�A r City oF Qrono �1
+y� P.O.C3ox 66 Dato Rocd�ed� � � �ormit# �f,� "'. -�
2750 Kclicy Parkway � . �-' "
Crys[al C3ay,Mt�55323 Ap�rOve4 9y; AmOunt� �
Phone(952)249-4600 F�x(952)249-4616
���q �.G� C�TY OF ORONO—1VY�C�TAN'TCAL PE�21V1YT I,
K.S H O� �Au Commereial pem,ics must be approved by the Building O1'ficial or Inspector ancUor Fire Marshalp
.G�NEFAL';IN�'O�tiV1A'�YON� , ,. =. . _ , ;
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1. You may apply for meehmnieRl pettnits hy m�il or in person at the Gity offices, Applications will �
be revie�ved and A perrnit will be issued within two working days. '
2. Fermit cards wiU be sent by return mail after a re�view is completed. PERMCTS Af�E NOT
VALCT7 CJN'T'IL YQ'�U k2F.CBYVE A P�RMCT. �'VO�1VI�S�'iV0"I'B��TIV C1IVTTY�TY�C�
PERMI'I'CA�TS pOSTED O1V'T'y-I�,�0�SI'X'�.
3. Mechanical Desi2ns—Complete calculations,details and specifications are required for each '
heating,ventil�tion,humidification-dehurnidi�ication,and air cond'rtioning installation including
heat loss/heat gain calculation,desi�n temperatures,equipment ratings and identif,catian as ko
typc,manufacturtr�nd model. Data shall be pros�nted on form provided.
a. When any new consCruction or remodeling is involved,a separafe building permit must be �
obtainad. �
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5. All work must be done in accordance with the Uniform Mechanical Code/State Building Code
rtquircments.
6. All work must be inspeoted(rough-in and final). Call(952)249-4600. f
(2A-a8 hour notice required) ',
7. House Heating Tast Etecord must ba submittcd bcforc final.
,TY`RE-�F:F��MTT: -. �
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l�esldenti.al.� ❑Commercial(Approval k�z.gulrzcl)' •`
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�fI�Teriv �.Addittanal ❑.Repa�rs' (�Re'plac� .
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7ob Si�e/4Wner;,Ii�formation `
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S�te Adc�ress; �� c�,1�i� �)�i
SJwaz_�r:' ( lV��G�1� ���� �Mail�ng Adc�r�s�;; �C�"�J. ���,�t/1 �l �,�J f
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Home Ph:pn�:'. ����`-'��� Alternate phone: �
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Cont�•actor.Ynformation: ° t
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FIRESIDE NEARTH &HOME % �
Contractor: Contact Person: ��P�,,/�
Address; 2700 Fairview Ave N St�te�ond#:gC662656, M8662572, PC662571
City: Roseville, MN zi�;55113 �xp'rration Date: j
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pho�ze: 651-633-2561 Alternate Phone.-� f s51-638-3312
❑ Tnsurance—Current:
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04-01-'16 15:54 FROM- FIRESIDE T-816 P0002/0004 F-246
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Note:Ali Geothermal Systems will now require a Site Plan&Tte�v�ew by our Building Official.
IS TH1S GEOTHERMAL? ❑Yes ❑No �
tI�ATYN'C S'1►''S'X'�MS �
Quantily:
Make:
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Model:
�'uel:
F1uc Size: �
Input BTUs:
Qutput BTUs: �
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CFM: i
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COOY.YNG S'YST'�1VIS !
Quantiry:
Make:
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Madei:
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'ro�►s:
H.Power �
�IY�pLACES:
7� i
(� •,Gas.Factory Flrepl���.. Brand Naine:; f .;;'.�.',`: .� � ;
�Wood Burnin l�Ire 1'ce' �
❑ . �- :. �� ,� . _��'�:�X. l�/� '
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❑ ;W'ooci.Stoye: . �MQd�J�l�.o::;
�:�:.. �, �
.. . .: ........... . : . .. .._ :
[� `,�Vl!ood'Stove:witti.�liie,;/.1YFasonry� � �
V�NTYLATYON �
�
(� No. Kitchen Exhaust duct recircutating cfm '
❑ No_ Bath Exhaust(must havo duct outside) ,�cfrn �
❑ No. Other Pans: Locations cfm �
�CJEL STORACy� (Mi�st be ppproved by FFre Mars/tall if proposl►eg to nbrrndon t�nk in place.)
❑ Inst&llation C] Removal
Fuel Oil: gallons ❑ Underground ❑inside ❑Ouiside
LP Gas� gallons
Other:
CAS LIiVE ONLY
❑ Outdoor Gri11 �] Oth�r J List What&Where:
2
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04-01-'16 15:54 FR4M- FIRESIDE T-816 P0003/4004 F-246
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❑ Yes,this section appl9ts �
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The replacement of a Itesiyjqn;ial fixture or appliance that meets ail thrcc ofthe foilowing requirements: �
't
l. Does not reyuire modifcation to elecprical or�as service. �
2. FCa3 a total eost of$500.00 or Icss;excludine the cost of the fixture or applianct:and t
3. Ts improved,installzd or r�placed try the homeowntr or lictnsed contractor. �
Skip next scction,if this applieS; Cost of Permit $ I5.00 �
State Surcharge $ 5.00 �
Mail-in Fee(If AppliCable) $ 2.00 ;
Total Permft�ee �
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[f above does not apply;foliow guidelines below: �
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1. CONTRACT p�LCC� *is 1.25%of contract pricc with a(Minimum Fee of$50.00) �
� � x:.,0125$ � �7(/:,-�:: :% �
.
. ..tfacfpiiq3)� ;(ro�iiini'uni$30.U0).:
2. S'Y'A'Y'E SURCHARGE y� �
xi:0�UQ5.'$: J ;
`.conttracrjpriceS' � ;
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3. POSTAGE&HANDC.INCr(Only on Mail-In Applications) �$' -2.00 :`.�:� �"��=
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4. TOTAL PERMIT FEE(Add Lines 1-3 Above) :$•^':'�.J'��;:`�.•':::.::`�'�;� '
• * CONTItACT'p1tYCE or JOB COST means the actual or estimated dollar amount charged for the �
permitted work including materials,labor,proFt,and ather fixed eosts. It is the amount to be charged �
to the customer for thc work done, If any material,equipment,labor or installations are furnished by '
the owner,tcnant or any other parry,the reasorrable market value of such itcros must bo addtd to tht
estimated cost or eontract price for permit fco purposes. In the event that there is a dispute on the
amount of the job cost,the City may rcquest r.he submission of a signed copy of the actual contract. t
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The undersigned hereby applies to the Cit�for issuance of a Mechanical Permit,agrees to do all �
work in strict accordance with the ordinances of thc City and the rcgulations of the State of
Minnesota, and Certifits that all staternents made on this appliC&ti0n are COmplete, CruC and �
correct.
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ApplicanC's Signature: - C��.e�--..-�-.._ ;DaY�: (�
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� DATE TIME '
CITY OF ORONO CALLED IN �
INSPECTION�TI E SCHEDULED ��
PERMIT NO. � " cOMPLEfED
ADDRESS �D O �YYl 1--I In '��
OWNER TELEPHONE NO. ��Z �9q-��cIS
CONTRACTOR �I-C�C � -P ���
� DESCRIPTION �l 1��' 1� I �G� � �
4� ❑ 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 ❑ 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 PTIC INSTALL �,� ,- ,/'�
Q OWNER/CONTRACTOR TO MEET YOU: YES_NO `"' �
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v, COMMENTS: � �'�'� �-
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W WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE
� ❑ RRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECWERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ PHOTOTAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspectio�24 hours in adv �. � 249-4600
OwnerfContractor on site: � f
Inspector. ��
White Copyllnspector's Fil� Canary CopylSite Notice
DATE TIME
V
CITY OF ORQNO CALIED IN /
INSPECTION TIC SCHEDULED �D —���L� �v• �
PERMR NO c PLETED
ADDRESS C�Od ��7Y)��-
OWNER TELE ONE N0. a� /
CONTRACTOR �
� DESCRIPTION � �
4� ❑ FOOTING ❑ DEMO-FIN ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLINd
�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
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
v ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OMfNERICONTRACTOR TO MEET YW:_YES_NO
h COM ENT'�
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� ❑VMORK SATISFACTORY:PFiOCEED �ROJECT COMPLEfE
W ❑OORRECT WORK�PROCEED O ISSUE CERIIFICATE OF OCCUPMNCY
0 ❑CORRECT WORK����R REINSPECTION TEMPOFiARY
V BEFORE CONERINO PERMANENT
O CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pHOTO TAKEN
INSPECTOR WFLLRETURN
❑STOP ORDER POSTED.CALL INSPECTOR �GTATION ISSUED
❑INSPECTION REWIRED.CALL TO ARRAN(3E ACCESS.
Cafl for the next inspection 24 hours in advance. (952) 249-4600
OwnerlCorttractor site:
Inspector: i3 D��
WMb CcPYMspector's Flh C�nary CopylSM�Notle�