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HomeMy WebLinkAbout2016-01505 - gas fireplace r , CITY OF ORONO * 2 0 1 6 - 0 1 5 0 S * 2750 KELLEY PARKWAY DATE ISSUED: 12/OZ/2016 ORONO,MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2040 SPATES AVE PIN : 10-117-23-31-0090 LEGAL DESC : ORA PARK ON LAKE MTKA : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 5,920.00 NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. HHT GAS FIREPLACE APPLICANT MECHANICAL 74.00 STATE SURCHARGE MECH(VALUATION) 2.96 FIRESIDE HEARTH&HOME MpIL-IN FEE 2.00 2700 FAIRVIEW AVE ROSEVILLE,MN 55113 TOTAL 78.96 (651)633-2561 Payment(s) Minnesota State License#:mech-24512060 CREDIT CARD 4616 78.96 OWNER DAMMEN,SUSAN 2040 SPATES AVE WAYZATA,MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shail 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 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 180 days of the date of issuance,or if construction is suspended for a period of I80 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. . L! . � � � l�r �i /(a Applicant Permitee Signature Date Issued B ignature Date � 1�30-'16 15:11 FROM- T-480 P0044/0016 F-583 � . ���z��3 -o�f O � R C(�"Y TJS�ON1.Y City of Orotto �/��/ �j//� J� ��(�,�/7 � � P.O.Box b6 Aat�ReCotved: � PCC[fIFC{I,��I/�L'1 ' — `�a � 2750 lCelley Parkway o Crysrsl Bay,MN 55323 Approycd sy, . Amount S: .a:�.�r' Phone(952)249-4bp0 Fax(952)249-4616 y`�t.� �e�� CI'T"Y OF ORONO—MECHANICAX, PERMIT k�S�p (All Commereial permics must be approved by the l�uilding Offieial or Inspcccor andlor Fire Marshalt) Cr�N�RAL INFORMATZOI�'�' 1. You may apply for mechanical permits by mail or in person at the City officos. Applications will be reviewed and a permit will be issued within two working days. 2. Permit cards will be sent by return mail a4�cr a review is completed. PE1�M1T5 ARE NOT VALfD UNTIL'YOIJ R�C�C��A p�RMiT. WOrtI�lVICyST'1VOT$�CYN C�IVTIL THE PERMIT CA�tT�XS pOST�ll ON THE JOB SIT�. 3. Mechanical Desians w Complete calculations,dctails and specifications are rec�u'rred for each heating,ventilation,humidification-dehumidification,and air conditioning installation including heat ioss/heat gain calculatron,design temperatures,eyuipment ratings and identification as Co type,manufacturer and model. 17ata shall be presented on form provided. 4. When any new construction or remodeling is involved,a separate bu'rCding permit must be obtaintd. 5. All work must be done in accordance with the Uniform Mechanical Code/State Building Code rtquirements. 6. All work must be inspected(rough-in and�nal). Call(9S2)249�4600. (24-48 hour notice required) 7. '!-Touse Heat;ng Test Record musf be submitted before final. T'Y�p�O�'P�RIvIIT � � Check A1[That A I ❑Reside❑tiat ❑Commercial(Approval 12equired) •�]�ew ❑Additional ❑Repairs Q 2Leplace 7 Job $ite/Qwrier Tnforrnation: :' Site Address: Z U Qwner• �D �i � , �Q/1� S5: � ��� ,c�-�,� �� �1����2.G�7" z�p: � �� Home phvne: •���Z�[�!�L�nate phone: Contractor InForination: CQntraCtor; FfRE51DE HEARTH & HOME Contact�'erson; L.eah Address: 27Q0 Fairview Ave N State Bond#:BC662656, MBfi62572, PC6S2571 ��ty; Roseville, MN Zip;55113 �xpiration Date: Phdne: 651-633-2561 AI[ernate Phone:Leah#651-638-3312 ❑ rnsurance—Current: 1 11-30-'16 15:11 FROM- T-480 P0005/0016 F-583 � , � , � �.r•�f+�c� �_ - , - '�ypl� . •�.' ��� '� ?`..�'-:'r.'�'r���i���nQ..'-,5�. ..�.. - ---'' '^'" a '° _��.r-�"'' ___ 1Vote: All Ge�thermal Systems wili now reyuire a Site Plan&Review by our�uilding Official. IS THIS GEOTHERMAY.? ❑�'es ❑No H�ATING SYSTEMS Quantity: Make: Model: _ �uel: plue Size: Input BT"[ls� Output BTUs: CFM� COOLING S'Y'ST�MS Quantiry: _ Make: Modzl: 'Tons: H.Power �YR�PLACES � Gas Pactory Fireplace �rand Name: �(r � ❑ 'OVood Burning Fireplaca p Wood Stove Modet No.: _��,7,,,,� ❑ Wood Stave with Fluc/Masonry VENTyY.ATYON ❑ No. Kitchen Exhaust duct _recirculating cfm ❑ No. Bath�xhaust(must havo duct outside) cfm ❑ No. Othzr pans: 1C,ocations cfm �U�L STORAGE (Musl be approved by Fire M�rr�hnl/ifproposVng to abandon tank in pface.) ❑ Inst�llation ❑ Removai Pue!Qil: gallons ❑ Undergrnund ❑Tnside ❑Outside LP Gas: galtons Othor: CAS�.IN��N�,Y ❑ Out@oor Crrill ❑ Othor/List What&Where: . 2 11-30—'16 15:11 FROM— T-480 P0006/0016 F-583 . �. � , , 5 � . �x�., � �s 1 '��'1+, 1 yA"��" �*T �, r�. 7 » . �.s �F a n �" � -1t' �t{' r .�L���.. ^"�_-i�l� R�Y}^.`�.���f�"') ._ h "Gel'-�`�" .:3�7•—_ . � r' � 2 � u_� '�..lk e[ x"n"vs T � �� � , �a �.<§ u xF".?� � �. .,L+ �.,4., � �x)(x� ��-{,yL�`�AT�y��ryy� � L ....C� 4 !IT p/tir_�L.���A,�.\'J �5��,���YV�r���sT*�!}�,7N,;sJt�.t+`�-'c'LJ�.�L1 _ _.tS',tiS __ h _ _�:j: ❑ Yes,this section applics The replsCemen[of 8 Residentisl fixture or appliance that meeis all three of the following rcquirements; 1. boes not require modi�cation to electrical pr gas service. Z. �Tas a total cost of$500.00 or less;cxcludine the cost of the�xture or appliance:and 3. Ts improved,installed or replaccd by thc homeowner or licensed contractor. Skip next section,if this applies; Cost of Permit $ I5.00 5tatt Surcharge $ . 5.00 Mail-In Fce(If App)icable) $ 2.00 Tot�l Permit�ee $ �_� .. _ C� �:�-}y�y.� jy +� p;�TA,� n*T �y �cn �_ . ��s��wi.~:�t',���...����,�=;�x�'.,�� ,i��L�.Lx,t�:+,f.? �`,.z'S%��?'��l�:�J.'!.`�-�^-.4� ,.h�'„'�`_�, � �� ��!�Q=._.��..:��'- '„�r,ll�`�.,�.'�� If above does not apply;follaw guidelines belaw: 1. COIVTRACT PRICE * is 1.25%of contract price with a(Iviinimum�ee of�50.00) �� �'�� x.0125$ ��� (cantract prico} (minimuro 550.00) 2. STAT�S�IRCHA�tGE �(� M'7 ry� � � / G~� x.0005 $ � (Cantract prico) 3. POSTACrE&HANDLING{Only on Mail-In Applicat'rons) $ Z.00 �� ��, �� 4. TOTAY.PERIVTTT FEE(Add Linas 1-3 Above) $ � * CONTRAC7' pItTC� or JO� COST means the actual or estimated dollar amount charged for the permitted work including materials,labor,profit, and other f�xtd costs, It is tha amount to be charged to the customer for she work done. Tf any material,equipment, labor or installations are f�►m;shcd by the owner,tenant or any other party,the reasonable market value of such ittms must be added to the esiimated cost or contract priee for permrt fee purposes. Tn the event that thcre is a dispute on thc amount of the job cost,the Ciry may request the submission of a signed copy of the actual contract. � '��[+/�1 r';*��`f?'�:f S}�,���,e....dY�A-!,�����,N �'r'�( •i�� $ � (;� �y ;f. �}�`�'x, :�r,ah„'4?. .�1�f,f��� N� �. �Z�,:iRS U�' � �.�� '�� ...,l�ii3lfN/"+,'X .ta. �1.f��G,�:�h��i The urtdersigned hereby applies Co the Ciry for issuance of a Mechanical Permit, agrees to do all work in strict aceordance with the ordinances of the City and the regulatians pf the $tate af Minnesota, and eertrfies that alt statements made on this �pplication are complete, true and correct. ApplicanC's Signatur� � �� _ l7ate; S� 3 �/� ��_ DATE TIME CITY OF ORONO cnLLED IN /Z-��.h INSPECTION NOTIC SCHEWLED /a� ._/ � � PERMR NO. ��� coM ereo ADDRESS D � � OWNER TE EP ONE NO. s��3 3 -�� �` CONTRACTOR e G `�G����� ��-� . D � DESCRIPTION Q- �-- �� �-�" ty ❑ FOOTING ❑ DEMO-FI AL ❑ 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 � ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL J ❑ DEMO-SITE ❑ SEPTIC INSTALL Q O'WNENCOI�fTRACTOR TO MEET YW: YES._NO � COMMENT'� �C � ��� 1 �` � 4 o � (,• ' G ler►r.��c�S - �/� � Ile✓l�rvly � !7'1• G� - b� ° ,��'0 v c�G GcGcSS -t6 YGr��� �/G���i-- Q Q l�G►'2 KC c5 0� v�/1 rQ ��!/G� -�-- �!'1 v l� � Gl�f7/� — 2 � � �,� l�✓'Ovr�� �4S �!`.l� � � v- ��s�— . � ���Y'✓'c c�-�- G�L� �v✓ rG� v[��Z�/6�,. j 0 W ❑VMORKSATISFACTORY:PROCEED �PROJECT COMPLETE � ❑CORRECT WORK 3 PROCEED �ISSUE CERTIFlCATE OF OCCUPANCY W � ❑CORRECTVYORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CONERINO PERMANENT �CORRECT UNSAFE CONDITION WRHIN HOURS. p pHOTO TAKEN INSPECTOR NflLL RETURN ❑5TOP ORDER POSTED.CALL INSPECTOR ��TATION ISSUED �ISPECTION REUUIRED.CALL TO ARRANGE ACCESS. v - Catl for the next inspection 24 hours in advanoe. (952) 249-4600 OwneNContractor on site• Inspector: d VYhite CopyAnapectw's File Gnary CoprlSHa Notics � � � �� DATE TIME CITY OF ORONO cnLLED IN �� INSPECTION NOTICE �. SCHEDULED l L7 � ____��S�f-�!Y'1 PERM�T NO.��'�����%I��J COMPLEfED ADDRESS .��J� ` � �.c f-' , . OWNER TELEPHON /NO.�i���{� �=�'7� CONTRACTOR �'�1' i �_,, �r����'�� '' DESCRIPTION � <� c� l �--��.� ,L-i�'�,�/��� � ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLINO Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS ��TION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT `� ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ v ❑ DEMO-SITE ❑SIE�TIC INSTALL i OMINEA�COI�ITRACTOR TO MEET Y�OU:�L YES_NO ,�� � COMMENTS: , � F'K�s�f�5 - De✓ 5i��� - . j �' Vo,tit.rc-� �o�e.io-�c�s v�✓� c� rn- a��.� � — �T ��i.5 t��7��. � � '` ��'�.� � %i'�5 4.L. 6 � a-�� d/L7t/�tslFiJ •.. W � Q � �C IaJo✓/� Cp r✓t l.QL`e � � ►'"`� '� w a� � � ❑NIORK SATISFACTORY:PROCEED ECT COMPLETE � �CORRECT VMORK L�PROCEED ❑I CEFiTIFICATE OF OCCUPYINCY O �CORRECTVMORK,CALL FOR REINSPECTION TEMPORARY V BEFORE(bMERINO pER1iAANENT ❑CORRECT UNSAFE OONDITION WRHIN HOURS. p pHpTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �GTATION ISSUED ❑INSPECTION REf�UIRED.CALL TO ARRAN(3E ACCESS. CsY tor the next h�spectfon 24 hours in edvance. (952) 249-48�� OwneNConirector on site: Inspector: � i �.1�- Whlb CopYAnspectw's FIN Can�ry CopylSlh Notia