HomeMy WebLinkAbout2018-00052 - gas fireplace * �' CITY OF ORONO * 2 0 1 e - 0 a 0 5 z *
2750 KELLEY PARKWAY DATE ISSUED: OUi7/2018
ORONO,MN 55356-
(952)249-4600 FAX: (952)249-4616
ADDRESS : 737 STONEBAY DR
PIN : 33-118-23-11-0070
LEGAL DESC : STONEBAY THIRD ADDITION �
: LOT 003 BLOCK 001
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIREPLACE-GAS
VALUATION : $ 1,890.00
NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION.
GAS FIREPLACE-HHT-MODEL SL-7
APPLICANT MECHANICAL 50.00
STATE SURCHARGE MECH(VALUATION) 0.95
FIRESIDE HEARTH&HOME TOTAL 50.95
2700 FAIRVIEW AVE
ROSEVILLE,MN 55113 Payment(s)
(651)633-2561 CREDIT CARD 4616 50.95
Minnesota State License#:mech-20512060
OWNER
Wooddale Builders
6117 BLUE CIRCLE DRIVE#101
MINNETONKA,MN 55391-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specificarions,applicable City approvals,and the
State Building Code. This permit is for only the work described and dces
not gant permission for additional or related work which requires separate
permiu. 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.
/ // � // �
Applicant Permitee Signature Date Issue By i ature Date
01-16-'18 12:29 FROM- T-416 P0004/0010 F-838
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V 2750 Kellcy Park�vay
Crysiat Bry,MN'S5323 ApprovCd E3y: Amount$: �b, �
Plwne(9S2)249-4600 Fbx(952)249-4616
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`� G CITY OF ORONO�MECHANICAL PERMIT
t�K SHO�� �pp Cpmmercial pCrmits musl bp approved by the Isuilding Off"icial or[n�pectqr and/or Pire Msrshall)
GrENERAL INFORMATTON
1. 'You may apply for mechanical permiu by�mail or in per�on at the Ciry offices. Applications wi11
be reviewed and a permit will be issued within two working days.
z. Permit cards will be sent by retum mail a13er a review is complet�d. PER�tITS AR�E NOT
VALID UI�1'I'II.YOU RECEIVE A PERMCT. '�'VOYtIC MUS'�NOT BEGIN YJNTYL THE
PERMIT CARD IS POSTED OI�[TH�yOg SITE.
3. Mechanical Dtsiens—Complete calculations,details and spccifications arc rcquired for cach
heating,ventilation,humidification-dthumidificatioa,and sir conditioning installation including
heat loss/heat gain calcutation,design temperatures,�quipment raEings and identification as to
rype,manufactut�r and model. bata shall be presented on form provided.
4. When any new construct'ron or remodeling is involved,a separatz building permit must 6e
obtained.
5_ All work must be done in accordance with the Uniforn�Mechanicai Code/State Buitding Code
requirements_
6. All work must bt inspccted(rough-in and final). Cail(952)249-4600.
{24-48 hour notice requfred)
7. House Heating Test Record mus4 bc submittmd be£ore final.
TYPE OF PERMIT
(Check All That Apply}
��.� i p�, .��i�����:
LAl�� �, . "7 A'. �� �r'-:^�
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Job Site/OWner Tnformation:
_� a� --���� s�►,r,,.e�g,y ���2,
c�'ii'�e'�\ 1�.���dd a,�-e Qu� �� °�A��d�`���
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,
T�om ;���e; �5��.3�1�''�'���Alternate Phone:
Contractor Information:
Contra,ctor: F�RESIDE HEARTH&H�M� Contact Person: _ r���
Address: 2700 �airview Ave N State Bond#:g�fifi2656, Mg662572, pCfi62571
��Cy; Rosevilie, MN Zi�;55113 Expiration Date:
Phone: 651-633-2561 Alternate Phone:�#651-638-3312
❑ Insurance�-Current:
1
01-16-'18 12:29 FROM- T-416 P0005/0010 F-838
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MECHATTICAL SYSTEMS BETNG INSTAI,I;ED
Note:All Geothermal Systems will norv reyui��e a Site plan&Tteview by our Building Official.
IS THiS CEOT���21V1AY.? �]'Y'es ❑No
HEATING SYSTENIS
Quantiry:
Make:
Iviodcl:
�'uel:
Flue Size:
Tnpui BTC�s:
Output BTUs:
CFM:
C40L1NG SYSTENIS
Quantity:
Make:
Modtl:
Tons:
H.Power
��Y�ACLS
—..
_.._.. ..._ ..�.
� G�s.��c�ory:�irgp.�ac,��} . (Braiid-N�iric� -- �� l_.,�.-..-,..—
�QQd�,u�nlnp'�F�aCe _ � . , . - :�
❑ ood���.,�'� - - - odzl�To ��:��:��.
� ,.:: �.. .. �:? � f�
_apd:StoKe wit�i Flue,%M�sonry�
'V�NTIY.AT�ON
❑ No. Kitchen�xhaust duct recirculating cfm
❑ No. Bath Exhaust(must hav�duct ouiside) cfm
❑ No. Other Fans: Locations cfm
�'C1EY.STORAGE (Must ba approved by Fire Marshall ifproposing to aba�t�lon ranit irr plpce.)
❑ installation [� Removal
Fuel OiI: gallons ❑ Undcrground �]Tnside ❑Outsidt
LP Gas: gAllons
OChtr:
GAS ILYN�ONT,'Y
❑ Outdaor Grill ❑ Other/Y.ist What&'Wher�:
�
01-16-'18 12:29 FROM- T-416 P0006/0010 F-838
.• . .
1?E�tiv���'FEB CALCUL;ATION($) .
�4S�0 0��.-2002�STATE.STATUE ... .
❑ Ycs,this section applics
The repl&cement of a Residential fixturc ar appliancc that meets all Ehree of the follpwing requirements:
1. boes not require modification to electrical or gas sorvice.
�. Has a total cost o�f$500.00 or less;eXCllldin the cost of the fixture or appliance:and
3. Ts improved,inscalled or replaced by the homeowner or licensed contractor.
Skip next section,if this applies; Cost of Yzntlit $ 15.00
State Surcharge $ S..QO.
Mail-In Fee(If Applicable) $ 2.00
Total permit�'ee $
, .. ...
���X'Z'�'EE.CAI;CUL?,TION(S)�JOBS O�'ER$500.00
If above does not appiy;follow guidelines below:
1. CQiV'Y'YtACT PRYC� °is 1:?5%of contrac�rice with s(lhlinitnum Fee of$50.00)
•' y''s;q�;''�':���f i ���,�r;.<;
�,C:w�'',�;.,'!i. �D' .,i,
� �PIO .....
2. STATE SURCHARGE ^ A ��
��O °/�.,•�vtf.
�X YQ.V�:i��D� �
�
3. pOSTAG�&�TA1VriLTNG(Only on Mail-Tn Applications) $ ���i`,^^
f 5
4. TOI'AL PERiVIIT F��(Add Lines 1-3 Above) e��"�`�.�.��.�
■ ° CONTRACT PRiCE or JOB COST moans tlie actual or estimated doUar amount charged for the
permitted�vork ineluding matcrials,labor,profit,and othcr fixed costs- It is tha amount to be charged
to the customer for thc r�+ork done. Tf any materiRl, equipmtnt,labor or installations are furnishcd by
thz owner,tenant or any other party,the reasonable market value of such items must bc added to the
estimated cost or contract price for permit fez purposes. Tn the event that thtrc is a dispute o�� the
amount of the job cost, che City may request thz submission of a signed copy of the actuAl contract.
MECHAI�TICAL EERMIT APPLICATION:AGT�EMENT'... .. .
The undersigned hereb�applies to the City for issuance of a Mechanical Permit,�grees to do all
work in stiict accordance with the ordinanees of the City and the regulaiions of the State of
Minnesota, and cenifies that atl statements made on is application are complete, true and
correct.
ApplicanYs Signature: ` D�e''� I r ( (..�!J D
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�( �J DATE TIME
CITY OF ORONO CALLED IN _
INSPECTION NOTICE SCHEDULED � 9.�
PERMIT NO.���'� C MPLEfED
ADDRESS ��
OWNER TELEPHONE NO.���-1� 3���
CONTRACTOR '
� DESCRIPTIC�N
�' I
yF'j ❑ FOOTING � ❑ DEMO-FINAL ❑ SEPTIC FINAL i
� PLUMBING RI ❑ EXCAV/GRADING/FILLING
� ❑ POURED WALL � TREE REMOVAL
❑ FOUNDATION DRAIN TILE ❑ PLUMBING FINAL ❑ S�TE INSPECTION
Z � LATHE ❑ MECHANICAL RI �
Q ❑ FRAMING
❑ MECHANICAL FINAL ❑ RATED WALLS
_ ❑WOOD BURNER/FIREPLACE ❑ COMPLAINT
� ❑ INSULATION FOLLOW-UP
J ❑WATER HOOK-UP �
❑ FINAL FOUNDATION/REMOVAL
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP �
_ ❑ DEMO-SITE ❑ SEPTIC INSTALL
J
2 p�yyN�pN'TppCTOR TO MEET YW:_Y�-
� COMMENTS:, � . r��
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DATE TIME
CITY OF ORONO cnLLED IN � �
INSPECTION NOTI E SCHEDULED �
PERMIT NO. "V � COMPLETED
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ADDRESS 'I
OWNER TELEPH NE NO.
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CONTRACTOR ' �
� DESCRIPTION �
❑ DEMO-FINAL ❑ SEPTIC FINAL
t~y ❑ FOOTING EXCAV/GRADWG/FILLING
Q ❑ POURED WALL ❑ PLUMBING RI �
y ❑ FOUNDATION DRAIN TILE ❑ PLUMBING FINAL ❑TREE REMOVAL
C ❑ MECHANICAL RI ❑ SITE INSPECTION
Z ❑ LATHE RATED WALLS
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑
� ❑ INSULATION ❑ H100D BURNER/FIREPLACE ❑ COMPLAINT
r ❑WATER HOOK-UP ❑ FOLLOW-UP
NAL FOUNDATION/REMOVAL
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP �
_ ❑ DEMO-SITE ❑ SEPTIC INSTALI
v
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS: . ,
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----.. ❑PROJECT COMPLETE