HomeMy WebLinkAbout2018-00051 - gas fireplace F �' CITY OF ORONO
2750 KELLEY PARKWAY * 2 0 1 8 - 0 0 0 5 1 *
DATE ISSUED: OU17/2018
ORONO,MN 55356-
(952)249-4600 FAX: (952)249-4616
ADDRESS : 739 STONEBAY DR
PIN : 33-118-23-11-0071
LEGAL DESC : STONEBAY THIRD ADDITION
: LOT 004 BLOCK 001
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIREPLACE-GAS
VALUATION : $ 5,117.00
NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION.
(2)GAS FIREPLACES
MODEL SL-7 AND LCOR-36
APPLICANT MECHANICAL 63.96
FIRESIDE HEARTH&HOME STATE SURCHARGE MECH(VALUATION) 2.56
2700 FAIRVIEW AVE TOTAL 66.52
ROSEVILLE,MN 55113 Payment(s)
(651)633-2561 CREDIT CARD 4616 66.52
Minnesota State License#:mech-20512060
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OWNER
Wooddale Builders Inc
6117 BLUE CIRCLE DRIVE
MINNETONKA,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 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 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 Signature Date
01-16-'18 12:28 FROM- T-416 P0001/0010 F-838
" �� � 157�
�� � f���� y"� � / R C Y U E ONLY
( ✓ � City of Orono
� � P.O.Box 66 Dnte Recei :� Permit� � �
� 2750 Kellay Parklvay
Crysta�Bay,1NN 553�3 Approved By: Amount S:��
Phone(952)249-4600 Fax(953)249-A616
�� ��
�'�kFs Ho��'� �YT'SC O� ORONO—MEGHANYCAY.1�'ERMYT
(A1!Commrrtial pertniTS must be 8pprovCG by the liuilding OffiCiN or lnspector end/or F'ire MarshalQ
GENERAL TN�ORMATTON
1. You may apply for mechanieal permits by mail or in person at the City offices. Applications will
be rtviewtd and a parmit will be issucd within two working days.
2. Permit cArds will be sent by refurn mail aRer a rcvicw is completed_ PERMITS ARE NOT
VA�.TD UNT1L YOCJ TiEC��V�A p�KMIT. WORK 14IUST NOT BEG1N UNTIL THE
P�RM1T•CARD IS POST'�b ON TI�E.�OS SITE.
3. Mechanical Desi�ns—Complete ca�culadons,detaits and specifications are ce9uired for eaeh
heating,ventilation>humidificacion-dehumidification,and air eonditioning'rnstallbtion ineluding
heat loss/heat gain calculation,design temperatures,equiptnent ratings and idealtification as to
type,manufach�rer and n�odel. Data shall be presented on focm provided.
4. Whcn any new construction or remodcling is involved,a separate buiiding permit must bz
obCained_
5. All work must be done in accordance with the Unifonn Mechanicxl Code/State Buifding Code
nquirements.
6. All work must be inspected(rough-in and fin�l). Ca11(95Z)2a9-4600.
(24-a8 hour notice required)
7. House Heating Test Record must be submitted beforc final. .
T'S�E Qfi PERMTT
Check All That Ap ly)
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Job Site/Owner Information:
`��� Sr�.T .��i v`e.
t`���a�d�.a�(-e B�� Id.�s �'���� �. .��
�n� :�F;
Hom ' ;, `' °-� �`�2'����D 5�,3 Alt�rnate Phone:
Contractor Ynformatian:
Cantractor: FIRESIDE HEARTH& HOME Cpntact person: �`r�
Address: 2700 Fairview Ave N State Bond#:BC662656, MB662572, PC662571
City: Roseville, MN Z1p;55113 �Xpjration Date:
phone: 651-633-2561 Atternate Phone: B51-638-3312
❑ Insurance—Current:
1
01-16-'18 12:28 FROM- T-416 P0042/0010 F-838
, s
MECHANrCAL S'Y'S f$MS BEINCr INSTALLED �
Note:All Geothermal Systerns will npw require a Site Flan 8t Raview by our Building Of�icial.
IS THYS G�OT�E�2MAL? ❑'Yes ❑No
HEATING S'YS'Y'�MS
Quantiry:
Make:
Model:
Fuel:
�'lue Si2e:
. Tnput BTUs:
Output BTUs:
CFM:
COOLING SYSTEIVIS
Quantity:
MAke:
Model�
Tons:
H.Powcr
,y . ..pY�A ��S
,�, ,Y� � � ,Q ��1�y,TM�'a^.;ti s.
� �... :�5..�. ..�, ,. ,� ..,.��� i'"�li.).:fti 'oS 'F"�Yr���`�';."w ~
� ' .. . -,.`' 1�IQ�.1 ?�fY4,1 -.7C^ T} [/�!'
y � .Nr1n S "•h��5:. T..�:'
❑ � � T it�`,',/.�aso' .
'VENTILATION
0 No. Kitchen Exhaust duct t�circulating _ __..__ cfm
❑ No. Bath�xhaust(must have duct outside) cfm
❑ No. Other�r,ns: Locations cfm
FUEL STORAGE (Mi�st be approved by d�Yre Mawslrall if proposi�rg to abandon tnnk in pC�ce.)
� Installation ❑ Removal
Fuel pii: gallons ❑ Underground ❑Xnside �Outside
LP Gas: gallons
Othcr_
CAS Y..yNE ONLY
❑ Outdoor G�ri[! ❑ Other/T.ist What&Where�
2
01-16-'18 12:29 FROM- T-416 P0003/0010 F-838
� . .
� PERMIT FEE CALC�UY.ATIQN{S)�. . ,
� BASED OFF-2002 STATE STATUE
❑ 'Yes,this section applies
'Phc replacement of a Residentia!fixture or a liancz that meets all three of th�fo!lowing requirements:
1. Does not require modification to electrical or gas se�vice.
2. �Tas a total cost of$500.00 or Itss;excludin�the cast of thz fixture or appliance�and
3. Ts improved,installed or replaeed by tht homcowner or licenscd contractor.
Skip next section,'rf this applies; Cost of Permit $ 15.00
State Suroharge $ 5.00
Mail-In�ee(Tf Applicable) � 2.00
Total Perrnft T�ee $�,,,
.... . :....: .. .... ... . .. . . ,.. ,..... . .. .
PERIVIIT FEE CA�,C�ULATION(S)=JOBS O'VER$500:Op
Tf above does not apply;follow guidelines below:
1. CO1VT�tACf pRTC� �" is 1.25%of contrac�ricc with&(1Vlinimum Fee of$50.00
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2. STAT�SU�tCHAItG� 'rj C¢
1. � X �fl. . s'::� 2 �
"e
3. POSTAGE&HANDLiNG(Only on Mail-In Applications) � �;^rt:'.°`s}`:'.;
4� 'X'01 AX,p��1YT���(Add T,ines 1-3 Above) "h�:��,:lXea.a ',��f;c"r�:^i"'
• " CONTR.ACT PRICE or JOB COST means the actual or estimRted dollr�r amount cliarged for the
permitted work including mater;als,labor,profit,and other fixed costs. Xt is the amou,it to be el�arged
to tlic customcr for thc work donc_ If any material,equipment,labor or installations are furnished by
the orvner,tensat or any other party,the reasonable market valuc of such items must be added to the
estimated eost or contrttet priee for pern�it fcc purposes_ In thc cvcnt that there is a dispute on the
amount of thr job eost, the City mAy request the submission of a signed eopy of thc actual contract.
� MECHANIGAr,p��T AppLICA'r'YON'AG�EMENT �: � �
The undeisigned hereby applies to the City for issuance of a Mechanical permit,agrees to do all
work in strict accordance with the oedinances of the City and the regtilations of the State of
Nlin�z�esota, and certifies that all statements made on this application are camplete, true and
con•ect.
Applicant'sSignature: I7�f�;'•_�f(�"rl �_
3
-- V
�' v DATE TIME
CITY OF ORONO CALLED IN z�
INSPECTION NOTICE SCHEDULED � �v
PERMIT NO.��$G�S� COMPL ED
ADDRESS
OWNER TELE HONE NO.�sj-�3�'33��
CONTRACTOR �!11�5/ c��
� DESCRIPTION /- � /� � �a I
4~j ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
O ❑ FOUNDATION DRAIN TILE ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ LATHE ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FtREPLACE ❑ COMPLAINT
e ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
v ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OMINERfCONTRACTOR TO MEET YOU:_YES_NO
c�n COMMENTS:
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� WORKSATISFACTOFlY:PROCEED ❑PROJECT C MPLETE ��
w ❑CORRECT WORK 3 PROCEED ❑ISSUE CERTIFICATE dF OCCUPANCY
0 ❑CORRECT WORK�LL FOR REINSPECTION TEMPORARY
V BEFORE CONERING PERMANENT
D CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 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. (952) 249-4600
OwnerlContraotor on site:
Inspe�tor.
White IlnspectoPs Ffle Canary CopylSfte Notfes