HomeMy WebLinkAbout2016-00910 - mechanical CITY OF ORONO
! 2750 KELLEY PARKWAY * 2 1 6 — 0 0 9 1
DAT0 E ISSUED: 08103/2016
ORONO,MN 55356-
(952)249-4600 FAX: (952) 249-4616
ADDRESS 2600 THOROUGHBRED LA
PIN 04-117-23-11-0017
LEGAL DESC OLD CRYSTAL BAY ROAD 2ND ADDN
LOT 005 BLOCK 001
PERMIT TYPE MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIREPLACE-GAS
VALUATION : $ 5,099.55
NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION.
HHT MODEL COSMO-I35 GAS FACTORY FIREPLACE
APPLICANT MECHANICAL 63.74
FIRESIDE HEARTH&HOME
STATE SURCHARGE MECH(VALUATION) 2.55 2700 FAIRVIEW AVE MAIL-IN FEE 2.00
ROSEVILLE,MN 55113 TOTAL 68.29
(651)633-2561 Payment(s)
Minnesota State License#:mech-20512060 CREDIT CARD 4608 68.29
OWNER
LINK,DAVID&KELLY
2600 THOROUGHBRED LA
LONG LAKE,MN 55356-
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.
Applicant Permitee Signature Date Issued By 60ature Date
08-02-'16 08:19 FROM- FIRESIDE T-364 P0001/0004 F-897
3�7 a 7q/r 0067
�R 4;ffy USE ONLY
City of Orono
P.O.Box 66 Date.iteceiv Permit A
2750 Kelley Parkway "
Crystal Bay,MN 55323 Approvod>3Y: Amount S'
Phone(952)249-4600 Fax(952)249A616
A�`�<q� ��° CIT'Y'OF ORONO-MECHANICAL PERMIT
S HO (All Commercial permits must be approved by the Building Official or Inspector arWor Fire Marshall T
GENERAL INIFO"fAtON
I. You may apply for mechanical permits by mail or in person at the City offices. Applications will
be reviewed and a permit will be issued within two working days.
2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT
VALID UNTIL.YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Mechanical Designs--Complete calculations,details and specifications are required for each
heating,ventilation,humidification-dehumidification,and air conditioning installation including
heat loss/heat gain calculation,design temperatures,equipment ratings and identification as to
type,manufacturer and.model. Data shall be presented on form provided.
4. When any new construction or remodeling is involved,a separate building permit must be
obtained,
5. All work must be done in accordance with the Uniform Mechanical Code/State Building Code f
requirements.
6. All work must be inspected(rough-in and final). Call(952)'-749-4600.
(2448 hour notice required)
7. House Heating Test Record must be submitted before final.
F MPBR1VirT ;
Check:All,Thaf.q 1
Asidential C1Commercial(Approval Required)
❑New ❑Additional ❑Repairs (Replace
Job Sitz;/Owner Information: .
Site Address: Z&OO
Owner: oo t-f, L.-ei k--- Mailing Address:
city: OCC r o zip; 5535
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Home Phone: Alternate Phone: 6/Z" f77— 6148
Contractor Information:
Contractor: FIRESIDE HEARTH& HOMEContact Person: PQ r kc r
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Address: 2700 Fairview Ave N State Bond#:BC662656, MB662572, PC662571
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City: Roseville, MN zip55113 Expiration Date:
Phone: 651-633-2561 Alternate Phone: 661439-3306, j
❑ Insurance-Current:
1
08-02-'16 08:19 FROM- FIRESIDE T-364 P0002/0004 F-897
Note:All Geothermal Systems will now require a Site Plan&Review by our Building Official,
IS THIS GEOTHERMAL? ❑Yes ❑No
HEATING SYSTEMS
Quantity:
Make:
Model-
Fuel-
Flue
odel:Fuel:Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
i
c
Quantity: {
a
Make:
Model!
Tons:
H.Power
FIREPLACES
Gas Factory Fireplace Brand Name:
O Wood Burning Fireplace 65040 -_Z715
Wood Stove Model No.:
❑ Wood Stove with Flue/Masonry
i
VENTILATION
❑ No. Kitchen Exhaust duct recirculating cfm i
❑ No. Bath Exhaust(must have duct outside) cfm
❑ No. Other Pans: Locations cfm
FUEL STORAGE (Must be approved by pyre Marshall ifproposing to abandon tank in place,)
i
❑ Installation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside
LP Gas: gallons
Other:
GAS CINE ONLY f
❑ Outdoor Grill ❑ Other/List What&Where:
2
08-02-'16 08:20 FROM- FIRESIDE T-364 P0003/0004 F-897
❑ 'Yes,this section applies
The replacement of a Residential fixture or appliance that meets all three of the following requirements:
L Does not require modification to electrical or gas service.
2. Has a total cost of$500.00 or less;excluding the cost of the fixture or appliance:and
3. Is improved,installed or replaced by the homeowner or licensed contractor.
Ship next section,if this applies; Cost of Permit $ 15.00
State Surcharge $ 5.00
Mail-In flee(If Applicable) $ 2A0
Total Permit Fee $
If above does not apply;follow guidelines below:
1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00)
cr 55
_ ��x.p125$ }
(contract prieo) (miniln■m$50,00)
2. STATE SURCHARGE X.0005 $
(Contract prise)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 40W
4. TOTAL PERMIT FEE(Add bines 1-3 Above) $ ��(/• ��
■ CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the
permitted work including materials,labor,profit,and other fixed costs. It is the amount to be charged
to the customer for the work done. If any material,equipment, labor or installations are furnished by
the owner,tenant or any other party,the reasonable market value of such items must be added to the
estimated cost or contract price for permit fee purposes. In the event that there is a dispute on the
amount of the job cost,the City may request the submission of a signed copy of the actual contract.
The undersigned hereby applies to the City for issuance of a Mechanical Permit,agrees to do all
work in strict accordance with the ordinances of the City and the regulations of the State of
Minnesota, and certifies that all statements made on this application are complete, true and
correct. `
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Applicant's Signature: pate;
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DATE TIME
CITY OF ORONO CALLED Ojizn
INSPECTION NOTICE SCHEDULED ` l Dl1 b
PERMIT NO.201kLM-q I COMPLETED
ADDRESS _7 (y7(DC) cl
OWNER TELEPHON NO. a 5
CONTRACTOR /
DESCRIPTION
W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FIN/L
WQ ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILL G
Q [IFOUNDATION 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
Z ❑ AS BUILT-SURVEY aEWER HOOK-UP ❑ FOUNDATION/REMOVAL
v ❑ DEMO-SITE PTIC INSTALL
OWNERICONTRACTOR TO MEETYES_NO
" COMMENTS:
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V ., QBKSATISFACTORY:PROCEED ❑ PROJECTVOM PLETE
W ❑CORRECT WORK 3 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
C) BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR El CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
a r the next inspect_ it n7-f
ours in advance. (952) 249-4600
Owner/ ctor on site: L
tor. > -
White Copylinspector's File Canary Copy/Site Notice
DATE/� TIME
CITY F ORONO CALLED IN
INSPECTIONOTIC �QSCHEDULED =�1 —
PERMIT NO. �a 9OMPLE,TEJJD
ADDRESS oZ v
vi;-2�
OWNER - TELE NE NOh3 �d 7
CONTRACTO
DESCRIPTION
W ❑ FOOTING ❑ DEMO-FINAL ❑ sFP4 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
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
Z OWNERICONTRACTOR TO MEET YOU:_YES_NO
COMMENTS:
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W ❑WORK SATISFACTORY:PROCEED ❑ ECT COMPLETE
QC ❑CORRECT WORK&PROCEED UE CERTIFICATE OF OCCUP
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING 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 advan -4600
OwnedContractor on site:
Inspector.
White Copy/Inspector's File Canary Copy1Site Notice