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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 i Home Phone: Alternate Phone: 6/Z" f77— 6148 Contractor Information: Contractor: FIRESIDE HEARTH& HOMEContact Person: PQ r kc r i I Address: 2700 Fairview Ave N State Bond#:BC662656, MB662572, PC662571 i 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. ` �� '� Applicant's Signature: pate; i i 3 i i i 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: a AAs F•P• /K se�Z <r►�a rx�st.ks cva� cc 2 li i!L 4•; t --.5& `lo l�r�5 W ccQ � G 5• .��C g - S ' I� — 2 W � TC Co r•�iA4t Qj F���S/j / �/� ,/a•r .tk � /mss 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: cc W cc Af a J O O W cc Q 12 2 W Z W J O 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