HomeMy WebLinkAbout2017-01575 - gas fireplace CITY OF ORONO * 2 0 1 7 — 0 1 5 7 5
2750 KELLEY PARKWAY DATE ISSUED: 11/30/2017
ORONO,MN 55356-
952)249-4600 FAX: (952)249-4616
ADDRESS 3265 SHADYWOOD CIR
PIN 20-117-23-11-0048
LEGAL DESC SHADYWOOD VILLAS
LOT 7 BLOCK 1
PERMIT TYPE MECHANICAL
PROPERTY TYPE RESIDENTIAL
CONSTRUCTION TYPE FIREPLACE-GAS
VALUATION $ 1,735.00
NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION.
GAS FIREPLACE-MODEL 6000C
APPLICANT MECHANICAL 50.00
FIRESIDE HEARTH&HOME STATE SURCHARGE MECH(VALUATION) 0.87
2700 FAIRVIEW AVE MAIL-IN FEE 2.00
ROSEVILLE,MN 55113 TOTAL 52.87
(651)633-2561 Payment(s)
Minnesota State License#:mech-20512060 CREDIT CARD 4616 52.87
OWNER
Charles Cudd LLC
15050 23RD AVE N
PLYMOUTH,MN 55441-
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.
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Applicant Permitee Signature Date Issued By S ature Date
11-29-'17 14:02 FROM- T-210 P0004/0007 F-605
3P0RCrryV$j0 .X
A} City of Orono
i V P.O.Box 66 :Ioe Pcnn!t it
2750 Kclky Parkway
Crystal Bay,MN 55323 AppmVa By :Amount
Phone(952)249-4600 Fax(952)2494616
CITY OF ORONO—MECHANICAL PERMrr
$ S HOS (All Comrner W permits must be apptoved by the Building Official or lrrspxtor and/or Fire Mar"J)
7G7
1. 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. PPMMS ARE NOT
VALID UNTIL YOU RECEIVE A PBMT. WORK MUST NOT BEGIN UNTIL TIM
PIR MIT CARD IS POSTED ON THE JOB SI'TI;.
3. MechW.,cW 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 Codeigtate Building Code
requirements.
6. All work must be inspected(rough-in and final). Call(952)2494600.
(2448 hour notice required)
7. House Pleating Test Record must be submitted before final.
• :T'Y�E.'OF'.PER1i1;IT`:'`
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Hom 1017if(533-9620 Alternate Phone:
Coniractor.In f ormatiori:•.``
Contractor.: FIRESIDE HEARTH&HOME Cnntact Person:_ 409W.
Address- 2700 Fairview Ave N State gond##:BC662656, M6662572, PC662571
City: Roseville, MN Zip:55113 Expiration Date:
Phone: 651-633-2561 Alternate Phone:#551-638-3312
❑ Insurance—Current:
1
1
11-29—'17 14:02 FROM— T-210 P0005/0007 F-605
Note:All Geothermal Systems will now require a Site Plan&Review by our Building Official.
XS THIS GEOTHERMAL? F-1 Yes El No
HEATING SYSTEMS
Quantityr--
Make:
Model;
Fuel:
Flue Size:
Input BTUs:
Output BM:
CFM;
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H.Power
MVPWREM
r
VENTILATION
El No. Kitchen Exhaust duct recirculating cfm
El No. Bath Exhaust(must have duct outside) ofin
Ej No. Other Fans. Locations cfrn
FULL STORAGE (Must be approved by fYre Marshall ifproposing to abandon tank in place.)
]Fuel Oil-
. -gallons E] Underground ❑Inside ❑Outside
LP Gas: _gallons
Other:
GAS LINE ONLY
E] Outdoor Grill ❑ Other List What&Where:
2
11-29-'17 14:03 FROM- T-210 P0006/0007 F-605
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❑ Yes,this section applies
-- --------" —'The-replaoement-of trResidential fixtuWdriapliance-that meets,all-threerofthe-followingrequirzments:........
-'"':_.______..............
1. Does not require modification to electrical or gas service.
2. Hasa total cost of$500.00 or less;excludinrY the cost of the fixture or appliance:and
3. Is improved,installed or replaced by the homeowner or licensed contractor.
Skip next section,if this applies; Cost of Permit $ 15.00
State Surcharge $ 5.00
Mail-In Fee(If Applicable) $ 2.00
Total Permit Fee $
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If above does not apply;follow guidelines below:
1. CONTRACT PRICE a is 1.25%of contract price with a(Minimum Fee of$50.00)
1,7557
2. STATE SVRCFfA)RGE Q (0 17
x .
3. POSTAGE&HANDLING(Only on Mail-In Applications) �
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4. TOTAL PERNff FEE(Add Lines 1-3 Above) � a`
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 parry,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 to strict acco ance vfith the ordinances ot Me City and tile regulations of the State o
Minnesota, and certifies that all statements m e or► application are complete, true and
correct.
Applicant's Signature:
3
4
CSet
D E TIME
CITY OF ORONO CALLED IN I?% 7
INSPECTION NOTICE ��scHEDULED ��,
PERMIT NO. ;kn I-7 �S�c LETED
ADDRESS
OWNER T ONE NOg
CONTRACTOR
>. DESCRIPTION
W ❑ FOOTING ❑ DEMO-OINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
C ❑ FOUNDATION DRAIN TILE ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ LATHE ❑ MECHANICAL RI ❑ SITE INSPECTION
_ ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
N ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
v ❑ DEMO-SITE ❑ SEPTIC INSTALL
Z OWNERICONTRACTOR TO MEET YOU:_YES_NO
y COMMENTS:
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W
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W ❑WORK SATISFACTORY PROCEED S O PROJECT COMPLETE
k ECT WORK 3 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
0 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
C.1 BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p PHOTO TAKEN
INSPECTOR WILL RETURN
O CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
OwnedContractor on site:
Inspector.
White CopyAnspectoes File Canary CopyMe Notice
CDATE TIME
CITY NO CALLEDIN
INSPECTION
NOTICE SCHEDULED
PERMIT NO. 701I'DI Jr-7�COMPLVFED
ADDRESS
OWNER EL ONE NO.LOivZ �oZ
CONTRACTOR I�
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DESCRIPTION
W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
❑ FOUNDATION DRAIN TILE ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ LATHE ❑ MECHANICAL RI ❑ SITE INSPECTION
_ ❑ 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
v ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNERWNTRACTOR TO MEET YOU:_YES_NO
ti COMMENTS:
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0
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W
Q
( y(CCTd✓ 1✓s��G® A �riC� f E
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W ❑WORK SATISFACTORY:PROCEED ❑PROJECT COMPLETE
cc ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
W
❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN
INSPECTOR WILL RETURN
El CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
OwnedContractor on site:
Inspector. A,_
White Copynnspectoes File Canary CopyMe Notice
INSPECTION NOTICE V
DATE TIME
CITY OF id" SIO CALLED-IN y-- ,,-
h _A SCHEDULED ? V
PERMIT NO. A4912• D/J /S� COMPLETED
ADDRESS 17A 4' .5.4 m&
OWNER/CONTR. 7/'CI*.0 •�
❑SITE INSPECTION RECHANICAL
ECHANICAL RI 13 REINSPECTION
❑CONC SLABS FINAL ❑FOLLOW-UP
❑FOOTING SULATION ❑COMPLAINT
❑POURED WALL ❑RATED ASSEMBLY ❑FIREPLACE
❑FOUND.DRAINAGE ❑BUILDING FINAL ❑SPRINKLER SYSTEM
❑FRAMING ❑SEPTIC INSTALL ❑
�- ❑SHEATHING ❑SEPTIC FINAL ❑
❑PLUMBING RI ❑S&W HOOKUP ❑
lL ❑PLUMBING FINAL >f,@AS LINE MANOMETER ❑
o
COMMENTS:
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R FURTHER CORRECTIONS MAYBE REQUIRED gOMOZBMIT FINALED
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Q ❑WORK SATISFACTORY: PROCEED ❑ PHOTO TAKEN
O OR CT WORK&PROCEED
U ❑CORRECT WORK.CALL FOR REINSPECTION BEFORE COVERING
❑CORRECT UNSAFE CONDITION IMMEDIATELY.
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
TO SCHEDULE YOUR INSPECTIONS
PLEASE CALL: (763) 479-1720
Metro West Inspection Services Inc.
Owner/Contr.on site:
Inspector: Q i.z. f�