HomeMy WebLinkAbout2015-01414 - gas fireplace MWOMMUffm
CITY OF ORONO * 2 0 1 5 - 0 1 4 1 4 *
2750 KELLEY PARKWAY DATE ISSUED: 11/03/2015
ORONO, MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS 3240 WATERTOWN RD
PIN 32-118-23-44-0017
LEGAL DESC SENN ORONO ADDITION
: LOT 001 BLOCK 001
PERMIT TYPE MECHANICAL(>$500)
PROPERTY TYPE RESIDENTIAL
CONSTRUCTION TYPE : FIREPLACE-GAS
VALUATION : $ 4,784.05
NOTE: HEAT N'GLO GAS FIREPLACE
APPLICANT MECHANICAL 59.80
STATE SURCHARGE MECH(VALUATION) 2.39
FIRESIDE HEARTH& HOME
2700 FAIRVIEW AVE MAIL-IN FEE 2.00
ROSEVILLE,MN 55113 TOTAL 64.19
(651)633-2561 Payment(s)
CREDIT CARD 4608 64.19
Minnesota State License#: mech-20512060
OWNER
JURAN,DAVID&SHEILA
3240 WATERTOWN RD
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.
An
Applicant Permitee Signature Date Issued By Signat re Date
11-03-'15 09:13 FROM- T-395 P0001/0004 F-728
,c. su
.�. FOR CITY USE ONLY
P.00 Y City ox(if 66 r
Box Kelley
Daae Received:
275 A4ermit#
2750 Kelley Parkway i
Crystal Bay,MN 55323 Approved By: Amount
Phone(952)249-4600 rax(952)249-4616
y ti
kFSHC)��G CITY OF ORONO--MECHANI<CAY. ]PERMIT
(All Commercial pennits must be approved by the Building Official or Inspector and/or Fire Marshall)
GENERA,INFORMATION
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. PERMITS ARE NOT
VALID UNTIL YOU RECEIVE A PERMIT- WORK MIDST 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
requirements.
6. All work must be inspected(rough-in and final), Call(952)249.4600.
(24-48 hour notice required)
7. House Heating Test Record must be submitted before final.
}
TYPE OF PERMIT
(Check All That A 1
Residential C3 Commercial(Approval Required)
❑New El Additional L1 Repairs ❑Replace
Job Site/Owner Information:
Site Address: �_g D, O �
Owner:--N& �I *Mailirlg Address:
City: zip:
Home Phone: Alternat :Phone X'
Contractor Information:
i
Contractor: FIRESIDE HEARTH & HOME Contact Person: Leah
Address: 2700 Fairview Ave N State Bond#:BC662656, MB662572, PC662571
City: Roseville, MN zip:55113 Expiration Date:
Phone: 651-633-2561 Alternate Phone:Leah #651-638-3312
❑ Insurance—Current:
1
i
11-03—'15 09:13 FROM— T-395 P0002/0004 F-728
';i ;i`F��,, "; /'f�TAy��r A Y4. � .fit .�.;a.�s,�"o?:':•;,.:t;�a;ti,,,'
G ,,..i,',. ,t.. Y' v2 .;:�VllL'iLV.i�t1--CJ,4.r�7;l�lY1J,'�711�`ytF.��Ullzti�•++IL oF. ;a S�ti,�".•:Sl. �;?
Note;All Geothermal Systems will now require a Si plan&Roview by our Building Official.
IS THIS GEOTHERMAL? []Yes ❑No
HEATING SYSTEMS
Quantity:
Make:
Model:
Fuel:
i
Flue Size:
I
Input BTUs:
Output BTUs:
CPM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H.Power
FIREPLACES r� r- .0--C-710,
Gas.Factory Fireplace Brand Name: .e at,"f" �N--C-7 1 0
Q Wood Burning Fireplace
❑ Wood Stove Model No.:
❑ Wood Stove with Flue/Masonry
VENTILATION
❑ No. Kitchen Exhaust duet recirculating cfm i
❑ No. Bath Exhaust(must have duct outside) cfm
D No. Other fans: Locations cfm
FUEL STORAGE (Must be approved by Fire Marsh[t111f proposing to abandon tank in place.)
I
❑ Installation ] Removal
Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside f
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill ❑ Other/List What&Where:
2
i
11-03—'15 09:14 FROM— T-395 P0003/0004 F-728
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t.,.�§`:' 44�-.f.!+;o•>4�.Yy�l,\,,,�' ,iJ.hS `3.:?'r:1:;,Y., ,.y,.G,.'1.�:�. `>r
''.5;: t:r'-.'�'�1�,ys f:,a,:,i,1'r�7.i'1A �+77]] :�Ci„�`9.,r,. 'sivr•t'.ra .�^�3r,:
..e< l:F; '..,'1j,... .l..o-w,�,' FP•b” �.i`•, ,',i.ira'S'y^`%'R;.'..i.^>.w:fi',�:`• \..,.
❑ Yes,this section applies
The replacement of a Residential fixture or ggl2liance that meets all three of the following requirements: i
i
1. Does Qg require modification to electrical or gas service.
2. Has a total cost of$500.00 or less;mdja ft 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 Pee Of Applicable) $ 2.00
Total Permit Pee $
',>"Y
If above does not apply;follow guidelines below: _
i
1, CONTRACT PRICE *is 1.25%of contract price with a(Minimum Pee of$50.00)
`x;0125$'
C.nitao2 price (miniingai$500);
2. STATE SURCHARGE
x x.0005
`contraFi pdca)'
3. POSTAGE&HANDLING(Only on Mail-In Applications) ;$;-- 2.00:.'`s.'
4. TOTAL PERMIT PEE(Add Lines 1-3 Above) f$;i::`%! (
• 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.
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7:✓ •NVi;>L::rP.'�' ''_ s� :'•Y'C'..1..�.+ O ,E .C1:)..REBMLN
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: l.,rtr�ef't'�te-Ge�' ;Date:: V
3
1
\//7 DATE TIME
CITY OF ORONO CALLED IN --� —.�
INSPECTION ROTlg, ,4 SCHEDULED
PERMIT NO. Oy COMPLETED
ADDRESS ;aRD u3z-�--rkxo,--� Pci
OWNER TELEPHONE NO.U)- 2-31 -44t3
CONTRACTORtLi�s _ ' 1
DESCRIPTION
W ❑ FOOTING -1 DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
h ❑ 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:_LV-
YES_NO
«�
COMMENTS-
cc fc
a ( S ! '/" - lWte
oC leui4•cccs OK , Ile A'V"r-ham —dK
Cg e ,' - 04 5 �luer
W
Q �lXcPr✓�_o
W _
Uj �4rYARK"�ATISFACTORY:PROCEED ❑PROJECT COMPLETE
CC
W ❑CORRECT WORK&PROCEED ElISSUE CERTIFICATE OF OCCUPANCY
O ❑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
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Co tractor on site: STS v e—
Inspector
White Copyllnspector's File Canary CopylSite Notice
✓
DATE TIME
CITY OF ORONO CALLED IN -L3,4 p'
INSPECTION T CE / SCHEDULED
PERMIT NO. a� 4o LET D
ADDRESS
OWNER ELEP ENO 7 -3
CONTRACTOR
3Z DESCRIPTION
l~U ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
POURED WALL PLUMBING RI ❑ EXCAV/GRADING/FILLING
OQ ❑ [I❑ FOUNDATION DRAIN TILE ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ LATHE ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
❑ 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
c� COMMENTS:
G� �• �• Inse�� iw t�x�stt�_
o N1�►• 0 net••
c _
° �rl�.s/�s /rC✓ booms --
W
OC
Q
Uj ❑WORK SATISFACTORY PROCEED oorh&f
ReeT COMPLETE
cc
W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
0 ❑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 advance. (952) 249-4600
OwnerlContractor on site:
Inspector.
White Copylinspector's File Canary Copy/She Notice