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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 rl•. mar, ,"s:• :•n;a^}: .rf,;. ,r. •E ..'MY!T`,tr T,r ( y:y*; d>.;:+;y:i�+17Y;a+�:�r�riiirl' s.%:;:D„ ..J` �S`: ,,:;.';� t :r•'�4':. `,�: Lpp r1 `��.1(.�'��77'A'��/'�*�'(',•J� �,r,.Sr?��:' �/t. ..r:,:...v,• �,,r� ,.b: 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. �:��, itfa:j'"a'" ,S3 (� •:.7 r,i3,<p;; 'L, 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