HomeMy WebLinkAbout2016-00936 - gas fireplace ! CITY OF ORONO * 2016 - 00936 *
2750 KELLEY PARKWAY DATE ISSUED: 08/09/2016
ORONO,MN 55356-
(952)249-4600 FAX: (952)2494616
ADDRESS : 3465 WATERTOWN RD
PIN : 32-118-23-43-0008
LEGAL DESC : UNPLATTED 32 118 23
LOT 000 BLOCK 000
PERMIT TYPE MECHANICAL
PROPERTY TYPE RESIDENTIAL
CONSTRUCTION TYPE FIREPLACE-GAS
VALUATION $ 17,715.00
NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION.
(1)HHT NATURAL GAS FIREPLACE-58,000 OUTPUT
(2)HHT NATURAL GAS FIREPLACES-40,000 OUTPUT
APPLICANT MECHANICAL 221.44
STATE SURCHARGE MECH(VALUATION) 8.86
FIRESIDE HEARTH&HOME
2700 FAIRVIEW AVE MAIL-IN FEE 2.00
ROSEVILLE,MN 55113 TOTAL 232.30
(651)633-2561 Payment(s)
Minnesota State License#:mech-20512060 CREDIT CARD 4608 232.30
OWNER
AUL,JUSTIN&LYNSEY
5791 SUNNYBROOK LA
MINNETRISTA,MN 55364-
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 Signature Date
08-09-'16 09:38 FROM- FIRESIDE T-408 P0001/0004 F-954
15 G I Y-1-
daa
73 fo I .�0 F pR . USE ONLY
City of Orono
<1i P.O.Box 66 Dote RepeiZ . Permit#
Q 2750 Kelley Parkway
Crystal Bay,MN 55323 Approved By:, Ataount S'
Phone(952)249-4600 Fax(952)249.4616
CITY OF ORONO--MECHANICAL PERMIT
'YES H O (All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall)
GENERAL 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 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
requirements.
6. All work must be inspected(rough-in and final). Cali(952)249-4600.
(24-48 hour notice required) f
7. House Heating Test Record must be submitted before final.
•
TYPE OF PERMIT 1
Check All'That.Apply)
(Residential ❑Commercial(Approval Required)
(K New ❑Additional ❑Repairs ❑Replace
lob Site/Ow ei r Info*4tion:
Site Address: 3 LI6 s W n
Owner:6 oaf" M To wy..S Mailing Address: Po Boy, � (e?
City. M't fJ ��e �l a lh Zip:
Home Phone: 20- L/7q--310 Alternate Phone:
Contractor Information:
Contractor: FIRESIDE HEARTH &HOME Contact Person:
2700 Fairview Ave N BC662656, MB662572 PC662571 i
Address: State Bond#: �
i
City: Roseville, MN Zip-55113 Expiration Date:
Phone: 651-633-2561 Alternate Phone: SOS�— 3'? 3 Soo
i
❑ Insurance-Current:
1
08-09—'16 09:38 FROM— FIRESIDE T-408 P0002/0004 F-954
Note:All Geothermal Systems will now require a Site Plan&.Review by our Building Official.
IS THIS GEOTHERMAL? ❑Yes ❑No
HEATING SYSTEMS
,J �G
Quantity: ' t H1�
Make: Tl H H T
Model: Mez-?"o (0400 C�-X
Fuel: 6q.5
Flue Size:
Input BTUs:
Output BTUs: g 1 0 000
CFM:
COOLING SYSTEMS
i
Quantity:
Make: C
t
Model.,
Tons:
H.Power
FIREPLACES / J
Gas Factory Fireplace Brand Name: l�!
❑ Wood Burning Fireplace
❑ Wood Stove Model No.: lM-e2zv '7Z, (,,0006LX (0000(, A
❑ Wood Stove with Flue/Masonry
VENTILATION
❑ No. Kitchen Exhaust duct recirculating ofm
❑ No. Bath Exhaust(must have duct outside) cfm
❑ No. Other flans: Locations cfm
FUEL STORAGE (Must be approved by fire Marshall ifproposing to abandon tank in places)
❑ Installation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside
LP Gas: gallons i
Other
GAS LINE ONLY j
❑ Outdoor Grill ❑ Other/Inst What&Where:
2
08-09—'16 09:38 FROM— FIRESIDE T-408 P0003/0004 F-954
❑ Yes,this section applies
The replacement of a Residential fixture or appliance that meets all three of the following requirements:
1. 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.
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 $INN 11
i
9 i
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If above does not apply;follow guidelines below:
1. CONTRACT PRICE *is 125%of contract price with a(Minimum Fee of$50.00)
`7 ^71.5. x.0125$ 1 4 �u
( meet price) $50.00)
2. STATE SURCHARGE /7-7/5/5 Od x,0005 $ O•��
(ormact price)
i
3. POSTAGE&HANDLING(Only on Mail-In Applications) $
36
4. TOTAL.PERMIT FEE(Add Lines 1-3 Above) $ 2s o.
■ * 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. i
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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.
Z
' _)ate:
Applicant's Signature:
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