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HomeMy WebLinkAbout2015-00213 - gas fireplace CITY OF ORONO 11 1 1 IIII III III II I III III II II * 2 0 1 5 — 0 0 2 1 3 * 2750 KELLEY PARKWAY DATE ISSUED: 02/19/2015 ORONO,MN 55356- (952) 249-4600 FAX: (952)249-4616 ADDRESS : 1125 PINE VIEW DR PIN : 28-118-23-42-0007 LEGAL DESC : PINE VIEW : LOT 1 BLOCK 1 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE ' : FIREPLACE-GAS • VALUATION : $ 4,175.00 NOTE: 1 GAS FIREPLACE APPLICANT MECHANICAL 52.19 STATE SURCHARGE MECH(VALUATION) 2.09 FIRESIDE HEARTH&HOME MAIL-IN FEE 2.00 2700 FAIRVIEW AVE ROSEVILLE,MN 55113 TOTAL 56.28 (651)633-2561 Payment(s) Minnesota State License#: mech-20512060 CREDIT CARD 4608 56.28 OWNER NYQUIST,MATTHEW&JENNIFER 6126 MAIN STREET W MAPLE PLAIN,MN 55359- 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 dignature Date 02-19-'15 14:06 FROM- T-510 P0001/0004 F-657 FOR CITY USE ONLY . City of Orono //�� P.O.Box 66 Date Received: Permit# V 2750 Kelley Parkway Crystal Bay,MN 55321 Approved By: Amount$: Phone(952)249-4600 Fax(952)249-4616 - `e`e itsno��c'~ CITY OF ORONO—MECHANICAL PERMIT (All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall) GENERAL INPQRMATION . 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), 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 RI 'eside .: ['Commercial(Approval Required) A4ew ❑Additional ❑Repairs ❑Replace { Job Site/Owner Information: Site Addre : e - ,__ . , Owner: dr�.1 :' Mailing Address: free2./j6".:1 5,5-J - �` --- City: �i 1//,/ j 0 Zip: Home Phone: , 4. / AA,#ternate Phone: •Contractor Information: Contractor: Contact Person: HEARTH & HOME TECHNOLOGIES - & HOME Lic 60662656 Address: State Bond 1: 700-FAIRV1,E.nr„T;T=NUE N ROSEVILLE, MN 55113 City: Zip: Expiration Date: 651.633.2561 Phone: Alternate Phone: n Insurance—Current: t 02-19—'15 14:06 FROM— 1-510 P0002/0004 F-657 �"1"� ±JI ! Jri[.,� v v r ��i • � ��c5dk`��j�t x r'M t t i fi l�k%f.+:F�l\���!a, �� .a... r./S J,,�� _ • 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: r Fuel: Flue Size: Input BTUs: Output BTUs: CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H.Power FIREPLACES • Gas Factory Fireplace Brand Name: ❑ Wood Burning Fireplace 41 ❑ Wood Stove Model No.: ❑ Wood Stove with Flue/Masonry VENTILATION • [] No. _ Kitchen Exhaust duct recirculating cfm ❑ No. Bath Exhaust(must have duct outside) cfm ❑ No. Other Fans: Locations cfm FUEL STORAGE (Must be approved by Fire Marshall if proposing to abandon tank in place) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑Inside E Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill ❑ Other/List What&,Where: 02-19—'15 14:07 FROM— T-510 P0003/0004 F-657 10 yi GJ" 4ldri i� 1`�.,r• ..`.• i Ey A ) I t♦ ��prc+® `q\ b ''11��''(. �tl� '.fr/ x1 G' wl+. " 1j,'.4 '.1 •' ��, Q �, {�.pli ti..f / J �' �ryT 1 � i z, � rtl ,� r .t air a c K (, i. r ViiCCC••r�l { ik::F � ifs.. A 4C� � < acv ' y 'jf� • gN ' + � 1 �r • ,;t:2 yZ,I, `P9' A 0 Yes,this section applies The replacement of a Residential fixture or appliance that meets all three of the following requirements: I. 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 $ t l*M12 4N . .'<?p. If above does not apply;follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contractprice with a(Minimum Fee of$50.00) "1/7 x.0125 $ ,c2. /7 (contract price) (minimum 550.00) 2. STATE SURCHARGE _ 1/7 f x.0005 $ t 0 (contract price) 3. POSTAGE 84 HANDLING(Only on Mail-In Applications) $ 2.00 574,2"-ei $ 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) * CONTRACT PRICE or SOB 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: 411111011111Date: 3 DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO. •96A-C—Gb243 COMPLETED 3-0-1S- ADDRESS 0-1ADDRESS it 2-S 410 web-) b f OWNER TELEPHONE NO. CONTRACTOR F.r i4 D4 l `F 14*4 m DESCRIPTION d , W ❑ FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL ❑ POURED WALL 0 PLUMBING RI ❑ EXCAV/GRADING/FILLING Q El FOUNDATION WATERPROOF 1:1 PLUMBING FINAL 0 TREE REMOVAL ❑ RADON SLAB 0 MECHANICAL RI ❑ SITE INSPECTION Q 0 FRAMING 0 MECHANICAL FINAL 0 PROGRESS • ❑ INSULATION ❑ WOOD BURNER/FIREPLACE 0 COMPLAINT ❑ FINAL 0 WATER HOOK-UP 0 FOLLOW-UP i ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP 0 HARD COVER REMOVAL ❑ DEMO-SITE 0 SEPTIC INSTALL 0 FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: cc cc 0 CC $f44 g2LLC,Ye✓ reef - 0 W _ _ Q - yrrs 4 4 //r .gr MO Cjrr' 6e5. 05)Kit f/ � W z cc �J1 �� W .SL AORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED O ISSUE CERTIFICATE OF OCCUPANCY OO ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. CI 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 Owner/Contractor on site: Inspector. Ca White Copyllnspector's File Canary Copy/Site Notice r✓ I , --0 DATE TIME CITY OF ORONO CALLED IN o2 c INSPECTION NOTICE SCHEDULED O?C2-G— S' ' ',-3d PERMIT N r•Jia.._4 i I/21 i••MPLETED ADDRESS / `.:75 L-iLiC-C)/ f CEJ Uln OWNER TELEPHONE NO6/275-6-(i77,2-- CONTRACTOF CC-C- V e DESCRIPTION h re a.a. �� W ❑ FOOTING 0 DEMO-FIN ❑ SEPTIC FINAL Q ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL ❑ RADON SLAB 0 MECHANICAL RI 0 SITE INSPECTION Q 0 FRAMING 0 MECHANICAL FINAL 0 PROGRESS • ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT .4 0 FINAL 0 WATER HOOK-UP 0 FOLLOW-UP W 0 AS BUILT-SURVEY 0 SEWER HOOK-UP 0 HARD COVER REMOVAL v ❑ DEMO-SITE 0 SEPTIC INSTALL 0 FOUNDATION/REMOVAL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO CCv) COMMENTS: cc W Q. O / e:0 6)..,eft,‘ F572,,,44.W cz Q W (!, 4. , taJ 1 % / cc J / 0 W ❑WORK SATISFACTORY:PROCEED ■ .ROJECT COMPLETE CCW ❑CORRECT WORK&PROCEED LI ISSUE CERTIFICATE OF OCCUPANCY OO ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY U BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ClSTOP ORDER POSTED.CALL INSPECTOR CI CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours 1advance. (95 jJ 24 '-' . 1 1 Owner/Contractor on site: I. -A/l Inspector. a ' �,, White Copy/Inspector's File Canary Copy/Site Notice 5–et— r–, 1 DATE TIME\ / `-CTTOF ORONO CALLED IN INSPECTION yOTICE SCHEDULED 1p• -/5 3.30 PERMIT NOAce7/5"�� � COMPLETED ADDRESS � �%�/te «(- Or OWNER T RHONE NO7/2.3 /2(02",0707 CONTRACTOR 0111-44- e- DESCRIPTION -YR ✓ tK"`lN 4//1/40Adi W ❑ FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL 11. ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING y ❑ FOUNDATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL Z ❑ RADON SLAB ❑ CHANICAL RI 0 SITE INSPECTION Q 0 FRAMING MECHANICAL FINAL 0 PROGRESS • ❑ INSULATION ❑ WOOD BURNER/FIREPLACE 0 COMPLAINT Q 0 FINAL 0 WATER HOOK-UP 0 FOLLOW-UP W 0 AS BUILT-SURVEY 0 SEWER HOOK-UP ❑ HARD COVER REMOVAL v ❑ DEMO-SITE 0 SEPTIC INSTALL IDFOUNDATION/REMOVAL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO • COMMENTS: cc W c3- cc Jilk O cc0 ler friievoSc‘i.L. 4W cc Q 2 W Z W CC 0 W ❑WORK SATISFACTORY:PROCEED OJECT COMPLETE CCW CI CORRECT WORK&PROCEED ❑ I UE CERTIFICATE OF OCCUPANCY O CiCORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN CISTOP ORDER POSTED.CALL INSPECTOR CI CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: 4 / fir Inspector. ' White Copyllnspector's File Canary CopylSite Notice