HomeMy WebLinkAbout2014 - 01301 - gas fireplace CITY OF ORONO I 1 11 I I (I 111 III1I 1111
I I II
2750 KELLEY PARKWAY * 20 1 4 - 0 1 3 0 1 *
DATE ISSUED: 11/06/2014
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 993 WILDHURST TR
PIN : 07-117-23-12-0003
LEGAL DESC : UNPLATTED 07 117 23
: LOT 000 BLOCK 000
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIREPLACE-GAS
VALUATION : $ 7,868.80 •
NOTE: I GAS FIREPLACE(HEAT-N-GLO)
APPLICANT MECHANICAL 98.36
STATE SURCHARGE MECH(VALUATION) 3.93
FIRESIDE HEARTH&HOME MAIL-IN FEE 2.00
2700 FAIRVIEW AVE TOTAL 104.29
ROSEVILLE,MN 55113
(651)633-2561 Payment(s)
Minnesota State License#: mech-20512060 CREDIT CARD 4608 104.29
OWNER
STROMBERG,JEFF
993 WILDHURST TR
MOUND,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.
wr de. Dt co
Applicant Permitee Signature Date Issued By 4..gnature Date
11-05-'14 '18:31 FROM- 1-140 P0004/0007 F-255
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AT City o Orono I .' ( h ," 1 i,
V/� P013ox 66 Date Rec$vc6. "t Permit#( '�', t .
0 2750 Kelley Parkways t ,,1 ''A, .,{1 ,:g.'''d {' " 'd� i. i,,DA,,!
Crystal Bay,MN 55323 AQprovC4 Py MiOtln($ �A
Phone(952)249-4600 Fax(952)249-4616 ,. S 1 . ?, f " .:,
`6 �k,6' CITY OF ORONO—MECHANICAL PERMIT
x�kEst 10 (All Commercial permits must bo approved by the Building Official or Inspector and/or Fire Marshall)
,'OE1Vt 'INFOR1 ATION ,•
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 XOH 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.
, :;, ‘:.;:. ,i,, . . ,..,:,, .,,:,-2 : ,,,,. ,',.;,,,,r
(Check All�Thiat APp1)')
esidential ❑Commercial(Approval Required)
0 New liKiditional ❑Repairs ❑Replace
JotiStte/Ovvner'In#or natjop.
Site Address: • �Cl h�'�`��� v��-\ \
Owner: c C-FMailing Address: �� w 11c1 hurt,)-t 'T --
City: 3iroy\oi AN t N Zip: 5304
Rome Phone: (,Q(2.-41 c'._53+ I Alternate Phone.,
Contractor7nforr ia(ipt ,,,.' ,
ContractorNEARTH iii.HOME 66IESContact Person:
Le.ah Chi. (, 13e)' 2 (2-
dba FIRESIDE HEARTH & HOME
Address: Lic BC662656 State Bond#:
2700 FAIRVIEW AVI_NUJE N
ROSEVILLE, MN 55113
City: 651.633.261' Expiration Date:
Phone: Alternate Phone:
❑ Insurance—Current:
1
11-05—'14 18:31 FROM— T-140 P0005/0007 F-255
*775774M. tSL kf! 11' ;r WP:11 its TP.Tetwor.w.Foli$
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:
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H_Power
FIREPLACE
Gas Factory Fireplace Brand Name: -1'2.(9.4 M el (0
❑ Wood Burning Fireplace �f
❑ Wood Stove Model No.: MOO C 1- ."" p
❑ Wood Stove with Flue/Masonry
VENTILATION
❑ No. Kitchen Exhaust duct recirculating cfin
❑ 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 ❑Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill ❑ Other/List What&Where:
2
it
11-05—'14 18:32 FROM— 1-140 P0006/0007 F-255
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�d r��i'�U"41 d,is ,i ;�L,"rr ,, t ,'�2 '1.. Oy�J�`�y j,. MP; t "��`�tfn�, e, 1�y,C�,IT a),,'n� r r.
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kiiti ��l �g,fit+� ;�� I° nail ° 0 8 s I 'P`P Atpt m ti;' w t+l,Oaeo�, r, `#,
4! L�.'1 a, .t.,.K:$d �..r:w, air .n°� �.� j,d�1� ,�!r��?�.�Q�:i•�1�,.;., `..y;.tit�.i+..a+,,.,f, S:1�tiw
❑ 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 Pee(If Applicable) $ 2.00
Total Permit Fee $ 1
if s ? as �. C'1' ' W 1�r
:enx 4;Rit ►d' d ' � ar flMAT Tao O til. •r
If above does not apply;follow guidelines below:
1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.000)p)(
` �t19 x.0125$ tr f
(contract price) (minimum$50.00)
2. STATE SURCHARGE
x.0005 $
(contrac price)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
1U4 2e
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ `
• * 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.
K•v.e.i(�I p'flrt�..,�.'.�'�,,ri .`c ° °1N tx parrs y.•.t.:��'ry'�§:°r 'P.l,'F'
i i ?:iS�:i� !/,fibG R t ,R c�.4 ubYl j..'4' u,'s ara , V `,1 t �1 •.��� nl'� . hy8.P.!,,,r
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.
10,
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Applicant's Signature: Date: /s/
3
1
A '15 6r
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED ./AiFr —L.c !:D-46
PERMIT NO.4/1p'- i 3Dy____ COMPLETED
ADDRESS X4'3 1v I1'd h v's-f' 4 ,
OWNER _ TELE HONE NO t 57--/o3E— 9c
CONTRACTOR i- 2'u ) 112 i A,t4.
DESCRIPTION4 A/Z -4- `ted_,1_,"3st.
W ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
y ❑ POURED WALL MECHANICAL RI 0 LAKESHOREIWETLANDS
❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
I, ❑ FINAL ❑ SEWER HOOK-UP 0 COMPLAINT
v ❑ DEMO-SITE ❑ SEPTIC MAINT ❑ FOLLOW-UP
Z ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
❑ PLUMBING RI ❑ SEPTIC FINAL Cl FOUNDATION/REMOVAL
Z OWNERICONTRACTOR TO MEET YOU:_YES NO
cc4 COMMENTS:
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$t,,2,3 waves61-ot..4� F ' 1 L. L
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2 FORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
CC
In CORRECT WORK&PROCEED
W -- El ISSUE CERTIFICATE OF OCCUPANCY
O 'In CORRECTWORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑C6�RECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
— INSPECTOR WILL RETURN
( LI SOP ORDER POSTED.CALL INSPECTOR CI CITATION ISSUED
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on site:
Inspector. r'
White Copyllnspector's File Canary Copy/Site Notice
\14-- /1.....7
DATE TIME
CITY OF DRONO CALLED IN
INSPECTION N TICSCHEDULED //i-f� g-'3J)
PERMIT NO. I - 6/ COMPP'LETTJED //,/f/iz , ;v_
ADDRESS `�,-3`v ��i�J
OWNER TELE NE NO.
CONTRACTOR ,� ,/31: DESCRIPTION Oil,/ I / 6)/('l.Cti"l
ty ❑ FOOTING ❑ 'LUMBING FINAL ❑ EXCAV/GRADING/FILLING
.:t ❑ POURED WALL MECHANICAL RI 0 LAKESHORE/WETLANDS
y ❑ FRAMING 0 ECHANICAL FINAL 0 TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE 0 SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
• ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
ct
❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPTIC FINAL 0 FOUNDATION/REMOVAL
<--- OWNER/CONTRACTOR TO MEET YOU: YES_NO
(.1• COMMENTS:
W
4.71ktQ.
CC
O ki°4 °A(2-
cr
O
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W
z
67 --X37 q�)3V
W
Z
W
CC
Z
W ❑ RK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W
111RRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O
CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
C.) EFORE 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 ' '.9-4600
Owner!Contractor on site: 4411 /
Inspector.
White Copylinspector's File W anary Copy/Site Notice