HomeMy WebLinkAbout2018 - 00269 - gas fireplace • CITY OF ORONO III I I III I II I I II II II1 l l I I I I II
* 2018 - 00269 *
2750 KELLEY PARKWAY DATE ISSUED: 03/12/2018
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 2865 WOOD DUCK TR
PIN : 33-118-23-24-0034
LEGAL DESC : ORONO PRESERVE
: LOT 4 BLOCK 4
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIREPLACE-GAS
VALUATION : $ 2,119.00
NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION.
GAS FACTORY FIREPLACE-HHT
APPLICANT MECHANICAL 50.00
STATE SURCHARGE MECH(VALUATION) 1.06
FIRESIDE HEARTH&HOME MAIL-IN FEE 2.00
2700 FAIRVIEW AVE
ROSEVILLE,MN 55113 TOTAL 53.06
(651)633-2561 Payment(s)
Minnesota State License#:mech-20512060 CREDIT CARD 4616 53.06
OWNER
OP5 Orono LLC
15250 WAYZATA BLVD#101
WAYZATA,MN 55391-
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.
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Applicant Permitee Signature Date Issue By gnature Date
03-12-'18 09:21 FROM- T-632 P0001/0004 F-093
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City of Orono
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0 'P.O.Box 66 Date ReceiPermit#
2750 Kelley Parkway
Crystal Bay,MN 55323 Approved By: Amounts: � '
Phone(952)249-4600 Fax(952)249-4616
SH(3CITY OF ORONO-MECHANICAL PERMIT
(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 Ioss/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 Apply)
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Joh Site/Owner Information:
67.-aggq 221,6 \eito1 b Lit()/r Y ev I .
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Horn btl,e; ti It Zl() 7(e I Alternate Phone:
Contractor Information:
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Contractor: FIRESIDE HEARTH & HOME Contact Person: 1:i;l.'V
Address: 2700 Fairview Ave N State Bond }:BC662656, MB662572, PC662571
City: Roseville, MN Zip55113 Expiration Date:
651-633 2561 ""
Phone: Alternate Phone:,�''''i, '41" 651-638-3312
❑ Insurance-Current:
I
03-12-'18 09:21 FROM- 1-632 P0002/0004 F-093
r MECHANICAL SYSTEMS BEING INSTALLED
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
I iiii; AGES
t3:4s$`?iiii.:?ire lzce �Brarld_Niini) ( -::., . .
❑ 0o4 4000 Fireplaoe
111 ggcj S ove with Flue 71%4.
VENTILATION
❑ No. Kitchen Exhaust duct recirculating cfm
❑ No. Bath Exhaust(must have duct outside) _ din
❑ No. Other Fans: Locations cfm
FUEL STORAGE (Must be approved by Fire Marshall if proposing to abandon rank in place.)
❑ Installation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill ❑ Other/List What&Where:
2
03-12—'18 09:22 FROM— 1-632 P0003/0004 F-093
PERMIT FEE CALCULATION(S)
BASED OFF -2002 STATE STATUE .
❑ '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 $
PERMIT FEE CALCULATION(S)—JOBS OVER$500.00
If above does not apply;follow guidelines below:
1. CONTRACT PRICE s is 1.25%of contractp rice with a(11,1mimurn Fee of$50.00)
l (I , c012, , =r ,�
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2. STATE SURCHARGE Z f l v/
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3. POSTAGE&HANDLING(Only on Mail-In Applications) ) ,,:;.,.••,"%,�
to
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) r,;,;,; ,,, ,.. ,,, ,•, $,,
■ . 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,
MECHANICAL PERMIT APPLICATION AGREEMENT .
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 Cit and the regulations of the State of
Minnesota, and certifies that all statements made • ' s application are complete, true and
correct.
Applicant's Signature: 1 itl` 71 t � 1��8
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DATE TIME
CITY OF ORONO CALLED IN
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INSPECTION NOTICE c SCHEDULED L-y-y 7:eV
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PERMIT NO.e2O/S--00gC ( C MPLET
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ADDRESS U�0�7 G ) �(,l Jc
OWNER TELEPHONE NQ. `?f/ �27
CONTRACTOR Fi��51 '/0'4
DESCRIPTION P A? :i_--
W ❑ FOOTING 0 DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING
Q0 FOUNDATION DRAIN TILE 0 PLUMBING FINAL 0 TREE REMOVAL
❑ LATHE 0 MECHANICAL RI 0 SITE INSPECTION
Q 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS
❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT
Q 0 FINAL 0 WATER HOOK-UP 0 FOLLOW-UP
W ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL
v ❑ DEMO-SITE 0 SEPTIC INSTALL
Z OWNER/CONTRACTOR TO MEET YOU:_YES NO / /�'"
ti COMMENTS: L)G/L L:)e /v23G
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W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
ilfiattnriEci.WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
CI ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
t.) BEFORE COVERING • PERMANENT
0 CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN
INSPECTOR WILL RETURN
El CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
0 INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractoron site:
Inspector. 9/a.‘, "4
White Copyllnspector's File Canary Copy/Site Notice