HomeMy WebLinkAbout2017 - 01247 - gas fireplace tIIII IIIA II 0 IIIA II II II III
CITY OF ORONO * 2017 - 01247 *
2750 KELLEY PARKWAY DATE ISSUED: 10/03/2017
ORONO,MN 55356-
(952)249-4600 FAX: (952) 249-4616
ADDRESS : 2875 WOOD DUCK TR
PIN : 33-118-23-24-0033
LEGAL DESC : ORONO PRESERVE
: LOT 3 BLOCK 4
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIREPLACE-GAS
VALUATION : $ 1,813.00
NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION.
(I)HHT GAS FACTORY FIREPLACE
APPLICANT MECHANICAL 50.00
FIRESIDE HEARTH&HOME STATE SURCHARGE MECH(VALUATION) 0.91
2700 FAIRVIEW AVE TOTAL 50.91
ROSEVILLE,MN 55113 Payment(s)
(651)633-2561 CREDIT CARD 4616 50.91
Minnesota State License#:mech-20512060
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.
/0 , 3 , /7
Applicant Permitee Signature Date Issued By S'4 ,)L) -4:/-s-e)
ature Date
1}0-02-'17 15:38 FROM- T-871 P0001/0005 F-237
• ✓8c(7L{ gg_ 600
PO C Y USE ONLY
City of Orono
�0k^ P.O.Box 66 pato Recoil/N.
ecoiv /'7 Permit ��
�.J 2750 Kelley Parkway
Crystal Bay.MN 5.323 Approved By; Amount�:
Phone(952)249.4600 Fax(952)249-4616
1.
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CITY OF ORONO—MECHANICAL PERMIT
(Ail Commercial permits must be approved by the Building official or Inspector and/or Fire Marshall)
GENERAL INFORMATION 7
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- Mechanica 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 Apply)
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Job Site/Owner Information:
(SitOA clew 2SWood o od ) I
pgai-,,,,,,.), ?..-)-e--e-A./...Li 144PAAA-67tiork4-4A
KR
Homali , (1 77 7 C10'7-LPZ7 Alternate Phone:
Contractor Information:
Contractor: FIRESIDE HEARTH &HOME Contact Person: Pari•ipAr
Address: 2700 Fairview Ave N State Bond#:BC662656, MB662572, PC662571
City: Roseville, MN zip:55113 Expiration Date: 1 ( �"�
Phone: 651-633-2561 Alternate Phone: S i `eJ� 33 d
❑ Insurance—Current:
l
, 1 -02-'17 15:38 FROM- T-871 P0002/0005 F-237
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
1FIREA rACFs
Xi ' •• E51110 eitilOOOL7M
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 []Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill ❑ Other/List What&Where:
7
. , 10-02-'17 15:38 FROM- T-871 P0003/0005 F-237
PERMIT FEE CALCULATIONS) .' •
BASED ORF" 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 Pee(If Applicable) $ 2.00
Total Permit Fee $
'.PERMIT.FEEE,CALCULATION(S),--,JOBS OVER$500;00
If above does not apply;follow guidelines below:
1. CONTRACT PRICE *is 1,25%of contract rice with a(Minimum Fee of$50.00)
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fi5. `r'�!"it. mi. m .,j I)
2. STATE SURCHARGE I %I 3 x0
63$ . q
AggegfIgig
3, POSTAGE&HANDLING(Only on Mail-In Applications) c52 .
4. TOTAY.,PERMIT FEE(Add Lines 1-3 Above) �1,�,�:�.;��:ts;bbb�"'�.�•;t :'.Lri
• * CONTRACT PRICE or JOE 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 fec 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 I?ERMITAPPLICATION 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 City and the regulations of the State of
Minnesota, and certifies that all statements made is application are complete, true and
correct.
_,/
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Applicant's Signatu e: (? x A /0 ` 2--/7
I
3
1
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
PERMIT NO. .017 - 0/071-12 COMPLETED /o? - g 717
ADDRESS .24 7.5 G✓oo6 J✓,�c%7rs.G
OWNER TELEPHONE NO.
CONTRACTOR
DESCRIPTION r p-
W ❑ FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION DRAIN TILE 0 PLUMBING FINAL 0 TREE REMOVAL
❑ LATHE 0 MECHANICAL RI 0 SITE INSPECTION
Q ❑ FRAMING 0 MECHANICAL FINAL ❑ RATED WALLS
• ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT
1E6INAL 0 WATER HOOK-UP 0 FOLLOW-UP
W 0 AS BUILT-SURVEY 0 SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
v ❑ DEMO-SITE 0 SEPTIC INSTALL
OWNERICONTRACTOR TO MEET YOU:_YES_NO
y COMMENTS:
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IQ ❑WORK SATISFACTORY:PROCEED ROS ECT COMPLETE
0 CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
C ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. U 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. i/A—_i
White CopyAnspector's File Canary Copy/Site Notice
- � - /
DAT TIME
CITY OF ORONO `— LLED__IN /0 A T_/ 7
INSPECTION NOTICE /°3 �,���gcHH�ULED , '1/3-
PERMIT NO. 024! 7-�a� COMPLETED
ADDRESS ?7S Gf��i�ClL�_ �/���cy
OWNER kTE,H0 O.CONTRACTOR J
DESCRIPTION /
LU ❑ FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL
5( ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING
❑ FOUNDATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL
• ❑ RADON SLAB 0 MECHANICAL RI 0 SITE INSPECTION
Q 0 FRAMING ❑ MECHANICAL FINAL 0 RATED WALLS
• ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT
Q ❑ FINAL 0 WATER HOOK-UP 0 FOLLOW-UP
W ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL
❑ DEMO-SITE 0 SEPTIC INSTALL
OWNERICONTRACTOR TO MEET YOU:_YES_NO
14• COMMENTS: •./.6 p/Q c4 v4" 32..1/— `Y743-1 I.c-a JC<S
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WWORK SATISFACTORY:PROCEED CI PROJECT COMPLETE
CC ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
CI 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
• BEFORE COVERING PERMANENT
O CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR C]CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
OwnerlContractor on site:
InspectorG%'%��
White Copyllnspector s File Canary CopylSite Notice