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HomeMy WebLinkAbout2015-00160 - gas fireplace Mill 11111111111111111111 CITY OF ORONO I mill 111111111111111 _ 00160 * 2750 KELLEY PARKWAY * DANE ISSUED: 02106/2015 ORONO,MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS 1000 WILLOW DR S PIN 10-117-23-21-0004 LEGAL DESC UNPLATTED 10 117 23 LOT 000 BLOCK 000 PERMIT TYPE MECHANICAL(>$500) PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE FIREPLACE-GAS VALUATION $ 3,790.00 NOTE: (2)FACTORY BUILT HEAT-N-GLO FIREPLACES APPLICANT MECHANICAL 50.00 STATE SURCHARGE MECH(VALUATION) 1.90 FIRESIDE HEARTH&HOME MAIL-IN FEE 2.00 2700 FAIRVIEW AVE TOTAL 53.90 ROSEVILLE,MN 55113 Payment(s) (651)633-2561 Minnesota State License#:mech-20512060 CREDIT CARD 4608 53.90 OWNER KLOMBIES,LINDSAY&ANNA 1000 WILLOW DR S 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. Applicant Permitee Signature Date Issue y Signature Date 09-06-'15 14:04 FROM- T-445 P0001/0004 F-586 City of Orono P.O.Box 66 Q 2750 Kolley Parkway ^ Crystal Bay,MN 55323 'opko Cd, Phone(952)249-4600 Pax(952)249-4616 ?. •;;<,' ( ?.';, '.:}•.:;r.,•:::'::'i;>:.: asHo��c, CITY OF ORONO--MECHANICAL PERMIT (All Commercial permits must be approved by the Building Official or Inspector and/or Tiro Marshall) 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 t 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 II heat loss/heat gain calculation,design temperatures,equipment ratings and identification as to type,manufacturer and model. Data shall be presented on form provided, I 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. •/'• Cli''e ek �� A Residential ©Commercial(Approval Required) ❑New ❑Additional ❑Repairs []Replace Job,Site I Owner Inforrm��ation: Site Address: Owner: Mailing Address: w1ro IV City: �, .�, S1U1� � � zip: Home Phone: (9 -[ Alternate phone: ,ContrIn f6rnlon Contr*"V:& WE TECHNOLOGIES Contact person; :aba FIRESIDE HEARTH at K - _ — Address: UrSC662656 State Bond#: 2700 FA ROSEVILLE, MN 55113 , City: 65, 633..56_ _ Zi Expiration Date: r Phone: Alternate Phone: l Gal- . 12 ❑ Insurance-Current: 1 02-06-'15 14:04 FROM- T-445 P0002/0004 F-586 :Ei'.. ..JP.,v+.v e..IFN+i+J'37hF!t'l' •.V!•. �:.•.y� 3!�•. 1�•1 0, l •.'.�+{f���;!'ii�t�1.`�fi'!i';?�'i}�,�.��.:.�.wiw�f..1 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: + i k H.Power FIREPLACES �I�C71� Gas Factory Fireplace�2� Brand Name: I Wood Burning Firepla ' [] Wood Stove Model No.: ❑ Wood Stove with Flue I MasonryQ "I,-a n VENTILATION Tam11�{� K7�CCI�+i'1't5 i f ❑ No. Kitchen Exhaust duct recirculating cfm ❑ No. Bath Exhaust(must have duct outside) cfm ❑ No. Other Fans: Locations cfm FUEL STORAGE (Mast be approved by Are Marshall if proposing to abandon tank in place.) 1 i Q Installation ❑ Removal i Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill ❑ Other/List What&Where: 2 i 1 02-06-'15 14:04 FROM- T-445 P0003/0004 F-586 f 1. 1, M' •' •K•�. +,:7 •. •,ai3e , _ �LZ� . He .� �'• ,�...,...��,:.y7:'1!':M� t;'c/L.:".{'4�'S�: `;l S� ''?''• !.,moi: �i •_"�' 'e .q't:/•F l�''�7r: `�'9v,.t•'e;is1`}r�'Ljw�1?f;•.,1' < J.'A1•c- !S i:''e.lY}��l.,f :�.;tJ %4'7.`. .a'lar. ;�,^" :y a;�e: t'Ul,••1• 4 :r. � '�;Y':'".bY'�:" �;�,•,�.;�;.T � "t`n,. N � 1 {., u. y•�;• ,�', 'J• t ,!i ,�r;" i 1..'>'.:.� '� a;::.%r._1,., �,. t f •��•f'F� r�,`: . .:�;�..>.s:;\:�•����.���..�uF��F++f.�1i4'r.� •S'rY,oL,!;O'��:►ty.+lf'A7 1;;4.1;'1 dV': 'z"': • � M r Y%•'';'`NN ❑ Yes,this section applies The replacement of a Residential fixture or appliance that meets all three of the foilowing requirements; 1. Doesp require modification to electrical or gas service. 2. Hasa total cost of$500.00 or less;exeludin the cost of the fixture or appliance;and 3, Is improved,installed or replaced by the homeowner or licensed contractor. f Skip next section,if this applies; Cost of permit $ 15.00 State Surcharge $ 5.00 Mail-In pee(if Applicable) $ 2.00 Total Permit Pee $ L'lu u`rr A r1J.1;1�'`lQ. .a.'. •V'.Ga .l �V'.,�( ,'V'. .:t.�5!� i�Jy� �;6j5"Y, c b t If above does not apply;follow guidelines below: 1, CONTRACT PRICE *is 1.25%of contract price with a(Minimum Pee of$50.00) 3.IqQx.0125 S ��' "(ccontract price) (minimum 550.00) 2. STATE SURCHARGE X.0005 $ l~1 (Contract p(ice) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 i 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. ��-` 4• '•!."'.7Y).,•' .�+:.4�S�nT-T7Y"..•�. .i Mt+F?! ]r'�fS�'°/•il..,,.5 C1i}...�.�:..�" EE1 f 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 regulation$ of the State of Minnesota, and certifies that all statements made on this application are complete, true and correct. Applicant's Signature: �� Date: 2 ly (J 3 DATE TIME V CITY OF ORONO CALL[ 16H N� INSPECTION NOTICE SCHEDULED PERMIT NO. COMPLETED ADDRESS l n o o (A l l o u) -2- — OWNER TELEPHONE NQ. -.,- CONTRACTOR CONTRACTOR DESCRIPTION 1 'r l acs W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING C ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP ❑ AS BUILT-SURVEY ❑ ER HOOK-UP ❑ HARD COVER REMOVAL v ❑ DEMO-SITE ❑ TIC INSTALL ❑ FOUNDATION/REMOVAL Z OWNERlCONTRACTOR TO MEET YOU: YES—NO y COMMENTS: - cc 11 W QC It 4i1 j W OKMRK SATISFACTORY PROCEED ❑ PROJECT COMPLETE QC ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice DATE TIME VCITY OF ORONO CALLED I INSPECTION NOTICE SCHEDULEDAlk PERMIT NO.20l S-0O I(o 0 COMPLETED ADDRESS l ©(DO U) I I I �)j►} OWNER TELEPHONE NO._=Y-'�o IorZ CONTRACTOR y- d 2 6Y 1� DESCRIPTION 7_1 rec e S W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING y ❑ FOUNDATION WATERPROOF G FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB � MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL v ❑ DEMO-SITE ❑ PTIC INSTALL ❑ FOUNDATION/REMOVAL OWNERICONTRACTOR TO MEET YOU: YES_NO COMMENTS: -a- a J O s r./ QZ 2 W QC Q 2 W c r d WQCZ0KSATISFACTORY.PROCEED ❑ PROJECT COMPLETE RECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY RECT WORK,CALL FOR REINSPECTION TEMPORARY Ci BEFORE 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 hou in adva 52) 249-4600 Owner/Contractor on site: Inspector. White Copyllnspector's File Canary Copy/Site Notice DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE. SCHEDULED PERMIT NO. ��� �0 � COMPLETED. ADDRESS 000 OWNER ELEPHO4E NO.r CONTRACTOR ���� 71/ DESCRIPTION � - W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING C ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ EWER HOOK-UP ❑ FOUNDATION/REMOVAL v ❑ DEMO-SITE ❑ IC INSTALL Z OWNERICONTRACTOR TO MEET YOU: YES_NO COMMENTS- W QUjFc CC W ❑WORK SATISFACTORY:PROCEED61EGT COMPLETE CCW ❑CORRECT WORK 3 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site- Inspector. White Copyllnspectoes File Canary Copy/Site Notice