HomeMy WebLinkAbout2015-00840 - gas fireplace � CITYOFORONO * z0 15 - 00840 *
2750 KELLEY PARKWAY DATE ISSUED: 07/02/2015
ORONO, MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS : 200 BAYSIDE TR
PIN : 06-117-23-22-0027
LEGAL DESC : BAYVIEW FARMS 2ND ADDN
: LOT 2 BLOCK 1
PERMIT TYPE : MECHAMCAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIREPLACE-GAS
VALUATION : $ 9,345.00
NOTE: HEAT-N-GLO GAS FACTORY FIREPLACE
APPLICANT MECHANICAL 116.81
STATE SURCHARGE MECH(VALUATION) 4.67
FIRESIDE HEARTH&HOME MAIL-IN FEE 2.00
2700 FAIRVIEW AVE
ROSEVILLE,MN 55113 TOTAL 123.48
(651)633-2561 Payment(s)
Minnesota State License#: mech-20512060 CREDIT CARD 4608 123.48
OWNER
Gonyea Homes
6102 OLSON MEMORIAL HWY
GOLDEN VALLEY, MN 55427-
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 separa[e
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 I80 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 Permite ignature Date Iss d B Signature Date
07-01—'15 16:33 FROM— T-042 P0001/0004 F-244
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47-41-'15 16:33 FROM- T-042 P0402/0404 F-244
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Note: All Geothermal SystemS wi11 now requirc a Sitc Plan&Ete�i�w by our Building Official.
IS THIS�EOTH�RMA�,? ❑Ycs ❑No
��ATyIVC SYST�MS
Quantiry;
Make; ._ ,�.�,,..,,,,�,._„
MotleL
�uel: ,.�.wu„�
FEuc Si2c:
Input BTUs: _
Output�Tl1s: T ^ '
CFM:
COOLING SYSTEMS
Quantity: '
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Make: ;
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Model: �
Tpns:
�.Power �,_.. ___�._��.,.. �..M. . .
Y�Y12�priAG�qi
(� �C�as�?aGtaryN�repl�cet . �t3r��d�l�ri+e.' (��A�"��G�*�,����:�HT
❑ ��'�loQd�#���ltng�ibeP.Y���;
❑ ,�J��si�ii5tova'' IV1o�,clNo':a ;,fQQQ���F!.�•�X�)'.'&';.,('a��T43361
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O V+ropd stqv�;yv�cta�'�uz'(MasoF�ry,�
V�NTZX�A1f�ON
❑ No. Kitehen Exhaust duet recireulating cfm
❑ lVo. u_ Bs�th Exh�ust(must hAve duct outside) cfm
�f No. Other Fans: Locations cfm �
�'�1�C.,S'T'ORAC� (A1ust be appruve�i by F}re ll�arshnll if propusing to rab�ndore tank r�t plaee.)
[� YnstallAtion [T] Removal
Fuel Qil: gallons ❑ Underground ❑Insidv ❑putside 4
LP Das: �gallons
Otl�er:
,4
GAS LINE ONLY �
�I
❑ Outdoor Crill ❑ 4ther/List'What&Whara� � '
2 '
I�
07-01—' 15 16:34 FROM— T-442 P0003/0004 F-244
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��v�� �z`s'�`E�,a; � n,�° ,, �., ;P�` �`y�Fk�C��'I.,CU.� A�TIQI�1���)'� ,$ �� �, �� �,�, ,;ati;
��t�i��� 6i , e�e yr���Y i i �� �gU �S 2�A ���'y ,��� r .c,.i t lr � i .1' n � i�� r� �! r�y�i
�• r �] �;�7 (y(� �'77^ �7C1'7'/� y}�, .�,�� V �,r. JI 5.
�y`�„�„��c,��r,�<�'.1 r.��'.t4..rmr e�:�n,�.7Rf `!a,>���.!i�:��,A�F'..£.:�V.V�.r4J.'1.(R�L'i.'*'-1 A f�1,��1+'. .�.4.f r�id.h�lr����s�h'�+n����1�
❑ Yes,this secti�,�applies
The replactment of a Residential f'rxture or appliance that meets a1€three of the following requirements:
1. TJo�S_,»�t require modification to electrical or gas scrviee.
2. �Cas a total cost of$500.00 or less;exeludin�the eosC of the fixture or appliance: and
3. 1s improved,installed or replaeed by the homeowner or lieensed contractor.
Skip neact section,if this applics; Cost of Permit $ 15.00
Stata Surcharge $ 5.00
Maii-Cn�'ee(rf Applicable) $ 2.00
Total Permit Fee �
� �� _
��i�.1?l�%+$���4.�i.�:�,C��ir�1�l„����.4:;L'�-l�4-!�Li���1i��1`((�1) ��1,�D��jY��.J�i[7i�S,VVPU�� Y:,c 3���,,�G.f 5���' �
If above does not Apply;folfo�v guidelines below:
1. CONT�tACT PRrC� � is 1.25%of cUntr�ct price�viCh a(Minimum Fcc of�SOAO) �
9,345.00 `z".9125��; 11G;�£r,1 � ::: , ;``!
, ;
�(�l2c)q'i�t Pdit$).- '(�11�i1ilm�►N[i.�SO��)`
2. STATE SURCHARGE 4.67
9,345.00 x;;U005,':'��z
�(Coniraet,p'rrc;�j,
3, POSTAG�&HANDLiNG{Only on Nlail-Cn A�plications) $'u�.�,,„����
4. TOTAL PERMIT FE�(Add Lines 1-3 Above) ,$_', 1Z.7�'4� �`. '
■ '" CQ1J'C'�ZACT PItCC� or J0� COST means thc actual or estimatcd dollar �mount chargcd for the
��ermitted work including materials,labor, profit,and othtr fixcd costs. It is the amount to be charged '
to thc cti�stomer for the work done. If an� material,equipment, labor or instAllations are furnished by
the owner, tenant or any other parry,the reasonabte market value of such items must be added ro the
estimated eost or eontract price for permit fee piirposes. In the event that there is a dispute on the
amount of the}ob cost, the City may requcst thc submission of a signed copy of the�ctual contract.
1
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�,,r.�.,:.,� , ..�.r t � �'���X�'�°'�'';�',-�;,M,.'�I'�,APp�.�GAT��N,!�,�.��It!I4I�"�',�^,.:2,,,; �,�;r�'`r�;.
�
The ucidersigned hereby applies to the City for issuahce of a Mechanical Permit,agrees to do all j
work in strict �ccordance with the ordin�nces of the City and the regulations of the State of j
Minnesota, and certifies that all statemenSs made on chis application are corr�plete, 1rUC Snd �
con•ect.
i
ApplicanC's Signature: �� �--�V�f''GY� t�at�;:;; 7/1/15
3 �
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�'�
.��e�� DATE TIME
!�� CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED _����
PERMIT NO.�����������: COMPLETED
ADDRESS ���:�/;L�� ��f���%�
OWNER TELEPHONE NO. ����('✓� =���
CONTRACTOR � - �
� DESCRIPTION
�� �
ll� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
O ❑ FOUNDATION WATERPROOF ❑ PLUMBING 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
_ ❑ AS BUILT-SURVEY ❑ SEW R HOOK-UP ❑ HARD COVER REMOVAL
J ❑ DEMO-SITE ❑ TIC INSTALL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:�YES_NO
� COMMENTS: �-'
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a ` �•� 6+1 l�a✓Gli,- ve.�►ws_ C ��•�rc��
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W '�ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE
��CBRRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑ CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 for the next inspection 2a hours in advance. (g52) 249-46��
OwnerlContractor on site:
Inspector. / '�-� �
White CopyAnspector's File Canary CopylSite Notice
"v /� DATE TIME��
� CITY OF ORONO CALLED IN
/ INSPECTIO NOTI � SCHEDULED � �- '3�_
PERMIT N � COMPLETED
ADDRESS 2� ��PS�C�.����Al.�
OWNER TELEPHONE NO. b�Z� ��75
CONTRACTOR �� 5�
� DESCRIPTION � ����� �J .�--
W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
O ❑ 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 ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL
J ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO -
� COMMENTS: l'Vl:L• � P � C�Ca��•9C¢S vG.�c�� K5 - 6i�
� — � �G /N,rj . Sti��1��drov�4� - - -
� / /4�l�i -{pP d F'. . asQ, 6/'t t s �r � �-w
J ;'0` �Oy� � � CfiLfJ�/rf ✓H.af/ ILw•r�
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o � ,�(� ��c� �/�S �' �"li.S f� r+il¢.
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GW ❑WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE
� ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECWERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
SPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952� 249-46�0
OwnerlContractor on site: /S�6li�L
Inspector. ni- l../ �
White Copyllnspector's File Canary CopylSfte Notice
�
�� DATE TIME
CITY OF ORONO CALLED IN I tt m
INSPECTION NOTICE � SCHEDULED
PERMIT NO. � S'��� � COMPLEfED
ADDRESS ��JD �CC.�1 G7 �� ��. .
OWNER TELEPHONE NO.
CONTRACTOR
� DESCRIPTION ��' l �/� l� (�I ����I
l►� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ 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 ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
v ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNERICONTRACTOR TO MEEf YOU:_YES_NO
c�., COMMENTS:
W -�-
C
�
J
� /. ( � � C �� _ �
° a�o ��� c�s �
W
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Q
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2
W
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W ❑WORKSATISFACTORY:PROCEED ROJECT COMPLEfE
� ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pH0T0 TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED_CALL TO ARRANGE ACCESS.
Ca11 for the next inspection 2a hours in advance. (952) 249-460�
OwnerlContra on site:
Inspector. '
White Copyllnspector's File Canary CopylSite Notice