HomeMy WebLinkAbout2014-00598 - gas fireplace • CITY OF ORO O ����
• 2750 KELLEY PAR AY * 2 PJ 1 4 - 0 0 5 9 8 *
DATE ISSUED: 06/13/2014
' ORONO, MN 553 6-
(952) 249-4600 FAX: (952 249-4616
ADDRESS : 75 BAYSIDE TR
PIN : 06-117-23-22-0030
LEGAL DESC : BAYSIDE MEADOWS
: LOT 5 BLOCK 1
PERMIT TYPE : MECHANICAL(> $500) !
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIREPLACE-GAS
VALUATION : $ 4,500.00 I
NOTE: 3 HEAT N GLO GAS FIREPI.ACF,S
APPLICANT MECHAM AL 56.25
STATE SU CHARGE MECH (VALUATION) 2.25
FIRESIDE HEARTH& HOME MAIL-IN F E 2.00
2700 FAIRVIEW AVE TOTAL 60.50
ROSEVILLE, MN 55113
(651)633-2561 Payment(s
Minnesota State License#: mech-20512060 CHECK 2004496 60.50
OWNER
WACHMAN JR., ERVIN
21.i5 SALEM CT
LONG LAKE, MN 55356-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifcations,applicable City approvals,and the
State Building Code. �]'his permit is for only the work described and does
not grant permission Yor additional or related work which requires separate
permits. All provisions of laws and ordinances governing this type of wark
shall be compied with whether or not specitied 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 timc after work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance wi[h[he State E3uilding Code.This permit may be
revoked at any time for due cause.
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Applicant Permitee Signature Date Issued By Sign e Date
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� FOR CITY L'SE O\LY • "
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¢Q�� City of Orono
P.O.Bos 66 Date Kacciced: Pz�mit# _--- -_
r,a� �`�', 2750 Kelley Parkway
�� � � �.! Crystal Bay,MN 55323 Approved By: t�mount$:
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�t�"'�y+ `}�a'�,'�` Phone(952)249-4600 Fax(952)249-4616
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CITY OF ORONO-MECHA ICAL PERMIT
(All Commercial pennits must be approved by the Building Ofl�cial or Inspector andior Fire I�farshall)
GENERAL INFORMATION i
1. You may apply for mechanical permits by mail os in p rson at the Citv oflices. Applications�vill
be reviewed and a perniit will be issued�vithin two wo king days.
2. Perniit cards will be sent by retum mail after a review s completed. PERMITS ARE NOT
VALID UNTTL YOU RECEIVF A PF,RMIT. WOR MUST NOT BEG1N UNTIL THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Mechanical T�esiQns—Complete calculations,details d specifications are required for each
heating,ventilation,humidification-dehumidification, nd air conditioning installation including
heat loss/heat gain ealculation;design temperatures,e ipment ratings and identification as to
type,manufacturer and model. Data shall be presente on forni provided.
4. When any new construction or remodeling is invplved a separate building permit must be
obtained.
5. All work must be done in accordance with the UniYo Mechanical Code/State Building Code
requirements.
6. All work must be inspected(rough-in and tinal). Call 952)249-4600.
(24-48 hour notice required)
7. House Heating Test Record must be submitted before mal.
TYPE OF PERM T
�� (Check All That A ly)
esidential ❑Commercial(Approval Required)
New ❑Additional ❑Rep irs ❑Replace
Job Site/Owner Informaiion:
Site Address: 7� � ��
Owner: µU-�2- Mailin Address:
t �.
Citv: Zip:
Home Phone: / ��� � 3� � ��� Altern te Phone:
Contractor Information:
HEAR7h�l & HOME 7ECNNOLOGIES
Contract�� _ �ME Conta Person:
�i� ���656
Address: ��@�1 ��,t�t�f�W ,�vEt�uE N State ond#: �� 3 f � g 7"l�-�Y
�O��Vl��1��, ;�N �5I13 -7
City: ���••�����ip: Expira ion Date: 6 ' l�-'�
Phone: ��-��3� �G�'L`-y Altern te Phone:
HLARTH & HOME TECHNOLOGIES
dba FIRESIDE HEARTH & HOME ❑ Insur ce-Current:
LiC 662556 1
2700 FAIRVIEW AVENUE N
ROSEViILE, MN 55113
651.633.2�1.
IDUZ-�
MECHAN���,�''�'���"�N�S E ' Cr�!!�'�"�,��.
Note: All Geothermal Sy�stems will now require a Site Pla & Review by our Building Official.
IS THIS GEOTHERMAL? ❑Yes ❑No
HEATI1vG SYSTEMS
Quantity:
Make:
Model:
Fuel:
Flue Siz.e:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H.Power
FIREPLACES
� Gas Factory Fireplace J( 3 rand Name: ��vr!�
❑❑ Wood Burning Fireplace � �� �� .�r0 _-p—� �^ y�-T �Q��T(.�i
Wood Stove odel No.: � 1 � Y �•`
❑ Wood Stove�vith Flue/Masonry
VENTILATION
❑ No. Kitchen EYhaust d ct recireulating cfm
❑ No. Bath Exhaust(must have duct utside) cfm
❑ No. Other Fans: Locations cfm
FLJEL STORAGE (Must be approred by Fire Marshall if pr osing to abandon tank in plaee.)
❑ Installation ❑ Removal
Fuel Oil: gallons Underground ❑Inside ❑Outside
LP Gas: gallons
Other:
GAS LINE OIYLY
❑ Outdoor Grill ❑ Other/List What Where:
2
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P���Iz���E eaLCUL ���TION�s� �
sasE� c��F -2oa� sT�T sTAT� �
❑ Ycs,this section applies
I he replacement of a Residential fixture or appliance that meet all three of the followin�requirements:
1. Does not require modification to electrical or gas rvice.
2. Has a total cost of$500.00 or less;excluding the c st of the fixture or appliance: and
3. Is improved,installed or replaced by the homeo�r er or licensed contractor.
Skip neht section,if this applies; Cost of P rmit $ 15.00
State Sur harge $ 5.00
Mail-In F e(If Applicable} $ 2.00
Total Pe it Fee �
, �?` '��;��., ��:��,�.-'��'�'��'' — E}BS�:� ...� , :.: '' ,,,, f ,.
s .
If above does not apply;follow guidelines below:
1. COI�TTRACT PRICE * is 1.25%of contract pri with a(Minimum Fee of�50.00)
"T•�0�, � x .0125$ �C;�,Z�
(contractprice) (minimum$50.00)
2. STATE SURCHARGE
��OD, DD x.000s $ `�'' �2' ,
(contrac[price)
3. POSTAUE&HANDLING(Only on Mail-In Appl cations) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) �� � � �
■ * CONTRACT PRICE or JOB COST means the actual r estimated dollar amount charged for the
perniitted work including materials, labor,profit,and othe fixed costs. It is the amount to be charged
to the customer for the work done. If any material, equip ient, labor or installations are furnished by
the o«ner,tenant or any other party,the reasonable mark t value of such items must be added to the
estimated cost or contract price for pennit fee purposes. In the event that there is a dispute on the
amount of the job cost, the City may request the submis on of a signed copy of the actual contract.
���,`�� '' ��:��.-�'� ��, ���� � �?,
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The undersigned hereby applies to the City for issuancc f a Mechanical Permit, agrees to do all
work in strict accordance �vith the ordinances of the ity and the regulations of the State of
Minnesota, and certifies that all statements niade on is application are complete, true and
correct.
,
Applicant's Signature: �W�'��'�" Date: ^ GLJ� � �
Reset Farm
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OATE IME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
PERMIT NO.a�'�...�"'�/" G:�`� COMPLETED ia-_3i-i�
ADDRESS - �
OWNER TELEPHONE NO.
CONTRACTOR '�r� �� - '��' '¢ �y'`
>'; DESCRIPTION � ���
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t1i ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADI G/FILLING
� O POURED WALL ❑ MECHANICAL RI ❑ LAKESHOR LANDS
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Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVA
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTI N
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� �9cEle�L ❑ SEWER HOOK-UP ❑ COMPLAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER EMOVAL
� ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION EMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
v�, COMMENTS:
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� ❑WORK SATISFACTORY:PROCEED PR CT COMPLEfE
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE O OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORAR
V BEFORECOVERING PERMANE
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WFLL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (952� 2 9-4600
OwnerfContractor on site:
Inspector. �`^
White Copyllnspector's File Canary CopylSlts Noti
� D�� TIME ✓
cinr oF oRONo A� ,,
INSPECTION TI SCHEDULED -_1�-/.
PERMIT NO.��L �� COMPLETED
ADDRESS ��
OWNER TELEPHONE NO. � �7�
CONTRACTOR `r��
� DESCRIPTION � �� ' �-�
�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GR DING/FILLING
y ❑ POURED WALL �"M1'AECHANICAL RI ❑ LAKFSHOR ETLANDS
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REM VAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPE TION
Q ❑ RADON SLAB O WATER HOOK-UP ❑ PROORESS
� ❑ FINAL ❑ SEWER HOOK-UP O COMPLAIN
v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-U
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COV REMOVAL
� ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATIO /REMOVAL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
y COMMENTS:
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W� WORKSATISFACTORY:PROCEED ❑PROJECT COMPLETE
� ❑ RECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF CUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN �
INSPECTOR WILL REfURN ❑CITATION ISSUED I' I
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. �
Call forthe next inspection 24 hours in dvance. (g52) 9 4600
OwnerlContractor on site:
Inspector.
White Copyllnspector's Flle anary CopyfSite Notice