HomeMy WebLinkAbout2014-00875 (mechanical-gas fireplace) ' CITY OF ORONO
2750 KELLEY PARKWAY * 2 0 1 4 - 0 0 8 7 5 *
DATE ISSUED: 08/12/2014
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 2629 CASCADE LA
PIN : 33-118-23-11-0114
LEGAL DESC : STONEBAY FIFTH ADDI`I,ION
: LOT 004 BLOCK 001
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIREPLACE-GAS
VALUATION : $ 1,200.00
NO'1'E: 1[f?A"i�-N-GLO GAS PIRF;PLACI�;
APPLICANT MECHANICAL 50.00
STATE SURCHARGE MECH (VALUATION) 0.60
FIRESIDE HEARTH& HOME MAIL-IN FEE 2.00
2700 FAIRVIEW AVE TOTAL 52.60
ROSEVILLE, MN 551 13
(651)633-2561 Payment(s)
Minnesota State License#: mech-20512060 CREDIT CARD 4608 52.60
OWNER
BUILDERS LLC, STONEBAY
14870 BROCKTON LANE
PLYMOUTH, MN 55446-
AGREEMENT AND SWORN STATEMENT
�he work for which this permit is issued shall be performed according to
the approved plans and specitications,applicable City approvals,and the
State Building Code. This permit is for only fhe 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 whethcr 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 I 80 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conlormance with the State Building Code."I his permit may be
revoked at any time for due cause.
���:��� / � -� � 02- ✓
Applicant Permitee Si � re � Date ssue By Signature Date
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ZE6-� L000/ti000d Oti8-1 -WOa� ZE=9L ti��-��-80
08-11-'14 16:32 FROM- T-840 P0005/0047 F-932
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Note: All Geothertnal Systems will now require a Site Plan&Review by our Building Offici�l. �
IS THIS GEOTHERMA�,'.' ❑`Yes ❑No '
H�ATYN�SYS"1'�1vI5 ;
QuantitY� ..�_,.r.w. _.,�._ �
Make: .
Model: �
Fuel; ._�.. � v_.w_��..�.
�lue Size: �
Input STUs: � �, _ ,
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Output BrCJ�s: �
CFM: '
COO�,CNG SYST�MS
Quantiry:
. . Make� �
ModeL _�___�___. — �—�,,._.�, ..._,�. �
Tpns� i
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H.Po�ver
�'1R�YY�ACES ;
� Gas FacYory Fireplace Brand Namt: ���'� "� "���� �
0 Wood gurning�ireplace ip,�\ � ��,,,� '
❑ 1YJood Stove Ivlodel No.: _��!`�V ,J�U�
❑ Wood Stove with Fluc/Masonry
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VENTILAT[ON
Q No. iCitche���xhaust duct recirculating cfin �
❑ No. �ath�xhausf(must hav�duct outside} cfin �
❑ No. Othcr Fans: LocBtions cfm �
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FUEL STORAGE (Must be approt�ed by Flre Mnrshall If proposing to abandor:tank l►a pluce.)
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❑ insfallation ❑ Ttemoval �!
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Fucl Orl: �_ gallons �] CJnderground ❑Inside ❑Outside !
�,P Gas: �3Nlons
Other:
GAS LINE ONLY
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❑ Outdoor Grill ❑ Othcr/List What&Whcrc: f
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08-11—' 14 16:32 FROM— T-840 P0006/0007 F-932
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[] �es,this scction appl'res '
Thc re laczment of a�tesidential f kture or appliance that meets all thrcc of the following requircn�cnts: �
P
� l. Does not require modification to cic�trical or gas service. �
2. Has a total cowt of�500.00 or less;e�ccludin�ttie cost ofti�e fixturt or appliance:and �
3. Is imr�roved,installcd or replaced by the homeowner or liccnsed cotltractor,
Skip next section,if this applies; Cost of'Pcrmit $ 15.00 �
Statc 5urchar�e S 5.00 �
Mail-Tn Pee(Tf Applicable) $ 2,00 ;
Total permit ree �
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6� ��d%��4d�i0ri.� ���.�.�� �il� � � �l'�k7s/. $. "q. ,1.;(���,..5l, _a4...Q�,.
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Tf above does not apply;follow guidelines below:
1. COIVT�.A[.:T pTiICE * is 1.25%of contracf�ricc with�(Miuimt►m�ee of$50.00)
� �- o�
X.oizs$�,,--
cpntract price) (minimum$50.04)
2. STAT�S�{J�CHARGE �� �
x.OU05 � � -�
(Coltt�aCt pricc) !
3. POSTACy�&�ANDLING(Only on Mail-In Applications) $ �fl� ��� f
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�Vi� �
4. TOTAr,P�1tMCT�'EE(Add Lines 1-3 Above) $_, I
• � CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the �
perrnitt.ed work including m�terials,Cabor,profit,and othcr fixed costs. Yf is the amount to be eharged F
to the custozncr for the work done. If a��y mxterial, equipment,labor or insYallations�re fun�ished by S
the owner, tenant or any other party,the reasonable mar�et valuc of such items must Ue addcd to the �
estimatecl eost or contract price f'or permit fee �urposes. In the event that there is a disputc on Che
amount of the job cost,the Ciry ma�request the submissi�n of a signed copy of the actual eontraet.
3;C..! l.�.l ,1: . .� "v , � � ''�f�l.V.A C�"CTY: `�`- Y�1rv.�\a',y� , "��t�
h,� �� `Y f�� .
�iG�;'i_•.��.. ^1°'Rt�G. '�� .a '��.�. �'� .,,. qX� `' �..��"An�1«w""�i. .r�5.
The undersigned hereby applies to the City for issu�nce of a MeChaniCal permrt, �grees to do a11
work in strict accordance with the ordinances of the C'rty and the regulations of the State of'
Minnesota, and cei�tifies that all staternents made on Yhis 2pplieation are complete, lrue and
con�ect.
C�-�/� �Date: � l � /� 1
Applicant's SignaturC: �
3
S� 7 TIME �/
CITY OF ORONO CALLED IN � 1�
INSPECTION NOTIC �CHEDULED � : 3 U
PERMIT NO. - D�J CpMPLETED
ADDRESS a(oo�`7 �-�«� ��
OWNER TEI�EPH(3NE NO. ��a ��0�
CONTRACTOA ��C�l� ¢'{ �f
>; DESCRIPTION �� �'�
�
W ❑ FOOTING ❑ PLUMBING FINAL p EXCAV/GRADING/FILLING
� ❑ POURED WALL � MECHANICAL RI ❑ IAKESHORENVETIANDS
h
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNbATION/REMOVAL
� OWNERICONTRACT�R TO MEET YOU:_YES_NO
� COMMENTS:
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� �W9RKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
� vO CORRECT WORK 8 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
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 for the next inspection 2a hours in advance. (952) 249-4600
OwnerlContractor on site:
Inspector.��
White Copyllnspector's Ffle Canary CopylSite Notice
DATE TIME v
CITY OF ORONO CALLED IN
INSPECTION NOTICE � SCHEDULED
PERMIT NO.�'��/-�`���� COMPLEfED � �S
ADDRESS ���� ����` �'n -
OWNER TELEPHONE NO.
CONTRACTOR ��� ��P ��%�'�� � �"�'�
� DESCRIPTION �,� � _' �'
ty ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
� ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVEfLANDS
H
Q ❑ FRAMING �'�EE,CHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL O SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� ❑WORKSATISFACTORY:PROCEED • OJECTCOMPLETE
� ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECWERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WILL REfURN
�CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cal1 forthe next inspection 24 hours in advance. (952� 249-4600
OwnerlContractor on site:
i
Inspector_ �
White Copyllnspector's File Canary CopylSite Notice