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HomeMy WebLinkAbout2016-00145 - gas fireplace CITY OF ORONO * Z 0 1 6 - 0 0 1 4 5 * 2750 KELLEY PARKWAY DATE ISSUED: 02/10/2016 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1224 BRIAR ST PIN : 10-117-23-31-0074 LEGAL DESC : MAXWELLS ADDN CRYSTAL BAY LAKE : LOT 000 BLOCK 002 PERMIT TYPE : MECHANICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 2,761.00 NOTE: GAS FIREPLACE APPLICANT MECHANICAL 50.00 STATE SURCHARGE MECH(VALUATION) 1.38 FIRESIDE HEARTH&HOME MA[L-IN FEE 2.00 2700 FAIRVIEW AVE ROSEVILLE, MN 55113 TOTAL 53.38 (651)633-2561 Payment(s) Minnesota State License#: mech-20512060 CREDIT CARD 4608 53.38 OWNER HILLIER,JAMES 1224 BRIAR ST 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 l80 days at any time afrer 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. ( l?/1 �i.t, �- ) � � � l ��l l� Applicant Permitee Signature J Date Issue y Signature Date � 02-10-' 16 15:45 FROM- T-655 P0004/0047 F-039 ��. �. � ��— """ � GC1' TJS1E oNY,Y O City of Orono � �/� P.O.Ciox 66 Uace►�ccci� � wroit a l�� / � F v 2750 K.c11 P • � g cy ar�way Crystal C�ay,MN 55333 Approved By' Amourit$��i � Phone(952)249-460o rax(95z)za9-a6 i 6 f ��1qk , �t�'� CITY OF 0�20N0--MECT-YANICAL pER1V1YT E�}{O (All Commcrcial permits mus[be approvcd by chc Building Otficial or�nspcctor and/or I'ire Marshall) G$N'E�tAL INFORMATION , I. You may apply for mechanical permits by mail or in per3on at thc City officcs. AppEications will be rcvicwed and a pet'init will be issued within iwo working da�s, 2. Permit cards will be sent by return mt�il atter a review is completed, P�RMTTS A�$NOT 'VALCD CINTIL YOU REC�T'V�A P�kMIT. WORK MyJST NOT��GYN CINTXX,�`T-TE � pETiMI'I'CARD IS POSTED ON TH�,�0$SITE. 3, Mechanica]Desier�s—Cornplete ealculations,detai(s and speeifieaEions are required for each heating,vcntilation,humidificatron-dehumidification,and air conditioning installation including heat loss/heat gain calcutatian,desi�n temperatures,cquipment ratings and identifietltion as to type,manufacturer and model. Data shall be pres�nted on form provided. 4. When any new construction or rerr�odcling is involved,a Sep�rate building permit must bo � obtaintd. 5. All work must be done in accordanCe with the Uniform Mochanical Code/State Building Code � requirements. � 6. All work must be inspected(rough-in and final). Call(952)249-4600. j (24-48 hour notice required) j 7. Housc Heating Test Record must be submitted before final. � TYr���rEu1vrYr Check All That ApPI�) �.Resi�ential ❑Commercial(Appro�val Rcquired) (�New �Additional �RepairS ❑RepIace: .�ob Site/Or�vner Tnformation:�� � , Site Address: l�•Z ��`I �-� �� --- ��_r �d�wner; �'��CJ�'1 �F�r� s'(� ,Mailing Address; �1(U �/V(%��-f�� ,.City: �2ip;' �� ( � Home Phane;\ (o�Z''� I 2i`���7 Alternate Phone: � Contractor Tnformation: i Contractor: FIRESIDE HEARTH & HOME Contact Person: l.eah Address: 2700 Fairview Ave N State�ond#;BC662656, MB662572, PC662671 City: Roseville, MN z��;55113 �xpiration l�ate: �_ Phone: 651-633-2561 Alternatc Phone:Leah #651-638-3312 ❑ InSUranCe—Current: 1 i i . 02-10-'16 15:45 FR4M- T-655 P0005/0007 F-439 f��Cc .,�A�;t�7'e a ��y{ [J�J�,!N AT� Yyr M �y�^'�{ (x�y'�ryV!��y �z"= rT� wY��X +'�a"�k�`��e-s. �` .sG.i �_ ' A yN'X.r"�� Y ��Ai�`,' ��/�.LA"+�1-...1�._�.MM�:'Y. ��X--A��?!���. +�.���i G ��'V�..�l�I.-..�.'.�tSi'.:KQx�r1�i � P Note: All Geothermal SysCems wifl now require a S'rte Plan&Re�,_�v_i�by our Build'rng OfficiaL � r r5 TT�YS G�OTT-Y�Y2MAY.,? [a Yes Q No r HEATIIVG S'YS'Y'�1VTS Quantity: Makc� � � Model; ' Fuel: ! Plue Size: Input BTUs; Output�TUs: � CFM: � } COOLTNG SYST�MS � � � Quantity: �,� � 3vf ake: � IvlodeL Tons H.Power � , FTREP�,AC�S ^ �' Qas Factory�ireplAce Brand Namc; Y7�H'� ❑ Wood 33urning Pireplace �^� ; ❑ Wood Stovo lvtodel No.: �,�.?�����`� ❑ Wood Stove with filue/.Masonry 'V�NTX�ATYOIV ❑ N0. �itchen�xhaust duct recirculating cfm �] No. 13ath�xhaust(must have duct outside) cfm ' ❑ No. Othcr Fans: Locations � �cfm ; I �'TJEL STORACE (1Vlust be npproved by Fire hfarslyalC lfpraposing to nbandon rnnk in pCace,J ; I ❑ lnstallation ❑ Removal } Fucl Oil: g�tllons ❑ Underground ❑ Inside ❑Outsidc LE'Gas: gallons Other; GAS C,I1V�,ONLY [] Outdaor Grill ❑ Other/List Wtrat&Where:� � � � I � I . , 02-10-' 16 15:46 FROM- T-655 P0006/0007 F-039 � � � E � �,- --� z _ �'s k'��RyCy�X�'�yP����A��`�.I���.���N('(,�) �� ; Y :� . i{'v1F�`��1 G 3 'R�y= y` �:Y r.'N�SL�-'\Y�1� J�,YQ���AS�}��'�f,11T��L�Aj /�' � y���.,.�y�- , �r� ❑ Yes,this section applies Thc raplacement of a Residential fixture or a plt�_ iance that meets af1 three of the follawing requirements: 1. Does not rcquire modi�cation to electrical or gas servrce. � ?. Has a fotal cost of$500.00 or less;excludin fhe cost of the�xture or appliance:and 3. Is irrlproved,in3talled or replaced by the homeowner or licenscd contractor. � � , . r, Skip next section,if this applies; Cost of permit $ 15.00 ' State Surchargc $�„ ,�.�0 '� Mail-Tn Fi;e(If Applicable) $ 2.00 Total Permit Fee $ _-��z ��� - -- - �'=- = = =rr- --���'3�,�-i��3-��������' =�`-'r '-`�--y.�-. _ - -- -�:_ r Tf above does not apply;follow guidelines below; � 1. CONTRaCT PRrC� * 'rs 1.25%of contract price with a(iVlinimum�ee oY�50,00) y �7 �0 � x�Aiz�� �d�' . GO1tttACl pfiCd) (m in imu m 550.00)' 2. STATE SU►tC�IA�2G� --J ^�,�!_ � C� !<l�i� X;.000s �_ � �_^_ connacc prisa) 3. POSTAGE&HANDL[NG(Only on Mail-ln Applicatians) ',$I_____�69-� ,��J� �53,3 � : 4. TOTAL PERMIT FEE(Add Lines L-3 Abovc) $ :+���� ■ � CONTItACT PRCC� or JpB COST means the actual or estimated dollar amount charged for the permittcd work including materials,labor, profit,and other fixed costs. lt is the amount to be charged to the customer for the work done. If any matcrial,cquipment, iabor or installations are Purnished by the owner,tenant or any other parry,the reasonable markct value of such items �nust be added to the estimated cost or contraet priee for perm'rt fee purposes. ln the event that there is a dispute on the amount of the job cost,the Ciry rnay request the submission of a signed copy of thc actual contract. � _._.__�, , .� ; _�. � ,� � r�'��� � `� __ �f--_.� �i��------- ` .-_- -"-,`..-. _ -�-��---�-- .°�'�lf,����'i��+.i;�����-r-__ zs I i � i The undersigned hereby applies to the City for issuance of a Mechanical Permit, a�rees to do all � work in str'ret accordance with the ordinances of the City and thC rCgulations of the State of Minnesota, and cerCifies that all statements madc on this application are complete, true and correct. Applicant's Signature: ��'+^'V �--�V���'� ;Date: ; � / 3 i � �� C�� DATE TIME �� CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED , � /(a �� PERMIT NO.,��^��r��:��� COMPLETED ADDRESS / Z Z� �� r /C<<2 S"� � OWNER TELEPHONE I�O. .� �Z �Sg'�� CONTRACTOR �"" /���� �Q ��N � DESCRIPTION ����J� ��� ly ❑ 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 S TIC INSTALL : Q OWNERICONTRACTOR TO MEET YOU: YES_NO `� v�, COMMENTS: '�� a ✓C���K S ,�'_leG..�`rc�es-- OK � � O � � O � W � � f�D o� F%�O��Ce ' �,Se Q z �� r�.i�a�� �r�,�. • �a �•���.��.��� �'��� � �-�cP.e v�•� �e.%..r•.�� �� � /�!/�� //�t e � r j O WORKSATISFACTORY:PROCEED O PROJECTCOMPLEfE �CORRECT WORK 8 PROCEED � ISSUE CERTIFICATE OF OCCUPANCY ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. O PHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR �NSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 2a hours in advance. (952) 249-4600 OwnerlContractor on site: Inspector. �►�---. � White Copyllnspector's File Canary CopylSfte Notice