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
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O City of Orono
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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 �-� �� ---
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�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
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. 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. �`
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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:� �
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I
. , 02-10-' 16 15:46 FROM- T-655 P0006/0007 F-039
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❑ 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. �
�
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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 $
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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. �
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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
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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
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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