HomeMy WebLinkAbout2016-00143 - gas fireplace CITY OF ORONO * Z 0 1 6 - PJ 0 1 4 3 *
2750 KELLEY PARKWAY DATE ISSUED: 02/10/2016
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 1105 BROWN RD S
PIN : 10-117-23-24-0004
LEGAL DESC : LJNPLATTED 10 117 23
: LOT 000 BLOCK 000
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIREPLACE-GAS
VALUATIOI�I : $ 3,600.00
NOTE: (2)HEAT-N-GLO FIREPLACES
(1)ON MAIN FLOOR
(1)ON LOWER LEVEL
APPLICANT MECHANICAL 50.00
FIRESIDE HEARTH&HOME STATE SURCHARGE MECH(VALUATION) 1.80
2700 FAIRVIEW AVE MAIL-IN FEE 2.00
ROSEVILLE,MN 55113 TOTAL 53.80
(651)633-2561 Payment(s)
Minnesota State License#: mech-20512060 CREDIT CARD 4608 53.80
OWNER
Norton Homes
18215 45TH AVE N, #D
PLYMOUTH,MN 55441-
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
5tate 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 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.
C' V l�l.-C LY �/ �-�6 7lv C7�/ �f� � / C�
Applicant Permitee Signature Date Issued Signature Date
02-10-' 16 15:02 FROM- T-649 POOQ1/0004 F-433
�� ��j"r�'��� �-' ��2� ��� �� �
N'O CI Y USE OlVLY. � �
City 01 OY0110 /� fio'
��� P,O.Box 66 D��e kecarv8.:� � hcrmit# '?��i�~ �� � �
275o Kelley Parkway ' � �
Crystal Bay,MN 55323 Apprdved$y: Amounl�;— —=�
Phone(9�2)249-4600 Fax(952)249-4616
6� �
rq��$����,�' CITY OF ORONO-MEC�TAIV'YCAL PERMIT
(All Commercial permits must bc apprpved by itle 6uiiding OPfiC�al 0��aspCClot'�peUo�'rjre Marghal l)
Cr$I�RAL INFORMATION ,�� . �
1, You may apply for mechapical permits by mail or in person at the City offices. Applications will
bc reviewed and a perrn'rt will be issued within two working days.
2. Permit eards will bo sent by rcturn mail after a review'rs completed. PB�2.MrTS AR�N�T
VAT��D CJNTIL YOU RECEIVE A PERMCT. '�VOY2TC M�S'�1V�OT BEGYN CJIVTT�,T�TE !
�'��tMCT CARD IS POSTED ON THE JOB S1T�.
3. Ivtechanical�7esi�ns—Complete calculations,c�etails and specifications are required for each
h�ating,vcntilation,liumidification-dehumidification,and air conditioning installatian including
heat loss/heat gain ealculation,design temperatures,equipment ratings and idcntifieation as to
type,manufacturcr and model. bata shall be presenied on form provided. j
4. When any new construction or remodel'rng is involved,a scparate building perinit must be I
obtained.
5. All work must bc donc in aceordance with thc Uniform Mechanical Code/Sfatt Building Code �
requirernents. :
6. All work must be inspected(rough-in and final). Call(952)249-4600, f
(24-48 hour noticc required) '
7. Houst Htating Ttst Record must be submitted before tinal.
` TYPE(������1TT ' ;
' Chec1�Al1 That A _; ) .
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❑:Resxdeptial ❑Commerci�l(Ap�iroval Requ��'ed)
,. . , ., . .:.. �.
' .ew, ❑Additional [�:;�epai�s' [�T�eplaCej
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Job Site/Owner Tnform�tion; j
.. .
.
Site;A'dd'ress: � � � �, �/ �/°'`�� ��� � �
�.Qwner: I�1��`1"U� r ��� 1Vlailing Add���ss: 1 � Zl5 ��� �ve !✓�
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:c;�. �'t�{� zip;'; _ � /� .
T�ome'�bone:; l ��_~�� f ~�v( I fA(ternate Phon����'�����Q� I J�Z�3
�Contractor Informatibn : "����x � C��� '
�
Contractor: FIRESIDE HEARTH & H�M� Contact Person: Leah I
Address: 2700 Fairview Ave N StAte Bond #:BC6G2656, MB662572, PC662571
�;ty: Roseville, MN zip:55113 �xpira#ion Date:
Phone: 651-833-2561 Alternate Phone:�eah#651-638-3312
❑ Ynsurance w Current:
1
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, 02-10—' 16 15:02 FROM— T-649 PQ002/0044 F-033
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Note:All Geothermal Systems will now require a Site plan�RevieW by our Buildang Official. �
YS THIS GEOTHERMAL? ❑Yes ❑No �
HEATINC SYST�MS
QuantitY:
Make:
Model: '
� �
Fue1: �
�
Ffue Size�
Input BTUs:
Output�TUs: I
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CFM: ,,,� �
COOT�YNCr S'YSTEMS �
,
{
Quantity: �
Make: '
Model:
Tons: ,..,._ _�
�I.Power
FIREPL�IC�S
C] Gas Factory Firepl�ce 'Brand 1Vame: ��'C �� " l'�' ���U �
❑ wood Burning t�irep�aco �.� ,� �
❑ Wood Stove Model NQ.: ;
�) Wood Stovc with Flue/Masomy -
V�a�v� FIUvY �-
V�IVTC�.ATYON ��,�
❑ No. Kiechen Exhaust duct recirculating cfm �(�C.i �
❑ No. Bath�xhaust(must ha�ve duct outside) cfm '
❑ No. Other Fans� LoCa[ions ___„ cfm
�UEL STORAG� (Mus�be npproved by Fire Marsl,all rf proposing lo nba�ttlo�t lpwtk ett p/�ce.) �
t
F
❑ Installation ❑ Removal
C�uel Oil: �gallons ❑ C�nderground ❑ rnside ❑OuEside
LP Gas: �_ gallpns
Other:
GAS LINE UN�.'Y
❑ Outdoor Grill ❑ Ot.her/List What�Whert:_
�
, 02-10-' 16 15:42 FROM- T-649 P0003/0004 F-033
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h ., >,k.iy4 ���k�.t'��'��LAL�G3�.�.���?I�f(�� ;� ' SK-„� t�w�y y�; EF{
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'.�r"Sc ,:;�' . � __ ' ��,?7�yQ��i,�� -��Q�,�YF1�1�,`_`�1�1��� `.r ..� � Y..��.�.�.: i
(� Yes,this section applies
The replacemcnt of a l2osidential fixtu,r�or applrance that meets all three ofthe following requirements:
1. TJoes not require modifieation to tlectrical or gas service. {
2, T�as a total cast of$SOOAO or less;exoludin the cost of thc fixturc or appliance:and 4
3, Is improvcd,installcd or repiaced by the homeowner or lieensed contractor, 4
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Skip next section,'rf this applies; Cost of Permit $ 15.00 �
State Surcharge � 5.00
Mail-Cn�'ee(�fApplicable) $ 2.00 ;
Totai riermit�ee � (
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-.�-�-.����_ _� =_ = n��� ��� ��_- - -�'�` '
.'c�c 4.v�w. i �ee'i �--'. .k'=c_—. �n- ��i�� €
If above does not apply;follow guidelines below: r
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1, CONTRACT PRICE � is 1.25%of contract price wit a(Minimukn�ee of�SO.OU) i
�� � ...,,.��..(.�_7 Q� , �a'�.,
X zV A��P...�:M1 �� e.. .�.�.-....,.�.v:.
�r
�C9�rraFs��r!�@): �mmimum$SO k0)t'^"^_..^f
2. STAT�SURC�AMtC� � ;
�`'r�x''�,OQ�':��� ( �
I�QOntr��t,Fric��?
3. POS1'ACr�&HANDLIN(�(pnly on Mail-In Applicxtions) �$� ��'.00.;:.:,:_`.,,_';�
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4. TOTA.L P�D2My1'���(Add Lines 1-3 Abovc) �,;x� „, `� � ,��;='
� * CONTRACT PRICE or JOB C05T means the actual or estimated dollar arnount charged for the
permit�ed work ineluding materials,{abor,profit,and other fixed costs. Yt is the amount to bc charg�d :
to the custoCner fol'the work done. Cf any rr2aterial,equipment, labor or installations are ft►rnished by �
the owner,tenant or any othcr p2ity,thc reasonable market vAlue of such'rtems must be added to the �
estimatcd cost or contract price for permit fee purposes, In the event that there is a dispute on the �
amount oP the job Cost,the Clty may �'equest the subrr►ission of a signed copy of the actual contraCt. (
- ;
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The unde3•signed herCby applies to the Ci#y for issuance of a Mechanical Permit, agrees to do all �
work in strict accordanee with the ardinanees of the City and the regulations of the State of �
Minnesota, and certifies that all statemenis made on this applicatipn are complete, true and
correct.
Applicant's Signature: ���"�V ��`Y��� i:Dat�;.� ' �-l'
3
,
_ V
� D E TIME
CITY OF ORONO LLED IN
INSPECTIO N TICE SCHEDULED � /r�
PERMIT NO �� COMPLETED
ADDRESS F
OWNER TELEPHON6►NO. ���� J?�`J�3�Z
CONTRACTOR l �� / � /�
, � l
� DESCRIPTION `�
4i ❑ 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 ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
_ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
v ❑ DEMO-SITE ❑ SEPTIC I ALL
� OWNERfCONTRACTOR TO MEEf YOU:_YES NO
� COMMENTS: �.l ,�,o _ I�-l�C' � �c`�� TJ�.L�) I�l�t f l C�,
a ` C1l'15 �r//C: G • %r ?�i c �-` /��-/�i•�i� ��o�,0 5G
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a ��''�-Gf� s�ap o� /�-.,o. c�i�s
� ❑WO SA ISFA TORY:PR EED ����, �G� f� PROJECT COMPLETE
W COR CT WORK&PROCEED �K � ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION �V C� TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WFLL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952� 24J-4600
OwnerfContractor on site:
Inspector. � �s- `�--
White Copyllnspector's File Cenary CopylSite Notice
�
� /
,/
/ DATE TIME �
CITY OF ORONO CALLED IN
INSPECTION�OT GE_ ��� SCHEDULED � �—
PERMIT NO. �� COMPLEfED
ADDRESS � I �� L��.� ��C'� .�
OWNER TELEPHO NO.�`�'1 ��L�
CONTRACTOR � '� ' �- - ��
�%)
� DESCRIPTION l�'�°-�
lt� ❑ 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/ �REPLACE�� ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP � ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
v ❑ DEMO-SITE ❑ SEPT�C INSTALL
� OWNERlCONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
�
W
�
2
J
O
).
a
O
�
W
�
Q
�
2
W
�
w
� �
j
d �� ❑WORKSATISFACTORY:PROCEED ROJECTCOMPLEf�
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF i�1G�
0 O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY `��
V BEFORE COVERING PERMANENT ��
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN \ _ �
INSPECTOR WILL REfURN ` � W�
❑CITATION ISSUED� T
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. � C1C
�
Call for the next inspection 24 hours in advance. (g52) 4 - ��
OwnerlContractor on site:
Inspector.
White Copyllnspector's Ffle Canary CopylSfte Notice