HomeMy WebLinkAbout2015-00234 - gas fireplace CITY OF ORONO
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DATE ISSUED: 02/25/2015
ORONO, MN 55356-
(952) 249-4600 FAX: 952) 249-4616
ADDRESS : 2879 CASCO POINT RD
PIIY : 20-117-23-31-0054
LEGAL DESC : SPR[NG PARK
: LOT 101 BLOCK 000
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIREPLACE-GAS
VALUATION : $ 4,775.00
NOTT: GAS FACTORY FIREPLACE
APPLICANT MECHANICAL 59.69
STATE SURCHARGE MECH(VALUATION) 2.39
FIRESIDE HEARTH& HOME MAIL-IN FEE 2.00
2700 FAIRVIEW AVE
ROSEVILLE, MN 55113 TOTAL 64.08
(651)633-2561 Payment(s)
Minnesota State License#: mech-20512060 CREDIT CARD 4608 64.08
OWNER
ELSEN, LAWRENCE& KATHLEEN
2879 CASCO PT RD
WAYZATA,MN 55391-
AGREEMENT AND SWORN STATEMENT
The work for which[his 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 gran[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 construc[ion 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 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.
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Applicant Permitee Signature Date Iss By Signature Date
02-25-'15 10:21 FROM- T-539 P0001/0004 F-686
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�or�crrY us�oNr�Y �
�OA Y� City of Orono �.T y
�y P.0.13ox 66 IJata Aacaivcd: 1�ermit N
2750�Ce11ay Parkway
Cryslal Bay,MN 55323 ApprOVed By: N Amount�:
Phano(952)249-4600 NaX(9sz)za9-a6�b
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`'�KfStlO��"G CITY OF ORONO�M�CT�ANICAL PEXMI�T _
(All Commol'Clal ptfmj�s mu:t bt approved by ihe Euilding Ofr�Clfll 01'Insppctor anc1/Ur riru Marshal1)
� Cr�NE�2AL;YNFORMATION __ __.._
1. You may apply for mechanical permits b�mail or in person at the Ciry otYiees. Applieations will
be rev'rewed and a permit will be issued witt�in two work�ng days. �
2, Permik cards will be sent by return mail after a review is compieteA. P�1�M(TS ARE NOT
VALID UNTIL YOC�R�C�CVE A PEItMIT. WORK NIUST NOT���IN CJNTIL THE �
PER1V11T CA12n YS rOST�n ON 7'}IE JOS S1TE. '
3. Mec ical 17esi ns—Complete caleul�tions,details and specifications are required for each
heating,ventilation,humidification-dehumidification,and air cor�ditioning installation including
heat los�/hcat�ain calculation,design t�mperatures,equipment ratings and idenrifieation�,s to
type,manufacturer and modcl. 17atA shall bc presented on form provided.
4. When any new construction or remodeling is involved,a separate building permit must be �
obtained. �
�
5. Al►work must be done in accordance with the Uniform Mechanieal GodelState Building Code �
requirements. �
6. Al!work musY be inspec�ed(rough-in and final)_ Call(9�2)249-4600.
(24-48 hour notiee required)
7. House�eating Test Record must be submitted before final.
� TYAB QF PERMIT
(Check All That Ap�ly)_ _
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Residential ❑Commercial(Approval Ctcquired) !
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❑New ❑AddiCional �]Repairs ❑Replace ;
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J"ol�Site/Ownqr Inforrrmatiori`. �
Site AddresS: � � � ��-�C_L � �� �
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Owner: ���`-`�r ����- Gl��� MailingAddress: ���� � ,�,��� `��
City: C7 �� ��-�- �ip: ��� � +
Hpme Phone: ���- ���� 1`��� Alternate �hone; '
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Contrac�or Tnformat�on:
H�AR�'H & IiqME 1'ECNNdLUGIF� �,�r1�'1 ��—tX Ji�""���
Contractor: �ba FIt2�SIDE H�ARTN F� �iONEEContact person: „�
lic 6C662656
Address: Z�00 FAIRVIEW AV�IV�3 Pl State Bond#:
6S1.E33,?5r y.
City: Z'rp: �xpiration Date:
phone; ._ Altern�te Phone; w
Wi�q��� g�MpM���CH�vULUG7�S � lnsurance—Current: .T.
dbd FIRESID� HEARTFi � HdM� 1
Lic f3C6626S6
2700 �AIRVIEW �1VENUE IV ,
ROSEVIL.LE, MIV 55113 ;
SS1�.63� ?.riF,7. �
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02-25-'15 1Q:21 FROM- T-539 P0002/0004 F-686
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Note: All Creothermal Systems will now rcquire a Site Al�n 8�Review by our C3uiicling Official.
YS THIS GEOTHERMAL? ❑Ycs ❑No
�T�ATTN�S�S"f�MS
Quantity; �_���
Make: ,_mY�,
Modcl:
�'uel: _
Flue Si2e;
Input BTIUs: „V„,.�_.. _.. �
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Output E3TUs: _�_w___,.V._. €
CPM: _„�,,._,�,,__�__ i
COOLING SYSTEMS
Quantity: __ _
Make: _ �
Model:
F
Tons; i
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�I.poever �.,_. ._..�� p
�iR�p�,AC�S �
-- I,
� Cas�actory Fircplacc Brand Name: _��
❑ Wood Burning Fireplacc �' � �
❑ Wood Stovz Modal No.: �1�C, -�-;-1,.��'�
�] Wpod Stove with Plun/Masonry '
'V�N'C'�C.ATION '
�] j�o. _ �itChcn ExhausC duct �recirculatin� cfin f
�] iVo. Bath E�chaust(must havv duct outside) cfm �
❑ No. Other�'ans: L,ocations cfm %
FUEL STORACrE (MusC be approved by 1°lre Mars/tn/!rf propos�ng to nbandon t�nk in p!r[ce.}
❑ lnstallation [� Removal
Fuel Oil: gallons ❑ Underground ❑lnside ❑ Outside
LP Gas� g�llons
Other:
G�AS L,IN�ON�1'
❑ Outdoor Crill [� 4ther/List What&Where:
, 2
02-25-'15 10:21 FROM- T-539 POOQ3/0004 F-686
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9�y �� �b p >w ��,y 4 � ?Y�� �x� �'r � t > �� � ��! � � � �/J Y. �d�
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❑ Yes,this section applies
The replacement af a�tesidential fixture or ap lit� anc�that meets all threc of the followin�requirements:
L Docs not require rnodif,cation to electrica!or g�s service.
M. 1�as a total c�of$SOU.OU or less;excludin tt;e cost of the fixture or appliance:and
3. Is improved,inskallcd or replaced hy che hameowner or licensed cantractar.
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Skip next section,if this applies; Cost of Permit $ 15.00 �
State Surchar�e �,,.„�,_,�,�Q,Q '
Mail-Tn Pee(If Applicablc) $�2.00
Tofal Permit�ee $
�� 1>.:'� ,�,`.,:�;�' ����tr���,�s���4�.�ATrOr�(S)r°��������'�S:oU.�o:�;.� 4 ,�''� �1
]f abovC doas not apply;follow guidciincs belo�r �
I. CQNTRACT PTtTCE * is !.?5%of contract price with a(Minimum Fee of$50.00�
'^"� f�� x.0125$ �� �
��(canir3ct price) � (minimum$50.00)
z. sra�r�s�r�c�a�c�; �..�'���j ,�.000s $ �, ���
� (ContrBct pricc) `
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3. POSTAGE&HANDLING(Onl�on Mail-In AppliCations) $ 2.00 �
4. 7'OTAY,P�RMCT�'��{Add Lincs 1-3 Above) $ �l/ �� �� �
�
■ "' GONTRACT PRIC� or .IOB COST means the actual or estimated dollar amount charged for the I
pe3�mitted work including materials, labor,profit,and other fix�d costs, lt is tfae amount to be char,�ed �
to the customer for the work done. If any material, equipment, l�bor or installations are furnished by �
ihe owner,tenant or any other parry,the reasonable market value of such items must be added to the �
estimated cost or contract priee for permit fee purposes. In the event that there is � dispute on the j
amount of the job cost, the City may request the suUmission of a signed copy of the actual contraet. f
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The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all �
work in strict �ccordance with the ordina��ces of the City and the regulations of the State of
Minnesota, and certifies that a11 statements ITIAdZ on th'rs applic�tion are cornplete, YruC and
CO3TCC�,
Applicank's Signature: ����� , Date: G--%�// �
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DATE TIME
CITY OF ORONO CALLED IN �
INSPECTION NOTICE SCHEDULED 3 J \1,'.3b
PERMiT NO.a��S" �a3'�' COMPLETED _
ADDRESS_r,'C 5��G � �S�o �-�"• �.�----
OWNER I_ ��S�h� TELEPHONE NO.
CONTRACTOR �`x'es�e- �e�c�r�n�' �cr�
� DESCRIPTION ���O�C-�' � �o� ' '.�C3- �rI��C
lt� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
y ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB �MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING MECHANICAL FINAL ❑ PROGRESS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL
v ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS: �:c.t�_,n��an o 'GZ. �
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� WOR SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE C0IIERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
�INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail forthe next inspection 24 hours in advance. (g52) 249-4600
OwnerlContractor on site:
Inspector. �-/�... 7�-�
White Copyllnspector's File Canary CopylSite Notice
� DATE TIME �
�� CITY OF ORONO , CALLED IN �_
INSPECTION NOTICE SCHEDULED S /Q.OQ
PERMITNO. 7b�5 -Gb�� COMPLETED
ADDRESS ��yI �'�. C Ct� (; �-{ l�c�
OWNER �'��E�PH�NE NO.��2 ���� j%��
CONTRACTOR � i �� � � �P � � #�
� DESCRIPTION Y � �-C � ��v�- �
l� ❑ 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 UU�MECHANICAL FINAL ❑ PROGRESS
� ❑ INSULATION ❑ WOOD BURNER/FIREP�ACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
i ❑ AS BUILT-SURVEY WER HOOK-UP ❑ HARD COVER REMOVAL
v ❑ DEMO-SITE ❑ EPTIC INSTALL ❑ FOUNDATION/REMOVAL
2 OWNERICONTRACTOR TO MEEf YOU: J YES_NO
� COMMENTS: �--
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W ❑V�RKSATISFACTORY:PROCEED �ROJECT COMPLEfE
� ❑CORRECT WORK 8�PROCEED O IS UE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOYERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 forthe next inspection 24 hours in advance. (952� 249-4600
Owner ontractor on site: �''ry - �
nspector.�/^-- �
White Copyllnspector's File Canary CopylSite Notiee