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HomeMy WebLinkAbout2015-00652 - gas fireplace � , CITY OF ORONO * Z 0 1 5 — 0 0 6 5 2 * 2750 KELLEY PARKWAY DATE ISSUED: OS/2U2015 ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 790 BROWN RD N PIN : 34-118-23-11-0003 LEGAL DESC : REG. LAND SURVEY NO. 1275 : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 2,690.00 NOTE: (2)HEAT-N-GLO GAS FIREPLACES APPLICANT MECHANICAL 50.00 STATE SURCHARGE MECH(VALUATION) 135 FIRESIDE HEARTH&HOME MAIL-IN FEE 2.00 2700 FAIRVIEW AVE ROSEVILLE,MN 55113 TOTAL 53.35 (651)633-2561 Payment(s) Minnesota State License#: mech-20512060 CREDIT CARD 4608 5335 OWNER Gonyea Homes 6102 OLSON MEMORIAL HWY GOLDEN VALLEY, MN 55427- 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 sepazate permi[s. 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 ace requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. / vVt_�;c�c�e._c� � � � Z! � �.S ` J Applicant Permitee Signature Date Issue By Signature Date 05-21-' 15 15:33 FROM- T-837 P0001/4004 F-018 , , 3791$3 & 3379177 � OOQ 1 �px crr�r�s�or�y.,�r c �- � City of drono '. ��,�,�/r C� ' �C,(0> ���/-� P.O.Hox 66 Date Received. r�� Pvrm�t#� � �-/ 2750 Kelley ParkwaY � � "7i�j : Cryslal Bay,MN 55323 App+'���d By. �Amount$: � Phonc(952)249-4600 rax(952)249-4616 ` __,�w y`�<.� ��.�'~� CITY UF OHONO�MECHANYCA�,�ERIVIYT 'F�$tio (All Commcrcial pom,iu must be approved by ihc Building Official or Inspector and/or Fire Marshall) GENERAi:;'INF.OR�ATXUI�: : ' l. You may apply for mechanicxl permits by mail or in person at the Ci[y offiees. Applications will be revicwed and�permit will be issucd within Cwo working days. 2. Pcrmit cards will be sent by return mail after a review is completed. PETtMITS ARE NOT 'VAT,Ib CINTIT,YOU R�C�r�VL'A�ECtMIT. W()12K IVT�JST NOT BEGIN IJNTIL THE p�RMyT CAR�TS pOSTED ON THE JOB SYT�. 3. Mechanical Dcsi�ns—Complete ealeulations,details and speeifications are required for each heating,ventilation,humidification-dehumidifieation,znd air conditioning inst�llation ineluding heat loss/heat gain calculation,design temperatures,equipment ratings and identifieation as to type,manufacturcr and modeL D�t3 Shall be presented on form provided. 4. Whcn an�n�w constructioty or remodeling i9 itivolvcd,a separate building permit must be � obtained. f 5. All work must be dane in accordance with the Uniform Mcehanieal Code/State Building Code € requirements. 6. All work must be inspectetl(rough-in and final). Call(952)249-4600. (24-48 hour notiCe required) ' 7. I-Tause Heating Test Record must be submitted before fin�l. � ' '���'E�1�1'��IT - � (Check Al1 Tliat Apply) i [�ltos�dtnti�l, ❑Commercia�(Approval KeyuiC'ed} (�'I�erw' ❑-q�ditional �Repairs Q Replace �Job Site%Owner InPormation:� ' � C�ite Acicirzss� 790 BROWN ROAD ; . � — ; bv�nez:'' GONYEA HOMES lyf�il�ng,l�tld�ess:� - �`Ciry: Lip: Home,Phone:; 763-432-4500 Alternate Phon�: -Co�tracCor I�ifo��igtion ` � Contractor: FIRESIDE HEARTH & HOM� Contact Person: Leah � ; Address: 2700 Fairview Ave N State Bond#:g�662656, MB662572, PC662571 ' Cj ; Roseville, MfV zi :55113 �x�irt�tion D�te: � h' P � _ _�__�._, Phone: 851-633-2561 AlternAte Phone:��ah#651-638-3312 ❑ Ynsurance�Current: 1 05-21—' 15 15:33 FROM— T-837 P0042/0044 F-018 � ,� ���- ��'.`,� � ., .:t.���'; Note: All Geothermal SysCcros will noW require a Site Plan&Review by our Building Official. IS THIS G�07'��Y2.MA�,? ❑Yes ❑No � N�pTING SYSTE]NS ' : Quantiry: „Y,mm Ma�e: —_�..�.M.,._�..,.� �....w.� Model: Nuel: �, w��� Flue Size: ►nput BTUs: . Output�3TUs: ,`�,,,,,�,,, E E CFM: COOLTIVG SYST�h'TS ' Quantiry: �� Make; Model: ` Tons: � , y-T.�'ower � 'F'IR�F�:�C�S± � C� �caas:-Pd�,toiy��',r�pli�c�`QU�1N71TY 2* ����n�.��m�•1 ��.�.�.AT'-�NwS�'a..�Q�,� . ❑ �Yoat1I3S��irig Farepaac��� � � CI ��no���S�o���v�i�h�?1�.�'!.!v���p�.rS'q ��4�����C?���� ��`',��. � 7��:ATR�1�?I �'.,'�- . 'V�NTILATION ❑ No. Kitchcn Exhaust cluct ,,,`rccirculating cfm ❑ No. Bath Exhaust(must have duct outside) �efm ❑ No. Other�'ans: �.ocations cfm FUEL STORACy� ([blust be appr'oved by 14'fre Mars/rnll if proposing to rib�tnrlun tu�ak itr plrace.) j ❑ Installation ❑ Removal � �uel Oil: g�llons ❑ Underground ❑Inside ❑Outside LP Gas: gallons Other: CAS�yN�ON�,'Y ❑ Outdoor GriEl ❑ Othar/List What&Where: 2 i 05-21-' 15 15:33 FROM- T-837 P0003/0004 F-018 � . � f}�'� � 'y�,ycri ��'�rt�;'3 �a��,a.�''$�y-� 7�r,{ r l,�� �� a �e �rt.t'^+cs/(� �3, .k�rj,h � t ���c-,r� � .��t�c4� I rhr*c�n� �h ��XfF��j�����4�`6Mi i�I,J�L��JC'+t���r'��d�2����'.�TE"�!"1^�°�k �ieC�''r,/�h�`t�1�7 �Fy{r���� . �u r �f � ab-rz�� � � , � t � , � '•`�t ik`�� a '�F�w� � �'�i-.� -�.1:� ��.��;T�+��'t�t��S.�Q�(�I��E��;-�. 4OM�S��'A�'�'F��rs?"�A�'i`•.)E..i.,, �}t;?,:�`� N�J..,.'.'� "��.zC°� ❑ Yes,this sectian applics Thc repiacement of a Residential fixture or appliance ihat meets aU three of thc following requiremenCs: l. Does not requirc moditication to elecfrical Or g&s serviCe. 2. Has a tot�l cost of$500,00 or less;zxcludin�the cost of the fixture or appliancc:and 3. Ys improved,installed or replaced by the homeowner or licnnsed eontraetor, Skip nexr sectioc►,if this�ppl'res; Cost of Nermit � 15.Q0 State Surchargc $ 5.00 Mai!-in Fee(If Applicable) $ 2.00 7'otal Permit Fee $ � ._, , ' r,, x y{-�1�F�� � (�j1I{/� .f`{T �� (/ \ �y1 (1 .( �y��( .,*�5 5 /1�1 �.L�yNfrw�l'�=�\�4KI��y\I.h�l�.���•I.:f-/IN��i�.K.Y.... J.{',LAI.�'JJ,�\�/�,F'��J.��Vt��k-r.)n`Y�✓oY�oo.��` 4�C. ) . :�l ..�.... � If above does not apply;follow guidelines below: � I. CONTRACT PRIC� '� is 1,Z5%of contract price with a(Minimum�'ee oP$50.00) 2690.00 " ' t„�• p -. � �° a;�� q :s�� ���;�n �.. ��'`G4���$' ^t� .���,- '� � �(�[��� tiCQZ ��l��l!�Q�1!4�1��a���� z. s7�a►T�st��zc�a�r� � 2690.00 x�'QQR�g,�'$7 1.35 —;�-�:,�..�.�:.���� . ,(�tt.n,tsac��). ) 3. POS7�AGF�HANDLII�G(Only on Mail-In Applic[itions} :$; >2 00 ' ''('� , 4, 1`OTAY.��T2MyT���(Add l.ines ]-3 Above) '$��`.: �`'-�� °u5' ' ■ '° CONTRACT PRICE or J0� COST me�ns the actual or estimated dollar amount charged for the ' permitted work ineluding materials, labo��>profit,and other fixed costs. lt is the amount to be charged to fhe Gustomer for the work donc. If:�n�material,equipment, labor or installations are ftirnished by thc owncr, tcnant or any ofher parry,the reasonable market value of such iterris must be added to thc estimated cost or contract pr'rce for nermit fee purposes. rn the event that tliere is a dispute on the arnount of the job eost,the Ciry may request the submission of a signed copy of the actual contract. ; {`4.`l/AY�"�'.�e.Q�.�tl�T�d�,B��:RTd� �MMa�:��. qN . C"�/ -� � ��f�Yy� ��M'T'iH�l,l�r%r11I I �i:�,i�, C�.vj' . . Irt,.P a, t. a ,a, The undersignecl hereby applies to the C'rty for issuance of a Medianical Pennit,agrees to do all ' WOrk in strict accorc�ance with the ordinances of the City and the regulations of the State of Minnesota, and certifies that al! statemcnts made on this application ara con,plete, truc and � coiTect. � . Applicant's Signature: ������ ;17at�;-`- 5/21/15 � 3 ' � i 1 �' �r � DATE TIME'� / CITY OF ORONO ��� ` CALLED IN INSPECTION NOTICE SCHEDULED � PERMIT NO. � ��S-OD�Z connP��E� ADDRESS �9O /%��jZ.�,V/2_�Ze� N- OWNER TELEPHONE NO. �J'�� 5��.�1 CONTRACTOR �t YeS(�- �ff� � DESCRIPTION �_�/_/�PT�Q C��� �� lL ❑ FOOTING ❑ DEMO-FINAL I�'�S��r� SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI !_LL , ❑ EXCAV/GRADING/FILLING Q ❑ 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 J ❑ DEMO-SITE ❑ SEPTIC I ALL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES�NO � COMMENTS: d(.LS�-f�!l�Yl a (.h� • � V�i?�/KS ClG4✓4��c� - �� o Cv {',K:s� ��a�ff�o,op„s F:�. � �op w b��- �' �ID ciFS ���JC ���t•f �i�� � O � W Q �'!.L . - ve���K's�rl�s...�<<s - a,� � ' �'11) �fr S !�•��. �� t�t•S -f..,.� e W � w � j GW �,WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � �AORRECT WORK 8 PROCEED � ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN 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 File Canary CopylSite Notice f r � � � DATE TIME CITY OF ORONO CALLED IN --^ INSPECTION OT E SCHEDULED � � PERMIT NO � � co LETED i� ADDRESS (� �-� , � r OWNER TELEPHONE NO. CONTRACTOR � "� � �. � DESCRIPTION 4~j ❑ 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 �W -�/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP 4J ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO c�., COMMENTS: � W a 2 J O . � � � O � W � Q � 2 W � W 2 � � W ❑WORKSATISFACTORY:PROCEED PROJECT COMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT O CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR O CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours i advan (g5 49-46�� OwnerlCoMractor on site: Inspector. � White Copyllnspector's Ffle Canary CopylSite Notice