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
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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
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�' �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� - ��
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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
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�
� �
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