HomeMy WebLinkAbout2016-00230 - fireplace gas ' ' CITYOFORONO * 2016 - 0PJz3PJ *
2750 KELLEY PARKWAY DATE ISSUED: 03/10/2016
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 2750 CASCO POINT RD
PIN : 20-117-23-24-0020
LEGAL DESC : CASCO HEIGHTS
: LOT 000 BLOCK 003
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIREPLACE-GAS
VALUATION : $ 5,241.00
NOTE: HHT GAS FIREPLACE-45,000 INPUT BTU'S
APPLICANT MECHANICAL 65.51
STATE SURCHARGE MECH(VALUATION) 2.62
FIRESIDE HEARTH&HOME MAIL-IN FEE 2.00
2700 FAIRVIEW AVE
ROSEVILLE,MN 55113 TOTAL 70.13
(651)633-2561 Payment(s)
Minnesota State License#: mech-20512060 CREDIT CARD 4608 70.13
OW1vER
Casco Ventures LLC
16192 HIGHWAY 7
MINNETONKA, MN 55345-
AGREEMENT A1vD 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 I80 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.
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Applicant ermitee Signa e Date Issue B Signature Date
03-1 Q-' 16 10:44 FR4M- F I RES I DE T-728 P0401/0004 F-133
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t�O�t CCTY US�ONL,Y.: :
�{V� City of Orono : , :
P.O.Box 66 Datc Itccaivcd Permit�t
27>0 Kellay T'arkway
Crystal Bay,MN 55323 Appr�ved By: AmppnE$;�_ '__:_^:
Phonc(�352)2a9-460D F�x(952.)249•4616 � �
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`��,�k�s�o��.�� CITY OF ORONO—MECHANICAL PERMIT
(All Commcrcial permits must ba approved by the Huilding Official or Tnspcctor andlor Fire Marshall)
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r�����Ax���a�.�QN . ,
1. You may apply for�nechanical permits by mail or in pecson at the City offiees. Applie�tions will
be reviewed and a permit will bc issued within two working days.
2. Permit cards 4vill be sent by return rnail after a revierv is cornpleted. p�Ri�l(TS A�LE NOT
'VAL117 UNTI�,�1'0'U 1��CEC VE A P��2MIT, 'UVpTiTC iVTUST NnT�EGTN i1NTIL THE
p��231'IYT CA�TS POST�n ON'�'�T�.TOB STT�.
3. Mechanic�l Desi�ns-Complete calculations,details and specificalions are required for e.�ch
heating,ventilatiot�,humidification-dehumidi�'ication,and air conditioning installation including
heat loss/heat gain calculation,design temperatures,equipment ratings and identification as to
type,manufacturcr and model. Datx shsll be presenttd on form provided. �
4. When any new construction or remodeling is involved,a separate building permit must be ?
obtarned. �
5. All work must be done in accordance with the Uniform Mechanical Code/St�te Buildsng Code 4
rCquiremCnts.
6_ All work must be inspected(rough-in and finAl). Cat)(952)249-a600.
(24-481�our notice reqaired)
7. House l�eatin�Test C�ecord must ba submitted before finai.
,. , , . • TYP�.O�'p�R�fYT
, . (Check All That.APP�Y)
❑:R�srdzntrat' ❑,(�omm�rqial,(APPro�v�l R�s��►irzd)' I
Nevv' ❑`Add��ro�ial,: ❑Repa�r3; [,�'Ite�il�c� ;
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�ob S.ite L Owrie�rnform��ibn; ; �
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Site Address: _,��1�V ��.-<�.C�a �T ��. .�__
Ovvner: ���ir�� �L1� N1ailing Addr�ss.
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Cit�c � Zip;` �
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Home�'honei �� Z-�� ���V���� Alternate phone: t
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Cantracfar rnfc�rmation: .. I
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Contractor: FIR�SID� HEARTM & HOME �ontact Person: Leah
Address: 2700 Fairview Ave N State�ond�:sC662656, MB662572, PC6625%1
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L��,: Roseville, MN Zip;55113 ��p;ration Date: i
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I'hone: 6�1-633-2561 A.lternate pllorie:Leah#651-638-3312
❑ Insurance—Current: (
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43-10-' 16 10:44 FROM- FIRESIDE T-728 P0002/0004 F-133
��My�_'' T�x:�'�'P(� l c;G�YJ..Ii�:;.,1.�;�,f.� �„e ���:11=�Y���y....���:7{���._ hM��t"�"+�,`�T�:r'cxp=`yF�'S."i�;i ;
Notc: Al(Geothermal Systems will now reguire a Site Plan&nevie�v by our Building OfficiaL
YS TXITS G�OTH��2MA�.? ❑Ycs ❑No
HEATINC SYSTEMS
Quantiry: ��
Make: _.._.�1l�,-,— —,----,V....._.�._
Mode1: 74
Fuel:
�lue Size:
Input BTUs: �(/l/� _ _� _ _
Output BTUs:
CFNf;
COOLING SYSTEMS
Quantity� m�, `
Make:
Nlodcl:
"I'ons:
H.Po�ver __ ,�Y
rTREPT�AC�S,'
� Gas F`ac;iqi�T=lrzplaca; Brand Nanie; F-t'� �
1�ood�3urnin�Rire}�lace' nn ' � ��(,��
� Wood Stove� Model Nn,: ����2.�- �
❑ Wood 54avc with Fiue/Masonry;
'VENTILATION
❑ No. Kitchen Exhaust duct recirculating c11n
❑ No. Bath�xhAust(must have duct outsidc) cfm
❑ No. Other�ans: Locations ___ cfm
FUE�,STO�iAG� (Must be nppruved by Fkre Mnrsha!!if proposing tn pban�lon tarrk in pl�ce.) �
❑ Installstion [� Removal I
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�uel Oil: gallons ❑ Underground ❑Inside ❑Outsidc
LP Gas: _gallons
Other:
GAS LxN�OhC�Y
❑ Outdoor Grill ❑ Other/List What 8c Where: ��__ I
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43-14-' 16 10:44 FR4M- F I RES I DE T-728 P0403/4004 F-133
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❑ Yas,t:his section applies
1'he re�Jacement of a��n�l�xt�ire ar a� li�ance that.meets all three of the fallowing requiremcnts: •
1. Does noi require n-�odif�cation Co electrical or gas scrvice.
2. l-Ias a total cost of$SUU.UU or less;cxcludin�the cost of the fixture or appliance:and i
3. 1s improved,installed or replaced by the homeowner or licensed contractor.
Skip next section,if this applies; Cost of Permit $ 1 S QO
State SurcN�arge $ 5.00
Mail�In Fee(If Applicablt) $ 2.00
To{al permit�ee $
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Yf above does not apply;follow guidelines below: �
1. CONTRACT PRIC� �is 1.25%of contract price with a(Mir►imum�ee of$SO.UO) i
.5' �
52�..� �,��ZS� �� ,
(can�ract pricc) (minimum�50.40):
2. STATE� SURCHARCrE C`��(,/���` �;;ODOS.�'$. �,��
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(Cont«ct.price). p
3. POSTAGE&HANDLINCr(Only on Mail-In Applications) �$,' .� `
4. T'OTAL PERMIT FEE(Add�,ines 1-3 AUovc) ���,�_' , ;
■ " COi�T}2AC"1' P�tICE or JOB COST means the actua) or estimated do3lar amount charged f'or the �
permitted wark inch�ding materimis, labor, pr'ofit, and other fixed costs. 1t is the amount to be eharged
to th�customer for the work done. If any matcrial, cquipment,labor or installations are fUrnished by
the owner, tenant or any other party,th�reasonable market vAlu�of such items must be added to the ,
eStimAted cost or Contract price for permit fee purposes. Yn the event that tlierc is a dispute on the `
amount of the job cost, thc City ma� re9uest the submission of a signed copy of the �etual eon[raet, j
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The undersigned hereby ap�lies to the City for issuance of a Mechanical Permit, agrees to do all
'work in strict accordfince with the ordinances of the City and the regulations of the State of
Minnesota, and cer[ifies that all st:�tements macle on this application nre complete, true and
correct.
Applicant's Signature� ���'�^"v ���y�i�'Y` Date: ' v (�
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
PERMIT NO. o`�f� 'L�.�O COMPLETED ��
ADDRESS o2 75"r/ C�sca .✓L<< �
OWNER TELEPHONE NO.
CONTRACTOR ���'�p �f�-
� DESCRIPTION f'-p- g�ts /° '?c Q-� dof�-`
tL ❑ 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
�4 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
v ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNER/CONTRACTOR TO MEET YOU:_YES_NO
c�., COMMENTS:
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W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
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W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. �pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952� 249-46��
OwnerlContractor on site:
Inspector. � �'�'" �
White Copyllnspector's File Canary CopylSite Notice
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DAT TIME
CITY OF ORONO CALLED IN �
INSPECTION NQ�I E.,./�� SCHEDULED "
PERMIT NO.��J [/VO COMPLEfED
ADDRESS S
OWNER � T LEP E N '
CONTRACTO
r
� DESCRIPTION ��
�
l� ❑ FOOTING ❑ DEMO-FIN ❑ 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
_ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
v ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNERICONTFiACTOR TO MEET YOU:_YES_NO
c�., COMMENTS:
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W ❑WORKSATISFACTORY:PROCEED � PROJECT COMPLEfE
� �URRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WFLL REfURN ❑CITATION ISSUED
❑STOP OROER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 forthe next inspection 24 hours in advance. (g52) 249-4600
OwnerlContractor on s�e:
Inspector. �^^� -
White Copyllnspector's File Canary CopylSite Notice
C � �
DATE TIME
CITY OF ORONO �ALLED IN �
INSPECTION NOTICE ���✓sCHEDULED `7�1►ID
PERMITNO. r��l� COMPLETED
ADDRESS c��C�f� �-�� � ���
OWNER TELEPHO E/N�O. �'�� �� ���
CONTRACTOR Y 1�1--C-�' '�-��
� DESCRIPTION �
l� ❑ 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
J �FTNAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
_ ❑ AS BUILT-SURVEY ❑ WER HOOK-UP ❑ FOUNDATION/REMOVAL
J ❑ DEMO-SITE PTIC INSTALL
� OWNERfCONTRACTOR TO MEET YES_NO
c�.� COMMENTS:
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W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPIEfE
� ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALI INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-4600
OwnerlCon ctor on site:
Inspector. ��
White Copyllnspector's File Canary CopyfSite Notice