HomeMy WebLinkAbout2016-00660 - gas fireplace � CITY OF ORONO * 2 0 1 6 — 0 0 6 6 0 *
2750 KELLEY PARKWAY DATE ISSUED: 06/08/2016
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 102 CHEVY CHASE DR
P[N : 36-118-23-41-0031
LEGAL DESC : HILL O'WAY MANOR
: LOT 026 BLOCK 001
PERMIT TYPE : MECHAN[CAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIREPLACE-GAS
VALUATION : $ 3,516.75
NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION.
REPLACE: 1 GAS FIREPLACE
APPLICANT MECHANICAL 50.00
STATE SURCHARGE MECH(VALUATION) 1.76
FIRESIDE HEARTH&HOME MA[L-IN FEE 2.00
2700 FAIRVIEW AVE
ROSEVILLE,MN 55113 TOTAL 53J6
(651)633-2561 Payment(s)
Minnesota State License#:mech-20512060 CREDIT CARD 4608 53.76
OWNER
NELSON, MICHAEL&KATHY
102 CHEVY CHASE DR
WAYZATA, MN 55391-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable Ciry approvals,and the
State Building Code. This permit is for only Ihe 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 a►I 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 Issued By Signature Date
06-08-' 16 13:21 FR4M- F I RES I QE T-131 PQ001/0004 F-623
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' ' City af Qrono �
��^ P.O.eox 66 Date Ctec,�ived: " �6 � ' Permit�t �C'� (� (,)
CJ 275o Ke11ey 1'ark�vay �
Crystal Bay,MN 55323 Approvcd By: Amount$: �C`� � �
Phonc(952)249-4600 F5x(952)249-4416 —�r ,
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t"�k sHo��"G CITY OF'O�tONQ-MECHANICAL PERMIT
(Ail Commercial perm�ts mu�c be xpproved by the Building OCficial or Inspecior anNor Fire Marshall)
GENERAT�TN�'ORMATION �I
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1. You may apply for mechanical permits by mail or in person at the City officcs. Applications wi{I j
ba reviewcd and a permit will he issued within two working days. �
2. Permit cards will bc scnt by return mail after a revierv is completed. PHRMITS ARE NO'I'
�'AY,YD CJNTCr,YOU RECE[VE A PERMIT. 'VVOTZCZ MUST NOT BEGIN UNTIL THE
P�RMCT CARD IS POSTED pN Tli�JaB SCT�. ;
3. Mechanieal Desi�ns—Complete calculations,details and spee;fieations are requircd for each !
heating,ventilaCion,humidification-deliumid'tftcation,and air conditioning installation inciuding
heat loss/heat gain calculation,design temperatures,equipment ratings and identi�ication as to
type,manufacturer and modeL Data shal3 be presented on form provided.
4. �1hen an�new construction or remodeling is involvzd,a separate building permit must be
obtained.
5. All work must be done i2�accordance with the Unifonn Mechanical Code/Stxtc Suilding Code '
requirements. •
6. All work must be inspected(rough-in and final). Call(952)249-4600. .
(2A-q8 hour notice required) �
7. House Heat'sn�Test Ttecorcl must be submitted befr�re final. �
TYPE OR PERMIT i
Checl�All��lAt A 1
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�{Residentia� ❑�Commercial�A��roval,Reguired�
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❑�ivew� ❑(Additiona) ❑(Repairs� �(iteptace�
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Job Site/Owner Information:
�Site Address� /�� GV��P_V`/ G�.a-S'�� ��f'���I`e�
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��uvner�IV�1C��'e ( d�' k�'�V ��°�l Iailin Address: sa��- a5" 5'`�� ;
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Hom�Phane� Alternate Phone: /�I�/-� ��U f'� �5��`Z�d��93 y ;
Contractor InPormation; ;
Contractor: FIRESIDE MEARTH& MOME Contact Person: ar��
Address: 2700 Fairvi�w Av� N State Bond�:BC662656, MB662572, PC662571 j
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City: Raseville, MN Z��,55113 Expiration Date: � �� �8 j
651-633-2561 Leah .�,�b� �
Phone: Alternate phone: �LtY` �s �'�,��8 �
❑ Insurance-Current:
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06-08-'16 13:21 FROM- F I RES I DE T-131 P0042/0044 F-623
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� ' Cti . � �W�: �. ME�Y-�A�1TG�.SY�'I'�?��.����i����',A��%��
Note: All Gcothermal Systems will now require a Site Plan&Review by our Building O�cial.
IS THIS GEOTHERMAL? ❑Y'es ❑No
T-IEATI[YG SYSTEMS
Quantity�
Make:
Modcl:
Fuel:
Flue Size;
InpuT$TUs:
Output BTCJs:
C�'M:
COOLING SYSTEMS
Quantity: _
f
Make: E
ModeL
Tons:
H.power
(�FIREPLACES�
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Gas Factory Fireplace�--. C rand Name� (�,.+ ( (�� . �
re s�
'Wooct Hurnir�g Frreplaae� ----.•—. .. .
❑ 'Wood Stove� ____v,.. ._.._.. �Modo1 No.� — ��"� ,
�] 'Wood Stove wtth�lue/Masonry� M
. VEh"TILATION .
❑ No. CCitchen�xhaust duct recirculating cfm
❑ No. Bath Exhaust(must have duct outside) cfm
❑ iVo. Other�'ans: C�ocations cfm �,
�
�'��C.STOTtAGE (�lfust be approved by�ire Mnrs/rall rf proposing to nbanr�on tnnk i►e place.) �
I
❑ Cnstallstion ❑ Removai
�'uel Oil: gallons [� 'Underground ❑Inside ❑Outside
LP Gas: gallons !
Other. �
CAS LINE ONLY
i
❑ Outdoor Grill ❑ Other/Lis[What&Where: ,
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06-08—'16 13:22 FROM— F I RES I DE T-131 P0�43/0004 F-623
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rri` Zx��.,e� �2� � �,�� �' t�� ,� � � a� � �r r+,� ��"��,�t^ � ����y1� vr � + �� � ���
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z ;�k���.�; F�.�..,�..,�.,�,�t.�a„��1,5��?,�1��<="`�.Q��.��'�.`�'�'�`�'�.� ��i'��y,.,�:�:,����.s,Y,,,�=.� ; ,,,
❑ Yes,this seetion applies
The replacement of a Resident[al fixture or apptiance that meets all three of the following requirements:
1, boes not require modifieation t4 nlcctr►cal or gas service. �
2. �Cas a totat cost of$500.00 or less;excludinQ the cost of the fixtuca or appliance:and
3. Ts improved,installed or replaced by the homeowner or licensed contractor.
Skip next seotion,if this applies; Cost of permit $ 15.00
State Sureharge � 5.00
fvlail-In Pee(Cf Appl�cable) � 2.00
Total Permic�'ee 5�, ,
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..�1..5'Y,�����?' �h.S.!? �.2e?� � ����,A�_�: �'"�. .6�����+G,_ �.kC �-�S�ss`�,.Nc�`� :,.i'?.,. i
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Tf above does not appt�+;foliow guidelines below: �
f. CONTRACT p�tYC� *is 1.25%of contract price with a(Minitt�um�ee aP�50.00) �
7S o�
3 5(�O. (X o�2s$ � �� ,�
�ontract priCy (minimum S50 00))
2. STATE SURCI-EACtG� ��r��, "7� �/
�,� � x.0005 $
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3, pOSTACr�8c�CAI�'T�LiNG(Only on Mail-In A�plicat�ons) r$ �00
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4. T�TAL PERMIT F�E(Add Lines 1-3 Above) � _ �
• r CONTRACT pTtCC� or r0� COST means the actual or estimated dollar amount chargcd for the
permitted work including materials,labor,profit,and other fixed costs. Tt is the amount to be charged
ro the customer for the work done. If any material,equipment, labor or installations are furnished b� '
tlie owner,tenant or any other party,the reasonable market value of such items must be added to the �
estimated cost or contract price for permit fee pur�oses. In the event that there is a dispute on the j
amounc of ehe job cost, the Ciry rnay request the submission of a signed copy of the actual contract. E
.. _. _. . ... _. .._. . . . ._. .. .._ ... ,
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The undersigned hereby applies to the City for issuance of� Mechanical Pe�mit, agrees to do all
work in strict accordance �vith the ordinances of the City and the regulations of the State of
Minnesota, and certifies that ali statements made on this application are complete, true and
cori•ect.
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Applicant s S�gnature: �_atc_
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DATE � TI E
CITY OF ORONO CALLED IN � � � l
INSPECTION NOTICE scHe�u�E� ' _��
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PERMIT NO. ''�'-.��J' ��'"� COMPLETED
ADDRESS � � ' ' '` , r� %J
OWNER T EP ON--�� —g3y�
CONTRACTOR '� ' ���f=e-�I
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� DESCRIPTION �v`�-� ' �' �-�-= � �'`�'/Z . `�S'�
ll� ❑ FOOTING ❑ DEMO-F A� ❑ SEPTI FINA1_
Q ❑ POURED WALI ❑ PLUMBING ,� ❑ EXCAV ADING/FILLING
y ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL EE 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
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OMfNERlCONTRACTOR TO MEET YOU:_YES_NO
c�., COMMENTS:
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECWERING PERMANENT
❑CORRECTUNSAFECOND�TIONWITHIN HOURS. ❑ PHOTOTAKEN
INSPECTOR WFLL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. "
Call for the next inspection 2 urs in a,��' Z49-46��
OwnerlCorttractor on site:
Inspector.
.
White Copy/lnspector's File Canary Copyl Notice
07-07-' 16 15:30 FROM- F I RES I DE T-245 P0001/0401 F-759
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• P: (651) 633-2561 �F: (651) 633-8884
��l���J Roseville_OpsC�hearthnhome.corrz
From: Customer Service - Inside Qperations
Please Verify if fhe final inspectians for the foflowing permits have been
completed or not, or if fhere is a carrection issue, Thank you!
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Roseville Qps(b7hearthnhome.com ' -
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To: �a�rE: �
FROM: R GARDING:
PAG�S• i
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PEease reply via fax 651.633.8$84 or email: Rosevikle_Ops�hearthnhome.com
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P.lease Verif if the final i�5 ections for the foliowin !
y� p g permits have been completed or not,or if
there is a cdrrection issue.Thank you!
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TRANSMISSION VERIFICATION REPORT
TIME : �81�3/2�16 09: 03
NAME : CITV GF ORON�
FAX : 9522494615
TEL : 9522494606
SER.# : EROL2J412094
D�TE,TIME 681'03 69:03
FAX ND.INAME 6516338884
DURATION 00: 00: 15
P�GE(S) 61
RESLILT OK
MODE STANDARD
ECM
08-p3' 16 09:19 FR01�- F I R�S 1 DE T-381 PQ001/0041 F-916
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Please regly via fax fi51.6�3.�$84 or email: Rosevitle^�ps�haarthnhome.cvm ; _
� � � Please Veri#y If�the flna!insp�ct�ans Far th�fallawin��ermi�s have been campleted ar not,ar i# �
there is�c�rrecrion iss►�e.Than�C yau l
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DATE TI1�1E
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
PERMIT NO. aol6 �a66o COMPLETED g ``'I'/6
ADDRESS �da C�eri� C�sc. �r •
OWNER TELEPHONE NO.
CONTRACTOR ��✓�,y��P�.e �f•'� -{(-
� DESCRIPTION G ts �- � ���tl
ly ❑ 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
L ❑ WATER HOOK-UP ❑ FOLLOW-UP
_ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNER/CONTFUCTOR TO MEET YOU:_YES_NO
v�i COMMENTS:
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W� ❑WORK SATISFACTORY:PROCEED , ��T COMPLEfE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� �CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFOREC01/ERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 forthe next inspection 24 hours in advance. (952� 249-46��
Ow � ontractor on G/�.
Inspector. �
White Copyllnspector's File Canary CopylSfte Notiee