HomeMy WebLinkAbout2016-00953 - gas fireplace CITY OF ORONO * Z 0 1 6 - 0 0 9 5 3 *
� 2750 KELLEY PARKWAY DATE ISSUED: 08/1 U2016
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 2460 COBBLESTONE CT
PIIY : 33-118-23-11-0081
LEGAL DESC : STONEBAY SIXTH ADDITION
: LOT 003 BLOCK 001
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIREPLACE-GAS
VALUATION : $ 1,890.00
NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION.
GAS FACTORY F[REPLACE-MODEL HHT-SL-7
APPLICANT MECHANICAL 50.00
STATE SURCHARGE MECH(VALUATION) 0.95
FIRESIDE HEARTH&HOME MAIL-IN FEE 2.00
2700 FAIRVIEW AVE
ROSEVILLE, MN 55113 TOTAL 52.95
(651)633-2561 Payment(s)
Minnesota State License#:mech-20512060 CREDIT CARD 4608 52.95
OWNER
Wooddale Builders
6117 BLUE CIRCLE
SUITE 101
MINNETONKA, MN 55343-
AGREEMENT AND SWORIv 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 specitied 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 atter 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 Sig u Date Issued By nature Date
08-10-'16 13:21 FROM- F I RES I DE T-415 P0001/0004 F-961
,�(� (�� 3 f�- oao 1 R� Yr1S�ONC.'l' .
��r CiYy of Orono
�yO P.O.Box 66 Aate Receive :�� Permit#��,
2750 Kellcy Parkway
Crystal Bay,MN 55323 AppioV�d By: Amount$:
Phone(952)249-4600 Pax(952)2R9-4616
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���ssHo�``G CT'CY O�+ 0�201VQ-MECHANICAL PERMIT
(All Commcrcial pemiits must be approved by the Building O�cial or Inspector and/or Fira Marshall)
CrBI�LRAX,TNFdRMATTON �
l. 'You may apply for mechanical permits by maii or in person at the City offices. Applieations will
be rev'rewed and a permit will be issued within two working days. ;
2. Permit cards wil!be ser�t by return mail after a review is completeci. AERMITS ARE NOT �
'VALTT7 LJNTTY.'�OCJ�C�IV�A PEItMYT. 'WO�2Y�MYJST 1VOT BEGIN UNTIL THE
p�TiMCT CARCl TS paST��ON THL JO�STT�. �
3. Ivlechanical Des;gns—�Camplete calculations,details and specifications arc required for eaeh
heating,ventilation,humidification-del�umidifieation,and air conditioning installation including
heat loss/l►eat gain calculatian,design temperatures,equipment ratings and identifieation as Io
rype,manufacturer and model. Data shall be presented on form pravidcd.
4. l�Vhen any new construction or remodeling is involved,a separate building pcm,it must be
obtained. �
5. All work imust be done in accordance with the Uniform Mechanicat CodcJStatc Building Code ;
requ�rements. `
6. All work must be inspectcd(roue„h-in and final). Cali(9S2)249�4600. f
(24-a8 hour notice required) �
7. House Heating Test Record must be submitted before final. �
�r�o�r���'r ,
Ch�ck Atl T��t,A 1 ) `
�Residential Q Cammercial(Approval ReQuired)
�New Q Additional ❑Repairs ❑lteplace �
Job Site/Owc�er Infonnation: �
Site Address: 2-��� ���'-�S��. ��wY--�—
pwner: W�Oc�c�.q,�-e �i �o� Mailing Address: �(( � (��u.�e Ct�� .Dr- �1c�t .
City: }'�.t h�.-7 U-Y►.�� Z�P� ��� ;
T-'lome phone: � ��^ ��5���-� Alternate Ahone: �
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Cor►iractor Informat'ron:
Contractor: FIF2�SIdE HEARTH & HOME Contact�erson: }'a`�`��'
Address: 2700 Fairview Ave N State Bond#:BG662656, M6662572, PC662571 ,
'�;�,: RoseviUe, MN z�n5b113 Expiration Date:
Phone: 651-633-2561 Alternate 1'hone: ��� � '�8 ����
Q Insurance-Current:
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08-10-' 16 13:21 FROM- FIRESIDE T-415 POOQ2/0004 F-961
• 3
Note:All Geothermai Systerns w'rll now require a Site Plart&Review by our Buildin�Official.
IS THIS�EOTHERMA�.? ❑Yes ❑No
H�ATIIVG SYSTEMS '
Quantity�
Make:
Modcl:
Fucl�
F(ue Sizt:
Input STUs:
Output�TC�s:
C�'M:
COOLING SYSTEMS '
i
Quanti�y:
Makc:
r
,
ModeL
TOns; �
H.pawer
FIREPLAC�S
� Qas�actory�ireplace Brand Nama: ��J
' U ` Wood�urning Fi�+eplace / �
❑ 'Wood Stove Model No.: SL��
❑ Wood Stove with Flue/Masonry
VE1VTiLATIOI�!
❑ No. Kitchcn Exhaust duct recirculating cfm
❑ No. Bath Exh�ust(must have duct outside) efm
❑ No. Other Fans: Locations cfm
;
FUEL STOC2AG� (Must be approved by Fire Mnrs/ra/l Pf proposing to abanrion tank in pince.)
C] Tnstallation ❑ Re,noval �
i
Puel Oil: gallons ❑ Undergr�und ❑lnside ❑Outside �
�.1'Gas: gallons �
Other: �
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CAS LINE ONLY �
❑ Outdoor Crrill ❑ Other/List What&Where:
2 �
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08-14-'16 13:21 FROM- F I RES I DE T-415 P0003/0004 F-961
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� Yes,this section applies
The CeplaCement of a_R_esidential fixture or appliance thaf ineets all thrcc of Ihe follo�ing requrCements:
1. D�es not require modification to electrical or gas strvict.
2_ Has a total cost of$500.00 or less;excludin the cost of the fixture or appliance�and '
3_ Is fmproved,insCalled or replaced by the homeownar or licensed cantractor.
Skip next seetion,if this applies; CosC of perrnit $ 15.00
State Surcharge $ 5.00
Mail-Tn Fee(lf Applicable) $ 2.00 ;
Total Perm�t�ee $
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Yf above does not apply;follow guidelincs b�low: f
1. CONTRACT PRIC� *is 1.Z5%of contract price with a(Minimum Fee of$50.00) i
�' �p i
�°I�� x.oi2s$ ��O ,
contract pricc) (mioimum$50.00)
2. STAT�S�11l2('HARGE �� r-. ��
a� x.0005 � �- 4
(contract priCe)
3. POSTAGE&HANbLrNG(Only on Maii-In Applications) $
n q� �
a. TqTAL PERMIT FEE(Add�,ittes 1-3 Above) $ �" ' -/
■ � CONTRACT PRICE or JOB COST means the actaal or estimated dollar amount charged for the
permitted work including materials,labor,profit,and other fixed costs. It is the amount to be charged �
to the customer for the�aork done. Tf any material,equip�nent, labor or installations are furnished by
the owner,tenant or any other party,the reasonable market vafue of such items must bo added to the
estimafed cast or conhaet pciee for permit fee purposes. In the event that there is a dispute on thc
amount of the job cost,thc City may request the submission of a signed capy of the actual contract_
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The undersigned hereby applies to the City for issuance of a Mechanical Fe,mit,agrees to do a!1
work in strict accordance with the ordinances of the City and the regulat'rons of the State of �
M'rnnesota, and certifies that all statements made on this application are complete, true and E
correct. �
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Applicant's Signature: . ✓,�`� ��"✓'J Date: � �U—1 �
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ATE_ � TIME
CITY OF ORONO CALLED IN
INSPECTION NOTI E SCHEDULED - - /�O -
PERMIT NO.a�� o OMPLEf o l•_U7�
ADDRESS ������ K�r� �'L
OWNER TELEPH E NO. ��Z� / l �
CONTRACTOR
� DESCRIPTION a
ty ❑ FOOTING ❑ DEMO- INAL ❑ 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
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
Z
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNER/CONTRACTOR TO MEET YOU:_YES_NO
y COMMENTS:
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W ❑WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE
W `��ORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL REfURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952� 249-4600
OwnerlContractor on site:
Inspector. v�--
White Copyllnspector's File Canary CopylSite Notice
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DAT TIME V
CITY OF ORONO CALLED IN ��-/ �
INSPECTION N SCHEDULED l/- �i -l� �= 3� _
PERMtT NO. � � � COMPLETED
ADDRESS a��P� �h�J�S �
OWNER TELE NE NO. �-6�3-���"�'
CONTRACTOR ��-�� ���
� DESCRIPTION � ��-"'` `-' ��G��-
� ❑ 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
� INAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
_ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
Z 01MNEAICOPfTRACTOR TO MEET YOU:_YES_NO
c� COMMENTS:
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� �W�OFiK SATISFACTORY:PFiOCEED `�OJECT COMPLETE
W ❑CORRECT VMORK 3 PROCEED ❑ISSUE CERTIFlCATE OF OCCUPANCY
O O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE CONERIN(3 PERMANENT
❑CORRECTUNSAFECONDITION WRHIN H��• ❑pF{pTOTAKfN
INSPECTOR W{LL RETURN
�STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call tor the next inspection 24 hours in advance. (952) 249-4600
OMrnerlContractor on site:
Inspector: �""
White CopyAnspector's Fib C�nary CopylSlb Notke