HomeMy WebLinkAbout2014-00162 - gas fireplace ' CITY OF ORONO * 2 0 1 4 - 0 PJ 1 6 z *
� 2750 KELLEY PARKWAY DATE [SSUED: 02/2U2014
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 1655 FOX ST
PIN : 02-117-23-33-0014
LEGAL DESC : HANSER ADDN
: LOT 003 BLOCK 001
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL , �
CONSTRUCTION TYPE : FIREPLACE-GAS �\��
VALUAT[ON ; $ 2,500.00 P�
NO"TE; l[P,AT N GLO GAS LOG
APPLICANT MECHANICAL 50.00
STATE SURCHARGE MECH (VALUATION) 1.25
FIRESIDE HEARTH & HOME
2700 FAIRVIEW AVE MAIL-IN FEE 2.00
ROSEVILLE, MN 551]3 TOTAL 53.25
(651)633-2561 Payment(s)
Minnesota State License #: mech-20512060 CHECK 2003638 53.25
OWNER
MIGLIORI, RICHARD& JOAN
1655 FOX ST
WAYZATA, MN 5539]
AGREEMENT AND SWORN STATEMENT
I'he work for evhich this permit is issued shall be performed according to
the approved plans and specitications,applicable City approvals,and the
State Building Code. This permit is for only the work described and does
not grant permission for additional or rela[ed 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 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time afier 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 Yor due cause.
.
,�""`„"" " / / —
Applicant Permitee Signature Date [ssued By S� ature Date
� FOR CITY USE ONLY
,.�'¢'Glj�,�,.
City of Orono
p.p.Box 66 Date Received: Permit#
`��.;�s ��' 2750 Kelley Parkway
.� �9"' � Crystal Bay,MN 55323 Appro�ed By: Amount$:
i
.�d� ��5 #,G�'�� Phone(952)249-4600 Fax(952)249-4616
\�`y,�°Kfl,w�'/
CITY OF ORONO-MECHANICAL PERMIT
(All Commercial permits must be approved by the Building Official or lnspector and/or Fire Marshall)
GENERAL INFORMATION
1. You may apply for mechanical permits by mail or in person at the City offices. Applications will
be reviewed and a permit will be issued within two working days.
2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT
VAL[D UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Mechanical Desi�ns—Complete calculations,details and specifications are required for each
heating,ventilaCion,humidification-dehumidiflcation,and air conditioning installation including
heat loss/heat gain calculation,design temperatures,equipment ratings and identification as to
type,manuf'acturer and model. Data shall be presented on form provided.
4. When any new construction or remodeling is involved,a separate building permit must be
obtained.
5. All work must be done in accordance with the Uniform Mechanical Code/State Building Code
requirements.
6. All work must be inspected(rough-in and final). Call(952)249-4600.
(24-48 hour notice required)
7. House Heating Test Record must be submitted before final.
TYPE OF PERMIT
(Check All That A I )
Residential ❑Commercial(Approval Required)
�New ❑ Additional ❑ Repairs ❑Replace
Job Site/Owner Information:
Site Address: /� �� �C�7i' �z,�
Owner:l'�;1�,/L'. (71G�r�2 Mailing Address: l- ��{� �� �,���r� �����
City: �y�'6.�'`-� Zip: � .�ri'�i�',�i
���� -� l 7�2 7 � t����-
Home Phone: �- Alternate Phone:
Contractor Informatian:
Contractor: ��'t,�%� r �r��e,,�'�/-�-eontact Person:
Address:dbaRTH & HOME TECHNOlO�G�EE State Bond #: ���'� 3 �' ��, 7"�'�J�`
Lic 662656
C►ty: 27nn Fnr�vrF�n� eV�� Expiration Date:
ROSEVILLE, MIV 55113
Phone: 651.633.�6���(;Y Alternate Phone:
�"1
❑ Insurance-Current:
1
MECHANICAL SYSTEMS BE[NG 1NSTALLED
Note: All Geothennal Systems will now require a Site Plan & Review by our Building Official.
IS THIS GEOTHERMAL? ❑ Yes �]/�No
HEATING SYSTEMS
Quantity:
Make:
Model:
Fuel:
Flue Size:
Input BTUs: _
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity: _
M ake:
Model:
Tons:
H. Power
FIREPLACES
� Gas Factory Fireplace Brand Name: /�"lU�-'�
❑ Wood Burning Fireplace
❑ Wood Stove Model No.: ��?���.� ��
❑ Wood Stove with Flue/Masonry
� �� O C�C.���'� �j'C�G
VENTIi�AT101�1
❑ No. Kitchen Exhaust duct recirculating cfm
❑ No. Bath Exhaust(must have duct outside) cfm
❑ No. Other Fans: Locations cfm
FUEL STORAGE (Must be approved by Fire Marshall if proposing to abandon tank in place.)
❑ Installation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑ Inside ❑Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill ❑ Other/List What&Where: _
2
�
r
� � PERMIT FEE�C�ALCULATION(S)
� BASED OFF - 2002 STA`➢'E STATUE �
❑ Yes,this section applies
The replacement of a Residential fixture or ap�liance that meets all three of the following requirements:
1. Does not require modification to electrical or gas service.
2. Has a total cost of$500.00 or less;excludin�the cost of the fixture or appliance:and
3. Is improved,installed or replaced by the homeowner or licensed contractor.
Skip next section,if this applies; Cost of Permit $ 15.00
State Surcharge $ 5.00
Mail-In Fee([f Applicable) $ 2.00
Total Permit Fee $
PERMIT FEE CALCULAT�(�N S —JC3BS OVER$500.(�U
If above does not apply;follow guidelines below:
1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00)
��C'C'. f�C' X.o�2s � 5���U'
(contract price) (minimum$50.00)
2. STATE SURCHARGE ������ ���1 x.0005 $ ��Z'�
(contract price)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ �� �: Z�"
■ * CONTRACT PRICE or JOB COST means the actual 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 work done. If any material, equipment, labor or installations are furnished by
the 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 purposes. In the event that there is a dispute on the
amount of the job cost, the Cit}� may request the submission of a signed copy of the actual contract.
MECHANICAL PER.MIT APl'�ICAT�C?N AGRE�14r1ENT
The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all
work in strict accordance with the ordinances of the City and the regulations of the State of
Minnesota, and certifies that all statements made on this application are complete, true and
correct.
Applicant's Signature: _�����'��G''�'� Date: �� ��� �
Rese# Form
3
Lyle Oman
From: Lodermeier, Leah (HHT) [LodermeierL@fireside.com]
Sent: Friday, December 12, 2014 3:26 PM
To: Lyle Oman
Subject: 1655 Fox Street-#2014-00162
We are no longer doing the fireptace or gas line install at 1655Fox Street, please cancel th� permit,
and if possible issue a refund.
-�
Thank you,
Leah
Leah Lodermeier
Hearth Expert
Customer Service Representative-Permits& Inspections
Fix��Siu�;
ri ,�, rH ...,�?:
Best Brands, Professionally Installed, Service For Life
2700 N Fairview Ave � Roseville, MN 551 13
P: (651) 638-3312�F: �651) 633-8884
lodermeierl@fireside.com � www.fireside.com
�� � Homein�ovation
1
�t _�(� DATE TIME
�- CITY OF ORONO CALLED IN �
1NSPECTION NOTICE SCHEDULED
PERMIT NO.p�L�'��� COMPLETED — �
ADDRESS�� �X ��`
OWNER TELEPHONE NO. `/
CONTRACTOR �1C'eS�� �r�1 �f---/�P��,
� DESCRIPTION ��5�-f T��-S-.�d
W ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL �MECHANICAL RI ❑ LAKESHORFJWEfLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� �FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
� ❑ DEMO-SITE 0 SEPTIC MAINT. ,�FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
Z OWNERICONTFiACTOR TO MEET YOU:_YES_NO
� COMMENTS:
�
a ��i+�t�� �dl� ._ ��/� 7�' �E/r �r 2
j �- � .
�'K�� rl S�� �to.ti —
O ,
� —/10 -��'�S /ri e �.r zl{�S�`
° � �'Ia �e . �.� s�ccL�io.ti
W
� 1'la 6 h � ��N4 2 '
Q
�
� �se ca�� o�,+v ���� �Q �l �'a
� �ij�.�y�e iKs���s ar wa� �'�i� 9L���iQ•�
�
GW ❑WORKSATISFACTORY:PROCEED ❑PROJECTCOMPLEfE
� ❑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
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
�NSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 hours in adva �. (952) 249-460
OwnerlContractor on site:
Inspector. ��
White Copyllnspector's Ffle Canary CopylSite Notice