HomeMy WebLinkAbout2016-01463 - gas fireplace CITY OF ORONO * Z 0 1 6 - PJ 1 4 6 3 *
. 2750 KELLEY PARKWAY DATE ISSUED: 1U23/2016
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 1450 CHERRY PL
PIIV : 08-117-23-33-0016
LEGAL DESC : CRYSTAL BAY VIEW
: LOT 000 BLOCK 004
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIREPLACE-GAS
VALUATIOIY : $ 4,462.05
NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION.
REPLACE:GAS FACTORY FIREPLACE (HHT)
APPLICANT MECHANICAL 55.78
STATE SURCHARGE MECH(VALUATION) 2.23
FIRESIDE HEARTH&HOME MAIL-IN FEE 2.00
2700 FAIRVIEW AVE TOTAL 60.01
ROSEVILLE, MN 55113
(651)633-2561 Payment(s)
Minnesota State License#: mech-20512060 CREDIT CARD 4616 60.01
OWNER
SCHAIBLE, TODD&MICHELLE
1450 CHERRY PL
MOUND, MN 55364-
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 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 l80 days of the date of issuance,or if construction is
suspended for a period of 1 RO days at any time after work has commenced.
The applicant is responsible for assuring aIl required inspections are
requested in conformance with the State Quilding Code.This permit may be
revoked at any time for due cause. ��i�-�
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Applicant Permitee Signature � Date Issued By Signature Date
11-21-'16 13:08 FROM- T-429 P0001/0004 F-522
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F R CTt USE ONLX ��� ,/ �
Ciry of Orono r�/, �
, ��� P.O.Hox 66 natc Reccrv�' er�nif N �ly! �
� 2750 CCelley Ynrkwey
Crysial Y3ay,MN 55323 Approved Sy: Amount$'�
Phone(952)249-4600 Fax(952)249-4616
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{.qK�s����.�' CITY OF OR.ONO--MECHANICAL PERMIT
(All Commercial perrnits must bc approvod by tha Building Ufficial or Inspector and/or rire Marshall)
GENERAL INFQRM�ITION
1. 'You rnay apply for mechan'rcal permits by mail or in person at the Ciry of�ices. Applications will
be reviewed and a permrt will be zssued w'rdiin two working days.
2. Percnit cards will be sent by a•eh�rn mail aftex a a•eview is completed. pERMTTS A�2�NOT
�vA�.rn�UtvT�r.�ro�1��.c�r'v�a P��rr_ �uvol��Mf�1ST NOx la��yN�UHTr�,r��
PEY2MY'X'CATrn IS pOST�TI ON'I'H�.�OB SIT�.,
3. Meehanical Desi�ns—Complete eaieulations,details and specifications are rec�uired for eaeh
hcatuig,ventilation,humidification-dthumidification,and air conditioning installation including
heat Ioss/heat gain calculation,design tcmperatures,equipment ratings and identification As to
type,manufacturer and model, bata shall be presented on form provided. ,
4. 'i)Vhen any ne�v construction or remodeling is involved,a separate building permit must be '
obtarned. I
5. All work must be done Sn accordance w'rth the Un'rform Meehanieal Cod�/State Building Code
requirements. i
6_ All work must be inspacttd(rough-in and Cinal). 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 ly
f�Rtsidential ❑Commercial(ApprovAl Requirtd)
/ \
❑New ❑Additional [�Ttepairs �Replace
Job Site/Owraer Xnfo�•;rz�ation:
Site A.ddress: �Vt�C�V �`e-
Qwner:TO�� °E" NL IG I�t�<<C.. Mailing AddreSs: �a�- A'S �!� �'I
q� I
Cit�: C3'K"�1/L6 zip: . c7,�c��p� !
i
Horne�hone: � '3r�.� ��"' ��D p ,� Atteanate Phone:
Contractor Information:
Contractor: FIf2�S1D� H�ARTW & MOME ContactPerson: �GL1(,C�iY
Address: 2700 Fairview Ave N State Bond#:BC662656, MB662572, PC662571
City: Rosevifle, MN zip 55113 ��piration D�te:
phone: Alternate Phone: ��I 11�J r����
❑ Tnsurance-Current:
1
11-21—'16 13:08 FROM— T-429 P0002/0004 F-522
;• �:�`� ''� '�n.������. "� �' �. �..�:. t
Note: All Qeoihermal Systems will now require�Site Plan&Re'view b�our Building Of�icial.
IS THTS G�OT�T��A�.? ❑Yes ❑No
HEATYNG SYST�MS
Quantity:
Make:
Model:
�'uel;
l�lue Size:
Input BT[Js:
Output BTUs:
CFM:
COO�YNG S'YST�MS
Quantity:
Make:
Model:
Tons:
H.1'owe��
�X�.��'�r#C�S
� Gas Factory Fircplacc I3rand Natlte:
' (J ` ��ood B��rning�ireplace �c
❑ 1�Vood Stove Model No.� G�C���
[� Wood Stove with�lue/M�soruy
'V�NTYLATTON
❑ No. Kitehen Exhaust diict recirculating cfm
❑ No. �ath Exhaust(must havc duct outsidc) cfin '
❑ No. __ Other Fans: Locations cfm I
�Y1�X,S'X'OX2A,G� (IY1t�.st be approve�by,C�F�'e Ma�'s/ra11�`fprn,posi�rg fo�bn►r[lora tn�ik fn plttce.)
❑ InstaIlation ❑ Remov�l �
�'uel Oil: gallons ❑ Underground ❑Inside ❑Outside �
T,P Gas: gAllons
Other:
G��S�.CN�ONC.'Y
❑ Out[�oor Grill ❑ Other/List What Bz Wh�re�
�
11-21-'16 13:08 FROM- T-429 POOQ3/0004 F-522
. ,
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��yrj,��� �. ✓ �����h i���,� . � . 1 ]�' �.' tk� �j �4k a.aw�'�7`�r'�r "q t�'., �
t' � 1. 't 4�j � �'4 >'�+� 6`F� '
.���.���.��''F,��,�� 2���+1SF�t=�nf,���. .._�...._ ..dQ��,.������!:���.`s�::.r���„���3����i-����-.-.�r�^�4
�] Yes,this sectiai�applies
The replacemont of a Residontial fixture or appliance that meets all three of the following requirements:
1. Does not requ;re modification to electricai or gas service.
2. T�as a tot�l cost of$500.00 or less;exeludi�i�the cost of the fixture or appliance:�nd
3. 1s improved,inst�lled or replaced by the horneor�vner or licensed contracGor.
Skip next section,if this applies; Cost of Permit $ 15.00
State Surcharge $ 5.00
Mail-InFec(IfApplicable) $ 2.00
Tot�l Permit Fee $
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If above does not apply;foilow guidelines below:
l. C4NTC2,4C�'��tXC� �is 1.2>%of contract price with a(I���n►naum�ee af$SOAO) ��
p� x.O 1 z5$ �5, �S ,
(contraci price) (minimum 550.00) I
2. srAT�s�u�c��n�,� J� a5' 23 ,
-( ��. x.0005 $ �•
(contract priCG)
3. POSTAG�&HANb�.TNC�?(Only on Mail-Tn Applications) $ �9 � r
�jf� Q� �Q� '
4. 'Z'OTA���Xtl�l'Z'���(Add T.ines 1-3 fl,bove) S v v '
■ �' CaN'TRACT PItICH or 1pB COST means the actual ar estim�ted dollar amount charged for the '
permitted work including m�terials, labor,profit,and pther fixed costs. Tt is the amount fo be charged
to the customer for the tvork dont. If any material,equipmtnt, IAbor or instAllAtlons Rre fiirnished b�
the owner,tenAnt or an�other parry,the reasonable market v�lue of such items must be added to the
estimated cost or contrAct price for permiG fee purposes. Tn the event [hat tlicre rs a dispute on the
amount of thc job eost,the Ciry may rec�uest the submission of a signed eop� of the actual contract.
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The undersigned hereby applies to the City for issuance of a Mechanical Permit,agrees to do all
r�vork in strict accor•dar�ce w'rth the ordinances of the City and the regulatioris of the Stftte of
Minnesota, and certifies that all statements made on this application are complete, �rue and
correct.
' ' 11��i �
Applicant s Signature: Date� � �(Q
3
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DATE TIME
CITY OF ORONO CALLED IN / ' ��
INSPECTION NQT�E SCHEDULED � -� / �
PERMIT NO. -1 r � COMPLETED
ADDRESS � %�� ►'� Q-
OWNER' T EPH NE NO.�S� �9�i 1���'�
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 ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
� ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 O'WNENCODfTRACTOR TO MEET Y�U:_YES_NO
y COMMENTS:
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�b�K SATiSFACTORY:PFtOCEED ❑ PRW ECT COMPLETE
W RRECT WORK S PROCEED �ISSUE CERTIFICATE OF OCCUPANCY
O O CORRECT WORK,CALL FOR REINSPECTION TEI+IPORARY
V BEFORE Cd1/ERIN(3 PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p p�{pT0 TAKEN
INSPECTOR NALL RETURN
❑STOP ORDEFi POSTED.CALL INSPECTOR 0�TATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca8 for the next inspectlon 24 hours in advanoe. (952) 249-4600
OwnerlContractor on site:
Inspector.
Whits CopyAnapscMr's Ffle Canary CopylSits Notice