HomeMy WebLinkAbout2014-00900 - gas fireplace � CITYOFORONO * 2014 — PJ090P1 *
2750 KELLEY PARKWAY �AT� issuE�: 08/14/2014
� ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-�616
ADDRESS : 2220 FRENCH CREEK CIR
PIN : 10-117-23-32-0004
LEGAL DESC : FRENCH CREEK
: LOT 005 BLOCK 001
PERMIT TYPE : MECHANICAL(> $500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIREPLACE-GAS
VALUATION : $ 8,600.00
N07�1:: 2 fll:nA�[�'v GLO GAS I�P
APPLICANT MECHANICAL 107.50
STATE SURCHARGE MECH (VALUATION) 4.30
FIRESIDE HEARTH & HOME
2700 Ff11RV[F,W AVE MAIL-IN FEE 2.00
ROSEV[LLE, MN SSl l3 TOTAL 113.80
(651)633-2561 Nayment(s)
Minnesota State License#: mech-20512060 CHECK 2004617 113.80
OWNER
FAYFIELD, ROBERT& JEANNE
2220 FRENCH CREEK CIR
WAYZATA, MN 55391
AGREEMENT AND SWOI2N STATGMENT
l�he H�ork ior which Uiis permit is issued shal]be perlormed ticcordine to
thc approved plans and specifications,applicable City approvals,and thc
State Building Code. 7�his permit is for only thc work described and does
not grant permission for additional or related work which requires scparate
permits All provisions of laws and ordinances goveming this type of work
shall be compied with w�hether or not specitied herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of die date of issuance,or if construction is
suspcnded for a period ot�180 days at any time after work has commenced.
I�he applicant is responsible for assurin�all required inspections are
requested in cont��rmance with the State[3uildine Code.�I�his permit may be
revoked at any time for due cause.
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Applicant Pennitee Signature Date Issued By Si •ture Datc
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FOR CITY USE ONLY
/�O A;O City of Orono
/ �y P.O.Box 66 Date Received: Permit#
2750 Kelley Parkway
1 Crystal Bay,MN 55323 Approved By: Amount$:
Phone(952)249-4600 Fax(952)249-4616
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�qk�S H�����' CITY OF ORONO—MECHANICAL PERMIT
. (All Commercial permi�c must be approved by the Building Official or Inspector 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
VALID LINTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Mechanical DesiEns—Complete calculations,details and specifications are required for each
heating,ventilation,humiditication-dehumidification,and air conditioning installation including
heat loss/heat gain calculation,design temperahues,equipment ratings and identification as to
type,manufacturer and model. Data shall be presented on form provided.
4. When any new construction or remodeling is involved,a separate buiiding 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.
(24-08 hour notice required)
7. House Heating Test Record must be submitted before final.
TYPE OF PERMIT
Check All That A 1
Residential ❑Commercial(Approval Required)
New ❑Additional ❑Repairs ❑Replace
Job Site/Owner Information:
Site Address: � Z Z C7 /C��n c 4. G re a k C� /'
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Owner:�Ca I�(�er I-�0 en c r�.y�:e�Mailing Address: 2 Z 2 O FC�►o l�.C!'�e k C i/'
c�ty: D��..o z�p: .�S3y/
Home Phone: 9So�- 9?`/-���J Alternate Phone:
Contractor Information:
HEARTH & FiOME TECHNOLOGIES
dba F�RESIDE HEARTH & HOME
Contractor: Contact Person: � g��F��56
27Up FAIRVIEW AVENUE N
Address: State Bond#: RnSEVII.LE, MN 55113
651.633.2�61
City: Zip: Expiration Date:
Phone: Alternate Phone:
❑ Insurance—Current:
1
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MECHANICAL SYSTEMS BEING INSTALLED
Note: All Geothermal 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:
Make:
Model:
Tons:
H.Power
FIREPLACES
X a � Gas Factory Fireplace Brand Name: Ek�'�G(O u�!'c► ��rC
Wood Burning Fireplace
❑ Wood Stove Model No.: �c�pe T,3� Q��30 -L
❑ Wood Stove with Flue/Masonry
VENTILATION
❑ 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
Fuei Oil: gallons ❑ Underground ❑Inside ❑Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill ❑ Other/List What&Where:
2
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PERMIT FEE CALCULATION(S)
BASED OFF- 2002 STATE STATUE
❑ Yes,this section applies
The replacement of a Residential fixture or appliance 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;excludine 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 Pernut $ 15.00
State Surcharge $ 5.00
Mail-In Fee(If Applicable) $ 2.00
Total Permit Fee S
PERMIT FEE CALCIJLATION S —JOBS OVER$500.00
If above does not apply;follow guidelines below:
1. CONTRACT PRICE *is 125%of contract price with a(Minimam Fee of$50.00)
p �Pv�. �/� x.0125$ �� �. 'j�
(contract price) (minimum$50.00)
2. STATE SURCHARGE �j � �O
7S L�'1� • '/t� x .0005 $
(concract price)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMTT FEE(Add Lines t-3 Above) $ I � 3 . ��
■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the
pemutted work including materials, labor,profit, and other fixed costs. It is the acnount to be charged
to the customer for the work done. If any material, equipment, labor or installations are fumished 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 City may request the submission of a signed copy of the actual contract.
MECHANICAL PERMIT APPLICATION AGREEMENT
The undersigned hereby applies to the City for issuance of a Mechanical Per►nit, 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: �� Date: �
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�� CITY OF ORONO CALLEO IN ZZ �7 --?�-�
INSPECTION NOTIC SCHEDULED
PERMIT NO. — COMPLETED
ADDRESS �� �
OWNER TELEPHONE NO.f�aS/���"33�0
CONTRACTOR �_1/l�S/ C�p ��
�; DESCRIPTION ��v/ �''T
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� ❑ FOOTING ❑ PLUMBING FINAL � ❑ EXCAV/GRADfNG/FILLI G
Q ❑ POURED WALL 0 MECHANICAL RI /`)� ❑ LAKESHORE/WEfLANDS
Q ❑ FRAMING ❑ MECHANICAL FINAL� as//�^Q. ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIR �CE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
= O DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPT INAL ❑ FOUNbATION/REMOVAL
� OWNERICONTRACTOR TO MEEf YOU: YES_NO
� COMMEN'f�-^
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W ❑WORKSATISFACTORY:PROCEED JECTCOMPLEfE
� ❑CORRECT 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 WILL REfURN
❑STOP ORDER POSTED.CALI INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in a ance. (952� 249- 600 --
OwnerfContractor on site:
Inspector.
White Copyllnspector's File anary CopylSite Notice
DATE TIME/
CITY OF ORONO CALLED IN �—
INSPECTION NOTICE SCHEDULED �'
PERMIT NO. `v��'/y-�;C-fGC= COMPLETED /-/y/_5�
ADDRESS ��,��c �r�►�c� �:��.� �'i�- ,
OWNER TELEPHONE NO.
CONTRACTOR ��''�s'���e�'��'z`�' 'E �'`'`'��
>`; DESCRIPTION �� � ���%����
�
� O FOOTING O PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
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
v ❑ DEMO-SITE ❑ SEPTIC MAINT. FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:� :Fv►�,� `lo /�u; ��• ���J � ��� �� �r
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GW ❑WORK SATISFACTORY:PROCEED ROJECT COMPLEfE
� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE CWERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
❑STOP ORDEH POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
II forthe next inspection 24 hours in advance. (952� 249-4600
Ownerl ntractor on site: � ��
�
Inspector.
White Copyllnspector's File Canary CopylSite Notice