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HomeMy WebLinkAbout2016-01506 - gas fireplace �. � CITY OF ORONO * 2 pJ 1 6 - 0 1 5 0 6 * 2750 KELLEY PARKWAY DATE ISSUED: 12/02/2016 ORONO,MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 125 CHEVY CHASE DR PIN : 36-118-23-41-0018 LEGAL DESC : HILL O'WAY MANOR : LOT 013 BLOCK 001 PERMIT TYPE : MECHANICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 4,87630 NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FiNAL INSPECTION. HHT GAS FACTORY FIREPLACE APPLICANT MECHANICAL 60.95 FIRESIDE HEARTH&HOME STATE SURCHARGE MECH(VALUATION) 2.44 2700 FAIRVIEW AVE MAIL-IN FEE 2.00 ROSEVILLE,MN 55113 TOTAL 65.39 (651)633-2561 Payment(s) Minnesota State License#: mech-20512060 CREDIT CARD 4616 65.39 OWNER MCCLAHAHAN, ROBERT& KRISTIN 125 CHEVY CHASE DR WAYZATA, MN 55391- AGREEMENT A1vD 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 conshuction 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 after 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. ����� --�C �S� l� �� �,C Applicant Permitee Signature Date Is ed ignature Date 11-30-'16 15:10 FROM- T-480 P0001/0016 F-583 . � � ��-����s f �� �OR Cy Y CJ5E QN[,Y City of Orono ���V 2 QO�o i 66 P Data R�ce���Parmit H ��` «� c ey arkway " Cryscal 8ay,MN 55323 Approved By: qmount$; .�� Phono(95?)249-4600 Fax{952)244-4616 �`�<.v ��'� CYTY�F ORONp-MEC�IANICAL PERMIT k S H O� (All Commo�clal pe�lltits mqst bE epproved by thC Building Off�eial or]nspeelor�nd/Or Fire M�rshall) G�N��tA�TN�ORMA'T�ON . . , , _ . �� 1. You may apply for mechanical permits by mail or in person ai the Ciry offices. Applicacions will be revicwed and a permit will be issued within two working days. 2. E'erm'rt cards will be sent by return mail after a review is campleted. PLItMTTS Al2�NOT 'VAT,TD'UNTIi,YOU RECEI'V�A p��ZMYT. WORK MUST IVOT��CCN C�IVTXT�T�T� PEIiM�T CARD IS POST�D OlV TH�JOS STTE. �'� 3. Meehanieal besi�ns—Complete calculations,detaiis and specifications are raquired for eaeh heatin�,ventilation,humidification-dehumidification,and air conditioning installation including heat loss/heat ga;n calculation,design temperatures,equipment ratings and identification as to type,manufacturer and model. Data shaU be presented on£om,provided. 4. 'When any new constructian or remodelins is'rnvolved,a separate building perm'rt must be obtained. 5. All wflrk must be done in accordance wifh the Uniform Mechanical Code/State Building Code requirements. 6. All work must be inspected(rough-in and final). Cal)(952)249-4600. (24-48 hour notice required) 7. House Hoating Test Record must be submittetl before f,naf. • TYPE QF PERMIT ;, , , Check Al1 That A I ' �sidential [)Commercial(Appror�a€Requircd) ❑ Ncw �dditional Q Rcpairs ❑12eplace Job Siec/pwner Information: ,'. Site Address: ��� � /V� Or�r+ner: �ly�j'�t�(f� Q_��/1 MailingAddress: City: � ' zip: Home E'hone: ��� ���,_���7 Alternate phone: Contractor Inforrriatian: CantraCtor: �IFiESIDE HEARTH & MQME Cone�Ct person: ��� Address: 27�0 Fairview Ave fV State Bond #:B���2856, MB662572, PC682571 City: Roseville, MN zip;55113 �xpiration Date: p�o�z. 651-633-2561 Alternate phone:�eah #651-638-3312 [� Insurance-Current: 1 11-30-' 16 15:10 FROM- T-480 P4002/0016 F-583 . . �• � ar^ �c�r �y i 'fi�'v,y"`.x.i.nli n� 3 Ycj��(�] r �N� �y�;(�`f��( �] 'FC- -'���'nrF� F.�T �§y 9�'�y� :a .fE� ^m+""Ct�"?'d..�-.lr.�a7}8i��'i�i�T,t-� .^�'�*�ii'iz'bSA �� T � �§'� '���.P�i�6.'3'�xF�-+'3.G���"n Note:All Geothermal Systems wilt now require a Site Plan&Review by our Building Official. TS TT�YS G�OTHERMAL? ❑ Yes ❑No ��AT11VG SYSTEMS Quantity: Make: Model: Fuel� Flue Size: Input BT[Js: putput 1BTUs: CFM; C04�ING S'YST�MS Quantity� I i Make. Model: Tons: H.1'ower „ _ FIREPI,AC�S Gas Factory P�replace Brand Name� 7T�"T r � Wood Burning Pireplace ❑ Wood Stove Modcl No.: `J �1 ❑ Wood Stove with Flue/Masonry VENTILATiON [] No. Kitchcn Exhaust duct recirculating cfm 0 No. Bath Exhaust(must have duct outside) cfm [] No. OCher Fans: Locations cfm ����.STO�AGE (Must be npproved by F�re MArshall if proposfng to abanrlon 1anlz 1n place.) ❑ Tnstallat'ron � Removal Fuel Oil: sallons ❑ Underground ❑Inside ❑Outs'rde LP Gas� gallons Othcr: GAS L1NE ONLY ❑ �utdoor GriU (] Other/List What&W here: 2 11-30-'16 15:11 FROM- T-480 P0003/0416 F-583 . . . - � f,;''�����, � .r���i°,;z-� _�P�1�T�"����UC�L,:���C�N.��) ' � ~�'' �-` T ua sx r t �. � ��,�� , ,��h i.. �'�j�. y�.� �p A /� Cr 1 r .� ,�;a„��}�. r[��"`x� c...�.a y�, ,�;, Ir�'st�� �. -' > Sr ^��. r�l4 ,-.U��I����J�'��-�r��.af�F�`�A����-1�1�. +_�Cr� t`x., 't..`1-.� 1 =:'_�.3 ❑ Yes,this section applies The replacement of a�esidential f,xture or appliance that meets all three of the Following requirements: 1. Do�s not require modification to electrical or gas serv'see. 2. Has a total cost of$500.00 or Iess;excludinz the cost of the fixture or appliance:and 3. Is improved,installed or replaced by thc homeowner or licenscd contractor. Skip next sectron,'rf this applies; Cost ofPermit $ 15.00 State Surcharge $ 5.00 Mail-In Pee(Tf Applicable) $ 2A0 Total�'ermit�ee $ , . � �,^�. (� ]' (� I 5�� .Yi2 a�`aa�.��� _ =s�. �d��i=�, T � �l�C �� ��- '' �:1.�' '� - �� �-��i Tf above does not apply;follo�v guidelints below: �. c.arrrrtACT P�TC� *i3 1.25%of contract price with a(Minitnum�ee of$50.00) ���� x_0125 $ �� {contracc pricc) ( nimum 550.06) 2, S7'AT�SCJrtC1�TARCE ��7� �',� � x.0005 $ � (Conlract price) 3. 1'OSTAC$&HANDLING(pnly an Mail-In Applications) $ Z.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ (dtl 3� ^ ■ � CONTRACT PR10E or rOB COST means the actual or estimated doUar amount charged for the permitted work including rnaterials,labor,profiC,and other fixed costs. It is the amount to be charged io the Customer for the work done. Tf any matcrial, equipment, labor pr installations are furnished by the owner, tenant or any other party,the reasonabie market value of such itcros must be added to thc estimated cosk or contract priee for permit fee purposes. Tn the evenC 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. .._. _ ���4�,.��is":.����"__�����-. a���`�� ��,_� �a�'� �7 _� ;� ��:; � . �� :�>��. The undersigned hereby appl'res to the City far is3uance of a Meehanical Permit, agrees to do all wOrk in strict accordance with the ordinances of the City and the regulafions of the State pf Minnesota, and certifies that all statements made on this application are complete, true and CpCCCCt. Applicant's Signature: . � � �• Date; � / 3 DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO. o�D/� -O/��! COMPLETED /o� `�'y'� ADDRESS /�s C�� �� ��' ` OWNER TELEPHONE NO. CONTRACTOR ��•� '�f y � DESCRIPTION F�l'�� �� �✓� �'� ���� ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL 2 ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT � ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL � ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNEWCONTRACTOR TO MEET YOU:_YES_NO ti COMMENTS: �'fr'i.� �irl e� — GoD,�iG� c���-cS ' � ��eGve �'`1 r�c �vl4�. ' � ��cG� j ' GZ'�r �e S� �l�lt��r�G��� ��.Y'�li S i e!c-� O � /� ' h -�� 0 W • _ Q � �, /�- I I'JSG��% /H�/I� L"'i�t��%y5 �/f/,•i�.. �%G� 2 � l/C'v��ie� - O� •- � �Prvv.•�� A���,:t" .-,;.,��_" 4�.i _ , �/_,�' � ���, ��! ���? � ��%��._'� , 4�j ��WORK SATISFACTORY:PROCEED ❑PROJECT COMPLEfE W ��CORRECT WORK 3 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT YYORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CONERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pHOTO TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 2a hours in advanoe. (952) 249-48�� OwnerlContractor on site: Inspector: ���"" �� Whits Copyllnapector's Ffle Canary CopylSib Notks , � � _ � ; _ <, {I DATE TIME CITY OF ORONO �ca,'ULED IN INSPECTION NOTICE � SCHEDULED --T–�" � �� PERM(T NO. •�t l i!- C!��(`�l�: coMP�ere� ADDRESS � Z `- ( � l '�i � � �f �rG 7� � � c� /�/� OWNER TELEPHONE NO. �!%=��� G��-�l�"�� CONTRACTOR ` / ��S � ��- �/`� � �� � DESCRIPTION �l `�CI � %�������/' �_—/ffv/</�� , ty ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL � ❑ POURED WAIL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLINO 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 _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL � ❑ DEMO-SITE ❑ SEPTIC INSTALL Z OMfNEJ4CONTRACTOR TO MEET Y�OU;�YE$_MO � COMMENT� W 4 o �' . •f ��I`�P� — �'�" ��C.S � � � �d f � L��?yVL�D�c��c� W � Q � W W � � �-��i� t J � ❑WORKSATiSFACTORY:PFiOCEED ECT COMPLETE W ❑CORRECT VMORK d PROCEED ❑ISSU CERTIFICATE OF OCp1PAHCY O O CORRECT WORK,CALL FOR REINSPECTION TEMPOFiARY V BEFORECd1/ERINO PERMANENT ❑CORRECT UNSAFE CONDITION WRHIN HWRS. O PHOTO TAKEN INSPECTOR WILL RETURN �STOP ORDER POSTED.CALL INSPECTOH �GTATION ISSUED ❑INSPECTION REUUIRED.CALL TO ARRAN(iE ACCESS. CaM for the next Mspection 24 hours in advence. (952) 249-48�0 OwnerlContractor on site: Inspector: h" � WMt�CopYAnapsetor's Fil� Canary CopyfSit�Node�