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HomeMy WebLinkAbout2015-00744 - gas fireplace• � CITYOFORONO * Z015 - 00744 * 2750 KELLEY PARKWAY DATE ISSUED: 06/10/2015 ORONO,MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 4166 HIGHWOOD RD PIN : 07-117-23-44-0027 LEGAL DESC : HIGHWOOD LAKE MTKA : LOT 033 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 2,220.20 NOTE: 1 GAS FIREPLACE,HEAT N GLO#SL SSOTR IPI E APPLICANT MECHA1vICAL 50.00 STATE SURCHARGE MECH(VALUATION) 1.11 FIRESIDE HEARTH&HOME MpII,_IN FEE 2.00 2700 FAIRVIEW AVE TOTAL 53.11 ROSEVILLE,MN 55113 (651)633-2561 Payment(s) Minnesota State License#:mech-20512060 CREDIT CARD 4608 53.11 OWNER Willow Creek Development P O BOX 4551 ST PAUL,MN 55104- 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 dces not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction suthorized 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 aze requested in conforrnance with the State Building Code.This permit may be revoked at any time for due cause. �n..�� C.,-� ` U, -{-S U � � I� � IS Applicant P tee Signature Date Issued Signature Date , 06-09-'15 16:15 FROM- T-890 P0044/0007 F-079 #3a8a2aa-000� .ROR CTI'Y UST ONLY, r Ci[y of Orono ` '� ' —7�� ���Q 2 50 Kolley ParkwaY Dats Rycaivcd:�(t�t.�Permit p�S— : ;... �.3_ i.1. Crystal Bay,MN 55323 Approy�By:.;.'-�w.Amount�. Phon�(952)249-4600 Fax(952)249-4616 .•',' �`�l� w��� CXT�?'O�'UItON'O--MEC�AI�TICAL PERMIT ��$H�� (All CQmmercial permits must be Lpproved by the Buitding Offfcial Or InsptCtor and/or Fire Marshall) �5�,.; ' ,,.. , . .. .. . , . , �: . ..rr��::rr.r�ox��'Xo�;: � ..., . . � , , , . . 1. Y'ou may apply for mechanical permits by mail or in person at the City offices. App4icatlons will be reviewad and a permiC will be issued r�vithin lwo working days. 2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT � VAC,1D CJNTT�,.'YOU R�C�I'VE A PEitMIT. 'I�VOR�C MUST NOT BECrYN�1NTyY.TH� P��MYT CAnri YS POSTED ON THE JOB SITE. 3. Mechanical Dtsi2ns—Complete ealCulations,details and SpeCIflCatipns are required for aach heating,ventilation,hurnidifieation-dehumidification,and air conditioning installation ineluding heat loss/heat gain calculation,design temperatures,equipnzent ratings and identification as to rype,manufacfurer and modol. Data sl�all be prescnted on t'orm provided. 4. 'When any new construction or remodeling is in�volved,a separate building permif must be obtaintd. ' 5. AI!work must be done in accordance with the llniform Mechanical Code/State Building Coda requir�neats. 6. All work must ba inspccted(rough-in and final). Call(952)249-4600, (24-48 hour notico reqaired) 7. House�esting Test Record must be submitted boforc final. f ce?:ii,,;,;,.,;C;' .��,..,;(';�. ��;'{`'.` ` ,.i;. . , �, f >:�,. <<'; �;:;:'`� ,;;;;� ;T '.��J�:���. x��� , . . .,.., . .,. . �:,�. :�?. R:11�X �. �,,,,,,,,;,,,;, , ,.,.:. �;,: ,, . .., . � .: . ., ;., , ,.., . , , ,, ..,,... :.;; . �,;� ,. .:... :,.: t. ,��..: ,;,;.. ,.�,.,.. :.�..� ;;::: ,�')�..�1� .�'.q��� . . , . �1''�.i � r„ , . .... � �,.�,i� I `•�:7 ��:, ,,., �!�,;;,::��` '1,T ,;4 ,:�. �•,. .;,.z:. . .....::.:::::.. .:�' e�k;A;l hat . . , :.: . :; :; �.'(�ki---- , . PP�)':.' (�''.1�&i¢eilb.?li ❑'CAn?�n,�Is�ia���APP�f?`�,�U�R�9Uired).` �IVeVi!t �A it'ional� rs R p ... ❑, �.. . ❑'R.ep'�# ❑ .e �a� �,�ob S'i�eJ:Owrielr Ynforma�jorl, ;,S�t�,:�c��`ps§; 4166 HIGHWOOD ROAD � i;�"'"''�''"��C.N.0 CONSTRUCTI�N LLC �" � ��'�� �� � � �`�� � 4540 210Th1 LANE N� ,;�1vu�ieX;: ;�!Iailiii ';Adi�iress�; ��: � ��a� EAST BETHEL MN ;�"�'; 55011 �Ctt�';�r ' ,��p,�r Horn��;��qi�e f �12-789-2155 Alternate Phone: j . , ` k 'G.pi��ractor;Trifor�ri�tion: , � I Contractor: ��RESIDE HEARTH &HOME Contact Person: Leah i Address: 2700 Fairview Ave N State Bond#:BC662656, MB662572, PC662579 , C;�,; Roseville, MN Zr�;55113 �xpiration Y7ate: � Phone: 659-633-2561 Alternate Phone:��ah#651-638-3312 � � ❑ Insurance�Current: � 1 � I j i I 06-09-'15 16:15 FROM- T-890 P0005/0007 F-079 � : iV'ote: All Geothermal Systems will now require a Site Plan&Review by our Bui(ding Official. YS T�YS G�O'rHERMAL? []Yes ❑No HEATING SYSTEMS Quantity: Make: Model: Fuel; Flue Size: lnput BTUs: � Output BTUs: : CFM: COO�,MNC S'YST�MS ' Quantity: � Makc: Model: Tons: H.Power �,.,,�,.:.�-.,,,•�„� �,�,,.�,e�. �FiR�P�,�YtiiA�GfES� il. k'�^fl'5,1�� �31i) �•�A'Y F'„�,..�x�.., 41:.,.y,�3 R�,. a. C�3' �'���c'td���F�A���? �:�a���:, ;;�,FI�.AT�N�:.,���:.5?�:�;�:�::+�;;�;�-�:� ��•'�'_�n� � i'3yY�,�� „�,; � r ❑ ����I�in,�g:,F�z`p�a��,� ,o�H ,,� ,.:�:,....���,. � L�S. Q; R-IP s�;... . � � '��!`'�k�'.��,p s x .�. � ,,;,,,, ,,,,,,,,, 'i�QS�e,��-V.�1ra} a�, �..�..,.,�,� ):`...;"'��':�'�t'�? ���.aiq.� r�:12��. t." r:�� - Q �iV►.'«dU�_ �R3'Bs:�+��1;�l1SGS,/;;%�'�S..q)?1'�'i V�IVTYY.,ATYOIV � (] No. Kitchen�xhaust duct recirculating efm ! �J No. � 1Bath�xhaust(must have duct autside) ofrn ; ❑ No_ Othcr Fans: Locations cfm FUEL STORAGE (Must be approved by FYre Mars/�a[l tjproposing to ab�ndore tank fn place.) ; i ❑ ynstall�tion ❑ Removai ' f Fuel Oil: �gallons �] CJnderground �Inside ❑Outsido � �,P Cras: gallons ` Otherc � � CAS LINE ONLY � ! ❑ Outdoor Grill ❑ Other/List What&Where;_ ' ; ti 2 ' � � � � ; 06-09—'15 16:15 FROM— T-890 P0006/OOQ7 F-079 $ ❑ Ycs,this section applies The replacement of a ResidenCial fxtura or appliancc that mects all three of the following requirements: 1. Docs not requ'rre modification to electrical or gas service. : 2. Has a tota s of�500,00 or less;excludin the cast o�the fixture or appliance:and 3. Ys improved,installcd or repfacCd by the homeowner or lieensed contractor. Skip next sectron,if this applies; Cost of Permit $ 1 S. Statt Surcharge $ 5.00 Mail-In Fea(rf Applicable) $ 2.00 Total permit�ee $ /� �. P� �'S. 1 Y � y .�5, ��kCi,� ..f;R�i?, r,��. Tf above does not apply;follow guidelin�s below: , ' 1, CONTRACT�'YtY�� *is 1.25%of contract price with a(1Vlinimum�ee of 550.00) $222020 t.'"��pl' " y";v��-:�:+�S,Q::{1.0'�>.;y��:,:,�;.;;;.:.�:,.� :, �:: :2��� ;�., . �(�v'. ��'i�Cn'' (m nirti.,�:��� � t , 2. STAT�SUR(`.�TARG� ' $z,220.20 x�4:��°n':�� 1.11 t .y.. �. ���1 ..!a.i )t � 3. I�OS'1'ACr�t��]ANDLING Onl on Mail-In A lications f�w0(l,';`r.���^ �'°� ( Y pP ) �'�3., . , .. ... _ �„���F;�.,: 4. TOTA�.�'��tMYT�'�E(Add Lines 1-3 Above) �wP+.�'i:':��5•�('s.`��<'�`'�.�.p��":��?���?-£ti�' ■ * CONTRACT PRICE or JO$ COST means the actusl or estimatod dollar amount chxrgtd for the permittcd work including materials,labor,prof,t,and other fixod costs. It is thc amount 10 bc charged ; to the custorner for the work done. If any maCtrial,equipment,labow or installations are furnished by the owner,tenant or any other party,the reasonabte market value of such items must be added to the ; estimated cost or contraeC priee for permit fee purposes. rn the event that thoro is a dispute on the amount of the job cost,the City may request the submission of a signed copy of the actual contraet. ! � I � � i ,t7.. �'.i_ �. .V". !f. s..S1=Fi(..�e,!'�;';i;�}��13,+;:i •.y�����e3��:r�'�! � The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all � r,vork in strict accordance with the ordinanees of the City and the regulations of the Stat� of � Minnesota, and ce�tifies that all statements madc on this application are complete, true and � correct. � f _-� . E Applicant's Signature: C� C�!/�/�'f^����"N '�.'�,.�a'� 6/9/15 { � t � � 3 � � I 1 � i �_� � DATE TIME\/ r...�o Y CITY OF ORONO cnLLED IN 7 INSPECTION NOTIC �HEDULED -7/S �— PERMIT NO. � ��7��i�oM LEfED ADDRESS OWNER T PHONE NO. ��� �8� CONTRACTO a DESCRIPTION � v 4~j ❑ FOOTING ❑ DEMO-FIN ❑ SEPTIC FI 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 ❑ PROGRESS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL v ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL 2 OWNERlCONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: W � � v�.��K s - c%.-4.�« _ a� - � a[ �d �2S �/�t C 7�i�'S �/�'G � o T� � W Q ���rUc��� � 2 W � W � � J � `fj�WORK SATISFACTORY:PROCEED ❑PROJECT COMPLEfE � W ❑CORRECT WORK S PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY O O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFOREC01/ERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDEH POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED_CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952) 249-46�� OwnerlContractor on site: /(�o� Inspector: � ite CopyAnapectw's Flle Canary CopylSfte Notfee DATE TIME CITY OF ORONO cnLLED IN INSPECTION NOTICE � SCHEDULED PERMIT NO. � COMPLEfED s�e��/� ADDRESS l7'/�6 �r•�f�.EaD �J OWNER TELEPHONE NO. CONTRACTOR � DESCRIPTION G� � �' ��� 4~j ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL � ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING ❑ 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"[�'�EINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP kl ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OMfNERICONTRACTOR TO MEET Y�OU:_YES_NO y COMMENTS: W WvfK C��a/��� � � � 0 �. ����c ��� � 0 W � Q � W � W � � � ❑WORKSATISFACTORY:PROCEED �i�WECTCOMPLETE W O CORRECT W'ORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CONERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTOTAKEN INSPECTOR WFLI RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-4600 OwnerlCor*tractor on site: Inspe�to ��-- WhiM CopyRnspectors Flle Cenary CopyiSite Notks ��� �� DATE TIME CITY OF ORONO CALLED IN �C� INSPECTION OTICE SCHEDULED q PERMIT NO. - COMPLETED ADDRESS �- OWNER PHONE N0.7�Q3-J'SS 7'S�/ CONTRACTOR � �, DESCRIPTION 4~j ❑ FOOTING ❑ DEMO- NAL ❑ SEPTIC FINAL � ❑ 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 Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL J ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERlCONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: C— � � � o W�K �b�.-��+e�e ` '` 1i�t e. �� i-`� s.� � o� � � !/h�c � W � Q 2 ,,G�-/'wt.t -�.�.�1� � W � j � ❑WORKSATISFACTORY:PROCEED �6.pRWECTCOMPLETE W ❑CORRECT VYORK 3 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR NfFLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail forthe next inspection 24 hours in advance. (952) 249-4600 OwnerlCorrtra site� inspector: � White Copyllnspector's File Canary CopylSite Notkx