HomeMy WebLinkAbout2015-00743 - gas fireplace • E CITY OF ORONO * 2 8 1 5 — 0 0 7 4 3 *
2750 KELLEY PARKWAY DATE ISSUED: 06/10/2015
ORONO,MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS : 4174 HIGHWOOD RD
PIN : 07-117-23-44-0026
LEGAL DESC : HIGHWOOD LAKE MTKA
: LOT 032 BLOCK 000
PERMTT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIREPLACE-GAS
VALUATION : $2,220.20
NOTE: 1 GAS FIREPLACE,HEAT N GLO#SL-SSOTR-JPI-E
APPLICANT MECHAI�IICAL 50.00
STATE SURCHARGE MECH(VALUATIOl� 1.11
FIRESIDE HEART'H&HOME MAIL-IN FEE 2.00
2700 FAIRVIEW AVE
ROSEVILLE,MN 55113 TOTAL 53.11
(651)633-2561 Payment(s)
Minnesota State License#:mech-20512060 CREDIT CARD 4608 53.11
OWNER
LUNDE,DAVE
P O BOX 4551
ST PAUL,MN 55104
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be perfortned 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 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.
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Applicant Permitee Signature Date Issued By ignature Date
06-09—'15 16:15 FROM— T-890 P0041/0007 F-079
#3388238-0001
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��A r City of Orono ,;'.., :,',,'.;.:.: : ��(�� f�, (�
�c�l� 1',O.Box66 ;Date�LeCelyOd'��.���nrmiC#��'i^!,��: Ov�-i�
2750 Kelley Parkway ':�;'••`:"• .i;; '�:���.`:,::.:. f�1
C talBa MN55323 '?��'i',��';� ;.ti.:,: ;.�;.:�?;:.,.�:i;:`:�AT1t0lint ��1�I+`:L,I'
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Phona(952)249-4600 Fnx(952j 249-4616 i�;.;� ,;. ..,: :;;.; ,; :.;;;;: ,t:r: -
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t.�,�Esxoa�� CITY UF QRQN4--MECHANXCA�.PE�T'
(All Commercial permits must be approved by the Bu��d�ng OffiCial Or lnsp�Ctor anNor Fire Marshell)
>G�.1�:�':�,Q�Tr4�l'::� ; �
1. You may agply for mechanical permits by mail or in person at tho Ciry officzs, Applications will
be reviewed and a pzrrnit will be issued within trvo working days.
2. Permit cards will be sent by return mail af�er a review is completed. PE[tMITS ARE NOT
VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UiVTIL THE �
PERMIT CARD IS POSTED ON THE JOB SITE.
3. ,Mechanical bas�,ns—Complete calculations,details and specificacions are required for each
heating,ventilation,humidification-dehumidification,and air conditioning installation including
hea;loss/heat gain calculation,design temperaturos,equ�pment rat3ngs and identification as to
typc,manufacturcr and modeL Data shall be presented on fbrm provided.
4. When any nzw construction or remodzling is involved,a scparate building permit must be '
obtained.
5. All work must be done in accordance with the Uniform Mechanical Code/State Building Code �
requirtments.
6. All worh must bz inspected(rough-in and final). Call(952)2�}9-�600,
(Zq-q8 hour notice requ�red) •
7. House Heating'T'est Record must be submitted before final_ ;
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[�yRje�id'e�{i,�1! ❑;Com�iivrcial'(Approval��ttiqllirtd);
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��w' �'Additiorial� ❑�12ep.ai�s ��Rzplace
::rob�ite./�.Qv+rner'Tnfqiri}iations� � ,
�;Slt�';Ai�dress; 4174 HIGHWOOD ROAD
;���� ���e�;,�C.N.0 CONSTRUC710N LLC ;iVYailin �Addi;e�,S§:' �540 21aTH I..ANE NE ;
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;�i�y;.; �AST R�TH��, MN ;���?,: 55011
H4me:P�ione;; #612-789-2155 Alternate Phone: _
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��ontr�Gttii;YT�form�ti0n: �
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Contractor: FIRESIDE HEARTH&HOME Contact Person: Leah '�
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Address: 2700 Fairview Ave N State Bond#;�C662656, M6662572, PC662571 �
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City: 12oseville, MN Z��55913 Expiration Date: I
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Phone: 651-B33-2561 Altemate Phone:�eaFt#651-638-3312 ;
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YnSuranGe—Current: �
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06-09—'15 16:15 FROM— T-890 P0002/0007 F-079
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� N'ote:All Ceothermal$ystems will now require a Site Flan&Review by our Building Official.
YS THYS GEOT�T�YtMA�.? ❑�'cs ❑No
�EATING SYSTEMS
Quantity:
Make:
Model:
Puel:
�lue Size:
Input BTUs: , , ,„ ,..�,,,.,.,....,—
Output HTUs:
CFM:
COOY.Yi�ICti S'YSTEMS
Quantity:
�
' Makc�
Model: ;
Tons� �
H.power
fi�i��NA�"c�i�:�
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❑ 4��''.;R���?��'��t}`����e;l?:M�:�firY� 4 � �
'V�NTYY.A'Y'YON' '
❑ No. Kitchen Exhaust duct recireulating cfm
�f No. BaCh Exhaust(must havc duct outside) cfm
[a No. Other Fans: Locations �cfm
FUEL STORAG� (�4iusl be approved by FFre Marshall ljproposing to abandon tnnk in pCace.)
[] ]nstallation ❑ Removal
Fucl Oil: gallons (� C�nderground ❑Inside ❑Outside '�
LP Gas: gallons ;
Othzr: E
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GAS LINE ONLY !
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❑ Outdoor Grill [] Other/List What�Where; i
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46-09—'15 16:15 FROM— T-890 P4003/0007 F-079
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❑ Yes,this secCion applios
Tha replacement of a R�is►ential fixture or appliance that meets al1 three of the following requirements: .
1. Does not require modification fo electrieal or gsas serviee.
2. Has a total cost of$500.00 or loss;excludi�the cost of the fixture or appliance:and
3. Ys improved,installed or replaced b�the homeowner or licensed contractor.
Skip next scction,if this applies; Cost of Permit $ 15.0(1
State Surcharge $ 5.00
Mail-Tn�'ee(Yf Applicable) $ 2.00
'Y'otal�'ermit�ee $
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If above does not apply;foltow guidelines below: �
1. CONTRACT PIt1C� * is 1:?5%of contract price with a(Minimum�ee of$50.00)
$2,22Q 20 + �,.R�`� `� '3�':��'.SI.�:QtQ. "�k`r,�;'.��4}=': �
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?E:• .,��:+: �.'�,�,:�.. �' I
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2. 3TATESURCHARGE
$2,220.20 x��.,Q�0:Q5���3 -- 1,11 ',
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3. POSTA4E&HANDLING(Only on Maii-ln Applicadons) :,�t l2�:0��:,;`��';�::,:;�,
A. TOTAL PERMIT FEE(Add Lines 1-3 Above) �:5���:�� ;;5,�;��:1;�': �:�,'<��'•,s-`
■ * CONTRACT PRIGE or JOB COST rncans the actual or astimated dollar amount chargtd for the
permitted work including materials,lahor,prof�t,and other fixed costs, lt is the amount to be charged
to the customer for ihe work dono. If any material,equipment,labor or installations are furnished by
the owner,tenant or any other party,tho roasonable market value of such ittms must be added to the ;
ostimated cost or contract priee for permit fee purposes. In the event that there is a disputo on the
amount of the job cost,the City rnay requzst the submission of a signed copy of the aetual eontract. �
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The undersigned hereby applizs to the G�ty for issuance of a Mechanical Permit,agrees to do all i
work in strict accordance with the ordinances af the City and the regulations of the State of j
Minnesota, and certi#ies that all statements made on this application are complete, true and �
correct.
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C.e� l�e�vy�ce-�:e� �
Applicant's Signature: ��t�s�; 6/9/15 �
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3
Q� DATE TIME �
CITY OF ORONO CALLED IN
INSPECTION�OTIC�I �^n�� SCHEDULED 2- �S •��
PERMIT NO. ��< <� � COMPLEfED
ADDRESS �� �� �S�``-��-� �
OWNER � TELEPHONE NO. ��2 ��� �`3�-�S
CONTRACTOR �"� s`d`�
� DESCRIPTION ��
l� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
_ ❑ FRAMING �iN ❑ PROGRESS
� ❑ INSULATION �l I �p{$�fiM�/FIREPI9G� ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL
J ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W ❑WORKSATISFACTORY:PROCEED ❑PROJECT COMPLEfE
� `�CORRECT WORK&PROCEED O ISSUE CEHTIFICATE OF OCCUPANCY
W , �
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WFLL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITAT�ON ISSUED
O INSPECTION REOUIRED.CALL TO ARRANGE ACCESS.
Ca11 for the next inspection 2a hours in advance. (952� 249-4600
OwnerlContractor on site: /S�4 k�
Inspector. �`'v �
White Copyllnspector's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO cnLLED IN
INSPECTION OTICE SCHEDULED
PERMIT NO. �(S—���3 COMPLETED /��d-��t5�
ADDRESS�.�-//��1 �1dl-�-� '� - -
OWNER TELEPHONE NO.
CONTRACTOR
� DESCRIPTION ��e�'�' �'�L
4~j ❑ FOOTING ❑ DEMO-FiNAL ❑ SEPTIC FINAL
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 ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
v INAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
� ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
� ❑ DEMO-SITE ❑ SEPTIC INSTALL
Z OWNEAICONTRACTOR TO MEET YiOU:_YES_NO
h COMMENTS:
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W ❑WORKSATISFACTORIF PROCEED /��OJECT COMPLEfE
� ❑OORRECT YIfORK�PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CARRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECONERING PERMANENT
O CORRECT UNSAFE CONDITION WRHIN HOURS. ❑pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
�INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call br the next insspection 24 hours in advance. (g52) 249-4600
OvmerlContractor on site:
Inspector.��--'
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wreee c.ovrnn�.ceo�Fl�. Cenary CopyJSife Notke