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HomeMy WebLinkAbout2016-00917 - gas fireplace _ . ► CITY OF ORONO * 2 0 1 6 - 0 a 9 1 7 * 2750 KELLEY PARKWAY DATE ISSUED: 08/03/2016 ORONO,MN 55356- - (�_>2) 249-4600 FAX: (952)249-4616 ADDRESS : 265 HOLLANDER RD PIN : 25-118-23-43-0016 LEGAL DESC : HOLLY ACRES : LOT 003 BLOCK 002 PERMIT TYPE : MECHANICf1L PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 5,537.50 NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. (1)HHT GAS FACTORY FIREPLACE 1 t APPLICANT MECHANICAL 69.22 FIRESIDE HEARTH&HOME STATE SURCHARGE MECH(VALUATION) 2.77 2700 FAIRVIEW AVE MAIL-IN FEE 2.00 ROSEVILLE,MN 55113 TOTAL 73.99 (651)633-2561 Payment(s) Minnesota State License#:mech-20512060 CREDIT CARD 4608 73.99 OWNER DOEPKE,MARK&CONSTANCE 265 HOLLANDER RD WAYZATA,MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall bc 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«hich rcquires separate permits. All provisions of laws and ordinances governing this type of work shall be wmpied with whether or not specified hercin.7 his permit will expire and become null and void if construction authorizcd 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�vork has commenced. The applicant is responsible for assuring all requircd inspcctions are requested in conformance with the State Building Code.7'his permit may be revoked at any time for due cause. � L-e l r S� $ � �a-� l C� � � Applicant Permitee Signature llatc Issued By gnature Date 08-03-'16 10:39 FROM- FIRESIDE T-389 P0001/0004 F-926 3�o��C�`7��aao� ' R TY U6�OIVLY ���r C➢Cy of Orono � / �/�/ ; i y/1 P.O.Box 66 b�SC�SCQ1ytlU.�` Pe[1Tllt M �//� �.J 2750 Kellcy Parkway � � � 2 Crysta!Bay,tvlN 55323 Appioved By: Amount�: J• � Phonc(952)249-4600 Rax(952)289-A616 �`�<,� ���'� CYTY OF URONU—MEC�AI�ICAL PERMIT K�S H� (AI1 Commenial p�rmits must bC approvCd by tht EUildipg pffiCial or TnSpeC[or atld/oC FIIE Marshal]) r GENERAL INFORMATYOI� 1. You may appiy for meehanical permits by rna'rl or in person at the Ciry offices. Applications will be ne�vie�ved and a permit will be issued within two workrng days. 2_ Pcrmit cards will be sent by reCurn mail after a review is completed. p1��tMITS ARE NOT VALTb CJNTTr..YOCJ R�C�YV�A P�12MTT. WORIC MCS$T NO'r B�C1N UNTIL THE PERMIT(;ARU YS!'OST�b ON�TC-��JOB$TT�. 3. Meehanieal Y7esi�ns—Complete ealeulations>details and specifications are required for eaeh ' heating,ventilation,humrdification-dehumidification,and air conditioning installation including ' heat loss/heat gain cAlculation,design temperatures,equipment ratings and identification as to , type,manufacturer and model. �ata shall be presented on forcn provided. 4. When an�new construction or remodelin�is involved,a separate building permit must bc obtained. � S_ All work must be dane in accordance with the Uniform Mechanical Code/State Building Code � requirements. � 6. All work rnust be inspected(rough-in and fnal). Call(952)249-460D. (24-48 hour notico ropuired) � 7. T�ousz T-Teating Test Record must be submitted before final. � '�,`S��'E QF P&�T � Ch�c�C Al1 That� , 1 �Residentiai ❑Cammereial(Approval Kec{uired) ' ✓ \ � ❑New ❑Additional ❑Repairs �Replace ; rQb Site/Qwner Information: ' Site Address: 2-�o� p a�t�� '"'`�-�' Owner:/��l✓�k � (�/?h i� �P�'� Mailing Address: ,s�G a S S'�`�- � City: �.�T�-�t Zip: ����� I Home Phone: ��2-`"�y`� ��G�G Alternate Phone: ' , Contractor Znformation: : ,i Contractor: fIRESIDE HEARTH &Hc7ME Contact Person: ra�K-�V � � BC662656, MB662572, PC662571 � Address: 2700 Fairview Ave N State Bond#: i City: Raseville, MN Zip;55113 �xpiration Date: � i phone: Alternat� Phone: (9��'���'"���� � ❑ Insurance—Current: I 1 08-03—'16 1Q:39 FR4M— FIRESIQE T-389 PQ002/0004 F-926 , , Note: All Geothermal Systems will now require a Site Plan Fc Re�vi�w_by our Building Official. . YS T�TrS G�OTC��l2MAL? ❑Yes ❑No HEATING SYSTEMS " Qusntity: � Make: Modal: PUeI: �lue Size: Input BTUs: Output BTUs: � CFM: COOC.[NC SYST�M3 ; Quanciry: � Make: � � Modal: ' Tons: T�.�ower FIREP�.AC�S � das�actory Nireplace Brand Na�ne: .^ 0 Wood Burning Firep[ace �SGa e���� . ❑ 'tNood Stove Model Na.: ❑ 'W'ood Stove w[W Flue/Masonry r VENTILATION � Q No. Kitchan Exhaust duct recirculating cfm ' ❑ No. Bath Exhaust(must have duct outside) cfm F [] No. Other�ans: Locations cfm ; FCJ��,STORA�� (Mus1lie appmved by�tire Mar�hail ifproposing b abandon tank in plac�) ' i { ❑ Installation ❑ Removat �uel Oil: gallons ❑ Underground ❑Inside ❑Outside LP Gas: gallons Other: � � GAS LINE ONLY E ❑ Ou[door Grill [] Other/List What&Where: 2 � I Q8-03-'16 10:39 FROM- FIRESIDE T-389 P0003/0004 F-926 ❑ 'Yes,this section applies � Tho replacement of a Rtsidential fixture or appliance that meets all three of the follow'rng requirements: 1. Does not require modi�cation to ttectricaI or gas scroico. • 2. T�as a tota!cost of$500.00 or less;excludin the cost of the fixture or appliance:and 3. Is improved,installed or replaeed by the homeowner or lieensed contracror. Skip next section,if this appltes; Cost of permit $ 15.A0 � State Surcharge $ SAO Mail-Tn Fee(Tf Applicable) $ 2.00 Total Permit�'ee � ' �. If above does not apply;follow guidtlints btlow: � 1. CONTItAC`T pRYC� "'is 1.25%of contract pricz with a{Minimum Fee of$50.00) � ��•'�D x.o125S �j�. Z� (onimCi Pr�e) (minimam 550.00) . , 2. STATE SURCHARGG �C�3�]� �� ""��I � � x.0005 � Z� ' ��ContrectpriC�) 3. POSTAo�&�ANb�,TNG(Only on Mail-tn Applications) $ �. 4. TOTAL PERMIT F��(Add Lines 1-3 Above) � �/• �� ■ " CONTRACT PR[CE or JOB COST means the actual or estimated dollar amount charged for thz ' pecmimd work ineluding materials,labor,profit,and other fixed casts. Ct is the arnount to be ehar�ed to the customer for the work done. rf any material,equipment,labor or installations are furnished by the owner,teaant or any other parry,the reasonable market value of such items must be added to the � estimated cost or cantract 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. . ' " I� ., '��. � � The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all i work in strict accordanee with the ordinanees of the City and the regulations of the State of f Minnesota, and cerCifies that all siatements made on this application are comptete, true and � correct. I � �J� Applicant's Signature: � �="-`-2�L� Date: � �� i 3 � I � � 48-03-'16 10:39 FROM- FIRESIDE T-389 P4004/0404 F-926 ,,.. .,� �,. ,�.,.� , ,..,,, , ,,,�.,,�� • --- • ----- ---� � --- . , , Rieg�lman.Parker(HHT) . ^��� • � CALL BAq(fOR PAYMENT f PARKER RIEGELMAN ; 6S1•638-3306 � � F'qrker Riegelman � H�arFh�xqe� : Markett�Coordtnator � � ; � ���X�� c roa�u• � , Bsst Btpnds,P�afe�sionatly Installed,Servicc For Ws ' � �� 27p0 N FairView Ave I Rose�ille,nnnf 55iJ,3 W;651-638�3U6 C:651-815-2422 � fiie'aelma P hearthnhome.eom�www.ffre5tde.com � �Follow us on FaGpbook � ! S S F i � �. . , � . i E I ! i f E ; i 1 I i 7 l 1 t i 1 � �� � �/ DATE IME CITY OF ORONO CALLED IN �• � INSPECTION O�CE SCHEDULED __� PERMIT NO. � COMPLETED ADDRESS 2" � S 1L/ � / � ��'14�e/- � OWNER TELEPHONE NO. '��'S� �� �:33� CONTRACTOR ,�T l� Fr res�d.�, ��,� �/Y�t' t�I c�c� �l ��`� � DESCRIPTION �r lN ❑ 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 Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP 4! ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ $ PTIC INSTALL 2 OWNER/CONTRACTOFi TO MEET YOU:�YES_NO ' ��9-��� � COMMENTS:_�nc.�1v��-- ��t,r,�,,� �j �� -� -- � W � o �as F. n� ,ti5��� ,�� eX��.�s � 1/f'IR S- ot�A�. � ✓��in� . C'/�����s � d!� o� O � W � ' 94s �/�l� - ca�,,Oc✓ �4�,.�� � Q ' . 2 ' a • r- �� St hdlJ?�,tS� �3v;PSt� s�--r��c � `.g "�� -,� ' � ��.?�S,�f /�S�c �� �✓ �.t4��"u�� 5.�cc J i d W� �RKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT 0 CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WFLL REfURN ❑CITATION ISSUED ❑STOP ORDEH POSTED.CALL INSPECTOR O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS_ Call for the next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor on site: Inspector. � r✓� � � White Copyllnspector's File Canary CopylSite Notice C` ¢--- � � ✓ AT TIME CITY OF ORONO CALLED IN •Z �� INSPECTION T E� SCHEDULED J /� PERMIT NO. � �f OMPLETED ADDRESS ��� —_—��� OWNER r TELEP NE NO. '�� CONTRACTOR �C.GL�C " � . � DESCRIPTION � t~y ❑ FOOTING ❑ DEMO-FI AL ❑ SEPTIC FINAL � ❑ 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 J�NAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 01NNERlCONTRACTOR TO MEET YiOU:_YES_NO c� COMMENTS: � � o �� ��6� K G�owc�/cLe ��✓ �� �, � 0 W � Q z ,C.�e/.n�� ��r1�l� — � W � � J � ❑WORK SATISFACTOHY:PROCEED �W ECT COMPLETE W ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECONERING PERMANENT ❑CORRECTUNSAFECONDITIONWRHIN HOURS. ❑pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED �STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail br the next inspection 24 hours in advar�e. (952) 249-4600 OwneHContraator on site: Inspector: « /N" White CopyAnspector's File C�nary CopylSite Notiee