HomeMy WebLinkAbout2016-01440 - gas fireplace CITY OF ORONO * 2 PJ 1 6 - 0 1 4 4 0 *
2750 KELLEY PARKWAY DATE ISSUED: 1 U16/2016
� ORONO, MN 55356-
j . (952) 249-4600 FAX: (952) 249-4616
ADDRESS : 1070 HUNTER DR
PIN : 25-118-23-42-0008
LEGAL DESC : MOONEY LAKE PRESERVE
: LOT 3 BLOCK 2
PERMIT TYPE : MECHAMCAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIREPLACE-GAS
VALUATIOIY : $ 7,180.00
NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION.
NEW:GAS FIREPLACE(HHT)
APPLICANT MECHANICAL 89.75
STATE SURCHARGE MECH(VALUATION) 3.59
FIRESIDE HEARTH&HOME MAIL-IN FEE 2.00
2700 FAIRVIEW AVE
ROSEVILLE, MN 55113 TOTAL 95.34
(651)633-2561 Payment(s)
Minnesota State License#: mech-20512060 CREDIT CARD 4616 95.34
OWNER
GRONHOLZ, SCOTT&AMY
2008 SUGARWOOD DRNE
ORONO, MN 55356-
AGREEMENT AND SWORN STATEMENT
The work for�vhich 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 Yor 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 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 Signatu e Date
11-15—' 16 14:14 FROM— T-410 P0001/0044 F-501
��39y��� �000(
FOR CTTY LJSH QNLY
r� City of Orouo +/� ��J
�v�/� P.O.Sox 66 nala Received: �� ��I��rmit# Z��1�' � � l y�
y �./ 2750 C{elley Park�vay
Crystal�lay,MN 55323 Approved By: � Amount$: y� . �
Phone(9>2)249-46Q0 �ax(952)249-4616
�`��.sk ��G� GITY OF ORON'O—MEC�TANYCA�.PERMIT
f5 H O All Commercial o1Ynlis 01US[Y�A tOVCd tlie Buildin Off-icial or Ins
( P PP bY € pcctor�nd/or 1'ira MArstiall)
GEN�,R:A�, YN�07tMA�'XQN
1. You may apply for mechanical permits by mail or in p�rson at the Ciky o�frces. AppliC�ttlons'wiCl
be revitwed and a permit will be iss��ed uvithin tWo working days.
2. Pe�mit cards will be sent by retuCn mail after a revitw is completed_ P�T2M[TS AT�NOT
'VAL,Tb IJNTIL YOU RECEIV�A,���iNITT. 'VV'O1tK MUST NOT B�GIN UNTYY�T��
�'��i1VITT CARD IS POSTED ON TH�.�0�STT�.
3. Mechaaic�l AesiQns—Cornplete ealciilations,details and speeifieations are required for eaeh
llzating, ventilation,humidific&tion�deht�midi�cation,and air conditioning instalIation including
heat loss/heat gain calciFlation,design temp�ratures,equipment radti�s and identification as Co
type,m�nufackurer and nnodel. bata shall be pr�sented on form provided.
4. �Vhen any new cotastruction or remodeling is involved,a separate buildin�permit must be
obtaincd.
5. A11 vvork must be done in accord�nee�'vith the Uniform Mechanical Code/State�uilding Code
requirements.
6. AlI work must be inspected(rougl�-in and f�nal). Call(952)249-4600.
(2R-4S hour notice requh•ed)
7. House Heating Test Ttecord mi�st be submitted before�r7al.
TYPE OF pE�MTT
(Checl�Ali That A 1
��:esidential ❑COmmetCi�l(Approval Required)
/ \
�New ❑Additiona! ❑Rtpairs ❑Replace
Job Site/Or�vr►ae Tnfo�mation:
Site Addr�ss: � � (iG kJi�1 �J�.
Ow�n.er: l/!�I 1 V�"�..,..__b�u�To+v� �yMailir�Addeess: �?�� ����C /g�c�.���{':
c�ry: �uc�SO"r'� . z��� ��a�� �..._� _
Home Phone: ������+d �ZZ�S Altemate Phone:
Conti�actpi�7n�01'[r1at�OC1:
Cantractor: FIRESIDE MEARTH & HOM� Contact person: �a��
Address: ��OR Fairview Ave N S[ate Bond#:g�662656, M6662572, PC662571
City: Roseville, MN zip.55113 �,Xpiration Date:
Phone: �V���61i3��J73d�p Alternate Phone:
❑ Ii]SliranC�—�Cltl'PEnE:
�
11-15-'16 14:14 FROM- T-410 P0002/0004 F-501
' ��'.�S�Pf'•i!5h�.:`::�."!���:c..:t3�'. i�.�i "�„+u,,�:�.,' ('r'�': � � '`��v!M.7 �t~ .;� { •" ..
��tiP:� )'�� �Af :iP' iF'r _Y� .nNti'.:.Y.ci3.5if..{. ��Y ,.�... r ci..�:C
' Note:All Greotliermal Systems will now require a Site p11n&Iteview by our Building Official.
YS T�S G�OT�iERMAL? ❑Ye3 �No
H�ATYNG S'YSTEMS
Quat►tity:
Make:
Modet:
Ptiek
Flue Size:
Input BTUs:
Output�TTJs:
GFM:
COO�,TN'G S�'STEMS
Quantity:
Make:
Model:
Tons:
H.power
Frkt��'X.AC�S
Gas�'actory�ireplace Brand Namc: ,
❑ Wood Burning�ireplace � �^�-
❑ Wood Stove Model No.: �J�C�' �. c� !
❑ Wood Stovo with rlue/Mason�y
'V'�NTZT,ATYON
❑ No. Kitchen�xhaust duct reeireulating efm
❑ No. �A[�l E7CIlAUSS�must have duct putside) cfm
❑ No. Other�'Ans: T.ocations cfm
�CJE�,SxOXtAG� (Mirst be approved hy 1�pwe,�arshall�fproposi►eg to abandon tank i��pl�ce.)
❑ Iost�llation ❑ Removal
Fucl Oil: gAlloi�s ❑ Underground ❑�nside ❑Outside
LP Gas: gallons
Other:
GA,S�.lIN1E ONY.'Y � ' � .
❑ Outdoor Grill ❑ Other/List Nhat&W11ere:
2
11-15—' 16 14:14 FROM— T-410 P0003/0004 F-501
• ''X � � �n� � „�.r �\�����R� l� � n �9^��^"`��1V F.l, .�t'Y+r,-�.7 t S�'� ���•'��`�d�.
i t � 1 i �G i���� Yr.rl� P✓��� ,i; .+ ��.9a��� aR.t �l .'! ff� �s�P�f�: "�`���i � �tadx°�(>�e��'��'T����
� .� " AS"E�� �1�� O02 7�p � �7"p � � . � � <s � K �
t, s,�`,'� r�l,�.� ,�.,��Y"���. ' J;l. .'�. '����f.'A.z�i7;��.�:�. '>�'.!,^i ' '/�' �ts:��i.n J� wu,n
� � v, o n1; 4-;d-Y,r...,. ,».�el...a.,<o,i.i•�.T ,.�,l.1.rJ ,,,\..,.
❑ Yes,this section applies
The replacement of a Residcntial fixture or appliancz t}1�t meets all tliree of the following reqltirements:
1. Does not require modifieation to electrical or gas service.
2. T�as�total cost of$500.00 or less;exClttdin�the Cost of tho fixture or appli�nCe:and
3. Is'rmproved,installed or replaeed by the homeowner or licensed contractor.
Skip r�ext section,if this applies; Cost ofpermit $ 15.00
State Surchar�e $ �.00
Mail-Cn�ee(If Applicable) $ 2A0
Total�ec�anit�ee $
�--r---r.�--r ,--� 7� � j�. ,;�..� r {' },'5�/ �,y y� }?�qr}.j� �`(� (�
'e i,yi��n. �,� ir � 1���.�+�' �:H , �.i.�?�" ��.1VI��,��v'�•i1,QI3 ;V V..Li\��J.V����(O�l�'�'�°.�'��'n��{j�L{�'i��n����,
[.> ..�,,.•.r, <, t._, .wa . ,.<.. .i,.,:., t. ��,s,�s�1:7=.x�as:�UvVa �S.t.,1r
If above does not apply;follow guidelines bolo�v:
1. CONTRt1,Cx�XtIC� *is 1.2J%of contract price wiCh x(Minimum�'ee of$50.00)
pP p
� �. x.0125$ Q�, �
cnntract pricc) (mfnimun�550.00)
. S'X'A.'x�SUI2CHA�2G� �7 p p
� � � � t
!i �O O' x.0005 $ .
'(contract price)
3. T'OSTAG�&1�ANb�.TNQ(Onf�on Mail-Iti Applications) $ ,�( ��d�
4. TOTAT�p�T2MI'�'���(Add T,ines 1-3 Above) $ ��5' 3 Y
■ ^` COi�r'1('�tACT P�tIG� or 70B GOST aneans the actual or estimated doll�r amount charged for the
pennitted�vork�ncluding materials,labo��,prof"rt,and other fixed costs. It is the amo�mt to bo c},arged
to the customcr for tht work done. If any material,equiprnent, l�bor or instatlations are fi�rnisl�ed by
the o�vner,tenant or an�other parry,the reasonable market value of sucla ite�ns m�ist be added to the
estimated cost or contract price for permit fee purpos�s. In the event that tllere is a dispute on the
amount of Che job eost, [he City may request tlit submission of a signed co�y of the ac[ufll co�ltract.
`�b ,;°',''y< ,,� <�!'�� AN�; �.;°�������4������#`T'ZC�;�J�'���._ 1�I`I'xr���:�;;v e,�,��a��s�,�;"
The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all
�vork in strict accordance �vith the ordinan.ces of the City aud the regulations of the State of
Minnesota, and certifies that a!1 statements rnade on this applicati0n az�e CompleCe, true �nd
correct.
Applicant's Signatw•e� y ���✓ Date: L r _1 ��y "�
3
� � � DATE TIME Y
CITY OF ORONO CALLED IN
INSPECTION NOTICE , ///� SCHEDULED --1��1��
PERMIT NO.�DLID�I`77V COMPLETED
ADORESS i n-���f p�-��- �.
p1NNER TELEPHONE NO. CD���?�-3iz
CONTRACTOR � r / �-- ,�
. l�L
� DESCRIPTION ���� ���
1y ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
2 ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
� ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
v ❑ DEMO-SITE ❑ TIC INSTALL
Z OINNERICOKTRACTOR TO MEET YOU:�YES_NO
� COMMEN7"�
� G� ��4✓'�MCeS � (�i�
j '- �is r��c j a�s �. .J �j .
� lli` �h��� .Sr iL �,�L`� /r!S'�- $�'1•e-��
� .ls �n �►�'cGc — G"�K rb� u� r��y
Q � �Li,s ��%►� �
�
� c� 'r'1�7r f r/1 a �.G 57 q�i''ta��t1
� ��r►� e� ��- 3�-- E.G 6 y �G, ..
W O YMORKSATISFACTORY:PROCEED ❑PROJECTCOMPLETE
� �OORRECT YMORK d�PROCEED �ISSUE CEFiTIFlCATE OF OCCUPANCY
0 ❑CORRECT 1NORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERINO PERMANENT
❑COfiRECTUNSAFECOH1DITiONWITHIN HOURS. O PHOTOTAKEN
INSPECTOR WFLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ��TATION ISSUED
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
CsN tor the next inspectfon 24 hours M sdvance. (952) 249-4600
OwnerlContractor on site:
�ngpectpr: Q/rrt,
WMN CoPqAnsp�cMr's Flb Camry Cop�dSM�Nofia
� 1 ��-�-
DAT� TIME
CITY OF ORONO cnLLED IN �
INSPECTION N0.�CE� � SCHEDULED � �
PERMR NO. �X�/«r�/ COMPLETED
ADDRESS ���Iv �7� c Vt�
O'WNER T EPHO E NO.����5����
COI�RACTOR
�'� DESCRIPTION �� ""'
❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAVlGRADING/FILLIN(i
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
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
v ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 O�WNBIlCONTRACTOR TO MEET Y�OU:_YES_NO
� COMMENT� �a� �
4 �� � g
j
0 �
� �i+�.o�Q GP� ��c�� Q—�l��i yS (QT/
0
W
�
Q
�
W
�
W
�
�
J
W O VMORK SATISFACTOftY:PROCEED ❑PROJECi COMPLETE
� ❑OORRECT WORK�PROCEED ❑ISSUE CERTIFIC/�TE OF O(xURANCY
0 O CORRECT VMORK,CAII FOR REINSPECTION TF.IdPORARY
V BEFORE CaVERINO PEqMANBVT
❑OORRECT UNSAFE CONDITION WITHIN H��• ❑prypTO TAKEN
INSPECTOR WILL RElURN
�STOP ORDER POSTED.CAIL INSPECTOR ❑pTATION ISSUED
❑INSPECTION RE�UIRED.CALL TO ARRANGE ACCESS.
Cap for the next Mspectbn 24 hours in advanoe. (952) 249-4600
OwnerlContractor on site:
�nspecior �a���
wMe.c�rvey�x�w•emr.Fia c.n.ry co�rsn.Noae.