Loading...
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. / ' -- ���� �' �G�f� b�-- � � /�z.�-�L �I, �1�i /'fn 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.