HomeMy WebLinkAbout2017-00117 - gas fireplace CITY OF ORONO * 2 0 1 7 - 0 0 1 1 7 *
� 2750 KELLEY PARKWAY DATE ISSUED: 02/09/2017
, ORONO, MN 55356-
� � (952) 249-4600 FAX: (952) 249-4616
ADDRE�S : 225 HOLLANDER RD
PIN : 25-118-23-44-0007
LEGAL DESC : HOLLY ACRES 2ND ADDN
: LOT 002 BLOCK 001
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIREPLACE-GAS
VALUATION : $ 4,814.00
NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT F[NAL INSPECTION.
REPLACE:GAS FACTORY FIREPLACE(HHT)AND GAS LINE
APPLICANT MECHANICAL 60.18
STATE SURCHARGE MECH(VALUATION) 2.41
FIRESIDE HEARTH& HOME MAIL-IN FEE 2.00
2700 FAIRVIEW AVE
ROSEVILLE, MN 55113 TOTAL 64.59
(651)633-2561 Payment(s)
Minnesota State License#:mech-20512060 CREDIT CARD 4616 64.59
OWNER
CLOSE,JILL&LOUIS
225 HOLLANDER RD
WAYZATA, MN 55391-
AGREEMENT AND SWORI�1 STATEMENT
The work for which this permit is issucd shall be performed according to
the approved plans and specifications,applicable Ciry approvals,and the
State Building Code. This permit is for 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 l80 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time afrer 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 � � j
ti,l
revoked at any time for due cause. � I
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Applicant Permitee Signature Date Issued By Signature Date
02-07-'17 14:04 FROM- T-801 P4001/0044 F-972
`�"�?`Z I 1�-a� �°°�
` FOIi CITY yJSE ONC.'Y
. ��� City of Orono
P,O.Box 6b 17a[e�tecervod: � v�i �Pcrmit�l� ,� i "( j� )
2750 Kellcy Parkway _ � -
C sial Ba MN 55323 A roved B �-l? �' � � ���
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Phont(952)249-4600 Pax(953}2k9-4616 �
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����65HO�QG CYT'Y O� 0�20N'O—M�CHANICAL PERMYT
(All Commercial permus mus�bi:approved by 2he Building Official or Inspector and/or�ire Marshall)
CxENLRAI;INFORMATION
1. 'You may apply for mechanical permits by maii or in person at the Ciry offices. Applications wiil
be�'eviewed and a percl2it will be is3ued within two working days.
2. pernn'►t cards will be sent b�retum mail afttr a review is completed. �EItMITS A1tE NOT
VALIn CJNTI�,'YOU R�CEY�VE A p�RMTT. WORK MUST NOT�EG11v U]VTrT�TH�`
PER1V1(CT CA,X2�XS�4S'X'�b ON T�CE rOB SITE.
3. Mechanical Desiens—Complete c�iculations,detaits and speeif�oations are required for eaCh
heseing,'ventilation,hurnidification-dehumidifieatlon,and air CondiCioning installation including
f�eat lossmeat gain calculation,design teiz�perafures,equiprnent ratings and identification as to
rype,manufacturtr and modcL Data shall be presented on fol'm pro'vided.
4. VVhen any newv construction or remodtling is involved,a separata build'rng permit musti be
obtarned.
5. All work must be done in aceordanee with the CJniform Mechanical Code/State�urlding Code
requirements.
6. All work must be inspected(rough-in and final). Call(952)249-4600.
(24-48 hour natice required)
7. T-Iouso Hoating Test Record must be submitted before final.
TYPE O�P�RM1T
Check All That A 1 )
�Residential ❑Commercial(Appro�val Rcyuired)
/ �
❑New C]Additional ❑Rcpairs �teplace
Job Site/Owner Tnfo►�mation:
Site Addres5: �--Z Q �.���' � f'--��
Owner: �1 � 1 C 1 �S"� Mailing Address: �°��-L �S �+�
City: W°�-�� ,,,. Zip: �J��� �
Home phone: � �Z`r �� p��Z�'Alternatc Phone:
Contractor Xnforrnation:
Contractor: FIRESIDE HEARTH& HQM� Contact person: ���i-�
Address: 2700 F'airview Ave N State Bond#:BC662656, MB662572, PC662571
C�ty; Roseville, MN zip;55113 �apiration Date: ,.` ,
Phone: 651-633-2561 Alternate E'hone: �" �� ��������
❑ Ynsurance—Current:
1
02-07—'17 14:04 FROM— T-801 P0002/0004 F-972
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9adL.,,�r..,c::�u.t.��k.n�...�ia•........... .. ..':..•, ..e.;,?: � '. . _ ._. � :`�� 4h• •�M'MiTw
Note:All Geothermal Systems will no'w require a Site Plan&Review by our Building Official.
IS THYS GEOT�Y�XtM,A,x,7 ❑Yes ❑No
HEATYNG S'YSTEMS
QUxntit�:
Make:
Model:
Fuel:
filue Si2e:
Input�'r'CCJ's:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Modei:
Tons�
H.Power
�Ylt�p�,AC�S
� Gas Factory fiireplace �rand N'ame: �1 1 l�
❑ Wood Burning�ireplace
❑ Wood StoVe Model No.: �SC� '�~ �d
❑ Wood Stove with Flue/MAsonry ��� ����C>-�_ ��-5' L/�.
'V�NTY�.ATYON .J�'"� $T�( �
❑ No. �itchen Exhaust duct reeirculating cfm
❑ No. Bath��chaust(must have duct outside) efm
❑ No_ Other Fans: Locations cfm
�'UEL STORAGE (Miest be approved 1�y,�'ire Mnr'sho/1�'fproposing to abmr�lw:trrnk i►e plae�)
❑ Installation � Remo�val
Fuel Oil: g�llons ❑ Underground ❑Tnside �Outside
i,P Gas= gallons
Other:
GA.S LIN�ONLY
❑ O��tdoor Gri11 (� Other/I,ist Wh9t&Wl�ere:
2
02-07-'17 14:04 FR4M- T-801 P0403/0004 F-972
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❑ Yts,this section applies
The replacement of a Residtntisl fixture or�ppli�ncc tllat rn�ts sIl three of the folloWing requiremenks:
1. 17oes not require modification to electrical or gas service.
2. Has a total eost of$500.00 or lcss;excludin�the cost of the fixture or applianee:and
3_ Is improved,installed or replaeed by the homeowner or licensed contractor.
Skip next section,if this applies; Cost of Permit $ 15.00
State Surcharge $�5,,_,Qp
Mail-Yn pee(Yf Applicab[e) $ 2.00
Total permit�'ee $
� � � .ldsf,l�Y3�Fi.i� '. � g .1 �k. ,bA -��.- '1�.5����� .
If above does not apply;follow guidelines below:
1_ CONT�iACT PR�C� *is 1.25%of eontrRct prico with a(Minimum�ee of$�0.00}
1 �.a�2S$ (pD. c g
(contract price) (nlihimum 550.00)
2. STATE SURCHARGE G1 Q�)�
�D � x.0005 $ � ^ � 1
(ContYACt pricc)
3_ PQ$'Y'AGi�&HANDI.TN�C�(Only on Mail-In Applications) $�
�] 5'�
4. TOTAL PERMIT�'EE(Add Lines 1-3 Above) $ �C. "
■ * CONTItACT PRTCE or JOB COST means the actttal or estimated dollar amount charged for the
penmitted work including rnattrials,labar,profi�,snd other fixed costs. Tt is the amount to be charged
to the customer for the work done. If any material,equipment, l�bor or instatlations are fumishcd by
the owner,tenant or any other parry,the r�asonable market va[ue of such items must be aQded to the
estimated cpsk or contr�ct pCiCe for permit fec purposas. In the event that there is a dispute an Che
amount of the job cost, the City may request she submission of a signed copy of the actual eontraet.
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The undersigned hereb�applies to the City for issuance of a Mechanical permit,�grees to do all
work in strict accordance with the ordinanees of the City and the regulations of the State of
Minnesota, and certifies that ail statements made on this application are complete, true and
correct.
Appl'rcant's Signature: at�: �r I ~( �
3
�=� ��-
�""""� DAT TIME
CITY OF ORONO CALLED IN �-� �
INSPECTION N ICE /}� HEDULED -a 7-/7 �
PERMIT NO. �l � �`"'���MPLETED
ADDRESS � � �v�
OWNER - ELEP NE NO. -��l
CONTRACTOR
� DESCRIPTION �`� `��
11� ❑ 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
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q �NAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
41 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
� ❑ DEMO-SITE ❑ SEPTIC INSTALL
? OWNERICONTMCTOR TO MEET YiOU:_YES_NO
� COMMENTS: ���G �'�G' � " o�G - ! 7
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2 � ��� /,�O /� G�p YNpIG�� .'_�
� - fo�/a te> r✓1s.t w�c 64..�j S�ocs .,�✓/'rls2�/
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W ❑WOFiK SATISFACTORY:PROCEED �OJECT COMPLETE
� ❑CORRECT WORK 3 PROCEED ❑I UE CERTIFICATE OF OCCUPANCY
W
O ❑(�RRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE CONERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN
INSPECTOR WFLL RETURN
O STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REWIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249�46��
OwnerlContractor on site:
Inspector: �/� �
wn��s coPyn��e�mrs Fue C�n�ry CopylSlte Notka