HomeMy WebLinkAbout2017-00233 - gas fireplace � CITY OF ORONO * Z 0 1 7 - 0 0 2 3 3 *
2750 KELLEY PARKWAY DATE ISSUED: 03/13/2017
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 1729 FAGERNESS PO[NT RD
PIN : 17-ll 7-23-22-0035
LEGAL DESC : MAPLEGATE INLET
: LOT 002 BLOCK 002
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENT[AL
CONSTRUCTION TYPE : FIREPLACE-GAS
VALUATION : $ ]0,925.00
NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINnL[NSPGCTION.
HHT GAS FACTORY FIREPLACE-(2)
APPLICANT MECHAN[CAL 136.56
STATE SURCHARGE MECH(VALUATION) 5.46
FIRESIDE HEARTH&HOME MAIL-IN FEE 2.00
2700 FAIRV[EW AVE
ROSEVILLE, MN 55113 TOTAL 144.02
(651)633-2561 Payment(s)
Minnesota State License#: mech-20512060 CREDIT CARD 4616 144.02
OWNER
BIEKER, DAVID
1729 FAGERNESS PT RD
WAYZATA,MN 55391-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Duilding Code. This permit is for only the work described and does
not grant permission Yor additional or related work which requires separate
pennits. 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 construetion 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
revoked at any time for due cause.
, �
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Applicant Permitee Signature � Date Issued Signature Date
03-13-'17 14:19 FROM- T-916 P0001/4404 F-111
� UR �TY USE ONLY
�� Cify of Orono �� ��
Q P,O.Aox 66 Date Rece,v � Pennik# �� � � �-�
2750 Kvlley Parkway c1
Crystai Bay.MN 55323 Approvsd By: Amount$; � /��• �
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Phonc(952)249-4600 Fax(952)249-4616
`��.,,�Es�o��.�' CITY OF OItONO—NI�CHANICAL PERiVIYT
(All Commercral permits must 6c approvcd by the guilding Official or Inspector nnd/or Fire Marshall)
GENE�tA�,TN�'ORMATION , ,
1. You may appiy for mechanical permits b�mail or in person at the Crty offiees. Applieations will
be reviewed and a permit will be issued within ewo working days.
2. Perm'rt cards�+ill be sent by retum mail after a review is completed. PHRMI'l^S AYtE NOT
VAT,Tb CINTIL YOU RECP,�'VE A p�12MIT. `WOnK MUST NOT BEGYIV�J'N'T�Y.TY-C�
p�IiM1T CARD IS POST�n dN TfT�r013 SITE.
3. Mechanical De3i�—Complete calculations,details and specifications are required for each
heztrng,ventilation,humidification-dehumidifieation,and air eonditioning installatipn includin�
heat loss/heat gain calculation,dosign temperatures,eqUYpmenC ratings and identifiCation 15 to
type,manufacturer and model. Data shalf be presented on form provided.
4. When any new consCruction or remodeling is involved,a separ�te building permit must be
obtained.
5. All work must bt done in accordancc with the Clnifonn Mechanical Code/Statc Building Code
requirements.
G. All work must be inspected(rough-in and finaI)_ Call(952)249-4600.
(24-48 hour notice required)
7. �-Iousc Hcating 7'est kecord rnust be submitted before final.
' T'Y�E�OF PERMIT,
_ Chec�Alt That A 1�
�Residential ❑Gommercial(Approval Required)
�f 1Vew ❑Additional [�T2epairs ❑Replace
(..�
Job Sit�/Owner Tnfoxmation:
Site Addres, ���i�j �G�l�f���� �-�"
�l
Owner: Q+,na��i ��Ia f7/,,� �d'r�.� Mailing Address:
City: �.f��l�P-U1 Zip: _�� v-��..�
Home Phone: °�y Alternate phone:
Contractor Ynformation'
Contractor: FIRESIDE H�ARTH & HOME Contact Person: Leah
Address: 2700 Fairview Ave N State $ond#:BC662656, MB662572, PC662571
City: Roseville, MN Zjp;55113 ��p�ration Date:
Phone: 651-633-2561 Alternate Phone:Leah#651-638-3312
❑ Ynsurance,Current:
l
03-13-'17 14:19 FROM- T-916 P0402/0004 F-111
_�Z�'�„L�R'. lJ•s.���[.'�.+.y7f c�'?� •� ' r" � � .?'.�_"`_'f�. — .��f�
_ ...t��.:h _..�_� -�-z-
Note:AI1 Gaothermal Systems will now require a Si�lan�Revievv by our Building Official.
IS THIS GEOTHERMAL? ❑Ycs ❑No
HEATING SYST�MS
Quantity:
Make:
Model:
Puel:
Piue Si2e:
Input BTUs:
Output BTUs:
CFM:
coor,r�vc s�rsr��s
Quantity:
Make:
Mode1:
Tons:
H.Power
RrIR�P]LAC�S
�L,/71Gas Factory Fireplace �rand Name:
���Wood Burning Fireplace
❑ Wood Stavc Model No.: �-G'Z���
❑ Wood Stove with Ffue/Masonry
VENTTLATION �� �
Q No. TCitchen�xhaust duct rec;roulating cfm
Qn No. � �ath Lxhaust(must have duct outsidc) cfin
No. Other l�ans: T,ocations cfm
�U�L STORAG� (Must be approved by IYre Marshnll ffprapaslrrg to abandon tank in place.)
❑ Installation ❑ Tternoval
F1.iel Oil: gallons ❑ Clnder�round []Inside �]Outside
LP Gas: gallons
Other:
�AS�,yN�ON'�.Y
❑ Outdoor Grill ❑ Other/�,ist What$'l�Vhere:
�
03-13—'17 14:20 FROM— T-916 P0003/0044 F-111
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❑ Yes,this section applics
The replacement of a Residential fixturo ar aprliarice that meets sll three of tht following requirements:
1. Doas not require modifiestion to electrical or gas serviee.
2. Has a total eost of$500.00 or less;exc[udin�the eost of the fixture or appliance:and
3. Is improved,installed or reptaccd by the homeowner or licensed contractor.
Skip next section,if this applies; Cost of Permit $ 15.00
State Suroharge $ 5.00
Mail-Tn Fee(Tf Applicable) S 2.00
Tota!Y'ermit l�ee $
.. ^.. 9. ' - ..:ti'.. ), • .�,� @�cy� h '
�= �e i' .ir' - � ^ J: _ � �..�.scSi�:r�.
�`'�'i`1c +F1.'aT�'.�,.�,rK's."�" F"�� '�''{�' �� �l• r R� '•i��7UO:,,: "'S�i�iFtF.'" k c41 T'�7M
If above daes not apply;follow guidelines balow:
1. COIVTRACT pIt1C� '�is 1.25°k of contract price with a(Minimum�te ot 550.00)
. !��� x_Ol2S$ ��JC��
(contraCt pricC) (mioimum$50.00)
2. STAT��LJ�iC�AYtG� rl /}^�� � �'''�.
�V '7 [� x.0005 $ �
con�rac�price)
3. pOS'rAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4. TQTAY.P�RiVIYT���(Add�,i�es l-3 Above) $ ��/ �
■ * CONTR.ACT PRiC� or 70B COST means the actual or ostimated dollar amount charged far the
permined work includin�materials,labor,profit,and other fixed costs_ It is the amount to be cbarged
to the customer for the work done. Jf�ny matbrial,equipment, labor or installations are furnished by
the owner,tenant or any other party,the reasonable market�value of such items must be addcd to the
estimated eost or contract price for permit fee purposes. Tn the evtnt that there is a dispute on thc
amount of the job cost,thc City may request the submission of a signed copy of the actual contract.
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The undcrsigned hereby applies to the City for issuance of�NleChaniCal P�rmit,agrees to do all
work in strict accordanee with the ordinanees of the Cit� and the regulations of the State of
Mirunesota, and certifies that all�statements made on this application are complet�, true and
Correct.
� � � � � �
Applicant's Signature. . LLL1V.
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C �ME
CITY OF ORONO cnLLED IN _ D�T , 7
INSPECTION TICE a scH ED z /�7 /�
PERMIT NO. C MP ED
ADDRESS Z
�YUNER '' T P NO. /2- y" �� " /
CONTRACTOR 9`
'' DESCRIPTION
' _�� ,Z
� ❑ 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 ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
_ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
� ❑ DEMO-SITE ❑ SEPTIC INSTALL
Z dWNERICOKTRACTOR TO MEET Y�U:_YES_NO
� COMMENTS: ^
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� ' ORKSATISFACTORY:PFiOCEED ❑PROJECT COMPLETE ���
�,/�ORRECT YYORK�PROCEED ❑ISSUE CERTIFlCATE OF OCCUPANCY
OO CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COMERINO PERMANENT
❑CORRECTUNSAFEOONDITIONWITHIN HOURS. p pF{pTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �GTATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
CaH for the next inspection 24 hours in advance. (952) 249-4600
OMmedCoMractor on site:
�nspe�tor: ���,
Mfhite CopYMapscto�'S Flh C�nary CopyISIM Nod�x