HomeMy WebLinkAbout2015-00972- gas fireplace , � CITY OF ORONO * Z 0 1 5 - 0 0 9 7 2 *
2750 KELLEY PARKWAY DATE ISSUED: 07/31/2015
ORONO,MN 55356-
52 249-4600 FAX: 952 249-4616
ADDRESS : 100 KINTYRE LA
PIN : 32-118-23-43-0020
LEGAL DESC : KINTYRE TWO
: LOT 3 BLOCK 2
PERMTT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIREPLACE-GAS
VALUATION : $ 14,830.00
NOTE: (3)GAS FACTORY FIREPLACES
APPLICANT MECHANICAL 185.3 8
STATE SURCHARGE MECH(VALUATION) 7.42
FIRESIDE HEARTH&HOME MAIL-IN FEE 2.00
2700 FAIRVIEW AVE
ROSEVILLE,MN 55113 TOTAL 194.80
(651)633-2561 Payment(s)
Minnesota State License#:mech-20512060 CREDIT CARD 4608 194.80
OWNER
Gonyea Homes
6102 OLSON MEMORIAL HWY
GOLDEN VALLEY,MN 55427-
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 Building Code. This permit is for only the work described and does
not grant permission for additional or related work which requires separate
permiu. 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 autt►orized 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.
1'he 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.
, �� l /�f / �
Applicant Perm�tee Signature Date Is e y Signature � Date
, ; ��k�Z��� � �I I Z��� � �U I Z�� �� (
����crrx vs�arr�.v
,��A, City of Oruno '
�r V� p,0,Da+c 66 Datc Receivad; ---.... PMmit# ,�
275D Kcllcy Parkway
Crygtal�qy,MN 55323 Approv¢d By: /.��uM$:
Phonc(952)2M9-4600 'nx(95Z)249�bICY ��
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�� CYTY pF p�tUNU—MECHA�T�C.A,L PERMIT
t���s��a�� (All Commercial perm�is must bc opprovcd by thc Building OfficeA!or lnspcctor and/or Fire Marsh111)
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1, You may apply for mechAt�ical permits by mail or in peXso�l at ChC City o.ffices. ApplicatiptlS will
be rev[ewed and a permit wilt be issued within twa working days.
2. PrrmiE cards will be sent by rcturn mail after a review is completed, PERMiTS ARE NpT
VALID UNTiL YOU RECEJVE A P�RMiT, WQRK MUST N T� TIL THE
PERM�7 CARD i5 P05'�D_ON THE JOB 517'F.
3. Mechan�CaLDesiges—Complete calculations,details and spccifications are required for eACh
heating,vcntilation,humidification-dehumidification,and air conditipning ittsta[lation including
heat loss/heat gain calealation,dcsign temperature5,oquipment raCings and identification�e to
type,manufactur�r and model. bata shall be prese�ttcd on form provided.
4, Whcn any new consiruction or�'emodeting is involved,a separate build#�tg perntit musE be
obtained.
5. f#11 work must be done in accprdanca with thc Uniform Mechanica!Cpde/State l�uildlr�g Cod�
requirements.
6. All wot'k must be inspccted(rough-in and fna.l). Call(952)249-4600.
(24-48 hour notice required)
7. Fiause�{eatiing Tcst iiccnrd must be submitted 6efore finAl,
TYPE OF PER,MIT
Check All That A l.
esider�ti�l []Cbmrn�erciel(.4pptoria�i Reqt�•ir�d)
LLJn`���' ❑A�ti�iti'ttffl�] ❑Re}S�irs ❑Repleoe
�ob S�te/Cfvi�net�'1t��'arrrwi��ivnc.
S�'te�,ddress: �.� �1 Yl��,'� �Y�'
Owner: � `-�'1�� Maily�g A�d9dr��s:;
City: 7i.p:
Home P�one; ���� ��� �� Afternace Phone:
Contractor In�Cirnta�tiot�:
Contractor: FIRESID� MEARTH & HOME Contaet Person: Leah
Address: 2�b0 Fairview Ave N State �ond#:�Cfi62656, MB662572, PC662571
City: Roseville, MN ��p,55�13 ����ration 1)ate:
Phone: 651-633-2561 Alternate Phone:Leah#651�38-3312
❑ Insurarac�-�Currcni:
1
Note:Ail Geotherm�J Systcros will nvw require a Site Plan�.Review by our 8uiiding Offioial.
IS THiS GEOTH�RMAL? ❑Yes 0 No
H�A,TING SYST�MS
Quantity;
Make:
Model;
�'ucE,
Fluc 5iu;
�npat BTIJs:
Out�ut BTt)s:
CrM:
COClI�iNG SYSTEMS
Quantity: ---
Make:
Model:
Tnns;
N.Power
�'IFc�P'I�AC�S
� Q'ss��'l'u ���;it�pHare� � Bre'r�d 1klaio��: �"ii�1r1��,�-"�
❑ � ' -��--
,� .
�e� ��� � -�� ��
r�: �.
� Wi1!G�St�o''�+e.. �14+lode�.�NO.� ���"- J
� 'OVaed;:S�ovc�iCti;�?fue��+1a�onry � ..��� j 1 `_�- �j�
� �/�
VENTILA'I'YON
❑ Na_ Kitchen Fxhaust ___ duot recirculating cfm
❑ Nb. Bath Exhaust(must have duct outside) cfm
❑ No_ 4cher]Fans: I.ocations___. cfm
FUEL STORAGE (Musl he approved l�y Flrp.1Karshall lf proyosietg 10 ahtmr�es tank in place)
❑ Installation ❑ Removal
Fuel Owl: gallons ❑ Underground � Cnside ❑Outside
LP Gas: gallons
Other:
GAS LI1VE QNi.Y
0 Qutdoor Grill � Other/List What&Where:
2
� ,�4'�.
� Yes,this sxtion appli�s
The repl�cement o'f a itesidential fX�PP�ce that meets a11 three of the foltowing requirements;
1. oc not�equire mod�ficatioe to electrica4 or gas serviee.
2, Ha,s a t ta,.�of$500.00 0�lCss;exclu in thC�s4 of the fxtuxe ar appliances and
3, Is imprOved,installed or replaccd by She hameawner or licensed contrtictot.
Cost of Permit $_ 1�
Skip next Sect�on,if this applies: g�
Statc Surcharge �,�bl�, ��
�ai1-ln Fce(If App� �.
'�'otal Permit Fee –
M
Tf abave does not apply;follow guidelines below;
� �,D�N��C� *is 1.25%of contract pricc with a(1YG�imu�n Fec o#'�50.00)
I �����I�6�A-�ill�l ilq� nl ',�.';:�. .�:f�xh':�
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;�COnCC�'[�l�C)'
2, STATE SU HARGE �� x����:_;���l��
(ce7tttr�ICt.pCice)
lications) `�'"��"`����"`�
3_ ppSTAG�&HANDLINC�(Only on Mail-ln App �
,�:�"�:?-'"•'" ..I�,:�T;?'1'►�.
� .;,.�,. "..:.:� -.;.
a. TaTAL PERMI'�'F�E(Add Lines 1.-3 AbovC)
M * CQNTRAG"f PR1.CE or JOB COS'T me o�th and otha�fixcd costs.dt�Is tho amo nt o bejchargcd
permirted work including Knaterials.I�bor,p
to the custamer for the work done, if�ny material,equipmcnt,
labor or installations �rc furnisfiod by
the owneK,tonant or any othcr party,the reasonable markct value of such items must be added to the
cstimated cost or contCact priae for t�e�uest thcusubm ssion e Caes g ed oopyeof the �ct altcontraet
amount of the job cost, the City may q
lies to thc City for issuance Q'f�1Vtechanical Perrtit,agrees to do al1
1'i�e undersigned hercby app'
work in strict accordanee with th��atementsemadet on�thtis ppljcat►on a'et�eompleteC t ct a d
Minn c s o t a, a n d c c rt i f i e s t h a t a l l
correct.
� 1..rx?�rv�c�.�' ���-. ��� ��
1\pplicant's Signature: �� —
3
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION OTICE SCHEDULED r
PERMIT NO - connP�erE�
ADDRESS
OWNER TELEP ONE NO.
CONTRACTOR
� DESCRIPTION � � ` ���
ly ❑ 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
v�.E1NAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
v ❑ DEMO-SITE ❑ SEPTIC INSTALL
Z OWNERICONTRACTOFi TO MEET YOU:_YES_NO
y COMMENTS:
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a 3 �-�.s � r'•�. —
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GW ❑WORKSATISFACTORY:PROCEED ROJECT COMPLEfE
� ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILI REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. (g52) 249-460�
OwnerlContractor on site: �����
Inspecto��
White Copyllnspector's Ffle Canary CopylSite Notice