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HomeMy WebLinkAbout2014-01113 - gas fireplace .� � CITY OF ORONO * 2 0 1 4 - 0 1 1 1 3 * 2750 KELLEY PARKWAY DATE ISSUED: 09/30/2014 ORONO,MN 55356- (952 249-4600 FAX: (952)249-4616 ADDRESS : 125 KINTYRE LA PIN : 32-118-23-43-0017 LEGAL DESC : KINTYRE TWO : LOT 3 BLOCK 1 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 5,425.00 NOTE: (2)HEAT-N-GLO GAS FACTORY FIREPLACE APPLICANT MECHANICAL 67.81 STATE SURCHARGE MECH(VALUATION) 2.71 FIRESIDE HEARTH&HOME MAIL-IN FEE 2.00 2700 FAIRVIEW AVE TOTAL 72.52 ROSEVILLE, MN 55113 (651)633-2561 Payment(s) Minnesota State License#:mech-20512060 CREDIT CARD 4608 72.52 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 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 aze requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. �� i , ` v, � Applicant Permitee Sign re D e ssue y Signature Date 49-29-'14 16:47 FROM- T-985 P0001/0004 F-089 ' FOR C1TY USQ 4lVY.Y ; ��Y� City of Orono � '� � " �' rQ ��� ' P.O.Box 66 bate Received'. Permit#;G�� . 2750 Kelley Parkway f Crystal Bay,MN 55323 Appioved�y:..:� Amount 3: � Phonc(952)?A9-a600 Pax(952)249-4616 � y� G�,�" I 1qKESE10�� CITY OF ORONO--M�C�ANYCA�,p�RMIT ; (All Commercial permits must bo appro�ed by�he Building O�icial or Inspector and/or Firo Marshau) • � 4 CrEN��A.L YNFORMATION � ; 1. You may apply for meehanical permits by mail or in person at the Ciry offiees. Applications will be revizwzd and a permit will be issucd within iwo�vorking days, 2. Permit cards will 6c sent by retum mail after a review is completed. AERMITS ARE NOT , VA�.CD UNTIC.YOU RECEIVE A PE1tMIT. WO�C 1V[l1ST 1VOT BEGIN i1NTIL TFiE •, p��tMY'Y'CARD IS POSTED ON T��,�0�SYT�. ' 3, Mechanieal Desiens—Complete calculations,details and speeifieations are requir�c3 for each heating,ventilation,humidification-dehumidification,and air conditioning installation including heat loss/heat gain calculalion,design temperatures,equipment ratings and idcntifioation as to type,manufacturer and modeL Data shall be presented on forn�provided. 4. Whcn any new construction or remodeling is involvcd,a soparate building permit must be obtained. i S. A{I work must be done in accordanee with the Uniform Meehanie,�l Code/State Building Codc � requirements. i 6. All work must be inspected(rough-in and final). Call(952)2�9-A600, (24-48 hour notiee required) 7. House Heating Test Record must be submitted before final. , TYp�O�pE�T , ;: 'Check�All That A 1 ) , i2esidential ❑Commercial(Approval Required) j �w [j Additional ❑Ropairs ❑Replace I i Job Site/Owner Ynforma�ipn; , Site Address; � � � �� �`�'�Y'�. �,r.'�p.�. . ' � Q'Vvner:,�, ���J Mailing Address: ; � c�ty: z�p: � /,, (,� � Hpme Phone: �V/�j'� �2- r �Iternate Phone: ; Contractor Tnf �., _ � � . db8 PIR�5IDE H�A�i�'H &NOM�` ��'.c�`„ �(,�-�I,.I„����`� I Contr�ctor: Lic BC6�,2C�55 ContaCt T'erson: Y � lY•/ t1� � i 27Q0 FAIRVIEW AVENU� �R / �r ,, � Address: ROS�1/ILL�, MN 551�.� State Bond#: � l�u' , � ; . . . ?. ? City: Zip: Expiration Date: � J � � phone: Alternate Phone: � ; ❑ Insurance—Current; � 1 ( I � �.9-29-'14 16:47 FROM- T-985 P0002/0004 F-089 ��, <'C'1 � �' . a � i /�s� tr k f�' � ��.1,��7" r 4T,Ta .y a�'S,•�aC�, is'ry�.ry�1;"'re�G(j! •Paa F`�";�p;tti;�;,,� .:0 ,'�,4%�. .4r�,�rt�.� 1 o- � !'�' �'�'R. �%,�'��-;'����>��,•s,,{, .T•. Y'.�.W..,7r'�I�F�. ..i': ,V N.:.���. �i' .+1.;AA!�7;�: .��.�.�i.�l��.',t .::�.�eA�,a.'R�.;s•'�.L. . Note:All GeoChcrmal Systems will now require a Site Alan&Rc'view by our Building Officiaf. � IS THIS GEOT��XtMA�.? ❑ Yes ❑No � HEATTNG S'YST�MS � Quantity: � ; Mske: Modcl: Fuel: � Flue Size: Input BTUs: ' - t Output B7'Us; __ � � 1 , CFM: COOLING SYST�MS QuBntity: Make: Model: - --- � 7'ons: � --- � � H.Power � � FCI�IEPY.ACIES � Oas�actory 1Fireplace Brand Name: ���'� �� � �-(`� �] Wood Buming Fireplsce � ❑ Wood Stove Modol No.: -' — P���' ; ❑ Wood Stove with Flue/1vlasonry � 'V�NTILATION ���1��1 ��� i ❑ No. Kir,chen Exhaust duct recircuEating �efm � ❑ No. Bath Exhaust(must have duct outsidc) �cfm � ❑ No. Other Fans: t�ocations cfm � �'UEL STORAGE (Must De approved by Fire Marshnll if proposing to abandan tank fn p/aee.) � ❑ Installation [] Removal � �uel Oil: gallans [� Underground ❑lnside ❑Outside I LP Gas: gallons � Other: � GAS LINE ONT��1' ❑ Outdoor Grill 0 Other/List What&Where: 2 � � i , 0�-29-'14 16:47 FROM- T-985 P0003/0004 F-089 i � I t S 4 �3 � A ` 7 '.� b� � ❑ 'Yes,this section applics � Thc replacement of a keside tia � e a liancc that mcets all tihrce of the following requirements: � s 1, �oes not requirc modification to electrical or gas servicz. � 2. Has a totsl cost of$500.00 or less;zxcludintr the cost of the fixture or appliance:and • 3. Is improved,installed or rzplaczd by the homeowner or licensed contractor. � i Skip next section,if this applies; Cost of Permii �._ _l 5.Qb � , State Surcharge $ S.OU Mail-1n Fee(�f ppplicable) S 2.OD ` Total Permit 1Fee $ `it �,. . fd c J �.. . a'"R^""''�, 'Q� (�' � Af'� r;!.S"` 4, { ,Y�� 'k 1 ;�t'. @ � n�`i /e''�i. �` f !,C{lS �. a �a�. �1 �''p.�,f'�� � y��� d�~. .�,5'1�$F�.;1'„�lt.�lV.t.�',�c9 :.��;1.I�•"J7� `li�:. �j`t��.�' .t-\+?�.J,✓�i,�? ��1�,4C�t� ,�.[�Y_)_.VO'�tNit�!f.J;�'i'.!!.W`/t�l!..4�...irf ,� If above daes not apply;Pollow guidelines below: 1. CON'TRACT pYt�C� *is 1.25%of contract pricc with a(Minimum Fee of$50.00) ���. �� x.0125 $ � (conaac�price) (minimum 550.0�) 2. STA1'E S1IRCHARG� �l ���'^ �t,� 'l � "� J� x.0005 $ � 1 � (ContraCt priCe) 3, pOSTACrE&�ANDLING(Only on Mail-In Applications) $ Z.00 � � � 4. TOTAL P�RMCT�'��(Add�,ines 1-3 Abovc) S � �� � � � � ■ � CONTRACT p�GB or 10B COST means the actual or estimat�d dollar amount charged for the permitted work including n�aterials,fabor,profit,and other fixed eosts. It is the amount to be charged i to thc customcr for th�work done. Yf any material,equipment, labor or installations are furnished by j the owner,tenant or any other parry,the reasonablo market value of such items rnust be added to the f estimated eost or contract price for permit fee purpos�s. In the evznt that there is a dispute on the i amount of the job cost,the City may requost the submission of a signed copy of the actual contract. ? ! i ���eCM�� �..t%��: IM �,f�:' .,Y..`'`i .`.FSGF'�i'D�� �: lL' s�l � h.�:'d'�S<d.,ia�'�•,'U,.�.�9, '( The undersigned hereby applies to the City for issuance of a Moehanical Permit, agrees to do all work in strict accordance vvith the ordinances of the City and the regulation3 of the State of Minnesota, and certifies thxt all stat�ments made on this application are complete, true and corrccC. Applicant's Signature: Date: � `"l / 3 � � DATE TIM� CITY O ONO CALLED IN ��' ' INSPECTION N TICE SCHEDULED / - - � ,� PERMIT NO. � � COMPLETED ADDRESS � OWNER ELEP E NO 7 7 �' CONTRACTO � DESCRIPTION ��" l �� � ❑ FOOTING ❑ PLUM G FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP O PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP = O DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J � PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Q OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: /�'1�L. ��i/'.�olt�� - L'c.,cZ��•s,`f -�-- � C�l�i�wKCcs - D � O ' /10 ylcs �i�t�G �� ���S ��?e- �c r '' tf�e ✓ b�l� � ,� � L. L.. — /���'�/.Il�tGt — I/��t%�C ' C•ltat��til�es ^��i Q � Prodia �r��s�o�D, '•� � �oB o�' c�s� {- 01 Z �k $td��t �- �aG�C "t� /50/�C �✓o�vl �4iie� � !�G-�- ��tG lC W4,1/ -�. �6� �•�• G/Tr�tsc �- �t� � � 1�i ✓�Y 6 � �f/'�e..� -�E— __�� /� �✓ W ❑WORKSATISFACTO :PROCEED� L�U ❑PROJECT COMPLETE �/��qREET WORK 8 PROCEED O ISSUE CERTIFICATE OF OCCUPANCY 0�CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOA/ERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (952) 249-46�� OwnerlContractoronsite: � 1Ea/�G- Inspector: ��- "�� White Copyllnspector's Ffle Canary CopylSite Notks DATE TIME j CITY OF ORONO CALLED IN �� INSPECTION NOJI SCHEDULED PERMIT NO. �/ �� � 3 COMPLETED �'-•.S '/�� ADDRESS /il`..� .�'i•s�sic. L�, . OWNER TELEPHONE NO. CONTRACTOR � DESCRIPTION � P• 7'7 v� � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILUNG Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENYEfLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL ZO INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS ��AL ❑ SEWER HOOK-UP ❑ COMPLAINT J 0 DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OYYNERICONTRACTOR TO MEET YOU:_YES_NO «� COMMENTS: '°`++ j�• � . - �'VG�` I�C C��yOIGL��: a � 0 � L .L. - �� rlC � ••��,/,�� - 0 � W � t�� a,o,oc�•�s G'ar�t�l�e o �. Q Z o't F� � , � - � � �r,,r,;� -�'��/�p � � ❑WORKSATISFACTORIFPROCEED �PROJECTCOMPLETE � �CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT VYORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOMERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WlLLRETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (952) 249-4600 OwneNContractor on site: � Inspector. White CopyAnspector's File Canary CopylSite Notice