HomeMy WebLinkAbout2015-01538 - gas fireplace F �
CITY OF ORONO * 2 0 1 5 - 0 1 S 3 8 *
2750 KELLEY PARKWAY DATE ISSUED: 12/08/2015
ORONO,MN 55356-
(952)249-4600 FAX: (952)249-4616
ADDRESS : 140 KINTYRE LA
PIN : 32-118-23-43-0019
LEGAL DESC : KINTYRE TWO
: LOT 2 BLOCK 2
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIREPLACE-GAS
VALUATION : $ 1,680.00
NOTE: GAS FIREPLACE-BRAND-HEAT-N-GLO-MODEL NO.6000C-IPI
APPLICANT MECHANICAL 50.00
FIRESIDE HEARTH&HOME STATE SURCHARGE MECH(VALUATION) 0.84
2700 FAIRVIEW AVE MAIL-IN FEE 2.00
ROSEVILLE,MN 55113 TOTAL 52.84
(651)633-2561 Payment(s)
Minnesota State License#:mech-20512060 CREDIT CARD 4608 52.84
OWNER
MACKINNON,JAMES
2430 MEETING ST.
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 Building Code. This permit is for only the work described and dces
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 construc[ion 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 aciy time for due cause.
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Appl cant Permitee Signature Date Issued Signature Date
12-08-'15 14:41 FR4M- T-473 P0044/OQ07 F-827
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TY Ug�oN��: �� � a�3�
City oTOrono � � � ;
��/� P.O.Box 6b Dacc Recbivo . Perm�t a ��
�./ 2730 Kelley Park�vay ' • .
Crys�a�Bay,MN 553�3 Approvbd By, .� Amount S:�� � .
Phone(952)2A9-4600 F8x(952)249-4616
�`��,� c�~� CITY OF ORONO�MECHANICAL PERMYT €
k�sr{Os` �Au Commcrcial pormits n�ust bc approved by the C�uilding Ofticial or tnspcc�or and/or Fira Marshall) �
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`GBN$RAL.I1�iF'ORM;�TION� .�. '. . ' ` � �
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1. '�ou may ap�ly for mechanical perrnits by mail or in person at the City of�iees. Applieations will �
be reviewcd and a permit will bc issucd within two working days.
2. Permii car8s Will be sent b�retum mail after a review is completed. P�1tMTTS ARE NOT
VALID UNTIL'YOU ltECEIVE A PEEtMIT; WO�t�C Nt�JST NO'C BECIN UNTIL THE �
p�17MrT CAR�XS 1�aSxl�n OlV'rl�l�.�ol�SrT�.
3. Mechanical Dosians—Complote calculations,dtrails and speei�eations are required for each
htating,ventilation,humidification-dehumidification,and air conditioning inst�llation ineluding
heat loss/heat gain calculation,design temperatures,equipmenk ratings and identiYcation as to
type,manufacturer and model. nata shall be prescntcd on form provided.
4. When any new construction or remodeling is invalved,a separate building permit must be '
obtaincd. E
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5. All work must be done in accordanc�with the Uniform Mechanical Code/State Building Code ;
rzquirem�nts. '
6, All work must be inspcctcd(rough-in and final). Call(952}249-4600. �
(24-48 hour notice required) `
7. House Heating Test�ecord must be submirted before final.
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. , TYP�QF PERMIT
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,,as�dantiai; �''Corortiercial,(Approv�lI�cqu,ircd)�
�vii; ❑'.Addit�onsl� ❑:_Repairs` ❑;�te�l.age:
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�ob.$it�./Owner,Infqrniation;;:;:�;: :. ,:. ,.: '
;Site A.ddress: ��u �l -� �'` �� '
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Owner;: ����L�'� :�lVtai(iag'tlddress:; �
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Crty: �,Zip: �
Home Pho e;� �����2�"l���4�-�4lternate�'hone: f
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Contraetor Informatiori: ` �
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Contractor: FIRESIDE HEARTH & HOM� Contact PeKson; leah �
Address: 2700 Fairview Ave N State Bond#:BC662656, MB662572, PC662571
City: Roseville, MN zip;55113 Expiration Date:
phone: 651-833-2561 Alt�rnate Phone:�-e�h#651-638-3312
❑ Insurance—Current:
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12-08-'15 14:41 FR4M- T-473 P0405/OOQ7 F-827
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Note:All GeothermalS�sCems will now r�quire a Site Plan&Review by our Building Of�cial.
IS THIS GEOTHERMA,�,? Q Yes 0 No :
H$ATXiV�S�1'S'N'�iV15 r
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Quantiry: `
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Make: �
Modcl: '
Fuel:
Flu�Si2e:
�nput�TUs:
Output BTUs� _____
CFM: _,__� s
COOY.TNG SYSTIEMS �
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Quantity: �
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Make:
Model:
Tpns�
H.Power
���Pi.acEs
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❑ Ga's:F�c�ory Fireplac�� Branil Nan1e: � ... :. . �'' � :
❑ Wood�urriir�g.l'i�eplace� �g� /'� -��'' ;
❑ Wood Stove Mode�No::' ���VlI.�V`.J-3�1.:�
[,� `'Wood Stove with Rlue l Masonry.
V�NTILATYON
� No. Kitchtn E�chaust duct rcoirculating �,cfm
❑ No. Bath Exhaust(must have duct outside) cfm
❑ No. Other Faris: Locations_ _� cfm
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�i1�L STORAGE (Mus[be(�pp�'oved by FJre M�trsknll if p►'oposing to qbanrlon tnnk in pl�ce.) �
❑ Installation � �temovai i
Fuel Oil: gallons ❑ Undcrground ❑Inside ❑Outside �
L,P Gas: gallons j
Othcr: �
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GAS LINE ONLY �
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❑ Outdoor Grill [� Qthcr/List WhaC&Where: �
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12-08-'15 14:41 FR4M- T-473 P0006/0007 F-827
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❑ Yes,this section applits r
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The replacement of a Residential fxture nr��pli�nce that meeu all three of the following requirements: :
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1. Does not require modification to electrical or gas service. �'
2. Has a total cost of$500.00 or less;g��the cost of the�xture or appliance:and �
3. Is improved,installed or replaced by the homeowner or liconsed eontractor,
Skip next section,if this applies; Cost of Permit $ 15.00
State Surchargc $ 5.4�
Mail-In Fcc(if Applicable) $ 2.00 �
Total Permit Fee $
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If above does not apply;follow guidelines below� E
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i. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee oP 550.00) E
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,�pn�C��S�PrICG�; y 1ii�iii,�`►fi�lu�i,�Sk.00, �
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2. STATE SURCHARGE � � `
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�(cg�ii[act;pri�);
3. POSTAGE&HANDC.IIJCr(On1y on Mail-In ApplicaSions) �,�, ''� �
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�{. TpTAI,PERMIT FEE(Adci LIneS 1-3 AbovC) r��''``'�'�Tn`t'�,_A:`''�„"``''�F%c+�".i:`^'+ V
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■ + CONTRACT PTZTC� or J01B COST' mtans thz actual or estimated doltar amount charged for the
permitted work'sncluding materials,labor,profit,and other fixed costs. It is the amount to be eharged
to the customer for the work done. If any material,cquipment, labor or installations are furnished by
the owner,tonant or any other party,the reasonable market�value of such items must be added to the :;
estimated cost or contract price for permit t'ee purposes. In the event that therc is a dispute on the ?
amount of the job cost,the City may request the submission of a signed copy of the aetual eontract. ':
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The undcrsigned hereby applies to the City far issuance of a Mechanical Fermit, agrees ta do sll ;
work in stricC acCordance with the ordinanCes of the City and the regulations of the State of �
Minnesota, and certifias tha# all statements m�de on this application are complete, true and
correct.
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Applicant's Signaturc: ';I?�fF?,�'
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ATE TIME
CITY OF ORONO CALLED IN 3-�—� �
INSPECTION TIC ' �¢c HEDULER � � n"/� /!��
PERMIT NO. l - S-�OnnP�E-rEo �
ADDRESS � � �'�-
OWNER TELEPHONE NO. �'2 7�—����
CONTRACTOR
� DESCRIPTION �
ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
y ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINA� ❑ 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 OWNERICONTRACTOR TO MEET YOU:_YES_NO
y COMMENTS:
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W ❑WORKSATISFACTORY:PROCEED ❑ OJECT COMPLEfE
� ❑CORRECT WORK 8 PROCEED ISS CERTIFICATE OF OCCUPANCY
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� ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hou 'n advance. � 2 -46�0
OwnerfContractor on site:
Inspector.
White Copyllnspector's File �' Canary CopylSft Notice
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DATE TIME �
CITY OF ORONO CALLED IN � __�==�
INSPECTION NOTICE SCHEDULED 5
PERMIT NO.���1�'� --DIS�COMPLETED
ADDRESS � ��
OWNER TELEPHONE�10. Z � ����j
CONTRACTOR �1 {��S1GY�- 7� �Fr
� DESCRIPTION ��r�' ��(�-C� , �
lN ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
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
? ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
J ❑ DEMO-SITE ❑ PTIC INSTALL
2 OWNERICONTRACTOR TO MEET YOU:�YES_NO
� COMMENTS:
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W RK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE
� RRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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0 O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECONERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WIIL REfURN
❑STOP ORDER POSTED.CAIL INSPECTOFi O CITATION ISSUED
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in adv�,�.9�� 249-4600
OwnerlContractor on site: �
Inspector. �- `/
White Copyllnspector's File L" Canary CopylSite Notice
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DATE TIME
CITY OF ORONO CALLED IN �}�
INSPECTION N IC �) �j�j�HEDULED /a -?!_ cS �" G
PERMIT NO. � `� "'�"G(� PLET D �
ADDRESS �
OWNER � TEL HONE NO�S�J 3g�3
CONTRACTOR � ` G1
� DESCRIPTION � �
4~j ❑ FOOTING ❑ DEMO AL ❑ SEPTI FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATEFPROOF ❑ 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
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNER/CONTRACTOR TO MEET YOU:_YES_NO
v�i COMMENTS:
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� ATISFACTORY:PROCEED ❑ PROJECT COMPLEfE
w ❑CORRECT WORK S PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOfi �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (g52) 249-4600
Owner/Contractor on site:
inspector: ����--� / v
YVhits Copyllnspectors File Canary CopylSfte Notke