HomeMy WebLinkAbout2016-00299 - gas fireplace CITY OF ORONO * Z 0 1 6 - 0 0 2 9 9 *
, , 2750 KELLEY PARKWAY DATE ISSUED: 03/30/2016
ORONO,MN 55356-
(952)249-4600 FAX: (952)249-4616
ADDRESS : 425 LAKEVIEW PKWY
PIN : 06-117-23-32-0004
LEGAL DESC : LAKEVIEW OF ORONO
: LOT 1 BLOCK 1
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIREPLACE-GAS
VALUATION : $ 6,128.30
NOTE: HHT GAS FIRPLACE-IN PORCH SL-350TRS-IPI AND LOWER LEVEL-CRAVE4836
APPLICANT MECHANICAL 76.60
STATE SURCHARGE MECH(VALUATION) 3.06
FIRESIDE HEARTH&HOME MAIL-IN FEE 2.00
2700 FAIRVIEW AVE
ROSEVILLE,MN 55113 TOTAL 81.66
(651)633-2561 Payment(s)
Minnesota State License#:mech-20512060 CREDIT CARD 4608 81.66
OWIYER
Source Land Development Inc.
18215 45TH AVE N
STE D
PLYMOUTH,MN 55446-
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 goveming this type of work
shall be compied with whether or not specified hereia 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 are
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
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Applic t Permitee ignature Date Issu Signature Date
03-30-'16 13:56 FROM- FIRESIDE T-801 P0001/4047 F-228
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Q City of Orono ' '�/.,.. �
� �O P.a.Box 66 nata Rooaivea.; . �S N..� ti`r : ;
27501Celley Pa�cway : . /�
CryStAI'Bay,MN 55323 ,Approv�d.�y:, , Amount$:��'!'''
Phone(952)249-4600 Pax(952)249-4616 �
�`�q ��~ CYTY OF ORONO—1VI�CHANICA�,PE�tMYT
k83Ha� .
(All Commereial permits must bo approved by tha Building Official or Inspector and/or Fire Marshall)
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o�rrE�z;n�ox�.r�or���.��;���:. ' :�.�: � .
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1. 'You may apply for mzehanieal permits by mail or in person at the City offices. Applications will
be reviewed and a permit will b�issued within iwo working days. .
2. Permit cards will bc sent by retum mail after a review is completed. P�RM1T5 ARE NOT '
VALID UNTIL YOU RECEIVE A PBRM('T'. WOR�C MC1ST 1VdT�$GTLV CJN'I'Y�T�E
�'�RMIT CARD IS POSTED OA!THE JOB SYT�.
3. Mechanical Y7esiens—Co�ttplete c2ilculations,dtt$ils and specificaCion3 are rcquircd for cach
heating,vcntilation,humidi�cation-dehumrdification,and xir Condltionin�installation including
heat loss/heat gain calculation,design temperatures,eyuip�►ent ratings and identification as to
type.mapufaeturer and modbl. Data shall be prescnted on form provided.
4. When any new construction ar rzmodeling is involved,a separate building permit must be
Obi&ined.
5. All work must be done in accordarice with the Uniform Mechanical Code/State�uilding Code
requiremenu. ;
6_ All work must be inspected(rough-in and final). Call(952)2a9-A600. I
(Z4-48 hour not➢ce required)
7. �ouse Hr,ating Test Record must be submitted beforc final.
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Ne1�,v� ❑,Addition9li ❑+;I�cpaira; ❑,Replacei
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�TOmE�hOne;: Alternate Phone: ;
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Contract�r�nfqrmation: ` I
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COntraCtor: FIRESIDE HEARTH & HOME Contact nerson: Leah i
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Address: 2700 Fairview Ave N State$ond#:BC662656, MB662572, PC6fi2671
�i�y; Roseville, MN zip 55113 Expiration Date:
Phone: 6��-�33-2561 Alternate phone:�eah#651-63$-3312
❑ Insurance—Current:
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03-30-'16 13:56 FR4M- FIRESIDE T-801 P0002/4007 F-228
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Note:�All Geothermal Systems will now require a Site Plan&RevieW by our Building Offscial.
IS TH1S CEOTHERIVYAY,? ❑'Yes ❑No
��ATYIYCY SXS'X'�iVTS ,
Quantity: � .
Make:
Model:
FucL•
Fiue Size: �
Input BT'Us:
Qutput STUs:
CPM:
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COOLING SYSTEMS E
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QUa17t1�: �
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Make: �
Modol:
Tons:
H.Powtr
;�'1REpY.AC�S`
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� :�as�'�CtOryl�ir$�placz;. . �Brand'Narrie:, ;� 1 . �
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;'VV;9od.��iriungFireplace� ,� . ( : ! II�-IP1 '
❑ `,'Waod$;ksYe.�.. .. ... ;M¢�e1:N'o:;:; nr'GV1� '_`'i:��-���
❑ -_Wood_$tqve vuith;Flue l,tvlasonry; Lo uJ��'LG�u�I~ Ci�'�yff�f�,
VENTILATYON
❑ No. Kitchcn E�chaust duct _recirculaUng cfm
❑ No. Bath Exhaust(must have duct outside) cfrn
❑ No. � Other Fans: T.ocatians cfm i
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'�C���,S'�ORAG� (�1ast be npproved 6y Ftre Marshnll ijproposP�g to nbnn�lon taek i»plac�) '
❑ Installation � Removal i
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Fuel Oil� gallons [� Underground ❑Inside ❑Outside �
LP Gas: gallons •
Other: �
GAS LIN�ON�'� �
Outdoor Grill Other/List What&Where: �
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03-30—'16 13:56 FR4M— FIRESIDE T-841 P4003/4047 F-228
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❑ Yts,this section appiies
'C'he replacernznt of a Ttesidential ftxture or ap�liance that meets all three of the fallowing requiroments: i
1. Doos not require modification to electrical or gas service. �
2. Has a total eost of$500.00 or less;excl i the eost of thz fixture or appliance:and
3. Ts improved,installed or replaced by the homeowner or licensed conhactor.
Skip ncxt section,if this applies; Cost of Permit $ 15.00
St�te Surcharge $ 5.00
Mail-in Fte(If Applicable) $ 2.00
Total Permit Fee $ �
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Tf above does not apply;follow guidelines below: �
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I. CONTI2AC1 PRYCE +is 1.25%of contract price with a(Nlinimum�ee of$50.00) 9
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2. STATE SURCHARGE / JZ G� �
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,(corittact p�icr) �
3. POSTAGE&HANbLINO(Oniy on Mail-Tn Applications) �$,. _�i0��;'�'`.'`>�`_�:= �
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4. TOTAL PERIVIIT FEE(Add Lines 1-3 Above) ::S'��,'-:���': ;::•.�:�::'."::�':�.;':��
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■ * CONTCtAC1' PRTC� or ]pB GOST means the actuai or estin�ated doilar a,nount chargod for the �
permitted work including materials,labor,profit,and other fixed costs_ It is tht 2mount to be charge8 E
to the cusYomer for the work done. If any material,equipment,labor or installations arc furnishzd by t
the owner,tenant or any other party,the reasonabie market value of such iterns rnust be added to the �
estimated cost or contract price for permit fee purposes. In thc cvont that there is a dispute on the 5
amount of the job cost,the City may rcquest the submission of a signed eopy of the actual con�act. ;
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� The undersigned hereby applies to the Cit� �or issuance of a Mecl�anical�ermit,agrees to do all .
work in strict accordance with the ordinances of the Ciry and the regulations of the State of
Minnesota, and certifies that all statements rnade on this application are complete, true and
correct.
Applicant's Signature: �_ �_,,,_, '�Date;.:.� ��/ /�
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DATE TIME V
CITY OF ORONO CAILED IN � �� <b
INSPECTION OTICEab y9 SCHEDULED �—O r -� !0 9 : 3v
PERMIT NO. OMPLETED
ADDRESS � �
OWNER TEL ONE NO. S�' �' ��'"Z
CONTRACTOR ���
i DESCRIPTION �'� �
ll1 ❑ 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
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
v ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 ONfNERfCONTRACTOR TO MEET YOU:_YES_NO
c�.� COMMENTS:
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W RKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE
� RRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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0 ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDEFi POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 4 hours•-�� �� 52) 249-46�0
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OwnerlContractor on site: ! f`
Inspector. - � �
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White Copyllnspector's File Canary CopylSite Notice
. � � � �
� � DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED I �
PERMIT NO. �U�Ln-GOZQ� COMPLEfED
ADDRESS �—{�GJ L� ILQ_ l,� ( P_ W ���-�''�
OWNER TELEPHONE NO. �,�3-�J�S�7� �O�
CONTRACTOR �I 1'�E',S 1 c� ��f-�-
� DESCRIPTION �I / (��, I�CI' t-- //'L�,I
ly ❑ 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
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
J ❑ DEMO-SITE ❑ SEPTIC TALL
2 OVYNERlCONTRACTOR TO MEET YOU:_YES�NO
c�., COMMENTS:
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W� ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
� O CORRECT WORK 8 PROCEED SSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS_ ❑ pH0T0 TAKEN
INSPECTOR WILL REfURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hou in advance. 9 2 49-46��
OwnerlContractor on site:
Inspector.
White Copyllnspector's File Canary CopylSfte Notice