HomeMy WebLinkAbout2017-00116 - gas fireplace CITY OF ORONO * z 0 1 7 - 0 0 1 1 6 *
2750 KELLEY PARKWAY DATE ISSUED: 02/09/2017
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 780 LAKEV[EW PKWY
PIN : 06-117-23-43-0021
LEGAL DESC : LAKEVIEW OF ORONO
: LOT 7 BLOCK 3
PERM[T TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCT[ON TYPE : FIREPLACE-GAS
VALUATION : $ 6,195.00
NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION.
ADD:2 GAS FIREPLACES(HHT)
APPLICANT MECHANICAL 77.44
STATE SURCHARGE MECH(VALUATION) 3.10
FIRESIDE HEARTH&HOME MAIL-IN FEE 2.00
2700 FAIRVIEW AVE
ROSEVILLE, MN 55113 TOTAL 82.54
(651)633-2561 Payment(s)
Minnesota State License#: mech-20512060 CREDIT CARD 4616 82.54
OWNER
Gonyea Homes
780 LAKEVIEW PKWY
MOUND, MN 55364-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performcd 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 goveming 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 are -
requested in conformance with the State Building Code.This permit may be ; �
revoked at any time for due cause. � �
,� .f � � ,f �i'� `\ �,J`'-�-�..��, � ;� �' f �
'� � � �� i � / � /
Applicant Permitee Signature Date Issued By Sign ture Date
02-07—' 17 15:02 FROM— T-802 P0441/4404 F-973
'���' 1���� � aop �
��� �OY2 C1TY.�15�ONC.Y
City of Orono
� �� P.O.[3ox 66 n�te Aeceived:��%" 'i�7 permit�! ��C'l 7"('� ���
0 2750 Kelley parkway � �__
��
Crystal Bay,MN'S5323 Approvcd IIy: ��Amount$'�,`_' /
Phona(952)249-4600 rax(952)249-a616
'�+F, � �
�q,� S�o�w� CITY OF 012aN'O—MECHANICAL PERMIT
(All Commcrcial permits must Ix approved by[hc Building Otficial or Inspector and/or rirc MarsF�ali)
GENER.A�,YNFORMATION
I. You may apply for mechanical permits by mail or in person at the Ciry offices. Applications will
be reviewed and a perm,it wrll be issued within truo working days.
2. permit c�rds will be sent by rztum mail after a rtview is compleied. p��2MITS ARE NOT
'VAT,Tb UNTIL YOU RECL'I'V�A P�TtMTT. WORK MiJS'Y'NpT�3�GKN C�iVTY�.THE
�'�Y2MYT CARD IS POST�Y)QN'X'�IE.�OT3 STTE.
3. Mechanieal bcsi�ns—Complete calculations,details and sptcifications are required for eaeh
heating,ventilatiorl,humidi�iCation-dehumidifCation,and air conditioning installation irlClud'►ng
hc�t loss/heat g�in calculation,design tcmperatures,equipment ratings and idtnti�cation as to
type,manufacturer xnd model. baea shaIl be presented on form provided.
4. 'UVhen any new construction or remodeting is involved,�separate building permit must be
obtained.
5. A.11 work musC bc done in accordance with the C)niform Mechanical Code/State Building Codt
cequrrements.
6. All work must be inspectcd(rough-in and final). Call(952)249-4600.
(24-48 hour notice required)
7. House Heating Test Record must be submitted before final.
TYPE OF PBRMIT
(Check All That A 1 )
esidential ❑Commercial(Approval Rcquired)
New ❑Addition�l ❑Rcpairs [��Zeplaee
Job Site/Owner Infonnation:
Sate A.ddress: (� L�( tl! °Ll�t) �l�
Owner: C�4�'1\/��t ������'�ailing Address;
c�cy: z�p:
Home phone: Alternate �hone: ��A��`' �Z���b�
Contractor Information:
Contractor: ��R�SIDE HEARTH & HOME Contact person: ��Y'�
Address: 2700 Fairview Ave N State$ond#:BC662656, M6662572, PC662571
City: Roseville, MN Zr�,55113 �xpiration Date:
phone: 651-633-2561 Alternate Yhone: ��J��O"'���P
❑ Insurance—Current:
1
02-07-'17 15:02 FROM- T-802 P0002/0004 F-973
� � "'�" � '�.
' Note:All Geothermal Systems will now require a Site Plan&Review by our Building Official.
� IS THYS GEOT�I�RMAL? ❑Yos ❑N'o
HEATyN'G SYSTEIVIS
�uantity:
Make:
ModeL
Fuel:
�'Iue S;zc:
Input BTUs:
Output BTY.Ts:
CFM:
COOLINC SYS'�'�MS
Quantiry:
Matce:
Model:
Tons:
H.Power
�YC�PLACES �
,� C3as Factory Fireglace Brand Name:
" u Waod$uming Fireplace �/`, �� �/
❑ Wood Stove Model No.: �p_�0�(�f� ,� ��C..t�`,
❑ Wood Sto�ve with Fluc/Masonry
'V'�NTILATION
No. Kitchen fixhaust duet reeireulating cfin
�] No. Bath Exhaust(must have duct outsidc) cfm
❑ No. 08�er Fans: I.ocauons cfm
�'C7EL STORAGE (�rrsr be npproved by Fire MarsJ�all if proposing to abandon eank in p!'nc�)
[� Tnstallation ❑ Removal
�uei Oil: gallons ❑ �l'nderground ❑Ynside ❑Outside
LP Gas: gallons
Other:
(CA,S Y.TNE ONLY
❑ Outdoor drill ❑ Other/�,ist'VVhat&V►rhere: �
�
02-07-'17 15:02 FROM- T-802 P0003/0004 F-973
• �$r ,� ��.d f�.��W a;P1 � � �r�7� ��-�` , �+ �'f' y ..y, C s� .�.��Y r u r� � t�f� G P_R
1a ,,���, ,��r�� � �A`'�s"� r��,�`� � C l����3 �"� � r ' L ,�.�,� ��:' � 4�`
. Q,' y ��c` ��r� T,�il�C s F � l` 'r(�vJ"� -+�"i E.�' .�.
1 � � r,`�f 4���e�"4 S��t a�. +zr�nan y`-"ya+3K�'a/�4k,.�cr�`.ey�tyK�:i< � �' �{h t'�j ��,'+9 5.'�'� a���t F�yy4^w'�b,� �^ ��
��< �A1:�G11. t°`.�Y�'.3 .y�� �c��jM�F�����M�Z��,\��'�I,j,l�!.1� v�, i � ���w '��r����(`�'41�1"'��'�r4Pr� vSJh4�
, .�..�,,,..4 . . .S t�3......�_..vi..�'sYn�..h�. v,"�H�rv�r lt.y a.)
❑ �es,this sectipn applies
Tho replacernent of a Residential fihtt�re or appliance that meets all threc of the foitowing requirtments:
1. Dozs not require modification to electricgl or gas service.
2. Has a cotal eosr o4'$500.00 or less;exeludine the cost of the fixturt or appliance:and
3. Is improved,instal(ed or rcplaced by the homeowner or licensed eoniraetor_
Skip next sectron,9fthis applies; Costofpermit $ ls.00
State Surchargo $ 5.00
Mail-Tn Fee(Tf App]icAble) $ 2.00
�OtAX�Orinit Fee $
�ra> 9, �; �p'p�p���{T p (��'�}'Y„e �T �{ `�A, ��,j� (� /� j
��?��A:fi��u�I�:iY'y�+b°�.�>J;�i�YJ.i�t�.k'( .� {7�G�YN�C��.'A�� � r�u�,��l��,b� �laE �'W �L�� �r W� �
.,F!1`. )�.'�� ! .�4
Yf abo�ve does not apply;follow guidelines helow:
1. CONTC2A,CT PRCCE �is 1.25%of contraet price with a(l�'Zinimum Fee of$50.00 j�
C� 1 �5 X.o�25 $ ��1. ���
(ContraC[price) (miuimum$50.00)
2. STATE SURCH'AX2C� �p � O
`'G � x.0005 $ � '
(contract price) �..,;
,��� =�
3. POSTACrE 8�1�ANDLING(Only on Mai1-Tn Applications) $
5�
4. TO'I'AL P��ilVXXT�`+��(Add Lines 3-3 Above) $ ����
■ * CON7`T�ACT PRICE or JOB COST means the actual or estiniated dollar amount charged for the
permiited work including materials, labor,profit,and other fixed cosCs. It is the arraount to be charged
to the customer for the work done. If a�]y material,equipment, labor or installations are furnished by
the owner,tenant or an�other pArty,the reasonable market value of such items must be added to the
estimatcd cost or contract priee for permit fee purposts. In fhe event that therc is a dispute on the
amounL of the job Cost, [hc CiCy may request the submission of a signed eopy of the actuat contraet.
+:�,.;� �, }�,� TA� y�, ��_/// ��,�r,7�Te!''�p x,�-� y,
��i€�,��a'�����i�.���'t d i�:�X��r�� h`F'�Y:3''f�; ����.'� P ��3 �'�M.�k'�F71.W.T�'1.��kY.�M+ �''Nj�. ''^�c�����y7�' {�' ��
F�Mt.XF�' l...A.,.1fi. ..� . �T' ,,V R����:rS W...�Sf��. A
The undersigned hereby applies to the City fOr issuance of a Meehanical Perm'rt, agrees to do all
work 'rn stricC accordance with the ordinances of the City and the regulations of the State of
Minnesota, and certifies that all statements made on this application ar� complete, true and i
correct.
A,pplicant's Signature: � ate: ����/�
3
��� ._Y�P�i'1
� 'f- /�' DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED `f � ` —1 ���''
PERMIT NO. .���� �L'�`��� connP�Fre�
ADDRESS � �C..�' � _ C'�� �--�� L��� �( ���� �{ '��-,
OWNER TELEPHONE NO.
�'��1 �4�i Ca-�
CONTRACTOR � I��--� 1 ����
r
� DESCRIPTION � �. ��� �J �_�� ���� S
lL ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
� ❑ 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
� ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
_ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
J ❑ DEMO-SITE EPTIC I rALL
Z OWNERlCONTMCTOR TO MEET YOU. YES�NO
y COMMENTS: �
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� WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE
W RRECT WOFiK 3 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY
V BEFORECWERING PEHMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. U pHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REOUIRED.CALL TO ARRANGE ACCESS.
Ca11 forthe next inspection 24 hours in advance. (952) 249-46�0
OwnerlContractor on�te'
Inspector: I� 7 �
VYhite Copyllnapector's File Canary CopylSite Notice
�
-�- DATE TIME
CITY OF ORONO CALLED IN �"��
INSPECTION Np�E v�` I�Q SCHEDULED G�Li __-��
PERMR NO. a� COMPL
aooREss 7 � ��61.�!�l�l�l� ���
OMINER HONE NO.
CONTRACTOR��/%� � y
� DESCRIPTION -�" Q��a/
ty ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC F AL
� ❑ POURED WALL ❑ PLUMBING RI O EXCAVKiRADIN(i/FILLIN(i
Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL � TREE RENIOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMIN(i �AECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑WOOD BURNER/FIREPLACE ❑COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATIOWREMOVAL
_
v ❑ DEMO-SITE ❑ SEPTIC INSTALL
i CWNdUCOKfRACT�OR TO MEET roU:_YES_NO . .
� CO�AMENT� I�1 L. /r'. �• � I��r��.5�K ���
� J- t� ���i"4�//�K4�G
j
� �, L. .-. ^ �i/l� �j c O/fC _
° �•� s d a�Q6 4G
Q �' C� 5 ��/f r. �GS�e� �) 7ri�r�te O� ��i •
Z �'�l�Ll/ f �s U�c
� '
� a Cr v✓��� �����J
� O WORK SATISFACTORY:PROCEED ��'T COAAPLETE
W ❑OORRECT NIOF�C a PROCEED O I�Sl1E CERTIRCATE OF OCaIPMNC�
o O OORRECT MIOfiK,G►LL FOR REINSPECTION TBAPORApV
�1 ����� PERMANBiT
O OOFiFiECT UNSAFE COW01'TION WITHIN HOUR3. O PHOTO TAKEN
INSPEC7�OR WILL REfURN
O ORDER P08TED.CAI.L 1 CTOR ❑qTATIOH ISSUED
c��n��t��no�M�►�oe. (�2) 249-4600
on site:
Inspector; ��"^' �---
YMldb OoOylbsp�Cto�s FlM Camry C�fdiM llolk�