HomeMy WebLinkAbout2017-00249 - gas fireplace � ' CITY OF ORONO * z 0 1 7 — PJ 0 2 4 9 *
2750 KELLEY PARKWAY DATE ISSUED: 03/17/2017
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 780 LAKEVIEW PKWY
PIN : 06-117-23-43-0021
LEGAL DESC : LAKEVIEW OF ORONO
: LOT 7 BLOCK 3
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIREPLACE-GAS
VALUATION : $ 1,680.00
NOTE: ALL TEST[NG REPORTS SHALL BE ON SITE AT FINAL INSPECTION.
GAS FACTORY FIREPLACE-HHT-MODEL,6000C
APPLICANT MECHANICAL 50.00
STATE SURCHARGE MECH(VALUATION) 0.84
FIRESIDE HEARTH&HOME MAIL-IN FEE 2.00
2700 FAIRVIEW AVE
ROSEVILLE, MN 55113 TOTAL 52.84
(651)633-2561 Payment(s)
Minnesota State License#:mech-20512060 CREDIT CARD 4616 52.84
OWNER
Gonyea Homes
780 LAKEVIEW PKWY
MOUND, MN 55364-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according ro
the approved plans and specifications,applicable Ciry 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 are
requested in conformance with the State Building Code.This permit may be
revoked any time for due cause.
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Applicant ermitee Signature - Date [ssued By S nature Date
03-16-' 17 13:58 FROM- T-931 P0041/0004 F-128
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Ii C 'Y C1S�:�NLY
�p� �►�or orono � �0 8f� a� 9
O P.O.�3ox 66 Date Rece;v . � Permit# �
2750 T:etley Yarkway
Crystal Bay,MN 55323 ApproveA By: Amount$: 5v��
Phone(952)2a9-a60o Fax(9S2)2a9-4616
�`��q R�.�� CIT'Y OF QRONO—1VIECHYA,NICAL P�RMYT
'� SHD pp Commprcial �
( perm,ts must be app7oved by the�3uilding pfTici�l or Inspec[or end/or Firc MarShall)
GENER.AL TNFORMA.TION
1. You may apply for mecllanieal permits by rnail or in person at the City offces_ Applications will
be reviewed and a permit will be i�sued within two working days.
2. Permit cards wilI be sent by retum mail after a review is completed, �EhIV�TS ARE NOT
�V'A.T,ID�1N'T1L YOU REGEI'V�A pERMIT. V�VOR�MUST PIOT�3�CIN YINTIL THE
�'��21VTYT CARD IS POS'Y'��41V THE JOB SXTE.
3. Me hanical besi n3—Complete calculations,detaiis and specifications are rzquired for cRch
heating,ventilstron,humidification-dehumidif�cation,and a1r conditioning installation ineluding
heat loss/heat gain calculaEion,dosign temperatures,cquipment ratings and identification as to
rypc,manufacturer and model. Data shalI be prescntcd on for►n provided.
4. �hen any new construction or remodeling is invol�ed,a separate building permit must be
obt�ined.
5_ All work musC bC done in accordance with the Uniform Meehanical Code/State$uilding Code
requirements.
6. All work must be inspected(rough-in and final). Ca11(952)2a9-46Q0_
(24-48 hour notice required)
7. House Heating Test�ecord must be submitted before fir�al.
TYp�OF PE�2MYf
(Check All That A 1
Etesidential ❑Comrinercial(Approval�tequired)
New ❑Additiona] ❑�epairs �Replacc
Job Site/Owner Inforrnationr
Site Address: l D Q �'a'K"�'v � �"� � K'W Y ,
�wner:_ �L(�A �4vv1.eS��n G• Mailing Address:
City: zip:
Home Phone: � �� ���`"���n Aiternate Phone:
Contractor Information:
Contr'actor: FIRESIPE HEARTH& WqME Contact Person: a��'"�
Address: 2700 Fairview Ave N State Bond#:BC662656, MB662572, PC662571
City; Roseville, MN Zip.55113 �xpiration Y7ate:
Phone: 651-633-2561 Alternate Phone: W s `- �''��J����
❑ Insurance—Curc•ent:
1
03-16-'17 13:58 FROM- T-931 P0002/0004 F-128
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Note:All Geothermal Sys[�ms will now require a Site Plan&Revievv b�o�,u•Building OffiCial.
IS THIS GEOT�YERMAL? ❑'Yes ❑No
�IEATING SYSTEIVXS
Quantity:
Make:
Modcl:
Fuel:
Flue Size:
Input BTCJs:
Output BTUs:
CFM:
CUUI,TNG SYSTEMS
Quantity;
Make:
Model:
Tons:
1�.Power
FIREpY.AC�S
� Gas Factory�ireplace Brand Name: ���
Wood Bulrning�'irtpiace n/�y� �
❑ Wood Stove Modcl No.: �R�,V V��
[] Wood Stove with fitue/Masonry
VEN'Y'YY,ATXON
❑ No. Kitchen Exh�ust duct reeireulating efm
❑ No. $ath Exhaust(must N�ave duct outside) cfm
❑ No_ Other Fans: Locations Cfm
FU��,S'�O�tAC� (Mrrst be npproved by Fire M�rshalC if proposrag to abandon tank t�i,plac�)
❑ Installation ❑ Removal
�'ut!OiI: gallons ❑ Underground ❑Ynside ❑Outside
LP C�as: gatlons
Other:
GAS LINE ONLIr
❑ Outdoor Grill ❑ Othc�/List What&Whtrc:
�
03-16-'17 13:58 FROM- T-931 P0003/0004 F-128
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fmt K�r�
❑ Yes,this section applies
The rcplacement of a Resident'►al fixture or applit�nct that meets all three of the following requiremtnts:
1, Does not requira modi�cation to eleetrieal or gAs scrvieo.
2. Has a tatal cost of$500.00 or less;exeluding the cost of the fixture or appGance:and
3. Ts improved,installtd or replaced by The$omeo�vner or lieensed eontractar.
Skip next section,if this applies; Cost of Permit $ 15.00
State Surcharge $ 5.00
Mail-In Fce(If Applicable) $ 2.00
ToEal Permit Fee $
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Xf abovc does not apply;follow guedelines below:
1. CON'TItACT PRICE '•`is 1.259�6 of contract price with a(Minimum Fee of$50.00)
f �8o x.o�Zs$ 5�0.��
(cantfact priCe) (minimpm S5p.00)
2. S'Y'AT�SC1XtCHA,RC� p- �t p
�0 � x.0005 $ V� o�
(contcact price)
3. POSTAOE&HANDLING(Only on Ma�i]-In Applications) $
4. TO'X'A,X,P�ItMCT FEE Add Lincs 1-3 Above $ �0 ��
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■ * CONTRACT PRICE ar 70g COST means the actual or estimated dollar amount charged for the
permitttd wark including rnaterials,labor,profit,and other fixed costs. It is the amount to be eharged
to the customer for thc work done_ If any material,equipment,labor or installations zre fumished by
the owner,tenant or any othtr party,the reasonable mark�t valu�of such it�ms must be added to the
estim&ted cost or contract prict far permit fee purposes. In thB Bvent that thcrc is a dispute on ihe
amount of the job eost, the Ciry may rcquest the submission of a signecl eopy of the actual contract.
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The undersigned hereby applies to the City for issuanee of a Mechanical Permit,agrees to do all
work in strict accoi�dance with the ordinances of the City and t�ie regulations of the State of
Minnesota, and certifi�s that all statements made on his application are complete, true and
correcl.
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Appticant's Signature: Date:
3
,�� ��� � �
� DATE TIME
CITY OF ORONO CALLED IN .��
INSPECTION NOTICE SCHEDULED �'<�� �"'�
PERMfT NO. � �t�/�? LZ�%�%��COMPLETED
ADDRESS rZ��i'L' .�C c ��G� �>f �"tc_; /`� a
OWNER TELEPHONE NO. l���I ��'-��� �
CONTRACTOR �;L/'�t�S�����f�� f� �'
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� DESCRIPTION ��,�-=J �/�"�,(��/�'' C-� ��
ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL C%�C
� ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/ LLING Lj
O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
2 ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
� ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP � FOUNDATION/REMOVAL
_
J ❑ DEMO-SITE ❑ SEPTIC I STALL
2 O'WNENCONTMCTOR TO MEEf Y�OU:_YES�NO
� COMMENTS:
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W J5D ORK SATISFACTORY:PROCEED ❑ PRW ECT COMPLETE
� O CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOWERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pH0T0 TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. (g52) 249-46�0
OMrnerlContractor on �te•
inspector: �7���
Whits Copyllnspector's File Cenary CopylSite Notice
o�� nME
CITY OF ORONO cnLLED IN �
INSPECTION OTICE y�caeouLED — 1L—
PERMIT NO.��/ ���' '.EoMPL D
ADDRESS 7��
O�WNER TELEP ONE NO.
CONTRA�p � ��►� v
� DESCRIPTION A e'Q-, � PU1'�i�t
� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI � EXCAV/GRADING/FILLINO
O � FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
� ❑ FRAMIN(3 �F•6HANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑WOOD BURNER/FIREPLACE ❑ COMPLAINT
� ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑AS BUILT-SUHVEY ❑ SEWER HOOK-UP ❑ FOUNDATIOWREMOVAL
_
r 0 DEMO-SITE ❑ SEPTIC INSTALL
� O�WNBYCOKTRACrOR T�0 MEET YW:_Y68_NO
� COMMENT& _ ,
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� ❑WiOfi1C SATISFACTORY:PFiOCEED �PFIOJECf COMPLETE
W ❑CORRECT W�ORK a PROCEED ❑ISSUE CERTIFIC/1TE OF O�MNCY
o ❑OORRECT WOFiK,G1LL WR AEINSPECTION T6�APORARY
� ����� PERMIANB�IT
❑OORFiECT 111�18AFE OONDITION WITHIN HOUR3. ❑PHOTO TAKEN
INSPECTOR 1MLL RETl1RN
O STOP ORDER PO�TED.CALL INSPECTOR ❑CITATION ISSUED
c,11 tor u�e next inspect�o�u nours M edvano.. (952) 249-4600
on sMe:
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ININN�t��''r� Gn�ry Cop�IN Ilolla