HomeMy WebLinkAbout2017-00533 - gas fireplace CITY OF ORONO * 2 0 1 7 — 0 0 5 3 3 *
� 2750 KELLEY PARKWAY DATE ISSUED: 05/22/2017
' ORONO,MN 55356—
(952)249-4600 FAX: (952) 249-4616
ADDRESS : 3295 CRYSTAL BAY RD
PIN : 17-117-23-41-0013
LEGAL DESC : TOWNSITE OF LANGDON PARK
: LOT 002 BLOCK 002
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIREPLACE-GAS
VALUATION : $ 8,209.00
NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION.
NEW:GAS FACTORY FIREPLACE(HHT)
APPLICANT MECHANICAL 102.61
STATE SURCHARGE MECH(VALUATION) 4.10
FIRESIDE HEARTH&HOME MAIL-IN FEE 2.00
2700 FAIRVIEW AVE
ROSEVILLE,MN 55113 TOTAL 108.71
(651)63�2561 Payment(s)
Minnesota State License#:mech-20512060 CREDIT CARD 4616 108.71
OWNER
GREG BLASKO&WHITNEY WINDMILLER
3295 CRYSTAL BAY RD
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 Ciry 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 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�"�
( �1,�� �� C�CDC.ScJ1 /�..-�.0 7�C.� �j� ZZf l
Applicant Permitee Signature Date Issued By Signature Date
05-18-'17 15:04 FROM- T-225 P0001/0004 F-492
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FOIi Y'TJ�`E O1H'Y.Y
• p Cety oiorono "
� � �O 7.�.�3ox 66 Aate Re�ivcd; � � . � Pennit# '�� ��
2750 TSe11ey P�rkway �� .('�, �
Crystal Hay,ivlN 55323 Approvcd Sy: �Amount S;� �
Phone(952)249-4600 Pax(952)249-4616 � �" �
�`�lqk Rw��� CITY OF ORONO—1VYEC�-TAMTCAL PERMYT
S H� (ptl Commercial permiu must be approred by the Building OfPicial or Inspector and/or pEre Marshall)
c�r��n�a�T�orr
1. You may appiy for meehanieal permits by maii or in person at the Ciry offices. Applications will
bo reviewed and a permit will be issued within two working days.
2. Pcrmit cards will be sent by return�il after a review is completed, p�12MTTS ARE NOT
VALID UNTII�YOU RECENE A PET2MCT. 'I�VOXt�C MYJST N'U�'��GYN T�1�TY�.T�T�
pERMIT CARD IS POSTLD ON T�C�,�OB SM�'�.
3. Mechanieal besi�ns—Completc ealculations,details and specifications are requf red for zaeh
heating,'ventilation,humidifieation-dehumidification,and air conditioning installation including
heat loss/heat gain calculation,deslgn temperatures,equipment rAtings and identification as to
type,manufacturer and modet. T�ata shall be presenCed on form providtd.
4. When any new construction or remodeling is in'volved,a separate building permit must be
obtaincd.
5. All work must be done in accordance with the Uniform Mechariical Code/State Building Code
reqairements.
6. All work musC be inspecCed(rough-in and final). Call(952)249-4600_
(zA-A8 hour notice reqaired)
7. House Haating Tcst Reeord must be submitttd bofore final.
TYPE OF PERMIT
Check All That A ly)
Residential ❑Commercial(Approval Rzquired)
Nerr� ❑Additional ❑Repairs Q Replacz
Job Site/Owner Information:
Site Address: �� [ ��c�T�'�r ��1,/ F�
4wner: ��!Ia r rI�� �A�Ir'�g Address: ��]!J� /�j�t.�Y�t �.►'1 �
c��y: �� y wti�'�.� z�p: �'��7
Home Phone: �� ������da Alternate Phone:
Contractor Information:
Contractor: ��R�SIt7� HEARTH & HOME Contact Person: ��
Address: 2700 Fairview Ave N State Bond#:BC66265fi, MBfifi2572, PC662571
C��y; Roseville, MN zip;55113 ��piration Date: , _
Phone: � � ''���C1�(I Alternate Phone: �����$'��/Z-
❑ Insurance—Current:
1
05-18-'17 15:04 FROM- T-225 P0002/4004 F-492
' �;;11�fECHANYCAY�. `Y'` .`� �,'
. .S �'�1v�s.B�nJ�'�INs.T�i;ifip:��:'::�:;.,,;.
Note:All Geothermal Systems will now require a SiCe plan&Review by our Building OffiCial.
IS 7'HYS GEOTHEYt1VXAX.? ❑Yes ❑No
HEATING SY�TEMS
Quantity:
Make:
Model:
�'uel:
Flue Siz�:
Znput BTUs:
Output BTUs:
CFM:
COOLrNG SYSTEMS
Quantity:
Make:
Modol:
Tons:
�T.power
FI�tEP�,ACES
� Gas Factory�'ireplace Brand Name: � �
❑ Wood Burning Farzplace 2/
❑ Wood Stove Model 1Vo.: '"��V�'� l�10�
❑ Wood Stove with Plue/Masonry
v�rr�r��arYorr
❑ No. TCitchcn�xhaust duct recirculatiag cfm
❑ No. Bath�xhaust(rnust have duct outside) cfm
❑ No. Other Fans: X,oca[ions cfm
��'��,S fdRAG� (Mi�st be approved by F}re Marsball ifproposireg to abaa�lo�1 tn»k i��pl�rce.)
❑ Installation [] R�moval
�'uel Oil: gallons ❑ Underground ❑Tnside ❑Outside
T,Y Qas: galions
Other:
GAS LINE ONY�'Y
❑ Outdoor Grill ❑ Other/List What&Whrre:
2
05-18-'17 15:45 FROM- T-225 P0003/0004 F-492
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❑ Yes,this section applies
The replactmcnt of a Residential fixture or aqptiFtr►ce that meets all thret of the following requirements:
1. boes not require modifieation to electrical or gas serviee.
2. Has a total cost of$500.00 or lcss;cxcludin�th,e cost of the fixturz or appliance:and
3, Xs improved,installed or replaced b�thc homeowner or licensed contractor.
Skip nexk section,i�this applies; Cost ofParmit $ 15.00
State Surchsrgt $ 5.00
Mail-It1�'ee(Tf AppliCablt) $ 2.04
Total permit Fee $
PERMI.T;F�E�ALCULA�'YQN' S�"`" O. R" SOOA ��r.`
-,ro�'s: �r� $ � ,:,.
If above does not apply;follow guidelines below:
1. CUNTXiACI'pYtTC� *is 1.25%of eontract price with a(Miniaaum�ee of 550.04)
8`z�q K.a�25$ Io2. `-��
contact price} (mLfin►um,b^50.Q0)
2. STATE.SURCIiARGE ��a � , Q
x.4005 $ r
(ContrACE pricC)
3. POSTAQB&HANbY.YNQ(Onl�+on Mail-In ApPlications) $� ��
4. TOTAL P�Ctri1YT�E�(Add X,ines 1-3 Above) $�• ��
■ * CONfiRACT PRICE or JOB COST means the actual or estimated dollar amount chargcd for the
permitted work including mat�rials,labor,profit,and other fixed costs. Tt is the amount to be charged
to the customer for the work done. If any material, equipment,labor or iunstallations aro furnished by
the owner,tenant or any other party,the reasonablc market value of such items must be addrd to the
estimated cost or contract price for permit fee purposes_ In the event that there is a dispute on the
amount of the job cost, the City may ttiquest the submission of a signcd copy of the actuai conh'act.
� :.�-.:., �,:�
;NlECHA. ..G,�. ��;-FE �`�AY'pY:XC:4TYON��AGr �N1ENT����''�::�->''`:'�',
�. �., �. `�i'�s;
The undersigned hereb�applies to the City for issuance of a Mechanical �ermit,agrees w do a1t
'work in striet accordance with the ordinanees of t e CiCy a�r►d Che regulations of the State of
1Vlinnesota, and certifies that all statements m n this application are complete, U•ue and
correct.
Applicant's Signature: Date: ��/� /�
3
/
�� wl TE �TIME
CITY OF ORONO cnLLED IN 7 .���
INSPECTION OTICE SCHEDULED
PERMR NO. — COMPLETED
ADDRESS 3
�NNER � L PHONE NO - �3�`�
CONTRAcTOR ��-�-(_ AJ��.
�. DESCRIPTION � �J �` �
t~y ❑ FOOT�NG ❑ DEMO- INAL ❑ 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
Q ❑ FINAI ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
� ❑ DEMO-SITE ❑ SEPTIC INSTALL
? 01NNERICOI�ITMCTOR TO MEEf YWJ:_YES_NO
� COMMENTS:
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W ❑WOFiK SATISFACTOFlY:PFiOCEED ❑ ECT COMPLEfE
� �RHECT WORK 3 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
W
0 ❑(�RRECT WORK����R REINSPECTION TEMIPORARY
V BEFORE CdNERING PERMANENT
❑CORRECT UNSAFE CANDITION WITHIN HOURS. p pHpTO TAKEN
INSPECTOR WFLL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REW IRED.CALL TO ARRANGE ACCESS.
CaN for the next inspection 24 hours in advance. (952) 249-4600
OwnedContra�tor on site:
inspe�tor: '
yVhlte CopyAnspecMrs Fik Gn�ry Cop�rlSib Natfee