HomeMy WebLinkAbout2017-00532 - gas fireplace CITY OF ORONO * 2 0 1 7 - 0 0 5 3 2 *
, ` 2750 KELLEY PARKWAY DATE ISSUED: OS/22/2017
ORONO,MN 55356-
(952)249-4600 FAX: (952)249-4616
ADDRESS : 4030 DAHL RD
PIN : 07-117-23-11-0022
LEGAL DESC : PIRATES COVE
: LOT 018 BLOCK 001
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIREPLACE-GAS
VALUATION : $ 8,870.00
NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION.
REPLACE:2 GAS FACTORY FIREPLACES(HHT)(INSERTS&GAS LINES)
APPLICANT MECHANICAL 110.88
STATE SURCHARGE MECH(VALUATION) 4.43
FIRESIDE HEARTH&HOME MAIL-IN FEE 2.00
2700 FAIRVIEW AVE
ROSEVILLE,MN 55113 TOTAL 117.31
(651)633-2561 Payment(s)
Minnesota State License#:mech-20512060 CREDIT CARD 4616 117.31
OWPIER
GILBERT,JAMES&MARY
4030 DAHL RD
MOUNq MN 55364
AGREEMEIYT 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 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.
/ /
Applicant Permitee Signature Date Issued By Signature Date
05-19-'17 09:08 FR4M- T-228 P0001/0004 F-495
.7 !l� � <l 7'� ""`" �
��l y� !�r� FOkt CITY USTu O�iL'Y � �
���r CfCq of Orono �� n n�� , Q� �
+y/^� P.O.Box 66 DBte Yttceived: Permit�I _f�,
' �• V 2750 TCelley Parkwsy 3(
Crystal n0y,MN 55323 AppCoved By: �Amount�:�„���
Pho�e(952)249-4600 Bax(952)249-4616
.��� ,,�,
1.�,��SHp�,�� CITY O�'ORONO-1VIECHANICAL PERMIT
(All Commercial permits must be spproved by chc Building Official or Inspcc0or and/or Firo Marshall)
C'r�N'ERAX,ZNFORMATION
1. 'SCou may apply for mechanical permits by mail or in person at the City offices. Applicatioas�uvill
be reviewed and a permit will bt issued within two working days.
2. Permit cards will be sent by rGturn mail after a reWicw is completed. PETtMCTS ARB NOT
VALID UNTII,YOU REC�I'V�A P�RMTT. WORK MUST NOT BEGIN[JAITIL TH�
PERMIT CARD IS PQS'N'�D Ol�T�T�,�OB SYTE.
3. Ivlechanical Drsi�ns—Compiete calculations,details and speeifieations are rcquired for cach
heating,ventilation,humidification-dehumidification,and air conditioning installation including
heat loss/tieat gain calculation,dtsign temporatures,equipment ratings and identification as to
rype,rnanufacturer and model. Data shall bo presented on fo�7x�pXovided.
4_ When any new Cor�StCuction or remodeling is involved,a separate buiIding pz�rnit must be
obtained.
5. Al]work must be done in accordance with the Uniform Mechanicai Codo/State Building Code
requirements.
6. All work must be inspected(rough-in and final). Cali(9S2)2a9-4600.
(24-48 hour aot➢ce required)
7. Housz Hzating Test Rtcord must be submitted before final.
TYPE OF p��MTT
(Check All That A ply)
�Residential (]Commercial(Approval Required)
❑Nc'w ❑AddiEional ❑Repairs �Replace
/ �
Job Site/Owner Information:
Site Address: "7 � �� �a � �-d a'�
Owner: �� � �'' It/l�,i� (7����g.A,ddress: �avv��, Q�'a S'f�.,
City: �b�U Zip: ��� f
Horne Phone:-I ��f�2''���g Alternate Phone:
Contractor Ynformation:
Contractor: FIR�SIDE HEARTH& HOME Contact Person: ��r��
Address: 270D Fairview Ave N State�3ond#:BC662656, MB6B2572, PC662571
Cit�: Roseville, MN Zip55113 Expiration 17ate:
Phone:
��������� Alternate Phone: ���r�,��'- �•�/�
❑ Ynsurance-Current:
1
05-19-'17 09:08 FROM- T-228 PQ002/0004 F-495
� � MECHAr1ICAL�S'Y'S1"�NiS.B�XN'G��NSTALLLD.::: .. ' �
1Vote:All Creothermal Systems will now rec�uir�a Site plar►8c Review by our Building Official.
IS THIS GEOTH�RMA�,? ❑'S�es ❑No
�TEATING SYSTEMS
Quantity:
Make:
Model:
Fuel: .
�lue Size:
Input BT[Js�
Output BTUs:
CFM:
CUO�,TN'G S�'ST�MS
Quantity�
Mako:
Model:
Tons:
x-T.Power
FIREPLAC�S
� Gas Factory Fireplace � Brand Namo: �, ` '
[� Wood Burning Fireplace �s+L,���-^'��v� `� �ra���
d Wood Stove Model No.:
Q 'I�U'ood Stove with Fluc/Mason
VENTILA'Y'YQN
'�inS�� 1 � �a5 ��ar� ,�-nSe-�-�S c� 2 ��S �.r"�S
❑ No. Kitchen�xhaust duct rccirculating cfm
� N'o. Bath Exhaust(must have duct outside) cfm
No. Othcr Fans: Locations cfm
FUEL STORAGE (Mitst be a,p,proved by Flre Mars6all if prpposi�tg to abaridon lank�n place.)
❑ Installation ❑ T�'emoval
Fuel Oil: gallons ❑ Underground ❑Tnside ❑Outsidc
LY Gas: _ gailons
Other:
GAS LINE ONLY
�] Outdoor Qrill ❑ Other/List What 8c Where:
2
05-19-'17 09:08 FROM- T-228 P0003/0004 F-495
.
.. PERMIT�Efi'CAY;C�.A,�TXON � ,., .,., .
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❑ Yes,this section applics
The rtplactment of a Residential fixture or aupliance that meei3 all thrcc of the foIlowing requirements:
1. Does not require modification fo electrical or gas service.
2. Has a total eost of$500.00 or less;excl�the cost of the fi�tture or applianee:and
3. rs improvzd,installed or replac�d by thc homeowner or licensed contractor.
Skip next section,if tliis applies; Cost of Permit $ 15.00
State Surchargc $ 5.40
Mail-In�'ee{Tf Applicable) $ 2.00
Total I'ermit Fee $
, .. .... ...
;::: • ;..�.;�;:,. ERIVIIT;�EE.CA�;GC7�;ATrON S�='�Q$S:O.�R`$5 0:00':-�:':,,,�...�:.;;�,,..', ,.,;:.,
.-P 0
Yf above does not appl�;follow guideIincs bclow:
1, COI�i'1'RACT pRYCE * is 1.25%of eontract price wikh a(Mini[x�um�ee of 550.00)d$
� �
x.0125$ /IV'
( nuact price) (minimum�'SO.QO)
2. STAT�S�JRCHA,�t�� (�
� x.0005 $ /• �
COatraCt prite)
3. pOSTAO�s&HANDLING(Only on Mail-In Applications) $ ����
w �)
4. 'r0'Y'A�.P��tMIT��E(Add T.ines i-3 Abo�ve) $ ; �'✓I '
■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the
permitted work including materials,labor,profit,and other fixed costs, Tt is the amaunt to be charged
to the customer for thc work done. If any material,equipment,labor or installations are furnished by
the owner,tenant or an�oYher party,the reasonable market value of such items must be added to the
estirnated 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 request the submission af a signed copy of the actual contraet.
' �HA G� :P Rlv1 A�
�ME NI �; E IT: �LI 'I'X. :A.('x $ME�t ,�
CA. Q�lr`� R� Tt;;;:;;':',
The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do alI
work in strict accordanee with the ordinanees of ihe C' and the regulations of the State of
Minnesota, and certifies that AII statements made t ' application are cornplete, true and
concct.
AppliCant's Signature: DaiC: '"f � /
3
��� ME �
� / - DATE TI
CITY OF ORONO CALLED IN JT� O'�7 �I �
INSPECTION HEDULED '__��
PERMIT NO. � LETED
ADDRESS
OWNER • � TEL HONE NO. S�' /O ��
CONTRACTOR
� DESCRIPTION � Q �� n � �
4~j ❑ FOOTING ❑ DE O-FINAL ❑ S IC I AL
� ❑ POURED WALL ❑ PLUMBING RI ❑ E CAV/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
41 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
v ❑ DEMO-SITE ❑ SEPTIC INSTALL
Z OWNERlCONiRACTOR TO MEET Y�WI:_YES_NO
y COMMENTS:
4 — /�uST �Q AQ S �n � �/r- �� w�/�
o �.) 1�a�c�
� a' �^'�e
° .�� l'S.�'
W
� `�J /�a�ne o�' �•o�rr,��or-
Q
�
W
�
W
OC
,
W ❑WOFiK SATISFACTORY:PFiOCEED ❑PROJECT COMPLEfE
� ❑CORRECT YMORK 3 PROCEED O ISSUE CERTIFICATE OF OCCUPANCY
0 �OOfiRECT W'ORI(,CALL FOR REINSPECTION TEMPORARY
V BEFORECONERING PERMANENT
O CORRECT UNSAFE(bNDITiON WRHIN HOURS. p pF{OTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ��TATION ISSUED
❑INSPECTION REOUIRED_CALL TO ARRANGE ACCESS.
Call for the nsxt inspection 24 hours in advanoe. (952) 249-4600
OwnerlContractor on site:
InSpector: �'�"�/lC L• .
wn�e.Covrnnapecto�'s F�I� c.nary covy�sn.Notle.
c�� J
1/
DATE TIME
CITY OF ORONO c,�►LLED IN =J2�
INSPECTION N TI � SCHEDULED — ' �
PERMfT N /�o ED
ADDRESS_� ��� ,
01MNER � - TE PHONE NO.
CONfRACTOR ���
� DESCRIPTION L ����� �
t~y ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINA
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRA /FILLING
O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REM L
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 ❑ DEb10-SITE ❑ SEPTIC INSTALL
2 dWNERPCONTRACTOR TO MEET YiOU:_YES_NO
� COMMENTS: ,
� 02 c7�i5 ���P.+�lcic�s �^ �X�S 'L`c-z�
jr
� • y
� • �Q/t« �
1 ✓�M�LKS .. G' G! s� l� r�.��'��
o , � 'r r � � �-t/("4' �(
� � �
Q Y`�/n s�t GE'r�. Q/ .$��t�✓ .r�p/��r��- .
Z � �S /�.ia .ri� � ��s� lrc�i,Kc �4 3�.is�
� �'�'+Ge .5-�5- /7 -
� F,ri.S�(, ��s��l .A_� S�scG s '
,
� �K SATISFACTORY:PFiOCEED ❑PRW ECT COMPLETE
W O CORRECT VIfORK 3 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECONERIN(i PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pF{OTO TAKEN
INSPECTOR WlLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION RE�UIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
OMmerlContractor oa site:
I�specta: /M/
White CaPYAnapecMr'a Flle Canary CoPYISib Notkx