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HomeMy WebLinkAbout2014-01384 - gas fireplace � " CITY OF ORONO * 2 0 1 4 — 2J 1 3 B 4 * 2750 KELLEY PARKWAY DATE ISSUED: 12/OU2014 ORONO, MN 55356- (952) 249-4600 FAX: 952) 249-4616 ADDRESS : 2615 LYDIARD CIR PIN : 20-117-23-14-0002 LEGAL DESC : APPLE HILL : LOT 004 BLOCK 001 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 4,713.30 NOTE: HEAT-N-GLO GAS FIREPLACE APPLICANT MECHANICAL 58.92 STATE SURCHARGE MECH(VALUATION) 236 FIRESIDE HEARTH&HOME MAIL-IN FEE 2.00 2700 FAIRVIEW AVE ROSEVILLE,MN 55113 TOTAL 63Z8 (651)633-2561 Payment(s) Minnesota State License#: mech-20512060 CREDIT CARD 4608 63.28 OWNER O'MALLEY,KAREN J 2615 LYDIARD CIR EXCELSIOR,MN 55331- 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 does not grant permission for additional or related work which requires sepazate 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 aRer work has commenced. The applicant is responsible for assuring all required inspections aze requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. r / D/ /oZ-��/ �/'� Applicant Permitee Signature Date Issue y Signature Date 11 26-'14 13:41 FROM- T-237 P0001/0044 F-359 ��� lJ� ; , ;1'�0 CY'Y';X�13�ONLY'..• : j..;1 C➢ty o(Orono (,L :�;.;:,�;:;;,;;;;:;: �,.� ` u�I �1, a� �:;� :�p� ;,;,,:, �..�,t,T/� P.o.1Box66 ;:�. `�cs�,�'ed:;; _.dimis;#.,=`•`�:,---:�;;;—;���:';�.,:. V 2750 Kelley Aarkway Zv �'aj`;?!<<i�,:y„j:;�,;r�.;' .`•'i:';,�,:�:.;`::;.:_.,;,;',: ;,;:, ;�t:� � �1 `b .. !;r �;i;`. ''i.- F:;,.�. ',,.y;l,. � Crystal Bay.MN 55323 �� ���APjtr;.V���Y'r-;�',.. .�'; �Am S;'r�:,:,; 9 ��.. .� Pilono(952)�9-�}600 Pax(95 ) A9-h616 "`"'1�"—�; � :;,:,., � ;:';:;� ,,,, :.�.,��...:. .....:.. . � .... .. ..,.. :.. . �� ��' ` lq'� SFi���G CITY aF ORONU—MECHANYCAL PERMIT � (All Commarcial pamits mupt bc approvcd by ehc Building Official or Inspoctor aird/or Firo Marshatl) € �GE1�1��tAL;�,INFORMA'�'X(:1N'' : ,',,, i 1. You may apply for mechanical permits by mail or in person at tha Ciry offices. Applications will ! be reviewed and a permit will bo issued within two working days. i 2. permit cards will be sant by rzturn mail after a review is completed. PERMITS Ali�NOT � , VALID UNTIL YOU'R�C�I'V�A P�RMIT. WORYC MUST NOT B�CyN�I�TK�T�� PERMIT CARb IS POS7'�n ON TY��JOB SYTE. 3. Mechani�l��l��Compictc calculaCions,details and specifications are required for�ach ' heating,ventilation,humidifieation-dzhumidifieation,and air conditioning installation including ; hcat lossJhcat gain calculation,design tamperaturos,cquipment ratings and identificatian as to typa,manufacturer and modcl. Data shall be presented on form provided. i �, When any new construction or remodeling is involved,a separate building permii must be f obtainod. ` 5. All work must ba donz in accordance with tho Uniform Meehanieal Code/State Building Code � requirements. 6. All wark must be inspect�d(rough-in and final). Call{952)249-4600. (2448 hour notico rcquired) 7. House Heating Test Record must be submitted before fir►al. ,.:., ;;,.,.,,, . ; , � T���.O�",�?�Y2MIT,�� '�� �``'` CYi�cl�Al!:Tliat A� 1� [�esidential ❑Commercial(Approval Required) � ❑Ntw Additianal ❑Repairs ❑Replace � ob:Sit�:/'.�Ji�ier:;iri�Qriiiatioil:` ! . ....:.. .:.. ... , . .. ..,....:..... . ,.,, . . ..... Site Address: ��Y �� �-- . C���(rC�, `�� ��.,�"' ; �........, . � Ovrrner: ���� �����l� MailingAddress: 2� �� ''�'1��`���'` C�� ; -J — ! CiCy: �`{.C.�2�S\lU� � m� Zip: ��'�� � i r, f Home Phone: ����r��1� Vt o�� Alternat�Phone: 1 , .. . . . � ��,fp -��,�C n c� �..ma+� I ::�ont�actor.Zriforniat�An�' �� b��. � .< `: '...,` :;.: .,;` ;� ,,•;, '�.�(� (+v1�l S Contractd���Y� �N�M�'��Ct�N4�C��r�S� Contact Person: �` ��������I� db2► OME Address: x �#� �C662656 � State Bond#: R05EVILLE, MN 551.1� Ciry: 651,633.25�fp: �xpiration Date: phone: �9�J���`��l"Z�J�'l A�,P.t�ne: �' �.C�J'�'�V4-�� . ❑ 1�oc�.�r vr�e:�z�r l_� -�\Y�S��C1.e ,C�m Ynsurance—Current: 1 11-26-'14 13:01 FROM- T-237 P0402/0004 F-359 . � `� r i � E Note: All Geothermal Systams vvill now require a S. ii�PIAn&Rer!ierv by our Buiiding Official. � I IS THIS G�OTHERMA�.? (]Yes ❑No i H�A'r'X1YG SYS'C�MS � S Quantity: g Make: ` � Model: ' Fuol: Flue Size: Input BTUs: � ---- ; r Output BT�)s: � c�M: � COOLIN'G S'YST�MS Quantity: „ Make: Moae1: Tens: T�.Power � i FIREPLACES '• � Gas Factory Fireplace Brand Name: T�'QC��„�1 V � `��a ' ❑ Wood�urning Pireplacc ❑ Wood Stove Model No.: ���r�'��j��� � �f 'VVood Stovc with Flue/Masonry 'V�N'Y'YY.,ATiON ' (] No. Kitehen Exhaust duct recirculating _ efm ; ❑ No. Bath�xhaust(must have duct outside) cfm ❑ No. Other Pans; Locations _ cfm I � FO��,,S'�OYtA�� (Must be approved by FYre Marsltall if proposing fo abandon tank lrr plrrce.) � � ❑ Ynstallation ❑ Removal Fuel 0i1: gallons ❑ Underground ❑lnside Q dutside LP Gas: gallons Olher: GAS�.rN�01VLY Q Qutdoor Grill ❑ Other/�,ist What�Where: 2 � 11-26—'14 13:01 FROm— T-237 P0003/0044 F-359 . . � � 1 1 V ) 1 a i [] 'Yes,this section applies � � 4 Thc replacement of a Residtntial�xtur�or appliance th�t mccts all threo ofthe following requirements: � 1. e oc require modificasion to electrical or�as servicz. ; 2. Has a total cost of$SOO.OQ or less;excludine the cost of the fixture or applianec:and 3. Is improved,installed or replaced by the homeowner or licensed contractor. Skip next section,if this applias; Cost of Permit $ 15.00 State Sureharge $ 5.00 Mail-!n Fee(1f Applicable) $ 2.00 � Total Permit Foe $ �1 �' ,p �i.': ,f�S'. � h�.'�lA,?. .��3�V'vs=�tf��'k(. '.�� � i If above does not apply;follow guidelines below: ' 1. CON'CRACT PRICE �`is 1.25%of contract price with&(Minimum Fee oi$Sfl.00) � (� � (�� X.oiasa ��� (contract prica) (minimum SS0.00) 2. STATE S�RCC�ARCE L--� f �J�� � `� `�` x.0005 $ � � ! (contract prico) ; 3. POS'CAd�&C�aN1��.�NG(Only on Mail�Yn Appiications) $ 2.00 � r �,,� �.�� � 4. �'O'CAC.P�rtMIT���(Add I.ines 1-3�bove) $ � � • * CONTRACT PRICE or JOB COST maans the actual or estimated dollar amount charged for the � permitted work including materials, labor,profit,and other fixed costs. �t is the amount to be charged ; to the customer for the work done. Cf arty material,equipmcnt, labor pr installations arc furnished by thc owncr,tenant or any other party,fhe rtasonable market Value oPsuch items must be added to the estimated cost or contract price for permit fee purposes. In the event that thzre is a dispute on the amount of the job eost,the City snay request the submission of a signed copy of the actual eontract. � , n ;+ �r �T ,.� i 2i�. _ ..�.'� u �Y 'a'`�,� '.�Rl� ,F ,.�: 'z� ,d+:l;`�����:���� .3+;�7 ,�1 j The unc3er3igned hereby applies ta the City for issuance of a Mechanical Permit, agrees to do all work in sCrict accordanCc with thc ordin�nces of the City and the regulations of the State of Minnesota, and certifies that all statements madC ort this application are complCtC, true and correct. ������-� l��l�.( f� AppliCant's Signaturc: Date: 3 ��v � �� DATE TIME CITY OF ORO O CALLED IN � ^" " -J`�L=sy+-- INSPECTION OTICE CHEDULED � ' PERMIT NO. v� �OMPLETED ADDRESS �/ T � � ��f� /� �,p OWNER TELE�HONE NO uI�''G /a'D� � CONTRArTnR �aG C�� . �; DESCRIPTION � � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETIANDS y 0 FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q � RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL � ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNbATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: o� � � , . ' a Gi/t Ir'i r���4G� !K��✓'L~ /h� C'�1�i5�/�►c � rn�.�f�ll2✓N �/L'/JIa�2 — _ ' � � � �c S� i r L� �2 L'G7�� Lb st �t�✓` 4it� W �,�c�-'t.r'�"' i�e rj7i� '7�Ijrli 1�t�S. C��i���v � //��,�s(�� /�/�4) �D "_ Q � z - �as /��� 4�f ���- �al.Pti��� 5ef � � �a�� oK1a�,�-�� - r�� � asas� �� � � �2�� �czr�S �d �c�� ��to r�l�v - �'�r•�c.s� a ai ;r es� - ca<! �'a r r�.�rs�u��e.�, — W ❑WORK SATISFACTORY:PROCEED ❑ PROJ T COMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDEH POSTED.CALL INSPECTOR �CITATION ISSUED INSPECTION REQUIRED_CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (952) 249-460� OwnerfContractor on site: Inspector. � i� � White Copyllnspector's File Canary CopylSite Notice � �� DATE TIME CITY OF ORONO �ED IN i a�i INSPECTION N IC SCHEDULED /�-/� i 5� PERMIT NO. � "' �� co LETED � � ADDRESS L OWNER '� • TEL PHONE N �'� �`S�$ CONTRACTO r — U � >; DESCRIPTION � W ❑ FOOTING O P BING FINAL ❑ EXCAV/GRADING/FILLING � � POURED WALL ECHANICAL RI ❑ LAKESHORE/WETLANDS ti Q O FRAMING ❑ HANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP ? 0 DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO c�., COMMENTS: � � , � � J _ � o � � 0 � � ... W � Q � 2 W � W � � � GW ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑C RRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. n Cai1 for the next inspection 24 hours in ad�_v����952) 249-460� OwnedContractor on site: �' .i` :t Inspector. ` � � White Copyllnspector's File ��� Canary CopylSite Notice � DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTI E Q/� SCHEDULED PERMR NO. �+ COMPLETED � ` � ADDRESS AL.CC.�� r d, Gtr'!%�� OWNER TELEPHONnE/_NO. CONTRACTOR f'��'`����O 1�'uu'f� `� ,�tae�C' � DESCRIPTION 4~j ❑ 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 ECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION �OOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL � ❑ WATER HOOK-UP ❑ FOLLOW-UP �U ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ v ❑ DEMO-SITE ❑ SEPTIC INSTALL ? OWNERICONTRACTOR TO MEET Y�OU:_YES_NO y COMMENTS: o� � o QS ,K�e re � c�.e�/c �. aoa,s� �d � /2-- /Z���- 0 � Q ��t u/.v . e � � W � � � ❑WORK SATISFACTORIf:PROCEED ROJECT COMPLEfE � ❑CORRECT WORK S PF�CEED ❑ISSUE CERTIFICATE OF OCCUPANCY O ❑(�RRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECONERING PERMANENT ❑CORRECT UNSAFE CONDITION WRHIN HOURS. p pHpTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR �INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (952) 249-4600 OwnerlCor►tra site: inspector: White CopylMspecto�'s Flle Canary CopylSke Notice INSPECTION NOTICE ITY F � /�'� DATE TIME � C O . CALLED-IN L��'��-�`/j��Z� SCHEDULED �� .-�� PERMIT NO. ' COMP�ETED ADDRESS � OWNER/CONTR. -�� ❑SITE INSPECTION ❑MECHANICAL RI ❑ REINSPECTION ❑CONC SLABS ❑MECHANICAL FINAL ❑ FOLLOW-UP ❑ FOOTING ❑ INSULATION ❑COMPLAINT ❑ POURED WALL ❑ RATED ASSEMBLY ❑ FIREPLACE ❑ FOUND. DRAINAGE ❑BUILDING FINAL ❑SPRINKLER SYSTEM ❑ FRAMING ❑SEPTIC INSTALL ❑ � ❑SHEATHING ❑SEPTIC FINAL ❑ ❑PLUMBING RI ❑S&W HOOKUP ❑ � ❑PLUMBING FINAL ❑GAS LINE MANOMET ❑ o COMMENTS:_ �,� �,��� _ �. .D.�.' ,� Z � � Q � J ll l _ J Z O � � W a � � O � O W � Q � W � W � � O � F THER CORRECTIONS MAY BE REQUIRED ❑ PERMIT FINALED W WORK SATISFACTORY: PROCEED ❑ PHOTO TAKEN O ORRECT WORK&PROCEED V ❑ CORRECT WORK. CALL FOR REINSPECTION BEFORE COVERING ❑ CORRECT UNSAFE CONDITION IMMEDIATELY. � STOP ORDER POSTED. CALL INSPECTOR � INSPECTION REQUIRED. CALL TO ARRANGE ACCESS. TO SCHEDULE YOUR INSPECTIONS PLEASE CALL:'j�� ^_..._ Metro West Inspection s Inc. Owner/Contr. on site: Inspector: