HomeMy WebLinkAbout2015-01449 - gas fireplace ' ' CITY OF ORONO * Z 0 1 5 - 0 1 4 4 9 *
2750 KELLEY PARKWAY DATE ISSUED: 1]/12/2015
ORONO, MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS : 515 NORTH ARM DR
PIIv : T000129
LEGAL DESC : LAKEVIEW OF ORONO
: LOT 22 BLOCK 3
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIREPLACE-GAS
VALUATION : $ 8,157.60
NOTE: FIREPLACE-8000 CLX-IPI-T-GREAT ROOM
FIREPLACE-SL-750TR-IPI-E-BASEMENT
FIREPLACE-SL-550TR-SLJNROOM
APPLICANT MECHANICAL 141.97
STATE SURCHARGE MECH(VALUATION) 4.08
FIRESIDE HEARTH&HOME MAIL-IN FEE 2.00
2700 FAIRVIEW AVE
ROSEVILLE,MN 55113 TOTAL 108.05
(651)633-2561 Payment(s)
Minnesota State License#:mech-20512060 CREDIT CARD 4608 108.05
OWNER
Source Land Development Inc.
NORTON,CHRIS
18215 45TH AVE N
STE D
PLYMOUTH,MN 55446-
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 dces
not gant permission for additional or related work which requires separate
permits. AII 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 l80 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections aze
requested in conformance with the State Buiiding Code.This permit may be
revoked at any time for due cause.
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Applicant Permitee Signature Date Issued Signature Date
11-11-'15 12:17 FROM- T-424 P0007/0010 F-760
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/ pAR,CCCY U$$ONLY '.
,�aA fO Ciry of Orono ' . ' , ;. , ,
�y P.O.Box 66 L7aee Ctaceived: ' Permif N
2750 Kallcy PArf:way • �.,�
Crystal 8ay.MN 55323 AppraveQ By: qmount$�'
Ahone(9i2)249-4600 Fax(952)249-4616 �
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�.�Kts�o�.�� CYT'Y'OF URUNO—MECHANICA�,P�R�'iIT �
(All COmmZYCial pzrmits must be approved by the Building pfficial or Inspecror and/or Pire MarshalQ y
G�N'�ltA�;TNFORMATION � y
i. You may apply for mechanical permits by mail or in person at the Cily of�ices. Applications will
be reviowed snd a pormit wili be issued within two working days, t
«. Permit cards will be sent by retum mail after a review is campleted. pE12.MITS ARE NOT
'VAL1T)UNTII.YOC1 Ft�C�IV�A PERMIT. WORK MUST NOT BECIN UNTIL THE
��YtMTT CAYtn rS PAST�D ON TN�JQB SI'I'E.
3. Meohanieai Desiens—Complote calculatians>details and specifications are required for each i
heating,ventilation,humidification-dehumidification,and air conditioning installation including �
heat loas/heat g�stin calculation,dzsign temperatures,equipment raCings and identifcation as to ;
type,manufacturcr and modcl. Data shall be presented on form provided. ;
�. Whea any new construction or rcmodeling is involved,a separate building permit must be
obtained.
5. All work must be donz in accordance with the Uniform Mechanical CoddState Building Codc E
ret�uircmcnts. e
6. All work must bc inspcctcd(rough-in and final). �1!(952)249-4600. E
(2A-A8 hour notice required)
7. Hause Heating Test Record must be subtnitted before final.
, ,: , , TXPE OF PERMiT. .,.
Check A1t That A 1 ) � '
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�sidential ❑Commercial(Approv$1 Requiced)
t�'New: [�'Additional. ❑Rzpairs ❑Replace: �
Job Site/O�ner Information:
Site Address: —.J� � 1 V O��y ' r l`i I � ► �
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Owner:!� "K � Mailing Address; ;
CiCy: Zip; �
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TTome'Phonz�� � l�r �� lU��ll���lternate Phone: j
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Contractor Information; �
Contractor: FIRESIDE HEARTH &HOME Contact Person: Leah
Address: 2700 Fairview Ave N State Bond#:BC662656, M6662572, PC862571
�;�,: Roseville, MN �r�;55113 �xpiration�ate:
Phone: 651-633-2561 Alternate Phone:�eah#651-638-3312
❑ rnsurance—Current:
1
11-11-'15 12:17 FROM- T-424 P0008/0014 F-760
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�';:� �.:1VIE��iAN�CAL`:�SY:ST811iIS':BEY1�G��NSTALT;ED':�:;;'::;';:,:;, ;.�
, ��,
N'ote:All Gcothermal Systems will now require a Site plan 8r�teview by our Buildircg OffiCial. ,
XS THYS GE4TH�RMAL? 0 Yes �No
H�A"Y'IIVG S'YS'T'EMS
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Quantity:
Makc; ,
Model:
Fuel: :
�lue Size:
Input BTUs:
oucpuc�rus:
CFM:
�
COU�,KNG SYST�MS '
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Quantity:
Makc:
Model:
Tons�
T�.1'ower
-FIIZEPLACES �
❑ Gas Factory Fireplace Brand Name: •
❑ Wood Burning Fireplace , \/ �,
❑ WoGd Stove Model.No.: ����.+;:;;,K`����".7 C�Y��� �'��
[] 'Wood:Stove.with Plue/Iviasonry �(�:I���4�i.� •����.y��-
V�NT1r,AT�O1V 'L "" TI� .!�tih�� `
[� No. TCitchen 6xhaust duct recirculating cfm
❑ No. Bath�xhaust(must havc duct outside) cfm �
❑ No. Other Tans: Locations cfm ;
FLfEL STORA�E (Mas[be approved Dy Fire�fawslial!if proposing to nb�ndon tank in pCace.) �
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❑ Installation ❑ Removal f
�uel Oil: gallons ❑ Undtrground ❑lnside ❑Qutsidc
LA Gas: gallons
Othcr:
GAS LINE ONLY
❑ Outdoor Grilf ❑ Other/List What&Where:
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11-11—'15 12:17 FROM— T-424 P0009/0010 F-760
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[] Yes,this section applics �
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The rtplacem�nt of a Residentiai fixturc or annliance thAt rneets all three of the foilpwing requirementS: .
1. oes not requirz modification to electrical or gas servicc. �
�. Has a�L�e�of$500.00 or less;e clx uding thz cost of the fxture or appliance;and
3. Is improved,installcd or roplaced by the hameowner or licensed contractor.
Skip next section,if this applies; Cost of Permit $ L5.00 -
State Surcharge � 5.00
Mail-Tn Fee(!f Applicablc) $ 2.00
TotA��ermit�'Ce $
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si"`sr''L.''�1,1„"i1,DL",;�i��%�r. �;F�r'!�'�.�AV ,�. -;V1JLl�7'.��.(�V�!.!P��0�.00,,;'';.;''.,.,:"r,�;,.::,;.,;�;.y,,�..`��.
[f above does not apply;follow guidellnes btlow:
1, CONTYtACT p�tYC� �is 1:?5%of contwaet price with a(Miaimum�ee of SS0.00) !
(� c" �O .q�l
{ �'�� r..� ;x:o12S$ � � --r:':�.� :.;
�. .... . . . .. �'.
(ConVBct pncp): (minimum SSd.00)' �
2_ STAT�S�1YtC�AYtG� � �
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� ��--' X:000s::$ � —f
'(�O�asct priCe}
3. POSTAGE&HANDLiNG(anly on Mail-In Applications) '$ Z.00 - `
4. TOTAL PERMIT FEE(Add Lincs 1-3 Abo've) $: , �.�E \J �`
■ * CONTRACT PRIC� or J0� C4ST means the actaal ar estimated dollar amount charged for the
permitted wark including materials,labor,profit,and other fixed costs, It is thc amount to be charged
to the customer for the vvork done. If any materi&1,equipment, labor or installations are fttrnished by
the owner,tanant or any othcr parry,the reasottablc markct value of such items must be added to the �
estimated cost or contract price for permit fee purposes. Cn the event that there is a dispute on the
amount of the job cost,the City may request the submission of a signed copy of the actua!cant�•act.
;:�; ;"`: ��.1VIEC NI�A� �t1VIr1:'AP L�CA'T`IOIN:'A� � �T•,°�' :�'� :`''`;,��;�
.�.,>. �A. �;:�� �' lYT�I�C. �;::;::
The undersigned hereby applies to the City for issuance of a Meehanical Permit, agrees to da all
work in strict accordance with the ordinances of the City and the regulations of the State of i
Minnesota, and certifies that all statements made on this application are complete, true and �
CoirCCl. '
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Applicant s Signature: �V��y�� �.Date; `� 1 t C
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' ' BUILDING LEAKAGE TEST
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�� Biower poor Testin�, Inc.
Date of Test: 2/15/2016 Test File: 515 No�th Arm Dr
Customer: Chris Norton Technician: Joe Lewis
Norton Homes Project Number: 015-215
18215 45th Ave N Ste D
Plymouth, MN 55446 Building Address: 515 North Arm Dr
Phone: 612-386-7661 Orono , MN 55356
Test Results
1. Airflow at 50 Pascais: 2047 CFM50
(50 Pa=0.2 w.c.) 1.48 ACH50
2. Leakage Area: 112.6 in2 LBL ELA @ 4 Pa
3. Building Leakage Curve: Flow Coefficient(C)= 161.0
Exponent(n)=0.650(Assumed)
4. Test Settings: Test Standard: RESNET One-Point Test
Test Mode: Depressurization
5. Accuracy Level Standard Level of Accuracy Test
Infiltration Estimates
1. Estimated Average Annual Infiltration Rate:
2. Estimated Design Infiltration Rate:
Cost Estimates
1. Estimated Cost of Air Leakage for Heating:
2. Estimated Cost of Air Leakage for Cooling:
BUILDING LEAKAGE TEST Page 2 of 4
Date of Test: 2/15/2016 Test File: 515 North Arm Dr
Building Information Location Climate Information
Volume 83069 Ventilation Weather Factor
Surface Area Energy Climate Factor
Floor Area Heating Degree Days
Height Cooling Degree Days
#af Bedrooms Design Winter Wind Speed
#of Occupants Design Summer Wind Speed
Year of Construction 2015 Design Winter Temp Diff
Wind Shield M Design Summer Temp Diff
Heating and Cooling Cost and Efficiency Information
Heating Fuel Gas
Heating Fuel Cost
Heating Efficiency%
Cooling Fuel Cost
Cooling SEER
Equipment Information
Type Manufacturer Model Serial Number Custom Calibration Date
Fan Energy Conservatory Model 3 (110V) -
Micromanometer Energy Conservatory DG700
` BUILDING LEAKAGE TEST Page 3 of 4
Date of Test: 2/15I2016 Test File: 515 North Arm Dr
Depressurization Test:
Environmental Data
Indoor Temperature(°F) Outdoor Temperature(°F) Altitude(ft)
--- 22.0 68.0 -- - - 750.0
Baseline Pressure Data
r Baseline 1 (Pa) 0.6
Baseline 2 0.9
Baseline 3 0.9
Baseline 4 1.0
Baseline 5 1.1
Average Baseline(Pa) 0.9
Baseline Range {Pa) 0.5
Data Points-Data Entered Manually
Nominal Baseline Adjusted Fan Nominal Adjusted
Building Pressure Building Pressure Pressure Flow Flow Fan
(Pa) (Pa) (Pa) (cfm) (cfm) Configuration
-50.0 -50.9 121.1 1971 2071 Ring A
Time Averaging Period: 10
Deviations from Standard RESNET One-Point Test-Test Parameters
None
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTIO o CE c�� SCHEDULED � '�
PERMIT NO�y� � �� � ` , COMPLETED
ADDRESS � 4 � ������ �_����1
(� L�. I� '�
OWNER TELEPHONE NO. ���
CONTRACTOR �� S e _ _
� DESCRIPTION ���' "�'�� S �
� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ fv}€CHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING EGt1ANIC:AI FINAL ❑ RATED WALLS
� ❑ INSULATION WOOD BURNER/FIREPLACE ❑ COMPLAINT
� ❑ FINAL WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
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2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
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� ❑ RECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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� CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY
� FORECWERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952� 9-
OwnerfContractor on site:
Inspector.
White Copylinspector's File Canary CopylSfte Notice
� DATE TIME `'
�
CITY OF ORONO • CALLED IN
INSPECTION N IC�_D qSCHEDULED � -- //�
PERMIT NO. ��� �COMPLETED
ADDRESS �l-� � 1����� �
OWNER ' TEL ONE ���✓�'3 a-�O�
CONTRACTOR ��� �
� DESCRIPTION ` � ����/
W ❑ FOOTING ❑ DEMO-FI AL ❑ S FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
y ❑ 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
�4 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
v ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
c�., COMMENTS:
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0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COYERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pHOTO TAKEN
INSPECTOR WILL REfURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION RE(]UIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 hou in adva 249-46��
OwnerlCoMractor on site:
Inspector:
White CopyAnapecMr's File Canary Copy e Notke
,
F" � DATE IME
CITY OF ORONO CALLED IN
INSPECTION TICE,bf��,�.G� SCHEDULED _s���
�ERMIT NO. cOM�LETED
ADDRESS J I.� �� , CTl 1'Yl D '�9--' - ,
OWNER TELEPHON�.NO. ���� � Zg
CONTRACTOR e �
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� DESCRIPTION �l CJ�- � I l�l c�3 j
ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
y ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ LATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
� AL ❑ WATER HOOK-UP
❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
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J ❑ DEMO-SITE ❑ SEPTIC TALL
� OWNERfCONTRACTOR TO MEET YOU:_YES NO
v�, COMMENTS: ���� �' � � �
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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.
Cail for the next inspection 24 hours in advance. � -4600
OwnerlContractor on site:
Inspector.
White Copyllnspector's File Canary CopylSite Notice