HomeMy WebLinkAbout2017-01361 - gas fireplace • CITY OF ORONO ! L !Ø II Ih II IIS IIS 311 6 III *
2750 KELLEY PARKWAY DATE ISSUED: 10/20/2017
ORONO,MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 765 BRIDGEWATER DR
PIN : 33-118-23-12-0090
LEGAL DESC : STONEBAY SEVENTH ADDITION
: LOT 3 BLOCK 1
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIREPLACE-GAS
VALUATION : $ 1,890.00
NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION.
GAS FACTORY FIREPLACE
APPLICANT MECHANICAL 50.00
STATE SURCHARGE MECH(VALUATION) 0.95
FIRESIDE HEARTH&HOME TOTAL 50.95
2700 FAIRVIEW AVE
ROSEVILLE,MN 55113 Payment(s)
(651)633-2561 CREDIT CARD 4616 50.95
Minnesota State License#:mech-20512060
OWNER
Wooddale Builders Inc
6117 BLUE CIRCLE DR
UNIT#101
MINNETONKA,MN 55343-
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 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
10-17-'17 14:01 FROM-
T-972 P0004/0007 F-347
FOR CrrY USE ONLY
City of Oronolit .
IN
j.-� P.O.Box 66 Date Received: Permit#
// 2750 Kelley Parkway . . i
Crystal Bay,MN 55323 Approved By: Arnot nt$:
Phone(952)249-4600 Fax(952)249-4616
e�� W.
CITY OF ORONO—
snO (All Convncrcia! MECHANICAL PERMIT
permits must be approved by the Building Official or Inspector and/or Fire Marshall)
GENERAL'xNFORMATION -
1. You may apply for mechanical permits by mail or in person at the City offices. Applications will
be reviewed and a permit will be issued within two working days.
2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT
VALID I ffm,YOU RECEIVE A PERMIT. WORD MUST NOT BEGIN UNTIL TETE
PERMIT CARD IS POSTED ON THE JOB SITE. I
3. Mechanical Designs—Complete calculations,details and specifications are required for each !
heating,ventilation,humidification-dehumidification,and air conditioning installation including
heat loss/heat gain calculation,design temperatures,equipment ratings and identification as to
type,manufacturer and model. Data shall be presented on form provided.
4- When any new Construction or remodeling is involved,a separate building permit must be
obtained.
5. All work must be done in accordance with the Uniform Mechanical Code/State Building Code
requirements.
6. All work must be inspected(rough-in and final). Call(952)249-4600.
(24-48 hour notice required)
7. House Heating Test Record must be submitted before final. j
l
TYPE OF PER�VLIT j
.: . (Check All That Apply) :
AIKI§§ Dr;,'.ffrar . rid:)
Alta 1:17, ,!'''." 4 nobs EMU
Y.615 Site/.6wrier Informatiori�� ige� ` . #
t _7(a5r Drive.
fi=r' \o° - ., - (3(41i M r> � �yy(,'(�'JG/r AGC f)j
I
H /�omo @ J 5 Z 3`1T-Os V3 Alternate Phone:
1
Contractor Information:
I
Contractor: FIRESIDE HEARTH&HOME Contact Person: fek'r W i
Address: 2700 Fairview Ave N State Bond#:BC662656, MI3662572, PC662571
City: Roseville, MN Zi :55113 I
_ p Expiration Date:
Phone: Alternate Phone:
651-633-2561Ul c I—"Co K-736(0 f
ID Insurance—Current: i
I
i
i
I
, 10-17-'17 14:01 FROM- T-972 P0005/0007 F-347
MECHANICAL SYSTEMS BEING INSTALLED
Note:All Geothermal Systems will now require a Site Plan&Review by our Building Official.
IS THIS GEOTHERMAL? ❑ Yes ❑No
HEATING SYSTEMS
Quantity;
Make:
Model:
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
Ii.Power
(F[REPI AC )
has �foxy'I�treplaQ4�.. rand-Nam4:) _' � r-,-..,j(3777:—
H
WQod 0t0i T�ir'eplace)Wood$tOve vlodel No.,: -1-1,77 ,77.7.,)
C] Wood Stove;with ?lue/Masonry)
VENTILATION
❑ No. kitchen Exhaust duct recirculating efm
El No. Bath Exhaust(must have duct outside) cfm
❑ No. Other Fans: Locations cfm
FUEL STORAGE (Must be approved by Fire Marshall if proposing to abandon tank in place.)
❑ Installation ❑ Removal
Fuel Oil: gallons [] Underground ❑Inside ❑Outside
LP Gas: gallons
Other:
GAS LINE ONLY
El Outdoor Grill ❑ Other/List What&Where:
2
10-17—'17 14:02 FROM— T-972 P0006/0007 F-347
PERMIT FEE CALCULATION'($)
BASED OFF-2002 STATE STATUE
❑ Yes,this section applies
The replacement of a Residential fixture or appliance that meets all three of the following requirements:
1. Does net require modification to electrical or gas service.
2. Has a total cost of$500.00 or less;excluding the cost of the fixture or appliance:and
3. Is improved,installed or replaced by the homeowner or licensed contractor.
Skip next section,if this applies; Cost of Permit $ 15.00
State Surcharge $ 5.00
Mail-In Pee(If Applicable) $ 2.00
Total Permit Fee $
PERMIT FEE CALCULATION(S)'—JOBS.OVER$500.00
If above does not apply;follow guidelines below:
1. CONTRACT PRICE is 1.25%of contract price with a(Minimum Fee of$50.0U)�
11Xt V 6i.025
ntraG�rice� 6i 025 �mumQ$s 50.
0p
~)
(t*Api
2. STATE SURCHARGE
,,rci0.
3. POSTAGE&HANDLING(Only on Mail-In Applications) ($) W `m' j
4. TQTAI.PERMIT FEE(Add Lines 1-3 Above)
77
• * 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. It is the amount to be charged
to the customer for the work done. If any material,equipment, labor or installations are furnished by
the owner,tenant or any other party,the reasonable market value of such items must be added 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 request the submission of a signed copy of the actual contract.
MECHANICAL PERMIT APPLICATION AOREEMENT
The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all
work in strict accordance with the ordinances of the .ty and the regulations of the State of
Minnesota, and certifies that all statements made t.his application are complete, true and
correct.
Applicant's Signature: / � 7
�ate:�
3
� ----. DATE TIME \/
CITY OF ORONO CALLED IN
INSPECTION NOTICSCHEDULED /6 --•-2S] i?
; O
PERMIT NO.c- 01 /( U l 3(4 j COMPLETED
ADDRESS 76S gri v=,0
OWNER TE/LEPHONE NO. �1�. 3�- 3 3 L2
CONTRACTOR ri!'e>I _ Het,,I-A 4,/i -1&064-
DESCRIPTION !� �`.
W ❑ FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL
Q ❑ POURED WALL 0 PLUMBING RI ❑ EXCAV/GRADING/FILLING
❑ FOUNDATION WATERPROOF 0 PLUMBING FINAL El REMOVAL
O
❑ RADON SLAB 0 MECHANICAL RI ❑ SITE INSPECTION
Q 0 FRAMING 0 MECHANICAL FINAL ❑ RATED WALLS
is. ❑ INSULATION ❑ WOOD BURNER/FIREPLACE 0 COMPLAINT
Q 0 FINAL El WATER HOOK-UP 0 FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
.1 ❑ DEMO-SITE 0 SEPTIC INSTALL
2 OWNER!CONTRACTOR TO MEET YOU:_YES NO
ti COMMENTS:
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a. Ire 4b/,�f G/ezvQ"t1-t e-.5 - OK
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W 0 WORK SATISFACTORY:PROCEED 0 PROJECT COMPLETE
IX
,ORRECT WORK&PROCEED 0 ISSUE CERTIFICATE OF OCCUPANCY
IL
QO ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
O CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
O STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on site:
Inspector. L9 / rv--,
White Copyllnspector's File Canary Copy/Site Notice
' ` ...-
iLa
'•,/ DATE TII/E i
CITY OF ORONO CALLED IN
INSPECTION NOTIAE ` SCHEDULED c2 -S=/ 9 - 3 0
PERMIT NO.(2C// /- d I310/► COMP,}_ETED
ADDRESS -7‘1 S 11/:rf �e4 4e ,--
OWNER ELEPHONE NO. 'S"6'- 1O/Z)
CONTRACTOR / /' 3)C 5���`'�- / I
i DESCRIPTION ---/fPii....424,❑ FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL
Q ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING
Q ❑ FOUNDATION DRAIN TILE 0 PLUMBING FINAL 0 TREE REMOVAL
❑ LATHE 0 MECHANICAL RI 0 SITE INSPECTION
Q 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS
• ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT
Q ❑ FINAL 0 WATER HOOK-UP 0 FOLLOW-UP
❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL
v ❑ DEMO-SITE 0 SEPTIC INSTALL
2 OWNER/CONTRACTOR TO MEET YOU:_YES_NO
c• COMMENTS:
IQ
Fbilts4 as Apiece,' fie.v ,S Pts '
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COkie/ //� / , AOi / �s ,ur
,e 4
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z `tla(I_ p,J rs 46
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IQcc "tvvoi- --4---,idetc*Ig‘u4 0 WORK SATISFACTORY:PROCEED ROJECT COMPLETE
EED 0 ISSUE CERTIFICATE OF OCCUPANCY
CI 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
✓ BEFORE COVERING • PERMANENT
0 CORRECT UNSAFE CONDITION WITHIN HOURS. 0 PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on site:
Inspector. '/i.,
White Copy/Inspector's File Canary Copy/Site Notice