HomeMy WebLinkAbout2017-01492 - gas fireplace CITY OF ORONO I 1 I I I U 11 I I 111
* 20 1 7 - 0 1 492 *
2750 KELLEY PARKWAY DATE ISSUED: 11114/2017
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 510 DEBORAH DR
PIN : 31-118-23-23-0006
LEGAL DESC : MCCULLEY FARM
: LOT 003 BLOCK 002
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIREPLACE-GAS
VALUATION : $ 4,996.00
NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION.
GAS INSERT AND GASLINE
APPLICANT MECHANICAL 62.45
STATE SURCHARGE MECH(VALUATION) 2.50
FIRESIDE HEARTH&HOME MAIL-IN FEE 2.00
2700 FAIRVIEW AVE
ROSEVILLE,MN 55113 TOTAL 66.95
(651)633-2561 Payment(s)
Minnesota State License#:mech-20512060 CREDIT CARD 4616 66.95
OWNER
WELTY,CHRISTOPHER&PATRICIA
510 DEBORAH DR
MAPLE PLAIN,MN 55359-
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.
' r
// i 7///7
Applicant Permitee Signature Date Issue*, Signature Date
11-13-'17 15:30 FROM- T-133 P0001/0004 F-524
3 6(pCOW —WOO
OR T`YtJ§E ONLY
Ci of Orono
City ?D/7—D/0
ak/N P.O.Box 66 Date Red i tyg: Permit# �l
�./ 2750 Kelley Parkway
Crystal Bay,MN 55323 Approved By; Amount$;
} Phone(952)249-4600 Fax(952)249-4616
A
o"��k s tt o�� CITY OF ORONO—MECHANICAL PERMIT
(All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall)
GENERAL-INFOR11 IXTION
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 UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Mec anical 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.
TYPE OF PERMIT
(Check All That Apply)
Agate ❑tWAC-agar
Job Site/Owner Information:
COMM 1 5-1° Delo cry-a,k D r;
4. a C1 Qlxgg; 90i a- S�=�
fera. _71
VaPil
Horns �? ; ;„ G' L['7�j " /Dc Alternate Phone:
Contractor Information:
Contractor: FIRESIDE HEARTH & HOME Contact Person:
Address: 2700 Fairview Ave N State Bond#:BC662656, MB662572, PC662571
City: Roseville, MN zip:55113 Expiration Date:
Alternate Phone Phone: 651-633-2561 2
�ll �
JO 133b
❑ Insurance-Current:
11-13—'17 15:30 FROM— 1-133 P0002/0004 F-524
'MECIIANICAL: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:
H.Power
CI I`I Ep- . R 66'5 1/1Y4v€—
7, 11,s ,r, 1, . l�j o ' 4 e0 s Y Y YJ I'
H willtteiii ..! ..
FIR.W.X.i) F.W.V/Vderrt.';',. . '''' "rt.:'..,FFT I)
❑ . r:-.44 7.7 77.7777,7,177771
4tai'.,e:v�cil .1X4 111 o N)
VENTILATION
El No. Kitchen Exhaust duct recirculating cfin
❑ No. Bath Exhaust(must have duct outside) cfm
❑ No. Other Pans: Locations cfm
FUEL STORAGE (Must be approved by Fire Marshall ifproposing to abandon tank in price.)
❑ Installation f Removal
Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill ❑ Other/List What&Where:
2
11-13-'17 15:30 FROM- T-133 P0003/0004 F-524
PERMIT FEE CALCULATION(S).
EASED OFF: 2002 STATE STATUE -
❑ Yes,this section applies
The-replacement-ofa-Residential-fixture-orappliance that-meets-all three of the-following-requirements:
L Does not 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 Fee(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
ctt p �
price with a(Minimum Fee of$50,0.4
14
2. STATE SURCHARGE L q q �j tj Q
iNh{. li
teg
3. POSTAGE&HANDLING(Only on Mail-In Applications) a
5- q, i;;;,<�;,%�.
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) ;�.�r,:Eei:,d r, ;� :` p:.:sPr.:
« * 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 AGREEMENT
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 City and the regulations of the State of
Minnesota, and certifies that all statements made o his application are complete, true and
correct.
/ ".
9
�. 1/—13 /T7
Applicant's Signature: te
3
TIME
CITY OF ORONO CALLED IN
7�p i /7
INSPECTION N TICE I/4/ HEDULED / !&' !7 /D. 0-0
PERMIT �NO. � 2)/ - COMPLETED .
ADDRE ` ,576 - /-(01W"-e--
OWNER i,r/ .: a ,I - - ONE NO.956) 2,94/-
CONTRACTOR Le_
DESCRIPTION 2 ?_4 I e...t -aii
4...k
W ❑ FOOTING 0 DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING
O ❑ 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
1, ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT
Q FINAL 0 WATER HOOK-UP 0 FOLLOW-UP
W 0 AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL
v ❑ DEMO-SITE 0 SEPTIC INSTALL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
• COMMENTS:
W L /) . '
a.
CC
,p
CC
c if l(*'i(L f�ia�4' —
O
W
CC
Q
2
W
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prW ❑WORK SATISFACTORY:PROCEED gOJECT COMPLETE
CCW
0 CORRECT WORK K PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
tZ 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN
INSPECTOR WILL RETURN
D 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. r/frt. 70—
WhiteCopyllnspector's File Canary Copy/Site Notice
DATE TIME /
CITY OF ORONO CALLED IN /1 -/7
INSPECTION NOT CE HEDULED //-€A7/7 :30
PERMIT NO. 17�l COMPLETED
ADDRESSnn 377 .. e�i` -A-GL i ��
OWNER eia 95)-4'7 TELEPHONE NOA '3g."33i-2--
,aoj ''Q& - 4s ate- 364
CONTRACTOR -
GQi Y
DESCRIPTION
t.0 ❑ FOOTING 0 DEM -FINAL 0 SEPTIC FINAL
Q ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING
Q ❑ FOUNDATION DRAIN TILE 0 PLUMBING FINAL 0 TREE REMOVAL
• 0 LATHE 0 MECHANICAL RI 0 SITE INSPECTION
• 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS
1., ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT
Q ❑ FINAL 0 WATER HOOK-UP 0 FOLLOW-UP
W ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL
Z
v ❑ DEMO-SITE 0 SEPTIC INSTALL
2 OWNER/CONTRACTOR TO MEET YOU:_YES_NO,
2 4>;COMMENTS: K ‘ r. A l-1 S e_rt- i", e.c t5fii•1 s •
cc
Lai
a. r,1Os. 0/01 . — v'eAA *? or-- my CAort ney' O4 -
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z10 Pert fr Plessy't 490A.46,ty ��' rtes
z yes value- -I '?(Q ce .r ,rl e.J9P —
CC gest e4.,..5 de- - care<<e i d 4-
a '4,1','5 / .- 5Ts
W CI WORK SATISF ORY:PROCEED ❑ PROJECT COMPLETE
UJCC XCQBRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
✓ BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
0 INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on site:
Inspector. 9 , L '564—
White Copyllnspector's File Canary Copy!SIte Notice
r LEGEND www.legendvalve.com
r 1-800-752-2082
SUBMITTAL SHEET
JOB NAME ITEM TAG
JOB LOCATION PART NUMBER
CONTRACTOR DATE
ENGINEER APPROVAL DATE ! ,.-
,
FULL PORT BALL VALVE" -
T/S -1002,1-100251,T 1002LD and T 1002STLD
Durable forged brass body
Bottom-loaded,Teflon*isolated,blowout-proof stem •Conforms to MSS SP-110 0 ANSI Standard Z21.15 for
Teflon*seats and stem packing •Factory Mutual approved use as gas appliance
Adjustable gland follower stem design for fire protection service connector valve for 1/2 Ib.
systems(1/2"to 2")
T/5-1002: (1/2"to 2")
304 stainless steel handle and handle nut available(sold separately) •Threaded ends comply with o CSA Certified 3-88 for use in
Available in nominal sizes: 1/4"to 3"FNPT and 3/8"to 3"Sweat ANSI/ASME B1.20.1 2 or 5 lb house piping
T 1001ST: systems(1/2"to 2")
•Sweat tubing ends comply °ANSI/ASME B16.33 for use
304 stainless steel ball and stem are stronger than forged brass;An with ANSI/ASME B16.18 in gas piping systems up to
ideal feature for heavy use,frequent operation applications •Manufactured in an ISO 9002 125 PSIG(1/Z to 2")
304 stainless steel handle and handle nut available(sold separately) accredited facility
Available in nominal sizes:1/2"to 2"FNPT •UL Listed 2J73 for LP,natural
T-1002LD: •CSA Certified for use with and manufactured gases;
natural,manufactured or flammable liquids;No.6 oil at
Latch-lock handle with 0.30"diameter hole,accepts padlocks with mixed liquid petroleum and 250 degrees F(1/2"to 2"0 )
standard 9/32"diameter shackles or lockout tongs(not included). LP gas/air mixtures:
Lockable in the full-open or full-closed positions
Available in nominal sizes: 1/4"to 2"FNPT ,. 4,
T-1002STLD: Working Pressure,Non-Shock IPSO c us
Includes all of the features listed above Cold working pressure(CWP): 600 p.s.i.
Available in nominal sizes: 1/2"to 2"FNPT Saturated steam(WSP): 150 p.s.i.
MATERIAL SPECIFICATION 1
PART MATERIAL SPECIFICATIONh- IP-
1 Handle nut Steel AISI 1010 ':2
2 Handle Steel ASTM A283 Class D
/ -_. •
3 Packing nut Forged brass ASTM B16 UNS C36000 3 I,�It
�w�� I
4 StempackingPTFE DuPont Teflon
5 Stem Forged brass ASTM B16 UNS C36000 C Vfl __ B
steel**6 Body Forged brassASTM8124UNS C37700
7 Seats 121 PTFE DuPont Teflon* I■I fl III i
8 Ball Chrome plated forged brass ASTM B124 UNS C37700 IIIIIMMIN
304 Stainless steel** AISI Type 304
9 End adapter Forged brass ASTM B124 UNS C37700 -,... �.-�i Pictured
10 Latch lock*** Steel ASTM A283 Class DT-1002
11 Lockplate*** Steel ASTM A283 Class D �6J'7)! Cut away
*Teflon is a registered trademark of DuPont Hi -A-
**These components are present on the T-1001ST and T-1002STLD models only
***These components are present on the T-1002LD and T-1002STLD models only (i)
DIMENSIONS Alpccl B C o CV" D _I
Size - - / 1
1/4" 1.81 1.46 0.39 3.31 6.50 ( ' �I • l
3/8" 1.81 1.62 1.46 0.39 3.31 6.50 v�'�--ill'
" t '
1/2" 2.17 1.93 1.54 0.50 3.31 10.00 ��_ �i : re-1_6_
3/4' 2.52 2.76 1.97 0.79 4.65 26.00 _--,75 -i ::.'I-
1" 2.99 3.31 2.13 0.98 4.65 48.00 'r _. - -
1-1/4" 3.43 3.78 2.60 1.26 5.28 70.00 - I + C II - t
1-1/2" 3.66 4.30 2.76 1.50 5.28 105.00 ;
2" 4.33 5.32 3.46 1.97 7.88 200.00 ., _ . 1 -- Pictured
2-1/2' 5.16 6.22 3.86 2.50 7.87 380.00 --‘ .r T 1002LD
3" 5.91 7.17 4.17 3.00 7.87 520.00 is}�T1rg(9� Cut away
*The Cv Factor is the gallons of water per minute passed through the valve with
-
a 1 psi pressure drop. -----_____ A _,