HomeMy WebLinkAbout2017-01679 - gas fireplace CITY OF ORONO T I I I 11 11 11111 I1
* 20 1 7 - 0 1 6 79 *
2750 KELLEY PARKWAY DATE ISSUED: 12/29/2017
ORONO,MN 55356-
(952)249-4600 FAX: (952)249-4616
ADDRESS : 1920 FAGERNESS POINT RD
PIN : 17-117-23-23-0031
LEGAL DESC : FAGERNESS
: LOT 027 BLOCK 000
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIREPLACE-GAS
VALUATION : $ 4,560.00
NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION.
(2)HHT 6000CL-IPI-S 45,000 BTU
APPLICANT MECHANICAL 57.00
STATE SURCHARGE MECH(VALUATION) 2.28
FIRESIDE HEARTH&HOME MAIL-IN FEE 2.00
2700 FAIRVIEW AVE
ROSEVILLE,MN 55113 TOTAL 61.28
(651)633-2561 Payment(s)
Minnesota State License#:mech-20512060 CREDIT CARD 4616 61.28
OWNER
DAUM,GEORGE
1920 FAGERNESS PT RD
WAYZATA,MN 55391-
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.
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Applicant Permitee Signature Date Issue:y Signature Date
'12-28—'17 12:45 FROM— 1-348 P0001/0007 F-759
( IVI1 ' r , 6061
390 151PQR OW USF.oN Y .
A, City of Orono J • • �1.] 79
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DatcA*�vort ,- T !..714# ': ...1r'l Parkway t ¢yal Bay,tIN 55323 :�1.ppro�cdlly A•u� Annuun($ W(R t 249 4600 Fax(952)249-46l6 .�'
1.
CITY OF ORONO—MECHANICAL PERMIT
xESHU (All Commercial pennits must be approved by the Building official or inspector and/or Fire Marshall)
:0ENET 'JI, QRM;"TION ., .. ,
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. 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.
TYPE OP Ptgliiir,,
.(CheckAll That Apply) , ..
rtplesidetltial ❑Commercial(Approval Required)
.New ❑Additional ❑Repairs ❑Replace
•Job,'S•ite PND• .O•i Infos mat�oii,
Site Address: 1 'I 7Oc1:(4,,,S1,61____
Owner: M'S Mailing Address: 51/11 f.,alS SIC
City: Ake: / Zip:
Home 41 Z 7o?-94 Alternate Phone:
F -„ ,.iti :..f..•:,,i .•v %,- :; :if,.,'.,..;
4hO GquVo „4t9,xn. :1 � , 0V i'k; i"I'., c? ,ar; • ;
Contractor:
FIRESIDE HEARTH & HOME Contact Person: Leah
Address: 2700 Fairview Ave N State Bond#:BC662656, MB662572, PC662571
City: Roseville, MN zip 55113 Expiration Date:
Phone: 651633-2561 Alternate Phone:Leah#651-638-3312
0 Insurance—Current:
I
12-28-'17 12:45 FROM- 1-348 P0002/0007 F-759
�-S^ �.-.��n r�'-,".gym�/--x /r�c r^'-,. j-, '_y�:'V�">'�.cn�p �^qi �"i..y�{�'t �yTn o.�'Y` � �n7ncc
��z�i .'s. .'...70 t�AR.i%.F1t� h '•F6'A t� `. `.1 ".�'�'4.it �'.}. r �7L Y.�a , ; ti fy, ,`
Note:All Geothermal Systems will now require a Site Plan&Review by our Building Official.
IS THIS GEOTHERMAL? ❑Yes ❑No
HEATING SYSTEMS
Quantity:
Make_ 1 !
Model: j 3
Fuel:
Flue Size:
input BTUs: q5 "
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H.Power
FIREPLACES t r
[Z] Gas Factory Fireplace Brand Name: 1l 4jT
❑ Wood Burning Fireplace
❑ Wood Stove Model No.: CO-OM/L-0-5
❑ Wood Stove with Flue/Masonry
VENTILATION
❑ No. Kitchen Exhaust duct recirculating cfm
❑ No. Bath Exhaust(must have duct outside) cfin
❑ No. Other Fans: Locations cfin
FUEL STORAGE (Must he approved by Fire Alarshall dfproposing lo abandon tank in place.)
❑ Installation ❑ RemovaI
Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside
LP Gas; gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill ❑ Other/List What&Where:
2
12-28-'17 12:45 FROM- T-348 P0003/0007 F-759
,
lam. 5 �� `,`» i t .e]rii, his igoilr i1et Fiffi1.ai ,✓�lki-told '�I :! -Tr t
Ili Yes,this section applies
The replacement of a Residential fixture or appliance that meets all three of the following requirements:
I. 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 $
. •...._
W..0 �i II!�'o$lA401,f,�ft�4:0 .0 -��t-'----:4'1:(14,'S"'iftD B`$ �Vl 'tt j 9 t rOJ'. T,`"';;'A'';.%!
If above does not apply;follow guidelines below:
I. CONTRACT PRICE ' is 1.25%of contract price with a(Minimum Fee of$50.00)
1-15106.-- x.0125$ 57
(Contract price) (minimum S50.00)
2. STATE SURCHARGE
1-5-6,0�
x.0005 $
(contract price)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ CA I
■ * CONTRACT PRICE or 70)3 COST moans 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.
k ,:.,.r .i ."'' 4.f._ C i 5..rV.A01041TrAl_A`R:40;v/11l,i'�'1R0 S�1.1'I.�NI C.�i`1n7y :77 t:It .;.
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 on this application are complete, true and
correct.
Applicant's Signatur, _ Date: ) 7-/Z47' 7
3
INSPECTION NOTICE
DATE TIME
CITY OF Or014 0 CALLED-IN
SCHEDULED
PERMIT NO. ' /7 0/C7,COMPLETED /4r 4
ADDRESS /920 Ayr n44s VT RA.
OWNER/CONTR.
D SITE INSPECTION 0 MECHANICAL RI 0 REINSPECTION
❑CONC SLABS 0 MECHANICAL FINAL 0 FOLLOW-UP
❑FOOTING 0 INSULATION 0 COMPLAINT
❑POURED WALL 0 RATED ASSEMBLY 0 FIREPLACE
❑ FOUND.DRAINAGE 0 BUILDING FINAL 0 SPNLER SYSTEM
❑ FRAMING 0 SEPTIC INSTALL 0
0 SHEATHING 0 SEPTIC FINAL 0
0 PLUMBING RI 0 S&W HOOKUP ❑
0 PLUMBING FINAL 0 GAS LINE MANOMETER 0
C13.' COMMENTS: dicta' "tN T' Co GLrc.ty to Ge
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f uS 4.1'r D
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0
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111
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0
cc FURTHER CORRECTIONS MAY BE REQUIRED 0 PERMIT FINALED
L-1 - WORK SATISFACTORY: PROCEED 0 PHOTO TAKEN
0 ❑CORRECT WORK& PROCEED
U 0 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: (763) 479-1720
Metro West Inspection Services Inc.
Owner/Contr. on site:
Inspector: �.$D 111 t LL
I
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED "2'/� /O:'�()
PERMIT NO.o2-O/7-016, ,CO`MPLETED /J
ADDRESS /9.20 CmcG'�c,u ss i074-
OWNER TELEPHONE NO. 65lr-63-3-�'�
CONTRACTOR i/`e-3i � f���I--
DESCRIPTION //
W ❑ FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL
❑ POURED WALL 0 PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION DRAIN TILE ❑ 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 ❑ COMPLAINT
Q 0 FINAL 0 WATER HOOK-UP 0 FOLLOW-UP
❑ AS BUILT-SURVEY 0 SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
❑ DEMO-SITE 0 SEPTIC INSTALL
2 OWNER/CONTRACTOR TO MEET YOU:_YES NO
col• COMMENTS: // � �/
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a Gis `irt..q, 0-14Z0-14Z /YgNv 1/yt et�e� G9/
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CC
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Aa' ,.'4140
im0 WORK SATISFACTORY:PROCEED .' 9JECT COMPLETE
W ❑CORRECT WORK&PROCEED 0 ISSUE CERTIFICATE OF OCCUPANCY
(:=10 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
c„) BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
0
❑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_ 9 /
White Copyllnspector's File Canary Copy/Site Notice