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HomeMy WebLinkAbout2015-00400 - fireplace - gas t d CITY OF ORONO liiiiiiiiiiiiiiiiiiiiillillillillillillilliiiim 215 - 00400 * 2750 KELLEY PARKWAY * DANE ISSUED: 04/09/2015 ORONO,MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 581 NORTH STREAM RD PIN : 25-118-23-34-0005 LEGAL DESC : NORTH STREAM : LOT 002 BLOCK 001 PERMIT TYPE MECHANICAL(>$500) PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 10,254.15 NOTE: GAS FIREPLACE-HHT-PIER-36TR-IPI APPLICANT MECHANICAL 128.18 STATE SURCHARGE MECH(VALUATION) 5.13 FIRESIDE HEARTH&HOME MAIL-IN FEE 2.00 2700 FAIRVIEW AVE TOTAL 135.31 ROSEVILLE,MN 55113 (651)633-2561 Payment(s) Minnesota State License#:mech-20512060 CREDIT CARD 4608 135.31 OWNER LARSON,DAVID&JANIS 581 NORTH STREAM 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. � Lf / !/ Applicant Pehrfit6e Signature Date Issued y Signature Date 04-08-'15 16:28,.��Ft^ROM- T-712 P0004/0007 F-875 V�'� - City of Orono j-� P.O.Box 66 Date Itot aiait 4� 2750 Kelley Parkway :::;' Crystal Bay,MN 55323 Approvedtiwa Phone(952)249-4600 Fax(952)249-4616 ti A �wr' CYT'Y'00OIRON'O—MECHANICAL 1pE1i21VCtT 'rP5 Hr3 (All Commercial permits must bo approved by the Building Official or Inspcotor and/or Fire Marshall) s GIRNEM INFORMA.TOON 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. PBRMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. 'WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE 3013 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. t 6. All work must be inspected(rough-in and final). Call(952)249-4600. t (24.49 hour notice required) 7. House Heating Test Record must be submitted before final. • •T'Y'PE:O�'��klV1IT• .. .. :. ..• Cliebk.Al1'T11.�fA 1 . esidential ❑Commercial(Approval Required) ❑New M4dditional ❑Repairs ❑Replace ' Sob Site/Owner 10forination: Site Address: + '�►�Y^��'( � .�T �- � a. C Owner: �� � Mailing Address: City: zip: i Homc? n'§;l lZ�`"1�`"�" t Z� I Alternate Phone: i Contractor information:HEARTH &HOME Contractor: dba FIRESIDE HEARTH&LOGIES HOMSCOntact Person: 1 tq--_� [J�J[ylX✓ ~ " tic BC662656 Address: 2700 FAIRVIEW AVENUE N State Bond#: City: 651.633.75151Expiration Date: Phone: Alternate Phone: ❑ Insurance-Current: 1 04-08-'15 16:29 FROM- T-712 P0005/0007 F-875 Note:All Geothermal Systems will now require a Site plan&Review by our Building Official. IS THIS GEOTHERMAL? Ll Yes []No HEATING SYSTEMS s Quantity: Make: Model: Fuel: Flue Size: Input BTUs: Output BTUS: CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: f t H.power f FIREPLACES Oras Factory Fireplace Brand Name: © Wood Burning Fireplace C r . ❑ Wood Stove Model No.; T ❑ Wood Stove with Flue/Masonry i VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfm ❑ No. Bath Exhaust(must have duct outside) cfm ❑ No. Other Fans: Locations cfm i i FULL STORAGE I(Must be approved by FYne Marshall if proposing to abandon tank in place.) i ❑ installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside LP Gas; gallons Other: GAS LINE ONLY ❑ Outdoor Grill ❑ Other/List What&Where: 2 04-08—'15 16:29 FROM— T-712 P0006/0007 F-875 MEN= I= M= s Yes,this section applies i F The replacement of a Residential fixture or appliance that meets all three of the following requirements: I. Does ngi require modification to electrical or gas service. s 2. Hasa total cost of$500.00 or less;excluding the cost of the fixture or appliance:and f 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 $ If above does not apply;follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) to -5q, x.0125$ ��1 (CoAtract price) (minimum$90,00) 2. STATE SURCHARGE I 0 n 1 JL 1 x.0005 $ 7 oonvact price) 3. POSTAGE cit.HANDLING(Only on Mail-In Applications) $ 4. TOTAL PERMIT FEE(Add Lines 1.3 Above) $ ■ 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 E 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.Rg 'r 3� 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. 1 Applicant's Signature: Date: 3 CITY OF ORONO CALLED IN DATE TIN� INSPECTION I SCHEDULED PERMIT NO. ' ' COMPLETED � � A W� ADDRESS— OWNER DDRESSOWNER TE PHONE O. Cll4 (A1)_70`LfG6 CONTRACTOR S�4 — DESCRIPTION lr\oj R W ❑ FOOTING ❑ DEMO-FINAL ❑ R FMdAL� '�`fQU Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O [_1FOUNDATION WATERPROOF [__1PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP 2 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL v ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL Z OWNEWCONTRACTOR TO MEET YOU:_YES—NO Zn COMMENTS: CC L" VE-1cc ht `K S /�G✓ �,peG 5 392G W cc Q z ✓ Sc4/ � .aG/"t�c✓ �oltr /n. Y�/��c.eL !/�rtZ` W z W Cr Z) d W ❑WORK SATISFACTORY:PROCEED ROJECT COMPLETE az ❑CORRECT WORK&PROCEED ❑1 UE CERTIFICATE OF OCCUPANCY W Q ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN INSPECTOR WILL RETURN ❑ STOP ORDER POSTED.CALL INSPECTOR 11 CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 ip advance. (952) 249-4600 Owner! ntractor on site: Inspector. i �— White CopylInspector's File Canary Copy/Site Notice DATE TIME J \CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED5I P__4 –9�— PERMIT NO. COMPLETED ADDRESS 15D-/_tj. : S P aan OWNER TELEPHONE NO.CPS l-1053_mt CONTRACTOR DESCRIPTIO a S �- !'l2 '�'r Tes 7' W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING y ❑ FOUNDATION WATERPROOF RIMMBJ G FIN ❑ TREE REMOVAL Z ❑ RADON SLAB MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ L FINAL ❑ PROGRESS ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT v ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SE ERJ HOOK-UP ❑ HARD COVER REMOVAL❑ DEMO-SITE ❑ PTIC INSTALL ❑ FOUNDATION/REMOVAL Z OWNERICONTRACTOR TO MEET YOU: YES_NO COMMENTS: - Wbb C J O O W cc Q 2 W W cc j d W ❑WORK SATISFACTORY:PROCEED ❑PROJECT COMPLETE cc ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY C1 BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WILL RETURN ❑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. White CopylInspector's File Canary Copy/Site Notice Sk 1� ' D TIME CITY OF ORONO CALLEDIN INSPECTION NOTICE /}fX)(�SCHEDULED S-e�.]/ O' PERMIT NO.S'�-�✓`�� � +w COMPLETED ADDRESS ��` Al. ✓�� - i TELEPH NE NO. oZ 3. -27 CONTRACTOR - DESCRIPTION Q ai . W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING C ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT v ❑ WATER HOOK-UP ❑ FOLLOW-UP Z�4 LJ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL �j ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATIONIREMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO COMMENTS- xo Al(&AzG d � 6V �� G 4 Wor K Cr)!!!tD(cte 0 W Qa Q W j W 0 WORK SATISFACTORY:PROCEED 04-PROJECT COMPLETE cc 0 CORRECT WORK&PROCEED O ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY C1 BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p PHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR 0 CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. all for the next Inspection 24 hours in advance. (952) 249-4600 ctor on site: le 4� nspector. �^^ White CopyAnWecWs File Canary CopylSite Notice