HomeMy WebLinkAbout2017-00223 - gas fireplace ¢ A 1
CITY OF ORONO
*
2750 KELLEY PARKWAY * 2 0 1 7 - 0 0 2 2 3
DATE ISSUED: 03/09/2017
ORONO,MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 500 OLD CRYSTAL BAY RD S
PIN : 04-117-23-42-0029
LEGAL DESC : CRYSTAL BAY RETREAT
: LOT 1 BLOCK 1
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIREPLACE-GAS
VALUATION : $ 1,259.00
NOTE: ALL TESTING REPORTS SHALL 1$E ON SITE AT FINAL INSPECTION.
HHT GAS FACTORY FIREPLACE
APPLICANT MECHANICAL 50.00
STATE SURCHARGE MECH(VALUATION) 0.63
FIRESIDE HEARTH&HOME MAIL-IN FEE 2.00
2700 FAIRVIEW AVE
ROSEVILLE,MN 55113 TOTAL 52.63
(651)633-2561 Payment(s)
Minnesota State License#:mech-205120E 0 CREDIT CARD 4616 52.63
OWNER
MERZ, BRIAN&KATIE
2412 BLACK LAKE RD
SPRING PARK,MN 55384-
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 gove ing this type of work
shall be compied with whether or not specified herei .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 nspections are
requested in conformance with the State Building Coe.This permit may be
revoked at any time for due cause.
14_ 3-, 9 / /7
Applicant Pehnitee Signature Date Issued B ignature Date
03-08-'17 13:33 FROM- T-906 P0001/0004 F-096
37112.6/P17(--e00(
F Y USE ONLY ]]��
�,�� /� P,O Box of 66 Orono Date I'7 Permit ll CRO l Z �viRY
V 2750 Kelley Parkway /_�
Crystal Bay,MN 55323 Approved By: Amount ��S: # 125
Phone(952)249-4600 Pax(952)249-4616
lA� o�� CITY OF ORONO—MECHANICAL PERMIT
s ti (AU Commercialrmits must be approved pproved by the Building Officiator Inspector and/or Fire Marshall)
GENERAL INFORMATION
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*ill 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/heatain 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)
,Residential ❑Commercial(Approval Required)
XNew 0 Additional ❑Repairs ❑Replace
Job Site/Owner Information:
Site Address: 500 Old Cr Sh( 4J as� leo ea
� y
Owner: A)ems fr ) *tL5 Mailing Address: f Z I. 1/61-4
City: -PI y, , ,f t, Zip: 55L/q(,
Home Phone: - 17P'- 55'9-Orli Alternate Phone:
Contractor Information:
Contractor: FIRESIDE HEARTH& HOME Contact Person: / 1
Address: 27001 Fairview Ave N State Bond#:BC662656, MB562672, PC662571
City: Rose'ille, MN Zip:55113 Expiration Date:
Phone: 651-633-2561 Alternate Phone: (051-'3 g"--336 La
❑ Insurance—Cun-ent:
1
03-08—'17 13:33 FROM— 1-906 P0002/0004 F-096
. . . . . 1VICHt NICA1.._ 'Y'S tl's.AORINO:TOST.AI)105.-::. ,: `:.:
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 Site:
Input BTU's:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H.Power
i
FIREPLACES
Gas Factory Fireplace Brand Name: /yg-7--
Wo Burning Fireplace
❑ Woo Stove Model No.: eS L-7
O Woo Stove with Flue/Masonry
VENTILATION
❑ No. 1 Kitchen Exhaust duct recirculating cfm
❑ No_ Bath Exhaust(must have duct outside) cfm
❑ No. Other Fans: Locations cfm
FUEL STORAGE ( st be approved by Fire Marshall If proposing to abandon tank in place)
❑ Instal ation ❑ Removal
Fuel til: gallons ❑ Underground 0 Inside ❑Outside
LP Gas: gallons
Other:
GAS LINE ONLY
O Outdopr Grill ❑ Other/List What&Where:
2
03-08—'17 13:33 FROM— 1-906 P0003/0004 F-096
.;�. X'�,;p'., .:0..,'�. T.I. N $..
;i' �;�1'. 7'':�'. :•s r ��...}� f, .i, c •:'e5..`.(!P:r Bj
�`B i n.oi 20 2, xA $ ,. ;,',
r
0 Yes,this section applies
The replacement of a.esidcntial fixture or appliance that meets all three of the following requirements:
1. Does not require modification to electrical or gas service.
2. Has a tot4l cost of$500.00 or less;excluding the cost of the fixture or appliance:and
3. Is improo ed,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 $
•
. 1ERNOPPEE:CAI,001:iA,1014 S i'.Q$ QV 0 S 0 0. s:"
If above does not apply;follow guidelines below:
1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00)
/)1Z.5.9 x.0125$ 50 .40
(contract price) (minimum$50.00)
2. STATE 4URCHARGE 112 5.
• (p 3
x.0005 $ .
!(contract price)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $
b4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $
5a
• * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the
permitted work ine$uding materials,labor,profit,and other fixed costs. It is the amount to be charged
to the customer fotf 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.
•
. .`� :c ?,::':> :'1;.I. .ts
.9H.aSIIGA:, 'I:ER1ytT.VAPp)YO.A1'TON'AG12EE1VIF1NT:!;:`;'a ':�: ::V ;:
The undersigned herby 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 Signature: , --��`-- Date: C ( 7
3
.�7,3
DATE TIME
CITY OF ORONO I CALLED IN 3--2-.01-7
INSPECTIONOTICE� SCHEDULED -3-Z/- /7 3•'
PERMIT NO.09/7 030/, CMP ED
ADDRESS v�D ed ' ,-- e ..5--
OWNER TE HONE NO
CONTRACTOR d-e" J /f 7 i
DESCRIPTION Ij /L_//JI - L
tFOOTING 0 E EMO-FINAL -❑ SEPTIC FINAL
4.3 ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING
O 0 FOUNDATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL
❑ RADON SLAB 0 MECHANICAL RI 0 SITE INSPECTION
Q 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS
• ❑ INSULATION ❑ W`IOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL 0 WATER HOOK-UP 0 FOLLOW-UP
W ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL
v ❑ DEMO-SITE 0 SEPTIC INSTALL
2 OWNER/CONTRACTOR TO MEET YOU: YES_NO
y COMMENTS:
4 V�� 61 , i
(l/ CIed"owed -- Oft
C $e.4l et Jbt..) fio/&4.)-- _ /Crl ✓.c'4
ct /A, bGs140c-cA4s e_
o Lam,
4. ,rt vul0i 4' /r -lG 4, .� 16"--S ----'
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e:
441 ❑WORK SATISFACTORY`.PROCEED ❑PROJECT COMPLETE
W t reORRECT WORK&PROCEED
CI ISSUE CERTIFICATE OF OCCUPANCY
CI 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COWERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. 0 PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR 0 CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARKS NGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on site:
Inspector: 9//;.e:1(
White Copyllnspsctor's File Canary Copy/Site Notice
i
LI/T J
CI I T OR ORONO CALLED IN 1- 5H._..)--- ------ 4.iL--IDAT TIME
INSPECTION OTI E ]]]zz SCHEDULED Q17 /e:%&)
PERMIT NO 0/ -'alai✓ COMPLETE
ADDRESS 5 ad s td s
OWNER LEP ONE NO. ('f-�3g /L
CONTRACTOR ' ,
DESCRIPTION RE -Q ' /
41E ❑ FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL
Q ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING
- 0 FOUNDATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL
IQ Z ❑ RADON SLAB 0 MECHANICAL RI 0 SITE INSPECTION
IC 0 FRAMING 0 MECHANICAL FINAL ❑ RATED WALLS
I, 1--1 INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT
- 0 FINAL 0 WATER HOOK-UP 0 FOLLOW-UP
Lai ❑AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL
.1 ❑ DEMO-SITE ❑ SEPTIC INSTALL
Z OwN ONTRACTOR TO MEET _YES_NO
R COMMENTS: / 7g - /cis .S,
a.
� �6C 7) Gio��r,/O/ 7GY�7L rr►e.
0
14. i'',e—e ,) lc—a,/ 74:�. /...-/ A ...e
Lu
(-,„.7,o17-015 a.a.3 ;
it W 8817-onA•ec
cc /5
W h WORK SATISFACTORY:PROCEE4ECT COMPLETE
W3 CORRECT WORK PROCEED A"IiISI°jSUE CERTIFICATE OF OCCUPANCY
C.1 0 •• • • , WORK,CALL FOR REINSPECTION TEMPORARY
SEF•• COVERING PERMANENT
❑CORRE, UNSAFE CONDITION WITHIN HOURS- ❑PHOTO TAKEN
I , • •-WILL RETURN
O STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cash tor the next in4ectlon 24 hours in advance. (952) 249-4600
on site:
Inspector .......-007 -/ -
White Ccpyltnspectos RI, Canary Copyl81N Notice