HomeMy WebLinkAbout2018-00056 - gas fireplace CITY OF ORONO
2750 KELLEY PARKWAY * 21 - 0 0 0 5 6
DATE ISSUE00056
01/18/2018
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 470 OLD LONG LAKE RD
PIN : 36-118-23-34-0012
LEGAL DESC : SUMMIT STATION
: LOT 005 BLOCK 001
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIREPLACE-GAS
VALUATION : $ 6,365.00
NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION.
(1)HHT ESCAPE-130 INSERT W/GAS LINE
APPLICANT MECHANICAL 79.56
STATE SURCHARGE MECH(VALUATION) 3.18
FIRESIDE HEARTH&HOME MAIL-IN FEE 2.00
2700 FAIRVIEW AVE
ROSEVILLE,MN 55113 TOTAL 84.74
(651)633-2561 Payment(s)
Minnesota State License#:mech-20512060 CREDIT CARD 4616 84.74
OWNER
GLESSING,ROLLAND&JEAN
470 OLD LONG LAKE 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.
/
060 I e ck k ``.Q/t- :�,a6741,-. / �l�` 1 /i 16
Applicant Permitee Signature Date Issuo By Signature Date
01-17-'18 12:11 FROM- 1-421 P0001/0007 F-843
3610
g353 - 0009
FOR CITY USE ONLY
City of Orono Q �/
P.O.Box 66 Date Received: 11"/7-/U Permit#X2015-CO'a7 cL
VQ 2750 Kelley Parkway
Crystal Bay,MN 55323 Approved By: Amount S:St/ 7�
Phone(952)249-4600 Fax(952)249-4616
A
<'tk sea��G CITY OF ORONO—MECHANICAL PERMIT
(All Commercial permits must be approved by the Building Official or 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 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 OF PERMIT
(Check All That Apply)
•
[ b Site/Owner
Information:
,t1 L- D
L. f2ôacJpi,
e r ed1 t�� C 1- ,Sj�,J - �rd,�i g: i
Hom .;,: (Z— S Alternate Phone:
Contractor Information:
Contractor: FIRESIDE HEARTH&HOME Contact Person: Pat( -.(/1/
—
Address: 2700 Fairview Ave N State Bond#:BC662656, MB662572, PC662571
City: Roseville, MN Zip 55113 Expiration Date:
Phone: 651-633-2561 Alternate Phone. #651-638-3312
❑ Insurance--Current:
1
01-17-'18 12:11 FROM- 1-421 PO002/0007 F-843
. • . 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:
H.Power
X pas iacroi&eplace))1"-e'r"( ltJ l nd Naim, (770777,7777)7
H _
ood Stov'
❑ Wood�SlQyz.wit6 flue%Masonry ._..
VENTILATION
0 No. . Kitchen Exhaust duct recirculating cfm
❑ No. Bath Exhaust(must have duct outside) cfm
❑ No. _ Other Fans: Locations cfm
FUEL STORAGE (Must be approved by Fire Marshall ifproposing to abandon tank in place.)
❑ Installation ❑ Removal
Fuel Oil: gallons ❑ Underground 0 Inside 0 Outside
LP Gas: gallons
Other:
GAS LINE ONLY
0 Outdoor Grill 0 Other/List What&Where:
01-17—'18 12:11 FROM— 1-421 P0003/0007 F-843
PERMIT FEE CALCULATIONS) . • •
• 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 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 price with a(Minimum Fee of$50.00
1`.K (0� ry� ��y�G��rr�
`�.. , � W`'vt%'��+t�., :amu 'il:b����•. •�
..�c�e� �
• 2. STATE SURCHARGE Le)
, 1o5 ,
3. POSTAGE&HANDLING(Only on Mail-In Applications) $0I''a�.:'___
�L.�1
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) ($`A;;„ g-v2-1-. ,e,�::•;i4?:';'
■ * 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 on th' application are complete, true and
correct.
Applicant's Signature: t44 1-17-
3
7-3
i� /
DATE TIME
CITY OF ORONO CALLED IN ,4,.,
INSPECTION NORSE SCHEDULED ,2-12-17" 9'Or)
PERMIT NO. �/j0 / COMPLETED
ADDRESS `7 7o Ol Lei &
OWNER � TELEPHONE NO./1�5? 91-77 5/
CONTRACTOR rf� __ i
iDESCRIPTION 0 Kr
W ❑ FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL
s ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING
." 0 FOUNDATION DRAIN TILE 0 PLUMBING FINAL 0 TREE REMOVAL
2 ❑ 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
W ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL
v• ❑ DEMO-SITE 0 SEPTIC INSTALL
OWNER/CONTRACTOR TO MEET YOU:_YES_NO
y• COMMENTS:
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0 WORK SATISFACTORY:PROCEED �� 0 PROJECT COMPLETE
W OitalBRECT WORK 8 PROCEED 0 ISSUE CERTIFICATE OF OCCUPANCY
O 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
O CORRECT UNSAFE CONDITION WITHIN HOURS. 0 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. c// .
White VVCopyinepector's File Canary Copy/Site Notice
DATE TIM
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
PERMIT NO. tbI' Ctib SI COMPLETED a-4,-/e-
ADDRESS
-4,/Q'ADDRESS y7.0a
OWNER TELEPHONE NO.
CONTRACTOR r # i" 4 >t
DESCRIPTION • ,C,v'
W ❑ FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL
LL.
❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING
Q 0 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
velacl i I 0 WATER HOOK-UP 0 FOLLOW-UP
❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL
❑ DEMO-SITE 0 SEPTIC INSTALL
OWNERICONTRACTOR TO MEET YOU:_YES_NO
co)• COMMENTS:
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W
CC
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Lij "W'MULta
W 0 WORK SATISFACTORY:PROCEED 11:6R15:IECT COMPLETE
CC• 0 CORRECT WORK&PROCEED 0 ISSUE CERTIFICATE OF OCCUPANCY
Q 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
O STOP ORDER POSTED.CALL INSPECTOR
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on site:
Pecl;;;;i3Fil /-
Whiteite Copyllnspector's File Canary Copy/Site Notice