HomeMy WebLinkAbout2017-01256 - gas fireplace CITY OF ORONO I 2 0 'i 7 I 0 i z 5
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2750 KELLEY PARKWAY DATE ISSUED: 10/04/2017
ORONO,MN 55356-
(952)249-4600 FAX: (952)249-4616
ADDRESS : 490 OLD LONG LAKE RD
PIN : 36-118-23-34-0010
LEGAL DESC : SUMMIT STATION
: LOT 003 BLOCK 001
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIREPLACE-GAS
VALUATION : $ 11,605.00
NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION.
INSTALL(3)GAS FIREPLACE INSERTS AND GASLINES
APPLICANT MECHANICAL 145.06
STATE SURCHARGE MECH(VALUATION) 5.80
FIRESIDE HEARTH&HOME MAIL-IN FEE 2.00
2700 FAIRVIEW AVE
ROSEVILLE,MN 55113 TOTAL 152.86
(651)633-2561 Payment(s)
Minnesota State License#:mech-20512060 CREDIT CARD 4616 152.86
OWNER
LITSEY,CAL&CHRISTINE
490 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.
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Applicant Permitee Signature Date Issued B ignature Date
10-04-'17 09:35 FROM- 1-879 P0001/0004 F-247
3r104-
Coot
'3002-88
3 g 1 Q 3° City of Orono /V CIT USE nitON . �7�
I AtO P.O.Box 66 batt Received;/ T'ennit�I /i—L�
2750 Kelley Parkway y�
Crystal Bay,MN 55323 Approved By: Amount 5:151
Phone(952)249-4600 Fax(952)249-4616
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4 FSNOT-�G CITY OF ORONO—MECHANICAL PERMIT
(All Commercial permits must be approved by the Building Official Or Inspector and/or Fire Marshall)
GENERAL INFORMATION
I. 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 Ioss/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)
`41esidettial� ❑Coriiirtercial(Appro alv egiiied)} .
❑NewJ ❑gat3tinal} 1=0(7-144) `i,4
Job Site/Owner Information:
@tO.Wii dress (4110 NA L�j La--e_
(Q*iier: "Rio t idressi LiZ)O b
city:) P f 1�of01OL Z�
�
Homs ilgn`e c'7 Z- L—,�t o�p Alternate Phone:
Contractor Infonnation:
Contractor: FIRESIDE HEARTH & HOME Contact Person: Par
Address: 2700 Fairview Ave N State Bond#:BC662656, M8662572, PC662571
City: Roseville, MN zip:55113 Expiration Date:
Phone: 651-633-2561 Alternate Phone: Lou-- g' 3 3O(st
❑ Insurance—Current:
1
10-04—'17 09:35 FROM— T-879 PO002/0004 F-247
•• . ' '• .' • '.. • ..
MECHANICAL SYSTEMS BEING INSTALLED': '.*::. :• ,:.;....,...' ,....
Note:All Geothermal Systems will now require a Site Plan&Review by our Building Official.
IS THIS GEOTHERMAL? 0 Yes El No
HEATING SYSTEMS
Quantity:
Make:
Model:
Fuel:
Flue Size:
Input BTUs:
Output BTUs;
CFM: .
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H.Power
i'irizeia.41.
0--k, .0:74-C:Iii.,7741P vlSze-1".5
WEggiiTik) 41/E12:3759
I
1:1 WO.: "Atir .. , 7.011 OW-15-...,_____,Tiz2 4/ae-.7-3 0 0
0 ,•.;. . Oire*-", WiTU.;'i(*)
VENTILATION --YI 51-4 1 i .3 6A-5 .F1'1°i''' • -r (-4-5 4- 6as 4-11"4-5
0 No. Kitchen Exhaust duct recirculating cfm
0 No. Bath Exhaust(must have duct outside) ofm
0 No. Other Fans: Locations cfm
'FUEL STORAGE (Must be approved by Fire Marshall if proposing to abandon tank in place)
0 Installation 0 Removal
Fuel Oil: gallons n Underground El Inside 0 Outside
LP Gas: gallons
Other:
GAS LINE ONLY
I=1 Outdoor Grill El Other/List What&Where:
2
10-04—'17 09:35 FROM— 1-879 PO003/0004 F-247
•
PERMIT.FEE CALCV;ATIQN(S)
. • .••••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 $ I5.00
State Surcharge $ 5.00
Mail-In Pee(If Applicable) $ 2.00
Total Permit Pee $
. 'PERMIT FEE CALCULATIONS),H J'OB$OYER$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)
1014
• 1 1. LOOS S !C_r".Y(^.`..:1'+:_!..t.77.1V •�V
2. STATE SURCHARGE 1
r O c c $4
,1 f ,��,'E x;0065;$)
gig
3. POSTAGE&HANDLING(Only on Mail-In Applications) 06r;;,,,
/1
' „Va i
4. TOTAL PERMIT PEE(Add Lines 1-3rt.,- � � �::,.'� ;�1
Above) �;:��'� .�sA:r:4.1`�.-: :
■ * 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 • this application are complete, true and
correct.
Applicant's Signature: 1 kr/ ��te:�
•3
iN./
� DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NIDIlq -3-IT Y'3O
PERMIT NO. 2 Ol-4S %CO PLETED /��
ADDRESS0 0 i _i1<l /._� /tom
OWNER ; TELEPHONE NOb , 0/� o2
CONTRACTOR �.. AO,.1'.. T
God & 1910410
3: DESCRIPTION -------
W ❑ FOOTING ❑ DEMO-FINAL 0 SEPTIC FINAL
Q ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING
C ❑ 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 ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
r ❑ DEMO-SITE 0 SEPTIC INSTALL
2 OWNER/CONTRACTOR TO MEET YOU: YES_NO
to COMMENTS: .4 t✓t45 fee,"
44
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CC COree✓ cl...‘ /i.f, - G.t 'r gess u•,Q 1�or��SZ
TV- y%,� 0 L ✓ 4 G+'r fo✓
W 0 WORK SATISFACTORY:PROCEED �g�°�L ❑PROJECT COMPLETE
of ret�K/�ect` 64
W 0 CORRECT WORK 8 PROCEED / .L of g l.• b a, 0 ISSUE CERTIFICATE OF OCCUPANCY
O 0 CORRECT WORK,CALL FOR REINSPECTION 9.5 .1.4 TEMPORARY
V BEFORE COVERING a.r- 4 e'34'" PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. 0 PHOTO TAKEN
INSPECTOR WILL RETURN
❑SyP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
NSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
OwnerlContractor on site:
Inspector. /;,•, W----
White
llnspectors File Canary CopylSite Notice
i,\.., 27 /
DATE
TIME
CITY OF ORONO CALLED IN
INSPECTION MTIC�-()��, SCHEDULED 10— `j 2.36
PERMIT NO. n COMPLETED
ADDRESS 4/96 o1L 10,1 L ,J62_
OWNER r`_ 'TELEPHONE NO���' y'Sy76
CONTRACTOR 1 XI +i/,/ Hawe S <V A.,/t
EDESCRIPTION g"l 14
,k
W 0 FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL
A ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING
rC 0 FOUNDATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL
Z ❑ RADON SLAB .. MECHANICAL RI 0 SITE INSPECTION
qC 0 FRAMING /tI MECHANICAL FINAL 0 RATED WALLS
1, ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT
- 0 FINAL 0 WATER HOOK-UP 0 FOLLOW-UP
W ❑AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL
2
r ❑ DEMO-SITE 0 SEPTIC INSTALL
- OWNER/CONTRACTOR TO MEET YOU:_YES_NO
R COM r -
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VA: teCO
ORK SATISFACTORY`.PROCEED 0 PROJECT COMPLETE
W RRECT WORK&PROCEED 0 ISSUE CERTIFICATE OF OCCUPANCY
9 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. 0 PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
CIIII/Or the Hent .,, 1 , 24 (952) 249-4600
OwneriContiactor on
V L
Whit.CapylInro.cto.s FI. Canary Conry Nolle.