HomeMy WebLinkAbout2015-01471 - gas fireplace • CITY OF ORONO 11111111111111111111111111111111111111111111
2750 KELLEY PARKWAY * 2 1 S - 0 1 4 7 1
DATE ISSUED: 11/17/2015
ORONO,MN 55356-
(952) 249-4600 FAX: (952)249-4616
ADDRESS : 2350 OLIVER HILL
PIN : 34-118-23-33-0071
LEGAL DESC : OLIVER HILL
: LOT 1 BLOCK 1
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ""'i^EF mT Ti TTP G 35 7r `(-
VALUATION : $ 3,690.00
NOTE: GAS FIREPLACE FIREPLACE-MAIN FLOOR AND LOWER LEVEL
GASLINE BY OTHERS
APPLICANT MECHANICAL 50.00
FIRESIDE HEARTH&HOME STATE SURCHARGE MECH(VALUATION) 1.85
2700 FAIRVIEW AVE MAIL-IN FEE 2.00
ROSEVILLE,MN 55113 TOTAL 53.85
(651)633-2561 Payment(s)
Minnesota State License#:mech-20512060 CREDIT CARD 4608 53.85
OWNER
PRENEVOST,JEAN&REBECCA
2020 ARCHER LANE N
PLYMOUTH,MN 55447-
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.
/� Pe it / /7 / /s
Applicant Permitee Signature Date Issued Bignature Date
1T-438 P0004/0007 F-778
1-16—'15 15:32 FROM—
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NOV 1 6 2015
CITY OF ORONO
11-16-'15 15:32 FROM- T-438 P0005/0007 F-778
i:.1,'....,) ,.; y.NE014ANICAli;:.8.1181[%M$fit :
Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official.
IS THIS GEOTHERMAL? Yes LI No
HEATING SYSTEMS
Quantity:
Make:
Model:
Fuel:
Flue Size:
Input BTUs;
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H.Power
FIREPL7 YV) WY4 C)\AV
Gas Factory Fireplace Drana NOVIA,S \irt"
El Wood Burning Fireplace
D 'Wood Stove: Model No.: 14 IN 14'1 3G, T
0 Wood Stove with Flue/Masonry. css15 19lA
VENTILATION
(.41,Nstx 5
O No. Kitchen Exhaust duct recirculating cfm
O No. Bath Exhaust(must have duct outside) cfm
ID No. Other Fans: Locations cfm
FUEL STORAGE (Must be approved by Fire Marshall if proposing to abandon tank in place.)
o Installation 0 Removal
Fuel Oil: gallons D Underground 0 Inside 0 Outside
LP Gas: gallons
Other:
GAS LINE ONLY
O Outdoor Grill ID Other/List What&Where:
2
11-16—'15 15:32 FROM— T-438 P0006/0007 F-778
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0 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 $
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If above does not apply;follow guidelines below;
1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00)
(contracf'pricp)' t,(ulninium,3,SQ OOy
2. STATE SURCHARGE /2)U90.
URCHARGE (UCn9(� -
t V 3c:00.65',;
(ont ler price)'
3. POSTAGE&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
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.
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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 Signature: ,Date:-.` (tQ
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, /� DATE TIME
l!/ CITY OF ORONO CALLED IN
INSPECTION NOTICE , SCHEDULED 171!!/1 S g - 0
PERMIT NO. /0t5 0 I �1 I COMPLETEDCO
ADDRESS cD 35c l i l 1 VE A 1 1 11
OWNER TELEPHONE NO. I1 Ou 21/(�'
CONTRACTOR Pr 2�S 1 Com- ` 1-1
DESCRIPTION FI rep lace-_ -
W ❑ FOOTING DEMO-FINAL 0 SEPTIC FINAL
Q ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING
O ❑ FOUNDATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL
❑ RADON SLAB 0 MECHANICAL RI ❑ SITE INSPECTION
Q 0 FRAMING ❑ MECHANICAL FINAL 0 RATED WALLS
❑ INSULATION 0 WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q 0 FINAL 1:1 WATER HOOK-UP 0 FOLLOW-UP
_ ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP ElFOUNDATION/REMOVAL
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0 DEMO-SITE PTIC I „�
Z OWNER/CONTRACTOR TO MEET U:_YES_NO
cei COMMENTS: IN -it-IN 'Nit l I ri
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CI CORRECT WORK&PROCEED ❑IS UE CERTIFICATE OF OCCUPANCY
CZ ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in • ance. ' 7� 49-4600
Owner/Contractor on site: / I I
Ap
Inspector.
White Copy/Ins ector's File CanaryCopy/Site Notice
( 3 DATE TIME \./
CITY OF ORONO CALLED IN
INSPECTION N TICE 4-SCHEDULED fr5 ®pe )
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PERMIT NO S 01 1111 COMPLETED
ADDRESS 235 0 C) 1\ V�v__.. ( II
OWNER TEL PHONE NO.^(05 r-( /-►P3�3/‘25(e)
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CONTRACTOR I /ts! dt /► 4
DESCRIPTION 4. Imo- • "�� S
W ❑ FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL
Q ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING
Q0 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
is ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT
Q 0 FINAL 0 WATER HOOK-UP 0 FOLLOW-UP
- ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL
• ❑ DEMO-SITE 0 SEPTIC TALL
Z OWNER/CONTRACTOR TO MEET YOU:_YES NO )
vii COMMENTS: '� /V D ttl._614
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❑ RRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
0 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
t BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours'n advance. (95 , , 9-4600
Owner/Contractor on site: 111 i
Inspector. I'''' /l
IIWhite Copy/Inspector's File Canary CopylSlte Notice
& -.:5 5e//t
1 DATE/ TIME
CITY OF ORONO CALLED IN -,,g
INSPECTION NQ],CE SCHEDULED ,.,—1—/.6
PERMIT NO. oC-(.5 0� 71 v COMPLET D /�
ADDRESS SCJ /l Wh 4- `
OWNER • TE ON� — /0_g7,
CONTRACTOR IGS' ' 4 ()0
DESCRIPTION ie!gal
L i. ❑ FOOTING 0 DEMO-FINAL 0 SEPTICFINAL
Q ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING
C ❑ 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 0 WOOD BURNER/FIREPLACE 0 COMPLAINT
.d 0 WATER HOOK-UP 0 FOLLOW-UP
W ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL
.1 ❑ DEMO-SITE 0 SEPTIC INSTALL
2 OWNERICONTRACTOR TO MEET YOU:_YES NO
y COMMENTS: 1D(--- b `::r.,t, 1!M
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CC Fair s�es 7✓/eee e5X pr
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141 0 WORK SATISFACTORY:PROCEED b2JECT COMPLETE
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0 CORRECT WORK&PROCEED 0 ISSUE CERTIFICATE OF OCCUPANCY
C 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 0 CITATION ISSUED
0 INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
OwnerlContractor on site:
Inspector: /'.
White Copy/Inspector's File Canary Copy/Site Notice