HomeMy WebLinkAbout2018-00512 - gas fireplace IIIIIIIIIIIIiII 111111111111111111111
CITY OF ORONO * 20 1 8 - 005 1 2 *
2750 KELLEY PARKWAY DATE ISSUED: 04/24/2018
•
ORONO,MN 55356-
(952)249-4600 FAX: (952) 249-4616
ADDRESS : 765 BOULDER DR
PIN : 33-118-23-11-0134
LEGAL DESC : STONEBAY
: LOT 1&2 BLOCK 1
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIREPLACE-GAS
VALUATION : $ 2,855.00
NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION.
INSTALL GAS FIREPLACE
APPLICANT MECHANICAL 50.00
FIRESIDE HEARTH&HOME STATE SURCHARGE MECH(VALUATION) 1.43
2700 FAIRVIEW AVE MAIL-1N FEE 2.00
ROSEVILLE,MN 55113 TOTAL 53.43
(651)633-2561 Payment(s)
Minnesota State License#:mech-20512060 CREDIT CARD 4616 53.43
OWNER
Stonebrook Development LLC
17149 LINCOLN ST NE
HAM LAKE,MN 55304-
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 y nature Date
04-23—'18 13:47 FROM— 1-831 P0001/0004 F-313
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Phone(932)249-4600 Fax(952)249-4616
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CITY OF ORONO—MECHANICAL PERMIT
(All Commercial permins mini be approved by the Building Oi ficial or Inspector and/or Fire ntarsha!l)
F6ENERAL INFORMATION
1. You nay 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 UtNTIL THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3- Mechanical Designs—Complete calculations,detail$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. MI 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)
VeSidentiaT ❑Commercial(Approval Required)'
UNew; ❑Additipnll` []Rcp�irs; ❑Replace:
Job Site/Owner Information:
'Site Address: -765- riu)d ec Dr—
•Owriei:Wb ,(c& 1 C1 ) Mailing Add,°ess:' . / C 0/- c/
,C f
city:.,, Zip:; S3 `�c/3
Home Phone: ger713g( 3 Alternate Phone:
Contractor Information:
Contractor: FIRESIDE HEARTH& HOME Contact Person: Fo"-`rV-a.
Address: 2700 Fairview Ave N State Bond M BC652656, MB662572, PC662571
City: Roseville, MN Zip:551 13 Expiration Date:
Phone: 651•t g 3,at, Alternate Phone: (/5i—G:i?.--S5 t 2—
❑ Laurance—Current:
I
04-23—'18 13:47 FROM— T-831 P0002/0004 F-313
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:
CPM:
COOLING SYSTEAIS
Quantity;
Make:
Model:
Tons:
1-1.Power I /� r
'FIitEPLACES {ISoo - "/a([C
Gas Factory Fireplace Brand Name:: i frT'
:1Vood burning Fireplace
❑ 'Wood Stove; Model No,:' 51.7-7X--)
❑ Wood Stove with Flue/Masonry.,
N'EtNTILATION
❑ No. Kitchcu Exhaust duct recirculating cfni
❑ No. Bath Exhaust(must have duct outside) elm
❑ No. Other Fans: Locutions elm
FUI L STORAGE (;/rut be npprnred by Fire Marsha if proposing to abandon tank in place.)
❑ Installation ❑ Removal
Fuel Oil; gallons ❑ Underground ❑Inside ❑Outside
LP Gas: gallons
Other;
CAS LINE ONLY
D Outdoor Gull ❑ Other/List What& Where:
2
04-23-'18 13:47 FROM- 1-831 P0003/0004 F-313
PERMIT FEE CALCULATIONS)
BASED OFF-2002 STATE STATUE
C] Yes,this section applies
The replacement of a '1 ora linnet 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;ealltdifig 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 S 5.00
Mail-In Fee(If Applicable) S 2.QQ
Total Permit Fee S
PERMIT FEE CALCULATION(S)--JOBS OVER$500.00
If above does not apply;follow guidelines below:
1. CONTRACT PRICE S is 1.25%of contrac+ pit n a(Minim tun Fee of 550.00)
.1}I25S
(contr4ct;price): '(niininnlnt556,00)'
2. S'L'ATE SURCRGE /
t�C� x.0005 $.
(Contract price)
3. POSTAGE R(-HANDLING(Only on Mail-In Applications) $: 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) '5
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 1
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 arc complete. true and
correct
Applicant's Signature: Date: (-- z-(31
3