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HomeMy WebLinkAbout2015-00303 - gas fireplace CITY OF ORONOi 'Il 11 1'', * 20 1 S - 00303 * 2750 KELLEY PARKWAY DATE ISSUED: 03/16/2015 ORONO, MN 55356- (952) 249-4600 FAX: (952)249-4616 ADDRESS : 105 OR O ORCHARD RD N PIN : 35-118- 3-33-0003 LEGAL DESC : UNPLA/FTED 35 118 23 : LOT 000 BLOCK 000 PERMIT TYPE : MECH,p►NICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 3,5715.00 • NOTE: GAS FACTORY FIREPLACE BRAND-HHT MODEL#SLR-C I I i 1 I APPLICA T MECHANICAL 50.00 STATE SURCHARGE MECH(VALUATION) 1.79 FIRESIDE HEARTH&HOME MAIL-IN FEE 2.00 2700 FAIRVIEW AVE ROSEVILLE,MN 55113 TOTAL 53.79 (651)633-2561 Payment(s) Minnesota State License#:mec -20512060 CREDIT CARD 4608 53.79 OW ER LOWE,JAMES&KELLY 105 ORONO ORCHARD RD LONG LAKE,MN 55356- AGREEMENT ANDSWORN STATEMENT The work for which this permit is ssued shall be performed according to the approved plans and specificati ns,applicable City approvals,and the State Building Code. This permi is for only the work described and does not grant permission for addition:I or related work which requires separate permits. All provisions of laws : d ordinances governing this type of work shall be compied with whether o not specified herein.This permit will expire and become null and vol. if construction authorized is not commenced within 180 days of he date of issuance,or if construction is suspended for a period of 180.:ys at any time after work has commenced. The applicant is responsible fo assuring all required inspections are requested in conformance wi the State Building Code.This permit may be revoked at any time for due c: se. ' -s6 4- / /14 / /5 Applicant Permitee Sign. re Date slued Signature Date 1 i i 03-16-'15 11 :38 FROM- 1 T-606 P0001/0004 F-760 , i a —44-33L1I S13 T ��' Co 0 5-7 'x741 " eon cprr use orirV V.0 Al City Of Orono 2///r. /j— t { l P.O.l t 66 .Date Received: Permit#�- s~ �� 27501(elley Parkway C, Crystal Bay,MN 55323 Approved By: Amount$:5 3� 7 7 Phana(952)249-4600 Fax(952)249.4616 It-► �tKestio�``G� CITY OF ORONO-MECHANICAL PERMIT (Allj Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall) t i GENERAL INFORMWION 1. You may apply fop.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 CARIS POSTED ON THE JOB SITE. 3. Mechanical Desi ns—Complete calculations,details and specifications are required for each heating.ventilate n,humidification-dehumidification,and air conditioning installation including heat loss/heat ga n calculation,design temperatures,equipment ratings and identification as to type,manufactuder 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) gtesidential ❑Commercial(Approval Required) 12/11-ew ❑Additional ©Repairs ❑Replace I Job Site/Owner 1 formation: Site Address: 6 ,,) Or diaird. V-oad. W . Owner: Or 1) �� irTS Mailing Address: {UDUN( Iv City: pap -p\ e. n 1/V Zip: Home Phone: Alternate Phone: 1(.0 3~ /7 9— 3//7 i Contractor Information: I Off.I ' Contractor: _ ' HN_L OM1= Contact Person: --c�'1� �3 !-1 3� HEAR1, RESIPEµ6AR"H ✓3 )I Address: db- ._ - BC662556 N State Bond#: �0 EAIRVIE City: a7 OS�VII-��' M 5 � Expiration Date: Phone: , Alternate Phone: HEARTH &HO' I E TECHNOLOGIES Oa FIRESI E HEARTH &HOME, 1 Insurance—Current: tic BC662656 2100 FAI view AVENUE N ROSEVI LE, MN 55113 65 .633.2561 II 03-16—'15 11 :38 FROM— 1-606 P0002/0004 F-760 � ��r�(r!�? 7�,�('� 7�7�p�c,-�,�7'7���Y y�� y�:.,�';; � .,�vq�:i:�:�����;i''��;::I:: l�i�7�Cf��!:���; 1Y1!i7.r� 19,:;1.V',<..JHttJ .H •1:>>:.ii'`�o4:j'c j�.1>,,'E��.:�iCi..;:`:ii�hr,:• Note:All Geothermal Systems will now require a Site Plan&Review by our Building Official. IS THIS GEOTHERMAL? ❑Yes El No HEATING SYSTEMS Quantity: Make: Model: Fuel: Flue Size: Input BTUs: Output BTUs: • CFM: COOLING SYSTEMS Quantity: Make: Model: y Tons: H.Power FIREPLACES M Gas Facto Fireplace Brand Name: y I I T ❑ Wood Bur 'ng Fireplace �. O Wood Stove Model No.: Ue , ❑ Wood Stove with Flue/Masonry VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfm ❑ No. Bath Exhaust(must have duct outside) cfm O No. • Other Fans: Locations cfm FUEL STORAGE (Must bel approved by Fire Marshall if proposing to abandon tank in place.) ❑ Installation D Removal Fuel Oil: _} gallons 0 Underground ❑Inside ❑Outside LP Gas: gallons Other: GAS LINE ONLY O Outdoor Gr II 0 Other/List What&Where: 2 03-16—'15 11 :38 FR011— 1-606 P0003/0004 F-760 i _�y, i ,�,�, •,, :'fir. � , o ■. �..,�.::• :�� '� h• i'r'1,?. t:`,',+�;;�`>,;£,,�,.,ar•.Y � �'yti�,:.��, � , �1.,, ��. .�, *+a:..MK '.,!'/•4:', -.1� >���`•�iy;j`i f .b� � 4'•'- t : �' E e2:!.+.A. .,. ., b x d c �}((�(��f�.`(�t�: g 2); P(4,0%a,,A' ,,,,4,0„,•...,„..,..1„,,,,J+�; t —'Pr'•yr F •)A3;•N%..,...�Y4, r. � : fl }`XYMf'.Y'f ni£ � 1,5fe :`„./.�P;)...i,;i.,:.; )ii.•:..v. F: 0 Yes,this section applies i The replacement Of a Residential fixture or appliance that meets all three of the following requirements: i . 1. Dos not require modification to electrical or gas service. 2. Ha a total cost of$500.00 or less;excluding the cost of the fixture or appliance:and 3. Is i proved,installed or replaced by the homeowner or licensed contractor. Skfp next section,if this applies; Cost of Permit $ 15.00 - State Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ .';•:.rir.:�',;,h.•.-.,,.. .,;. . . .. ...�..;. Yh:, p�yY �iT/� �;`/;� /� .t°i�`TCr+���i�`��•�+•,`;:,' .• a:••s,',5 :ii.,;:s' ''p'v•, !!r�JJ�` VL .1 S d:00” 'JI:RV .S V J�'i•.i,`'ir�.., :�R.�;LQ,�.:,.;r.,:�.J4•�4:1w'!:A.::n�T.. .) �,J,a'f•'� .. ...... ..• �l'f."�)��': ..N�,...... .. - . ,. . .. .• .. If above does ndt apply;follow guidelines below: i 1. C�NTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) �5 L � i x.0125$ .! (contract price) (minimum$50.00) I 2. STATE SURCHARGE 3 .'5151 7 x.0005 $ (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 19 4. TTAL PERMIT PEE(Add Lines 1-3 Above) $ J I ° CONT CT 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 cu omer for the work done. If any material,equipment, labor or installations are furnished by the owne ,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 o the job cost,the City may request the submission of a signed copy of the actual contract. I The undersi ned hereby applies to the City for issuance of a Mechanical Permit,agrees to do all work in str' t 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. 1 Applicant's Signature: _ Date: 5/1 (C2//5 3 03-16-'15 11 :39 FROM- 1-606 P0004/0004 F-760 0 FIRESIDE --- HPAIrttIlsHOMIF Best Brands, Professionally Installed,Service For Life 2700 N Fairview Ave I Roseville, MN 55113 P: (651) 633-2561 I F: (651) 633-8884 Rosoville_Builder Qps@hearthnhome.com `. From: lah - , Phone: (651) 638-3312 Comment: o **Please fax or e-mail permits back if possible**Thank you! o Master Card for Permit Payment: o # 569-6300-0079-4608 o Expi es 07/2017 o CCI #577 o Na a on card: Jocina Hammer HNI Corporation o Address: 2700 Fairview Ave N Roseville, MN 55113 /- Ca p• TIME \ / CITY OF ORONO CALLED IN INSPECTION NO ICE _ HEDULED > ��r PERMIT Na. �J - � LETEE� ADDRESS /25 l///'/�L&&' L/�'l/�AtAa 4/ OWNER TELEPHONE NO. """/- -3- - CONTRACTOR — ., / DESCRIPTION G& l/Y— 1 1.W ❑ FOOTING 0 DEMO-FI 0 S tIC 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 PROGRESS • ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT Q ❑ FINAL 0 WATER HOOK-UP 0 FOLLOW-UP W 0 AS BUILT-SURVEY 0 SEWER HOOK-UP 0 HARD COVER REMOVAL ❑ DEMO-SITE 0 SEPTIC INSTALL 0 FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO o COMMENTS: cc W Q. CC JA O j �� 1 /% t " '.1 /0 c 0,O / W C9/\": ........7 4.1 Z 6 1;--'3 7 g33f1 ct W -i'WORK SATISFACTORY:PROCEED 0 PROJECT COMPLETE CCW El CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY OO ElCORRECT WORK,CALL FOR REINSPECTION TEMPORARY C.1 BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN INSPECTOR WILL RETURN CISTOP ORDER POSTED.CALL INSPECTOR CI CITATION ISSUED O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours i advance. (952 2494600 OwnerlContractor on site: r?Pl/1- Inspector. White Copyllnspector's File Canary Copy/Site Notice �� DATE TIM/ CITY OF ORONO CALLED IN INSPECTION NOTICE , SCHEDULED 3/7415— PERMIT NO. i Q/5- O3 COMPLETED ADDRESS /0 5 o cc) h D Cir 0 h esrd OWNER TELEPHONE NO.tf'/ 0 -33IZ CONTRACTOR re Si do He DESCRIPTION 13/1-_-- F---; e/2/ate-. Ly ❑ FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL 11. ❑ 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 PROGRESS 1, ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT Q 0 FINAL 0 WATER HOOK-UP 0 FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWE HOOK-UP 0 HARD COVER REMOVAL ✓ ❑ DEMO-SITE 0 P IC ALL 0 FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET U: NO J W COMMENTS: _`r--t d-Lk� �2"" / fes) / till Atli I� a — re6 bete -t r r' ie s t AticA 4)- (0 A-701S6 oVe.,t-'41, , c /64e4.4CerS - /ea, ,res cc OK C ve ✓ W CC Q W Z W CC d IQ K SATISFACTORY:PROCEED CIPROJECT COMPLETE IQ ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY CI ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY 0 BEFORE COVERING PERMANENT O CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN 0 STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: Inspector. 9--/k..-- jr White Copyllnspector's File Canary Copy/Site Notice 7�� t„...kDATE TIME CITY OF ORONO CALL DIN INSPECTION Ne1—(?E 00303 SCHEDULED it i�I, PERMIT NO. COMPLETED- ADDRESS �1 `l'5 n//OL 0 Cr M &4/ OWNER l �QY / TELEPHONE NO. 7(p 3-602676z? U CONTRACTOR /'- Ar .. /-" DESCRIPTION / TØ/ -L-Q ' 'T /� W ❑ FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL Q ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL ❑ RADON SLAB 0 MECH•► : RI 0 SITE INSPECTION Q 0 FRAMING iii EC _h • - • • 0 PROGRESS ❑ INSULATION ■ WOOD BURNER/FIREPLACE 0 COMPLAINT Q 0 FINAL 0 WATER HOOK-UP 0 FOLLOW-UP ❑ AS BUILT-SURVEY 0 SEW R HOOK-UP 0 HARD COVER REMOVAL v ❑ DEMO-SITE 0 S IC INSTALL 0 FOUNDATION/REMOVAL 2 OWNER/CONTRACTOR TO MEET YOU: YES_NO cc.) COMMENTS: ccLai o -144Yes �S �e — fro140r cc0 LIJ Q r IC c; t4l 7 W Z W CC ❑WORK SATISFACTORY:PROCEED RiK)JECT COMPLETE CC W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection hours in advance. (952) 249-4600 Owner/Contractor on site: )k<jnspector-. //"-- White Copyllnspector's File Canary Copy/Site Notice