HomeMy WebLinkAbout2016-00431 - gas fireplace . CITY OF ORONO
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c 2750 KELLEY PARKWAY DATE ISSUED: 04/26/2016
ORONO,MN 55356-
(952)249-4600 FAX: (952) 249-4616
ADDRESS : 1375 PARK DR
PIN : 07-117-23-41-0079
LEGAL DESC : SIDWELL ADDN
: LOT 001 BLOCK 001
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIREPLACE-GAS
VALUATION : $ 2,984.25
NOTE: ADDITIONAL GAS FIREPLACE(HHT)
APPLICANT MECHANICAL 50.00
STATE SURCHARGE MECH(VALUATION) 1.49
FIRESIDE HEARTH&HOME MpIL-IN FEE 2.00
2700 FAIRVIEW AVE
ROSEVILLE,MN 55113 TOTAL 53.49
(651)633-2561 Payment(s)
Minnesota State License#:mech-20512060 CHECK 00020065 53.49
OWNER
GEHL
1375 PARK DR
MOLJND,MN 55364-
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 dces
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances goveming this type of work
shall be wmpied with whether or not specified hereia 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 By Signa re Date
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FOR CITY USE ONLY
City of Orono ,/ 3
�O�O P.O Box 66 Date Received: �/�/��Permit# �� �� �� �
2750 Kelley Parkway rJ
Crys[al Bay,MN 55323 Approved By: I �' Amount$: �� ' ��
Phone(952)249-4600 Fax(952)249-4616
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�qKfSH���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. PERM[TS ARE NOT
VALID UNTIL YOU RECEIVE A PERM[T. WORK MUST NOT BEGIN UNT[L 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 A 1
�Residential ❑Commercial(Approval Required)
❑ New �Additional ❑ Repairs ❑Replace
Job Site/Owner Information:
Site Address: �-� � S �`�r �- � � ' v`E
Owner: �a��� �y����� MailingAddress: j<�� � s s� -/�e
City: C�(�c�/�1 d Zip: .�5�:�� `�
Home Phone: `��-`a ��"3y3v Alternate Phone:
Contractor Information:
Contractor: FIRESIDE HEARTH & HOME Contact Person: `��~� �
Address: 2700 Fairview Ave N State Bond#:BC662656, MB662572, PC662571
C��,: Roseviile, MN Zip55113 Expiration Date:
Phone: 651-633-2561 Alternate Phone:Leah #651-638-3312
❑ Insurance—Current:
1
� MECHANICAL SYSTEMS BEING INSTALLED
Note: All Geothermal Systems will now require a Site Plan & Review by our Building Official.
IS THIS GEOTH RMAL? ❑ Yes ❑No
HEATING EMS
Q�ntity: I
Make: '� ��
Model: �pObd G�.Z�� S
Fuel: ��S
Flue Size:
[nput BTUs:
oUc�Ut BTus: ys°�o
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H.Power
FIREPLACES
� Gas Factory Fireplace Brand Name: �/��
❑ Wood Burning Fireplace
❑ Wood Stove Model No.: �jC)ObGL—�P�'— S
❑ Wood Stove with Flue/Masonry
VENTILATION
❑ Na 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 if proposing to abandon tank in p[ace.)
❑ [nstallation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑ Inside ❑Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill ❑ Other/List What&Where:
2
PERMIT FEE CALCULATION(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;excludin�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-[n Fee([f 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)
2�'1�'-1 . Z� n o
x.0125 $ ���
(contract price) (minimum$50.00)
2. STATE SURCHARGE 2��.;�. Z S� ,a°�
X.000s � l-
(contract price)
3. POSTAGE&HANDL[NG(Only on Mail-[n Applications) $ 2.00
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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.
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 this application are complete, true and
correct.
Applicant's Signature: ��'�� � � Date: � Z'� ��
3
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DATE TIME
CITY OF ORONO cnLLED IN
INSPECTION NOTICE SCHEDULED —�--,��
PERMIT NO. �`� ���� COMPLETED `7'�o�/`r
ADDRESS �3 7`v �i'e A� •
OWNER TELEPHONE NO.
CONTRACTOR �� � �'J"�
�, DESCRIPTION �� p ` R Z '
t~N ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
_ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
v ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 01MNERKIONTMCTOii TO MEET Y�ll:_YES_NO
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W,�RKSATISFACTORY:PROCEED ❑PRW ECT COMPLETE
W❑CORRECT WORK d�PROCEED ❑ISSUE CERTIFlCATE OF OCCUPANCY
� D CORRECTYYORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECdVERING �RMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. O PHOTO TAKEN
INSPECTOR WILL RETURN
❑S°TOP ORDER POSTED.CALL INSPECTOR O CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRAN(3E ACCESS.
Call for the next i�pection 24 hours in advar�e. (952) 249-4600
OwneNContractor on site:
Inspe�tor.�J�-.•
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CITY OF ORONO �CALLED IN
INSPECTION N�OT�E ���3/SCHEDULED �
PERMIT NO. to ��� COMPLETED
ADDRESS - ` � `�7 � 7�"�� r'�� ��
OWNER `�w, �1 �,.�h'ELEPHONE NO., � �' �
CONTRACTO� E-' `�
� DESCRIPTIO , � � ' �
41 ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTI FINAL �/"
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING 1�
Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
J ❑ DEMO-SITE � ❑ PTIC INSTALL
2 OWNER/CONTRACTOR TO MEET YOU:�YES_NO
��., COMMENTS: � � I c�- "
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❑CORRECT WORK 8 PROCEED CATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WILI REfURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-4600
OwnerlContractor on s�te:
Inspector. �r/� �t�-
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�pq��� TIME ,, �
CITY OF ORONO CALLED IN � � "�
INSPECTION NQTICE SCHEDULED /�:��%
PERMIT NO.� -��G --GC ' OMPLETED
ADDRESS 1.375 ��.-- �-'l (�—
OWNER TE-L�E/P`HONE NO.
CONTRACTO�'�—'�-C�-e- �`�--�-`�—tti v
� DESCRIPTION Q-�- � '�- �
ty ❑ FOOTING ❑ DEMO-FINAL� ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
_ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
v ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
c�., COMMENTS:
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W ❑WORKSATISFACTORY:PROCEED PROJECT COMPLETE
a ❑CORRECT VYORK&PROCEED ❑ SSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE CWERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
O STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED_CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 9 � QQ
OwnedContractor on site:
Inspector.
White Copylinspector's File Canary CopyfSite Notice