HomeMy WebLinkAbout2015-00447 - gas fireplace CITY OF ORONO * 2 0 1 5 - 0 0 4 4 7 *
2750 KELLEY PARKWAY DATE ISSUED: 04/17/2015
ORONO, MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS : 1100 PINE VIEW DR
PIN : 28-118-23-42-0010
LEGAL DESC : PINE VIEW
: LOT 4 BLOCK 1
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIREPLACE-GAS
VALUATION : $ 2,495.00
NOTE: GAS FACTORY FIREPLACE
APPLICANT MECHANICAL 50.00
STATE SURCHARGE MECH(VALUATION) 1.25
FIRESIDE HEARTH& HOME MAIL-IN FEE 2.00
2700 FAIRVIEW AVE
ROSEVILLE, MN 55113 TOTAL 53.25
(651)633-2561 Payment(s)
Minnesota State License#: mech-20512060 CREDIT CARD 4608 5325
OWNER
WIGGINS,JASON&AMANDA
410 N 2ND ST
UNIT 449
MINNEAPOLIS, MN 55401-
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 cequires sepazate
permits. All provisions of laws and ordinances goveming this type of work
shall be compied with whether or not specified herein.This permit witl
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 B ilding Code.This permit may be
revoked at any time for dlie cause.
' / �//��J
Appl� nt Permitee Signature Date Issued Signature Date
i
- y04-17-'15 09:36 FROM- T-739 P4001/0003 F-905
OR C Y U ONLY -
� City of Orono c, !/'']
�- �� P.O.&ox 66 Date Re' Pcr�nit�! p�✓ �T/
2750 Kelley Parkway , .;.,.;
Crystal Bay.MN SS323 Appro�yed By: �.�,,,�,;,Ainpunt$: . �
Phone(9S2)249.q600 Fax(952)249-4616 �
y`�l.y . �,�.�'� CITY OF ORONO—MECHANYCAL T�EI2MYT ;
kESHo
(All Commercial permits must be approved by the Building OfFiciat or Inspcctor andlor Firc Marshall)
I
�GENERAL INFdRMATION:
I. �You may Appl�for meChaniCAl pertnits by mail or i«person at the City offiCes. Appllc�tions will �
be reviewed and a permit will bc issutd within two working days.
2. Permit Cards will be sent by return mail after a t�eview is cqmpleted. P�IZMYTS ARE NOT
VALID CINTCL YOU RECEIVE A PERMIT. WORK MUST NOT B�GCN CINTCY,7'�IC
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Mechanical besi ns—Complete calculations,details and speciCications are required for eactt
Iteating,'vtntilation,humidi$cation-dehumidification,and air conditioning installalion including •
heat loss/heat gain calculaeion,design teniperatures,equipmenr ratings and identification as to
rype,manufacturer and modeL Data shall be presented on form provided.
4, When any ner�v construction or remocteling is invol�vtd,a separate building permit must be `
obfained. �
S. All work must be dont in accordance with the Unifa-m Mecl�anical Code/StaYe�uildsng Code �
requ i rements. �
6. All work rnust be inspected(rougtt-in and final). Call(952)249-4600. j
(24-48 hour notice required)
7. T•Touse�Teating Test�Lecord must be submitted before final.
TYpE OF PERMIT
Gheck Atl That A` 1 )
'�Residential '
❑Commercial(Approval Reyuired) f
I
❑New ❑Additional ❑Repairs ❑Replace 4
I
��b Site/�wner Ynformation:
Site Address: ` � � �
Owner: �� Mailing Address: �
City: � Zip: _�����
Home Phone: � �c � i�� Alternate nh�ne: � � �`-' °�'��" Y
�vntr�ctar Xnform�tion: �
f
Contractor: Contact Person:� CHNOLOGI�5 �
dba FIRESIDE y�AR7'H & HOME
Address: State Bond#: Lic �Ch��656 �
2700 FAIRVXEW AVENU� N
City: Zip: Expiration bate: RO5EVILl.E, M�V 55113
phone: Alterriate Phone: ������
❑ Insurance—Current:
1 �
{
�
� ' '04-17—'15 09:36 FROM— T-739 P4002/0003 F-905
s
. .
�': : , - " .
0
Note: All Qeoth�rmal Systems will nor�v require a Site plan&Review by our Buildrng OfficiaL �
IS THIS CEOTHERMAL? ❑Yes ❑No �
HEATIIVG$YSTEMS k
<
i
Quantity_
Make: '
!
Modcl:
i
Fucl: �
Flue Sizt:
rnput BTUs:
Output BTUs:
C�'M:
�
COOLWG SYST�MS �
Quantity:
Makc:
Model:
Tons: �
H.Power �
FIREPLACES ;
� G�Factory Fireplace �rand Name: V i
❑ Wlood Burning Fireplace ��µ� 6��G �����.� i
❑ Waod Stove Model No.: �d
❑ 'W'�ood Stove with�lue/Masonry
f
VENTILATION '
i
❑ No. �Citehen��haust duct recirculating cfm I
❑ No. _ Bath E7chaust(must have duct outside) cfm j
❑ No. Other Fans: C�acations cfm
FUEL STORAGE (Must be npproved by Fyre Marsliall if proposing to nbandon tank ir�,plac�)
❑ in9t�llation ❑ Removal
Fuiel Oil: gallons ❑ Underground ❑Cnside ❑Outside
LP Gas: galtons
Othcr_
GAS�NN�ONLY
❑ Outdoor Grill ❑ Othcr/List W hat&'1NheCe:
�
' ' �04-17—'15 09:36 FRO�— T-739 P0043/0043 F-905
,
;
�
�' A 1
�.
,;(� ?' {i
!
❑ 'Yes,this section applies ?
�
t
Thz replacemant of e Residential fixture or appliance that meets all three of the following requirements:
l. Docs not require modification to eleotrical or gas servicc_
2. �Tas a�total cost of$500.00 or less;exeluding the eost of the fixture or appliance:and {
3. Ts im�roved,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�ee(Tf Applicable) S 2.00
Total permft�'ee $ �
�' Y' � � v £ 11 � ';�:
Cf abo�ve does not appl�;follow guidelines below,
1. CO1V„�RACC'pCtYC� *is 1.25%�f contract price with a(Minimum�eo of SS0.00)
�'1"'"�-� x,0125$
�\�� (eontract A��ca) (mio�mum 540.00)
2. STA�'E SURCHARG� �
�.x.00�5 $ 1 . 5
(Con act price)
3. POSTAiCrE 8c ITAND�,ING(Only on Mai[-Tn Applications) $ 2.00
4. TOTAL pERMYT�E�(Add Lines 1-3 Above) $ �/C� "�� �
;
• * CONT1tACT'p1tYC� or JOB COST means the actual or estimated doliar amount charged for the ;
permitttd work including materials,labor,profit,and other fixed costs. Tt is the amount to be charged ;
ro the custome�for the work done. Cf any material,equipment, labor or installations are furnished by �
the owner,tznant or any other party,the reasonable market value of such items must be added to the
estimated cost�or contract price for permit fze purposzs. Tn the event that there is a dispute on the
amount of thz job cost,the Ciry may ra uest the submission of si�ned copy of the actual contract. E
�1C, �p Gl n Q� �I� �S(� l¢34� 44�� q�l��� �
0 `
��
�! 7.� 5 . � � �`1�1 9
�-�y�1',:�p'.P✓4-.,-.y N��,�.i. "���fyR� - . . . :,1e..1.v_.,e ,{�h.:�:.\�.y'.., �
I't7i�'�:�4'�lv�r:"S1�:Sil� J- �� R.. 'r 5 �ti .f' .:P;� .����.��yV.,n.., -��.,��� `
l� �.\!��'':�h:l'X/��':�',��'f
�
The und�rsigned hereby applies to the City for issuance of a Mechanical Permit,agrees to do all a
work in strict accordance with the ordinances of'the City and fhe ��egulations of the State of i
Minnesota, and c�rtifes tNlat all statemonts made on this application are complete, true and
carrect.
A licant's Si nature: Date: � U�� �,
PP g
3
I
�
DATE TIME�
" �CITY OF ORONO CALLED IN
iNSPECTION NO C� D���,j._,SCHEDULED ___1�'��
PERMIT NO. l Tt`/COMPLEfED
ADDRESS 1 I D ��l ��� (��J `E'� ��
OWNER TELEPHONE NO. `7���'7��`��
CONTRACTOR ��-
�; DESCRIPTION ��r�����
W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
O ❑ FOUNDATION WATERPROOF ❑ ING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB MECHANICAL ❑ SITE INSPECTION
Q ❑ FRAMING MECHANICAL FI ❑ PROGRESS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
�U ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL
J ❑ DEMO-SITE ❑ SEPTIC�ALL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEETYOU:_YES NO
� COMMENTS:_�,1�., � �I�� C��Y1
W
a
�
�
O
�.
�
O
�
W
2
Q
�
2
W
�
� �
�
d
W RK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE
� RRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECWERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOF �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 urs in advi ce. ( 49-46�0
OwnerlContractor on site:
Inspector.
White Copyllnspector's File Canary CopylSite Notice
� � TI
�ATE
CITY OF ORONO ��i D IN s3TI� t �"M
INSPECTION NOTICE � HEDULED /
PERMIT NO. ����� COMPLEf
ADDRESS I � �� 1 �?II,I '�IJI I ' �
OWNER TELEPHONE NO;
CONTRACTOR
I '
� DESCRIPTION I�
�
tL ❑ FOOTING DEMO-FINAL ' ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ M�CHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
� ❑ DEMO-SITE ❑ $F,PTIC INSTALL
2 OWNERICONTRACTOR T EET YOU:y�y,�YES_NO
c�.� COMMENTS: G��t� t �-I ��'dOh ��-�s
�
a `�'SZ -zt s -Z--��0 3
�
J
O
� ��a,5 �i'?G 4'✓ �t S� 4J� �irf4,�i
� �c��. �►�[d,�wtete ✓ �,,� g • 6 - /3` �--
W aK� _
Q
�
z
WI�c�'Sr K �o��✓f �o��Ol�u — .
� �i.«:L �-���
J
W ❑WORKSATISFACTORY:PROCEED �PROJECTCOMPLEfE
� ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP OROER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca ' spection 2a hours in advance. (g52) 249-4600
Owne Contractoron site• J� ��
Inspector:
White Copyllnspector's Ffle Canary CopylSite Notice