HomeMy WebLinkAbout2014-01264 - gas fireplace • • CITY OF ORONO * 2 0 1 4 — 0 1 2 6 4 *
2750 KELLEY PARKWAY DATE ISSUED: 10/29/2014
ORONO,MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS : 1135 PINE VIEW DR
PIN : 28-118-23-42-0008
LEGAL DESC : PINE VIEW
: LOT 2 BLOCK 1
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTROCTION TYPE : FIREPLACE-GAS
VALUATION : $ 4,595.00
NOTE: GAS FIREPLACE
APPLICANT MECHANICAL 57.44
STATE SURCHARGE MECH(VALUATION) 2.30
FIRESIDE HEARTH&HOME MAIL-IN FEE 2.00
2700 FAIRVIEW AVE
ROSEVILLE,MN 55113 TOTAL 61.74
(651)633-2561 Payment(s)
Minnesota State License#:mech-20512060 CREDIT CARD 4608 61.74
OWNER
VANYO,MICHAEL
6733 URBANDALE LN N
MAPLE GROVE,MN 55311-
AGREEMENT AND SWORN STATEME1vT
The work for which this pertnit 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 compied with whether or not specified herein.This permit will
expire and become null and void if construc[ion 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 assuripg all required inspections aze
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 ignature Date
14-28-'14 14:48 FROM- T-108 P0004/0007 F-220
. . .��2�1��2:(��v I
�+OR CITY U3E ONLY
�A r� CiCy of Orono ;
{y P.O.Box 66 Aate Received: Pwmit M
2750 Kdley Parkway ;
Crystal Bay,MN 55323 Appmved Hy: Amount S: "
phone(952)244-4600 Fax(952)2a9-4616 �
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��tq� SH��f.�' CYT`Y'QF U�LON4—MECHANXCA�PERMX'�' `s.
(Atl Commercial pertnits must be approved by the Building O�cial or IngpCCtpr and/or Firo M�rshall) �
Gr�NERAL IN�ORMATTON �
1. 'You may apply for mechanical permits by mail or in person at the Ciry offices. Applications will '
be review�d and a parrnit will be issued within two working days. �
2, Permit cards vvill be sent by return mail after a review is campleted, PERM[TS ARE NOT �
'VALYD�JNTT�,YOU RECET'VE A PERMTT. WORK MUST NOT BEGIN IJNTIL THE �
i'�1tMIT CARD YS pOSTED ON THE JO�SCTE. �
3. M�chanical Desians—Cornplete ealeulations,details and speeifieations are rcyuirul for eaeh
heating,ventilation,humidification-dehumidificaCion,and air condition;ng installation including
heat loss/heat gain ca(culatian,design temperatures,equipment ratings and idcntification as to
type,manufacturer and rnodel. Data shsll be presented on form provided. �
4. 'VVhen any ne�sv construction or r�modeling is in�vol�ved,a separate building permit must be C
obtained.
5. All r�vork must ba done in accordancz�vith the CJniform Mechanioal Code/State Building Code �
requirements.
6. All work musk be inspected(rough-in and final). Call(952)249-4600.
(2A-a8 hour notice required)
7, House Heating Test Record must be submitted before final.
TYpE 41�PBRMYT
Check All That A 1
esidential ❑Commtrcial(Approval Required)
❑Nzrv ❑Additional ❑Repairs ❑R�place
Job Site/Owner information:
Site AddreSs: { I � � ���. V 1 �� ����..
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Owner:� '�Y h�- �1 v 1 �`���5 Mailing Address: ���`� �
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c�ri: ��Sg,�S1� Mt�l z�p: .r`".-^-�._ � l
- ���1 {
Home�hane: Alternate phone; (Q�� Z�J' � r
Contractor�nformation:
H�q���{ �Nf�NI�fi��HNOLOGIES ����
Contractor: db� �I}tESIDE HEARTH &HO�I�nfact person:
l.it �Cb6Z656
Address: ���0 �AIRVI�W AV�NUE 1�tate Bond#: �]���L����
, 55�.13
651.633.Z561 �
City: Zip: Exp3ration Date:
Phone: Alternate Phone: �r lJ� ��l�� ��
HEAR7H &HOME TECHIVOLOGI�S
dba FIt2ESIp� HEARTH &HOME ❑ Insurance—Currcnt `
Lit BC662656 1
z700.FAIRVI�W AVEIYU� N
ROS�VILL�, MN 55113
651.533.2561
10-28-'14 14:49 FROM- T-108 P0005/0047 F-220
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Note: All Geothermal Systems will no'w require a Site Plan 8t Review by our Building O�cial. �
iS TFYKS G$OT�E1tMAL? ❑Yes ❑No j
�C�ATING SYSTEMS �
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Quantity: _ �
Make: �
Model: `
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t
Fuel: Y
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Flue Size: ;
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Input BTUs: i
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OutpUt BT1,J5; t
f
CFM: r
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COO�.YN'G S'YST�IVIS �
Quantity:
Make:
Model:
Tons: f
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H.Power '
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Ft�a��r,AC�s �
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1�}' Gas Factory Fireplace Brand Name: T"L'�c��L r 1..�l� �
❑ Wood$urning Fireplace + i
❑ Wood Stove Model No.� �i � "' �,��
❑ Wood Stove with F►ue/Masonry �
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'V�NTY�,ATYON i
❑ No. Kitchen Eahaust duet reeireulating cfm ,
❑ No. Bath Bxhaust(must have duct outside) cfm �
[� No. Other Fans: Locations cfm �
4
FUEL STQRAGE (Must be approveaf by l�iwe Mawsha(►if proposli,g to abandnn tank in plRc�)
❑ Installation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑inside ❑Outside
C,P Gas; gallons
Other:
�AS�.�N�ON�,Y
� Outdoor Grill ❑ Other/List What Ba Whore:
�
10-28—'14 14:49 FR4M— T-108 P0046/0007 F-220
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❑ Yes,this section applies �
The replaeement of a Residential fixture or appliance that metts ail thrce of the following requirements:
1. Does not require modification to electrical or gas service. �
2. Has a total cosk of$500.00 or less;excludinc tha eost of the fixture or applianea:and ;
3. Is improved,installed or replaced by the homeowner or licensed contractor. �
1
Skip next seation,if this applies: Cost of Permit $ 15.00 �
Sfate Su►+charge $ 5.00
Mail-In Fee(Tf Applicable) S 2.00
Total�ermit�'ee $
yr,�,,.�.,�r�,., `y. �;, �;: . ;;c,�<y,.�,,..,�s�;y-, i;.
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Tf abovz does not apply;foqow guidelines below:
I. CUNTCtACT�RCC� '�is 1.25%of contrack price with a(Minimum�ee ot$50.00)
`T��� x.0125$ `J ��r
(contract price) (miaimum 530.00)
2. STAT�SC1CtC1�CAEtGE n 2��_
x.0005 $ L�
(COntr2Ct priCe)
3. POSTAGE&C�ANDLING(Only on Mail-ln Applications) $ 2.40
4. TOTAC,��RMIT���(Add�.ines 1-3 Above) S
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• * CONTitACT pTZYC�or .TOB COST means the actual or estimated dollar amount charged for the '
permitted work including materials,labor,profit,and other fixed costs. Tt is the amount ro be charged !
to the customer fflr the work done. yf any material,equfpment, labor or installations are furnish�d 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. ln thz event that there is a disputz on the
amount of the job cost,the City may request the submission of a signed copy of the actual contract.
••.',�v��r:; 'ry,;; (�j..��7�Ti/��., �} .,.,: :;;..::;,,
`:`i:. ,n;,� .li3.�.7s�ldle�I�PFK.���'�.�#.�'�����;A�'.�4N::' �.�1Vi�NT.;�, ,.y;�''�
The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do ell
work in strict accordance with the ord'snances of the City and the regutations of the State of
ivlinnesota, and certifies that all statements made pn this application ar� complete, uue and
correct.
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Applicant's Signature: .. ate: � �(J /
3
ACTIVITY REPORT
TIME : 10/29/2014 00:00
NAME : CITY OF ORONO
FAX : 9522494616
TEL : 9522494600
SER. # : BROL2J412094
N0. DATE TIME FAX N0./NAME DURATION PAGE(S) RESULT COMMENT
10/28 13:52 61:11 07 OK RX ECM
BUSY: BUSY/NO RESPONSE
NG : POOR LINE CONDITION / OUT OF MEMORY
CV : COVERPAGE
POL : POLLING
RET : RETRIEVAL
/
�
DATE � T�
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
PERMiT NO. � COMPLET �
ADDRESS � �� � G2v�l - %�C'
OWNER TELEPHONE NO!��h'� U iew C�{� ,
CONTRACTOR
� DESCRIPTION ��
W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
O ❑ FOUNDATION WATERPROOF ❑ PLUM NG FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ HANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
i ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNERfCONTRACTOR TO MEEf YOU:_YES_NO
c�n COMMENTS:
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W ❑WORKSATISFACTORY:PROCEED OJECT COMPLEfE
� ❑CORRECT WORK 8 PROCEED IS UE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECWERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RE7URN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALLTOARRANGEACCESS.
Cail for the next inspecti hours in advance. ) 249-460�
OwnerlCorttractor on site: �
Inspector.
White Copyflnspector's File Canary Copyl otice