HomeMy WebLinkAbout2016-00258 - fireplace changed .- ' CITY OF ORONO
* 2 0 1 6 - 0 0 2 5 8 *
• « 2750 KELLEY PARKWAY DATE ISSUED: 03/18/2016
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 725 SIXTH AVE N
PIIv : 26-118-23-44-0006
LEGAL DESC : LJNPLATTED 25 118 23
: LOT 1 BLOCK 2
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : COMMERCIAL-BUSINESS
CONSTRUCTION TYPE : FIREPLACE- �{�a Y�G��,
VALUATION : $ 2,700.0
NOTE: NEW GAS FIREPLACE
APPLICANT MECHANICAL 50.00
STATE SURCHARGE MECH(VALUATION) 135
C.S.H. ENTERPRISES TOTAL 51.35
7311 153RD AVE Payment(s)
COLUMBUS,MN 55025- CHECK 10640 51.35
(612)760-9667
Minnesota State License#:mech-MB005871
OWNER
Spring Hill Golf Club
725 SIXTH AVE N
WAYZATA, MN 55391-
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 an fine for due cause. � ^
, i`L! '� � ��_ � ., i;'� �—
���j� � �� � ''t �-�.0 �f`�l,`� �� � � ��� �(��>
Applicant Permitee Signature Date [ssued By Signature Date
• FOR CTTY USE ONLY
' ' - �O A T City of Orono
� �yO P.O.Box 66 Date Received: Permit#
2750 Kelley Pazkway
Crystal Bay,MN 55323 Approved By: Amount$;
Phone(952)249-4600 Faac(952)249-4616
� �
y ;
`� �.�' CITY OF ORONO—MECHANICAL PERMIT
l�kFSH�� (All Commercial pertnits must be approved by[he Building Official or Inspector and/or Fire Marshall)
GENERAL INFORMATION
1. You may apply for mechanical permits by mail or in person at the City offices. Applications will
be reviewed and a permit will be issued within two working days.
2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT
VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Mechanical Desi�ns—Complete calculations,details and specifications are required for each
heating,ventilation,humidification-dehumidification,and air conditioning installation including
heat loss/heat gain calculation,design temperatures,equipment ratings and identification as to
type,manufacturer and model. Data shall be presented on form provided.
4. When any new construction or remodeling is involved,a separate building permit must be
obtained.
5. All work must be done in accordance with the Uniform Mechanical Code/State Building Code
requirements.
6. All work must be inspected(rough-in and final). Call(952)249-4600.
(24-48 hour notice required)
7. House Heating Test Record must be submitted before final.
TYPE OF PERMIT
(Check All That A 1 )
❑ Residential �ommercial(Approval Required) [Backflow Device: ❑AVB ❑PVB]
�New ❑ Additional ❑Repairs ❑ Replace
Job Sitel Owner Information: '
Site Address: ��S � � �.Q
Owner: 1 Mailing Address:
City: Zip:
Home Phone: Alternate Phone:
Contractor Information:
/^ c
Contractor: �.S.l�-�� 2 Contact Person: l�v�(t� �AIJ�tr�
Address: ���� ��� .�,� State Bond#: 1�Y1��b��1 �
a�/'�
City: Zip:���Expiration Date: ,
Phone: ���-��� ��o�o� Alternate Phone: �pS�.1$�.. �C�Co (
❑ Insurance—Current:
1
"� e� N � ' , • • �.
`� ����� �7_ r�'.
�, a t. .. . �
a
Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official.
IS THIS GEOTHERMAL? ❑Yes �No
HEATING SYSTEMS
Quantity: f
Make: �L-8 C..
Model: �r„al�l��
Fuel: 1�.1 A7C�
Flue Size: 3j� P•V.�-�
Input BTUs: ���,Z Yh�ak
Output BTUs: 1 d�'i 1C
CFM:
COOLING SYSTEMS
Quantity: 2
Make: ���'�-S�.
Model: 30 QL)( q'QL�CO
Tons: d� �
H.Power
FIREPLACES
� Gas Factory Fireplace Brand Name: CNr(2c���viaKb'r
❑ Wood Burning Fireplace
❑ Wood Stove Model No.: $��l TRI,�('�-S2 Z
❑ Wood Stove with Flue/Masonry
VENTILATION
❑ No. Kitchen Exhaust duct recirculating cfrn
^� No. � Bath Exhaust(must have duct outside) cfm
❑ No. Other Fans: Locations ��
FUEL STORAGE (Must be approved by Fire Ma�shall if proposing to abandon tank in place.)
❑ Installation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑ Inside ❑Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill ❑ Other/List What&Where:
2
� `
�
� � ,��
1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00)
� �7.� x.0125$
(contract price) (minimum$50.00)
2. STATE SURCHARGE
x.0005 $
(contract price)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
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.
i 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 are complete,true and correct.
, J `�
Applicant s Signature: Date: � (2
3
� � D1N CQIVtP��NY
�U
� ' PIUMBING • HEATWG • AIR CONDiTlON4NG
� p�pE a VqLVES• INDUSTRIpL AND WELL SUPP�IES
Bra+nerd Medina Fargo Rachester
,�,lironeapufi5 St.Paul Duluth Detroit Lakes St.Cloud ., � i5��7i ;;��•a-;264
!61'C�5Rfi-i��'11 �6i1' �89-8531 (Z18�i2' 667C1 t218'.8�7-'��11 132rJ:��3-6086 21H�A�8-�:�2 i7h31478-8994 ; O1}29II-3_10
� ,���.; ,�+ y �-,�,�,*;;�b
, •. . � � � �� �,�
' .. s '' 1:.�
"�� CG;�Z�ii�.
;,:�� � 1
� � � l � :
�a� �
� ' � r� ��'"�e �
b p
� .� p � �
r
� � �. �� x �
\ ��
� �� �
�
P
�
�
�
N
N
N
h
N „J�
�
" � � � � �� Fi
a � � � � �
� � �
u �► � - �
,
> �� - �
� �
� � a
_ � o � �
� Z �
D � Q �
N � � .a � �' �, -- _
�+'� ` D ��SCd �
� ����� �i�����
'�1
�� �
0 �� Y I� '
__ � ,
� - � - ,�
;:
High E�`ic�ency Air Co�t�o�er� and Furnac�s � ;j;
NEATING 6 I:O�Lfk'C 7f7[IDUCTS
rrbrn:U?KL)TA jUf�FLY GF�OiuF' 65i 2245902 7i;04/2Jt5 ?545 #O'/4 }=.pO��Oq1
�� i
�"� 1 1 ���� � ����1 Ll�i�.�1�..�
�%; -f� (-�`��, _' �`j+�� �.
DAKG`T19l, SiIPPLY GROUP INr
4'15 WE3T MS�HI�IA AVE
ST. PA.'I:L, Mi�l 55103
:'K #: 651-���A�-S7E33
�tY}3I4ITT�n #�Y: M1KE J / DAW[*7 W
D��:tE: iif(14/23i5 PAGE :?
4UOT1�7'I:Gri TO: �ROJ.��T: FiTJ.2'I'SU
___.__ .__... _._..- --. QUO�'� !�'t�: �53�8^ti
020E�'�0 Of2DERBD F.iY:
C S H TNTE�PRISES
'I311 i53.t�� AVE
E"+�F.��T I,A?��', iKN
5502�
Q3Y �'f2OD #/]='ESCRIi''�1C1N ;72v�'.C' PRIi_E T.30i4! EX'T PR.I�.E
_ ----__.._ .._ __--------- --- ---- ---------- ------
1 EA FJAUU�8RLX�';Fi i, F:4G.59Q(7�) EA 1,6G9 . 59
MIPdI SFT�1 FiP CC�'�P z��$TU 'rtF7 -•1.5
1 FR F�:AGt;9RLF a9a.��9GU0 �A 598 .49
MINI SF'L'T HP EVFs,P 9NiB7'tJ TLGOR
1 EA FJ.ASU9!2Lb'Z 41.U.c9J00 �.F, 410.59
N1�N.� SPL�' FiF L•'VaP 9MBTU GlAtiL
2 EA 40614383825 58.�b4���0 F,A I16.f38
M5 iI:NESET 25' .'..��" 3!8" 3;8"
1 �A FJkO�J15RLS3?-! 989.430G0 EA 9$�.43
M.LN� SPLT r3P COi�J ISN:B'1'T?
]. vA FJ7.l.SUlS.T2LS� 5a� .16�`�� EA 5F4 .�.6
MILvI SPLT I3P EVAP 15M�TG' WAI,T,
1 EA 408I4i238?.5 C0.43006 L'A 60.43
NSS LINESF'T 25" 2 f�`i 1!2'� 3%$n
2 EA 24:35ACP 7.9 . 28c70C S� 48.55
P7iL' CONbENSER '7.4'� X 3�° H�FCO
2 Er1 HPS-MINi 74 . 6300G BA 149.26
G?'�.�"1T PUMP 57'�.tv''1: TRON x'_T_'d':; 32.�32
PAIJ
BTn TJTAL 4,537�39
** E2� OP" S�D *� ;: � . „
:� � ', �� � ��'� �-- . _ .
`C � ; '+ =X
' ,.'
/
' f1 � � 1 f
_�_1� ���'=`.'""� ��`�� ��f ?�l.,�i�.i?_% �_/tl�✓`..��✓�_:, ��.�-'J�`—' '� t::.�' {✓``irr�'`�---�'
� � ' �'�� !� i �� •
�L%'�--'ni'�lJ C-��` �...�i �`�" �`,`�'��.; �/,,��,_.� �1�.�.:j_) �_`;�' �t..}- �.'.-�' Y�.� �\, ` J�
�o o�
TIME
CITY OF ORONO CALLED IN � �
INSPECTION NOTICE SCHEDULED�— l
PERMIT NO. COMPLETED
ADDRESS
OWNER TELEPHON NO.
CONTRACTOR � J� �
� DESCRIPTION _��/t--�—��-�--- �
W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
y ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB �MECHANICAL RI ❑ SITE INSPECTION
_ ❑ 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
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
v�i COMMENTS:
¢
W
C
O �
'' � v�'� �— G�I
�
0
�
Q - - � a�5 �u c�r,vvrr� -- �
�
W
�
W
�
j
d
W� WORKSATISFACTORY:PROCEED ❑PROJECT COMPLETE
❑ ECT V1fORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CARRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE CWERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WFLL REfURN ❑CITATION ISSUED
❑STOP ORDEH POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (952� 249-460�
OwnedContra o n site:
Inspector.
White Copy/lnspector's File Canary CopylSfte Notice
pn� nMe
CITY OF ORONO CALLED IN
INSPECTION NOTICE ��y SCHEDULED
PERMR NO. �1-- �tYJ.��J�`715 COMPLETED � f�
l'�
ADDRESS 1z���� �
OWNER TELEPHONE NO.
CONTRACTOR
� DESCRIPTION
�y ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBINCa RI ❑ EXCAV/GRADING/FILLING
O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
2 ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNERlFIREPLACE ❑ COMPLAINT
� ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
41 ❑AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATIOWREMOVAL
_
r ❑ DEMO-SITE ❑ SEPTIC INSTALL
Z OMINEWiCOKTRACTOR TD MEET rOU:_lf�_NO
� COMMENT'�
4
o � —
�.
�
� �
�
Q �L c�t / U�
i /' � i !� Q' r/'
�
W
�
�
J
W ❑NIORK SATISFACTORY:PROCEED ❑PROJECi COMPLETE
� ❑CORRECT YM�RK a PROCEED ❑ISSUE CERTIFlCATE OF OCCUPANCY
� (�Of�iECT WOFNC,CALL FOR F�INSPECTION TEMPORARY
���� PERMANENT
❑OORRECT UNSAFE CONIDITION WITHIN �0�1�• p pHpTO TAKEN
INSPECTaR 1MLL RE7lJHN
❑STOP ORDER POSTED.CALL INSPECTOFi �pTATiON ISSUED
❑INSPECTION REOUIRED.CALL TO ARRAN(iE ACCESS.
ce�ra u�e next rr�spect�o�u na�rs�ad�►anoe- (952) 249-4600
sRe:
Inspector:
WMt�CoPf���� Canary CoPYfBit�Nodee
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
PERMIT NO. 20��8 COMPLETED � �
ADDRESS 7 Z.S �o w' �'�L N•
OWNER TELEPHONE NO.
CONTRACTOR
� DESCRIPTION
t~y ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ ECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
v ❑ DEMO-SITE ❑ SEPTIC INSTALL
Z OWNERICONTRACTOR TO MEET YOU:_YES_NO
y COMMENTS:
¢
W
�
0 /�'N�i ! �i0 K��/ �i
�.
�
O
�
W /n� � .
�
Q
�
2
�
W
�
j
d
W ❑WORKSATISFACTORY:PROCEED PROJECT COMPLETE
� ❑CORRECT WORK 8 PROCEED ❑ISS E CERTIFICATE OF OCCUPANCY
W
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in�dvance. (g52) 249-4600
OvmerlContra on site:
Inspector:
White Copyllnspector's Ffle Cenary CopyfSite Notiee