HomeMy WebLinkAbout2011-01236 - gas fireplace CITY OF ORONO PERMIT NO.: 2011-01236
� 2750 KELLEY PARKWAY
ORONO, MN 55356- �ATE ISSUEn: 10/12/2011
, 952 249-4600 FAX: 952 249-4616
REPRINTED ON 10/26/2011
ADDRESS : 764 BRIDGEWATER DR
PIN : 33-118-23-11-0110
LEGAL DESC : STONEBAY FOURTH ADDITION
: LOT O15 BLOCK 001
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIREPLACE-GAS
VALUATION : $ 4,200.00
NOTE: (2)GAS FIREPLACES-(1)UPSTAIRS AND(l)DOWNSTAIRS
HEAT-N-GLO-MODEL 6000 C IPI
APPLICANT MECHANICAL 52.50
CONDOR FIREPLACE& STONE CO. STATE SURCHARGE MECH(VALUATION) 2.10
8282 ARTHUR ST NE
SPRING LAKE PARK, MN 55432 TOTAL 54.60
(763)786-2341 PAID WITH CC# 1834
Minnesota State License#: 7950
OWNER
O.T. Development, LLC
10300 IOTH AVE N
PLYMOUTH, MN 55441-
AGREEMENT AND SWORN STATEMENT
The work 1or which this permit is issued shall be perfomted according to
the approved plans and specitications,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 specitied herein.This permit will j���.`��
expire and become null and void if construction authorized is not (�, n n �.�
commenced within 180 days of the date of issuance,or if construction is �XJ`"
suspended for a period of l80 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance wi[h the State Building Code.This permit may be
revoked at any time for due cause.
/ / / /
Applicant Permitee Signature Date Issued By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCR[BED ABOVE.
- CITY OF ORONO PERMIT NO.: 2011-01236
, • 2750 KELLEY PARKWAY
, ORONO, MN 55356- DATE IssvEn: 10/12/2011
952 249-4600 FAX: 952 249-4616
/� REPRINTED ON 10/12/2011
ADDRESS •.-� BRIDGE ATER DR t;v�O l��j ��-+c-� �� �.��
PIN � 33-11 -11-0107
LEGAL DESC : STONEBAY FOURTH ADDITION
: LOT 001 BLOCK 001
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RES[DENTIAL
CONSTRUCTION TYPE : FIREPLACE-GAS
VALUATION : $ 4,200.00
NOTE: (2)GAS FIREPLACES-(1)UPSTAIRS AND(1)DOWNS'1'AIRS
HEA"f-N-GLO-MODEL 6000 C IPI
� � -' � � �
, . �\��� �`\`0
��
APPLICANT �HANICAL 52.50
CONDOR FIREPLACE& STONE CO. STATE SURCHARGE MECH(VALUATION) 2.10
8282 ARTHUR ST NE
SPRING LAKE PARK, MN 55432 TOTAL 54.60
(763)786-2341 � PAID WITH CC# 1834
Minnesota State License#: 7950
OWNER
O.T. Development, LLC
10300 l OTH AVE N
PLYMOUTH, MN 55441-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according ro
the approved plans and specifications,applicable City approvals,and [he
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 atter 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.
!''"�''���� � a / / /
Applicant I'ermi�ee S�gnature �� D� ��— �� �����
Iss e y Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED A OVE.
. O$��tO City ot Oruqo �, ; „ :;�Ott�QIT� �U�E�NL�: �j�j
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CTTY OF pRONO —M�CHANICAL pERMIT
(All ConvrleCCi81 pernlj�s must q�ypproved by the Building O��ial oi'ItupectoC�nd/oT Pirt Marsltull)
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1. You may apply for mechanical permits by ma,il or in perbon at thc City offices, Applic�lioi�s will '
bc rcviewed and a pernut will be issued within tv�ro working days. .
2. Perinit cards will be sont by raturn mail after a review is completed. p$RMITS A.RE NOT
VALID CJNTIL 1'OU RLCE�I�A PERMIT_ WORK MUST 1VOT]3EGIN UNTIL,1 HE
PERMTT CARD 7S pOSTED ON TFIE JOB ST7'E.
3. Mechanical Desier,s—Complete calculations,detaiis ar�d spccifications azc required for eaeh
heaiing, vcntila�io�huu�iclification-dehunudifiea�ion, and sir conditioning installation inelud'uig
hest loss/heat gain.calculatiou, d�sign temperatvres, equipment ra,tia�s and�d�n�i.f G$tion as to
typc,rnxnufaelurer and model. Data s11a11 be preseutecl on form providcd.
4. '(�'hen any new eons�uction or rcmodeling is invoIved,a separate builcling permit musc be
obr,�incd,
S. A11 work musc be dor�c in accordance witl�the Uniform Mechanical Code/State Builciing Code
rcquirements,
6. AU work must be inspecCtd(rough-in and Final). Call(952)249-46U0.
(24-4$hour notice required)
7. �lou�c Heating Tost Itecord muet be submitted before final,
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��sidential ❑Con�unercial(Appro�al kequired)
��'�' ❑Additional
❑RePaits ❑Replacc
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Site Address: �/' ���� .�'-P v
Owner�T D� u r.i n.��nP��� �. ,�, 1Vlailing Address: f�J 9�/ (y 1�cy,> 11� .Q�/
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City: ! ,Q ' r�C� � Zip;
Home Phone:� - �? ()- AltemaCe Phon�:
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Contractor: (�(y�n� r:`�'��'lyee.o��l�ContactPerson: �,
�.aa�zss: ga����v'1���� s �7'` stat�Bo�za�:
c� �� L�� I'`� r�'�3
�'Y� Zi�a:� �Expiration Date:
phone: �1� ,3 • �� ,- ,�,3 �l Altemate Phone: �
❑ Insurance—Current:
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1'�a���= ,41I Cy�c,tLe,7na1 �ys�cnl��,vill�bcsw require a �it.�;�I�r,�I�cviEU�by our���ildin��flicY��l.
g� 'Y'lAili�'���Zi"�l�;l�.l��,." �'�'es r]No
li�,�7fYN'�5'4�'�'Lrl�:l'�7.5 �
Quantity:
Make;
Model:
T�licl:
I'Iue Size:
Input BTLTs: �
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�ut BTUs:
Cla M:
COOLING SYSTEMS -
Quanacy:
Make�
Mode1; � � �
Tons:
- H.Power
rr�pr.,A.c�s �
'��� � Gas Fsclory Firepl�cc I�rt�.nd Name, rl�e� T �/ ��.�
Wood Bm1w1S�ircplace
1�V� ❑ Wood Smve
Model No_� (�
���d�r� [] . Wood S.tove With Flue �"���'`r�'���
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VEN'i'ILATION ,
❑ No, Kitchen�xh�ust duct rccirculating cfrn �
�] No. � Batb Bxhaust(must have duct outsid,e) �fi�
❑ No. Other Fans: Localions ' ��
N UEL STOY2AGE(MCTST�3E APPROVL7b BY PTRL�MAItS�lAI.L)
❑ Installation ❑ Remoeal
�liel Oil: �e�llo�ls ❑ Under�ound ❑Inside �] Outside
LP Gas: , gallons �� _...--
Otl�.ez:
GAS LiNE UNLI'
❑ Uuidoor Crrill ❑ Othcr/List��►t&'W'hcre_
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5e�ze ��t�d �oallo� LOZLLZLE9L 6i:�z zzaz�zz�ei
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❑ ��s,tfus accrion applics
The replt�cment of a Rtsiden 'a1�xture or appliatict lhat mccts all t�utc of the followir�rcquirem,�nts:
1. bocs not xequirc modification to eltctrical or gas service. -
2. �Tbs s total cos'l•of$500.40 or lees;cxcl in the cost of the fizL•ure oe appliance:and
3. Is improved, insta.11ed or replaccd by the homeowner or licensod contraetor.
Skip next saction,if this applics; Cost of PGrn�it $ 15.110
State 5urcharge $ ,50
Mail-In Fee(If Applicable) S 1.50
Total Prrmit Fee �
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Tf�ibovc does not apply;foiJow guidelines below:
1. CONTRACT PRICE *is 1_25%of contract price with a(Mlnimum Fee ot'$35.Op)
x.
�0� x.012S$ 5 � �
(contru�t pnce) (minimum 535,00)
2. STA'I'F,SURCHAI2GE **Add tho Stat�Bldg Codt Div.Sutch�ge(Minimum Fec u�S.SO)
�� �.o�as �_�?. J 0
(contract pricc) (minimum S .SO)
3, POST,AGE&HANp�;YNG(Only on Mail-Tn Applicatious) � 1.50
4. TOTAL p�RMIT�EE(Add Lincs 1-3 Abova) $� �Q
• '� CQN'!'�tACT PRICE or JOB COST means tht actual or estimated dollar amount charged for the
permittcd work including materials, labor,profi��, and other fixed costa. It is the amoum to'br charged
to thc customer for thc work don�_ LF any matrsial, equipment, labor or ins�llations are fiunished by
tho owner, tenant or any ot�ier parry, the reasonable market value of such itcros m,ust be added to th�
ashinated cosc �r contract pricc for pernut fce pur�,nsds. In the cvent tl�at there�is a dispute on thc
amount of thc job cost, thc City may rcquest tlie submission of s si�ned copy of the actual contract.
■ '"'"Thc STATE S'C_TRCH,ARGL�is .00OS of tht Building bcpartment at(952)249-4640 for tht price.
�11114(�i I �'Vrl r�IL.�II'(��i�i��l.�k�l���"t,� �1 � �, •r � } .i��i�T`�l:�%���D �i�a�3�ic.?
Th� undersigned he�by applies to the City i'or issuance of a Mech•anical Permit, agrees Yo do all
work in strict aceordancc with th� ordinanees of the Ciry and the re�ulations of the State of
Minnesota, and certifies �hat all sl'alements made on this application are complete, tru� and
conect.
Applicant's Sigz�ature; - Date: / � /
3
99/�0 �Jtid �lOQNO� LBZLLZLE9L 6T ��Z ITOZ/TT/0T
� DAT TIME V
CITY OF ORONO CALLED IN ��—��
INSPECTION NOTICE SCHEDULED !(Z� �
PERMITNO. d���D/�3�pcOMPLETED �' �`
ADDRESS 7� � �/t��-����-
OWNER TELEPHONE NO. 7�3 7C1� o���f
CONTRACTOR
>; DESCRIPTION � �� ' �T
�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICALRI ❑ LAKESHORENVETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
Q ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
� ❑ PLUMBING RI � SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W y4vORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
�❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cal1 for the next inspection 24 hours in advance. (952� 249-46��
OwnerlContract e•.
Inspector.
e Copyllnspector's File Canary CopylSite Notice