HomeMy WebLinkAbout2013-00011 - gas fireplace • • CITY OF ORONO * 2 0 1 3 - 0 0 0 1 1 *
2750 KELLEY PARKWAY DATE ISSUED: OU07/2013
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 2215 BAYVIEW PL
PIN : 17-117-23-44-0026
LEGAL DESC : WALLACES ADDN TO VIL OF MTKA B
: LOT 000 BLOCK 000
PERMIT TYPE : MECHAN[CAL(> $500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : F[REPLACE-GAS
VALUATION : $ 1,462.00
NOTE: GAS FAC"CORY FIREPLACI?
HEAT-N-GLO
MODEL NO: SL7�0"I�R-IPI-E
APPLICANT MECHANICAL 50.00
CONDOR FIREPLACE& STONE CO. STATE SURCHARGE MECH (VALUATION) 0.73
8282 ARTHUR ST NE
SPRING LAKE PARK, MN 55432 MAIL-[N FEE 2.00
(763)786-2341 TOTAL 52.73
PAID WITH CC# 0816
OWNER
DUNN,TIMOTHY
3010 BROOKS LANE
WAYZATA, MN 55391-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be perfonncd according to
the approved plans and specifications,applicable City approvals,and thc
Sta[e Building Code. This permit is for only thc work described and does
not grant permission for additional or related work which rcquires separate
permits. All provisions of laws and ordinances governing this type of work
shall be compied with whether or not speciticd herein.'I�his 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 ihe State Building Code.This permit may be
revoked at any time for due cause.
���Ltr,c-1.��� / l 7 /�o� C7� / / 7 / oZa/3
Applicant Permitee Signature Date Issue 3y Signature �� Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
011�712013 16:3� 7637177207 '� CONDOR PAGE 02105
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.$�ti City af Orono Fo� '�O�vLY .
O �\, P•O,13ox 66 i� DatC Roceivcd;� / pern+lt# �._ �`/
�+:s ,: I 2750 Keliry Parkwuy I
� �1�'�• � �/ Crystal Rny,MN 553Z3 A rovod H
��r����� Phone(952)2d!i.4600 Fnx(952)Z49�616 pp y' Ampurtt S:��7
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CITY OF ORONQ—MECI�ANiCAL PERMiT
(All Commercial pomiit3 muat bc nppravqd bythc Huilding 0'Pficiel qt Inapcctor and/or Plre Marshnll)
I
GBIVER�L IP�TFORMATION
1. You may apply�or t�echanical,permj�s by mei(or in person at the City o�ces, A�plications will
be reviewed and,o permit will be issugd within two working days.
2- Permit cards wi1]be sent by reh�rn ttt�il after a review is complcted, .PERMITS ARC NOT
VALID UNTIL YOU RI;CEIVF A P�ItMIT. WaRK M�JST NOT BEG1N UNT1L THE
PE MiT ARD I PO5T�D Q THE.1 SIT --
� 3. �4lcchaniettl Deei ns—Complet6 calct�latlons,details and spccificatlons are reqz�ired for cach
hea[ing,venl'ilation,humidi�cation-dChumidifeation,And air c0ild.itionillg insta11AC1on includang
hcat loss/heat gain calculation,designjte�nlperatures,equinment ratings and identification as to
typc, manufacture.r an�modcL ,Data s�all be presented on farm provided"
4. When any new cona�niction or. rcmodgling is involved,a scparate building permit must be
obtained. __ _
,^ ,.. __ _
__ .__, ,
5.! Al]work mnst be done in accordance yvith the Unifarm.Mechanical Code/State 13uildin�Code
requirements.
6, All work must be inspected(rough-in and final}. Call(952)249�600, _ _...._.
(24�8 haqt notice rcq,pired) �
7, i3ous,e Heating Test Record must be submitted before fnal,
,�
TXP� O�P'ERh�i�'I'
Check All Th�t}� I -
�Residcntial;. ❑Commercial(Apprqval Requircd)
_ ._
_ ..
�.�1ew ;.; ❑AdditionA.l ❑.Repairs �]Repl�ce
Job Site/Ow�lor Infar,mation: ' . , ,
�:� .
Sitc AddrCSs: ' � J� i�/,` I,t,.� ; ,
Owncr;��T�,�/✓ f�r'c��p ,r�c�/���Mai.ling Address:
City: (��r_p ; Z�p:
�P�'�1i1� ,. ,
Homc Phonc: � ���� �� G� � Altemate Phone:
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Con�r�ctor Informatioz�:
Cont�actor: �°t7�,rfJ�r� F,'r�plAre,�jST��ntacl:Person: � ��J� Q1���/�!�
___. .
Addres9: ��e�� RTh�[.��,s % State Dond#� _ . �
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Ci , �i�'o ,�L 1s� � �f' . .
�3'� Zip:.5�3Y3,,Z.Expiration Date: 3 �
Phonc: ��.3'7��._- �,3 � Altern�ttc P.honc: ���- ��� -' a3 �'/�
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01 07/2013 10:39 7637177207 CONDOR PAGE 03/05
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Note:AlJ C�e hermal Systems witl now require a Site Plan&Review by aur Buil.ding Qfficial..
i5 TH.aS GE THCR AL? ❑ Yes ❑No
HEATING SYSTEMS
�
�uantiry:
Make: I
Modcl:
T
Fuol;
Fluc 5ize:
Input BTUs; .__.,�
Output BTUs�
CFM:
COOGING 5YSTEMS
Quantity: `� ..
Make: i
ModoL•
Tons:
F1, Power
�IREPLACES
� Ga5 Factory rircplace Brand Name: /�� /V �
❑ Wood Bumin��ireplaCe rA
❑ Wood Stovc Model No.: S� � ,�Q ��,�— F
❑ Wood Stove w�th Flqc/Maso ry
VENTILATION -
❑ No, Kitehen Exhau.�t duet recirculating , cfm
❑ No. ,_ Bath Exhaust(r�'►ust ha.vc duct out�ide) cfm
� No, Qther Fans; LqCations cfm
FUEL�TORAGE (Mr�s�he ra�pmt�ed by Fire I arshal!ijp�aposinglo aba�don�ank in prace.)
❑ lnsta.11ation ❑ Re�val
Fuel Qil; gallons� ❑ Underground ❑ Insid� ❑Outside
LP Gas� __�`gallons j
Other �
GAS.LIN�ONLY ;
� ❑ OuCdoor Gnll ❑ Othl r/List What&Where:
� 2 �
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61107/2013 16:39 7637177207 CONDOR PAGE 04/05
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❑ Yes,this sectior�applies
Thc rcplacement of a Residcntia] fixture�r�Dpliattcc that meets all three of the following requirements;
1. �oes not re ire modification co electrical or gas service,
2, Has a t ta1 st'of$500.00 or less; c u.din the �ost of the.fixture or appliance:and
3_ Iy improve installed or repl&ced,by the homeowner or liaensed contractor,
Skip ncxt s tion,if this applics; Casc of Permit $ 15,00
Statc 5urcharge $ 5,00
Mail-Tn ree(IfApplicable) $ 2,00
Total Permit�'cc $
�;F�.:a:,,�<r�v�.;, rru�pr.,, ^� ��y; � 1M , y� m nuuu,,:iu,�n.
( ,s`:: �� �1T'��M;r�'W.�d�'"� 'y� � °� ��IEJ�` �m��li�,'�'Ti' �!1' I mw."•�
�m... ��w � •�'��^� � �„
if abovc does not apply;f llow�uidelines below:
l. CONT PWCE "' is 1.25"/0 of contract price wich a(M7nimum Fee ot$50,00)
� ��(o� x ,0125 $ ��e�
{�nact pncc) (m�llimum SSD.DO)
Z. STATE • RGE
x .0005 $ A ��
(contract pricc) ' ,r
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3, POSThGG& ANDLTNG(Only on Mail-ln Applications) $ 2,�
r
4. TOTAL PE IT FEE(Add Linea 1-3 Abovc) $ �0�� �
■ " CONTRACT PRi or .TOH COST rneans the actua] or esttma.l'cd dollar amounL' charged for the
permittcd work inclu �ng materials, labor,profit,and oTher fxed costs, (i iS Che amount tq be ch�rged
to the cuscumer for t worly donc, if any mareTial, equipment, lmbor or installaiions are furnished by
the owner, tenant or y other parry, chc reasonable markct value of such items must be Addcd to the
estimated cost or co oct pricc for permic fee purpose5. Tn thc event that there is a dispute on che
amount of the job co t,the Ciry may request the submission of a eigned copy of the ACtusl contract.
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Tl�e undersigned hereb applies to the City for issuance af a Meehanical Permit, agrees to do a.l.l
work in stri.et accordance witll the ordinances of rhe City and ehe regulations o� the State of
Minnesota, and certifi ' that alJ. stt�ccments made on this applicat.'rvn are complete, true and
correct, �
�pplica.nYs Signature; T�ate: �"7'� � �}
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DATE TIM
1��'i3 CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
PERMIT NO.,�o�3-�/! COMPLETED ` S'-/
ADDRESS ���5� �Br,.�«sJ �/.
OWNER TELEPHONE NO.
CONTRACTOR GD+t�i r �..''r.o�FLe
� DESCRIPTION G�s �• �'
�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREMIEfLANDS
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
v ❑ DEMO-SITE ❑ SEPTIC MAINT. �OLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL � HARD COVER FIEMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
Z OWNERICONTRACTUR TO MEET YOU:_YES_NO
� COMMENTS: nv o�te ho wc�
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W ���GE'4K Ce t !/t4G ! �tS.I'l�/b�1 4l�.w /C�ys
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W ❑WORKSATISFACTORY:PROCEED �PROJECTCOMPLEfE
� ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
w
0 ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY
V BEFORECdVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
�NSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952� 249-46�0
OwnerlContractor on site:
Inspector. N--
White Copyllnspector's File Canary CopylSite Notice