HomeMy WebLinkAbout2011-00806 - gas fireplace � , .
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CITY OF ORONO PERMIT NO.: 2011-00806
2750 KELLEY PARKWAY
ORONO, MN 55356- �ATE 1SSUEu: 08/OS/2011
952 249-4600 FAX: 952 249-4616
ADDRESS : 753 BOULDER DR
PIN : 33-118-23-11-0074
LEGAL DESC : STONEBAY THIRD ADDITION
: LOT 002 BLOCK 002
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIREPLACE-GAS
VALUATION : $ 2,000.00
NOTE: GAS FAC'I�ORY FIREPLACE
APPLICANT MECHANICAL 50.00
CONDOR FIREPLACE& STONE CO. STATE SURCHARGE MECH(VALUATION) 1.00
8282 ARTHUR ST NE
SPRING LAKE PARK, MN 55432 TOTAL 51.00
(763)786-2341
OWNER
O.T. Development, LLC
LLC, O.T. DEVELOPMENT,
2670 KELLEY PKWY
ORONO,MN 55356- ---- -
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 docs
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 compicd with whether or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within l80 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 ace
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
�-��- � i s� i 1 � �i � i !
App(icant Permitee Signature Date Issue y Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
� 08/04l2011 13:31 7637177207 CONDOR ���� � PAGE 01103
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Ciry of Orono
O �' � �G--
��' �'� P.o.Bo�66 Dace•�rid�a�w�a: � ren;,tc�; . `. .
2750 Kcllcy Parkway �
� �,�'�'. Crystnl Dfly.MN 55323 Ap�StOved'Hy:., ... Amount$: �/ /*
����L_;j��j�� f!hnne(952)2d9-dfi06 Fax(952)249-461 G "'
ii�i�ea�
CiTY OF ORONO-MECHANICAL PERII�IT
(All Commcrcial parmita must bo appmved by the Duilding Offiti�l or Inspeccnr xnd/pr Firc Marahall)
GEI�iERAL I1�iFORN1�4TION. ; ,
1. You may apply for mcchanical pcmuts by mail or in person a.t thc City of'fices, A.ripl.ications will
be r.e�iewed and a permit will be issued within two working days,
2, Perniit cards will be sent by rchim mail aftcr a rcvicw is compleced. P�RM.ITS.ARE NOT
VA.i tA UNTiL YOU REC�IVE�PER.MIT. WORK MUST N07'BEGIN UNTiL THE
1'ERMIT CARD IS POSTED ON THE JOB SITE.
3, Mech.�snica]_TJesiRns—Complete calculations,detail.s and specifcatipns are required for each
heating,ventilation,humidification-dehumidification, and air conditioning installation including
hcat loss/hca.t gain calcnlation,design temperatures,cguipment ratings and.identifieation as I:o
rype,rr+anufacturer an.d�n.od.c1. Daca sk�al.l be pxesenced,on fozm provided.
4, WIZen any new construction or remodeling is involved,a separate Uuilding pem�it must be
obtaincd.
5. All work must be done in accordance with the Uniform Mechanical CodelState Tiuild.ing Code
r�qttircmcnts.
6. Al.l work must be in�pected(rough-in and.final). Call(952)249-46(�0.
(Z4-a8 hour noYice required)
7. House fleating Test Record must�ie submitted before 1'tna1..
�'YP�OF:P'ERMIT":: ,
:(Check Alj '�'�at Appl��': .: '�, -
[�R�sidential ❑Commercial (.1\pproval Requ.ired) •
❑New ❑Additional ❑Repnits ❑RcpTacc
Job Site/O!s���Infor,nation:
Site Address: � �J� ����c��f' �Y►v l-
Owner: Mai.ling l�ddress:
City: _`,)1�� n o zip:
Home Phone: Alternate Phone�
Co�nt�actar Lnfo�,ti�n: : � ,,
Goz�l:TaClor: Ur �E.. Contact Persvn.: �[y,�l,� �Yi°i1/d-✓
Address� g�i�ai �r►lur �-•�� State Bond#: � ,lf��`�o „
Ci.ty: nSpj Lfl 7ip� fixpiration Date� �(� 3�-/f
Phonc_ jo - �O r � Alternatc Phone:
❑ Insurance-Current:
1 �
- 08104/2011 13:31 7637177207 CONDOR PAGE 02103
� " ?s' � - �'�i,�j��r ���� � � ��� ,
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Note: All Geot,bermal Systems will now�equire a Si.tc Pl�.n&Review by our Buildizag 0'��cial.
TS THIS GEOTHERIV�AL? ❑Yes ❑No
HE�TING SYSTEmS
Quantity: ,,,,, __
M ake:
Model:
Fuel:
Ftue Size: ,_ ,
Inpuc DTUs�
Ou�pu.i i3TUs:
CPM;
COOLING SYCTEMS
Quancity: .._.,_,_ _
Ma.kc;
Model: ,.
Tons;
H.Power _r,�
F.IREPLACES
[�. Gas Factory Fireplace Brand Na.mC; ,����' �-/(�
❑ Wc.iod T3uming T'ir.eplace
❑ Wood Stovc Model No.; � 0���
❑ Wood Scove with Plu.e/Masonry
VENTILATION �
❑ No. Kiechen T:xliause duet, recirculA.ting __,_,�,,,,,cfm
❑ No. Bath Exhaust(mu�t have duct outqide) cfm
❑ No. Othcr Fans: Locations cfm
k'i.�EL_STORAGE (Mus/bc approvrd by Fire Marslwal!if prnpnsing[o abar�don tank in place.)
❑ Inst�llation ❑ R�moval
i'Uel Oil: gallons � Underground ❑Tnside ❑ Outside
LP Gas: gallons
Other:
GAS LINE On'LY
❑ Outdoor Grill ❑ OChcr/List Wliat&Where�
2
,081a4/2011 14:e1 7637177267 CONDOR PAGE 01/03
p yyr,�'��• �y A a ',� �'�5 kM �Tfl ` ��V+,�w��� ��G��{I'U��r7
+��d['�7S'l�b"�`tt�il����,. �.5—,�;...,.. . ..�r � �L'4�����������irqlt�"�'�,{1�'�j�{��Ihh��Gd'� ��I��i h;
F a h��y4a"� ,Z � ,�r w �,�p��l���t�f �1h���1if��Ul�idyiyiiil��Mb���t
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a Yes,this section applics
The replacement of a Residential fixture oLppliatL�thaL'meets all thrce of thc 1'ollowing requirements:
1, es n t cequire modif cation to electrical or gas serviee.
2. Has a total co�of�500.00 or less;,e�cludina the cost of the fixriiro or appliance: and
3, Is improved,inse�lled or replaced by thc homeowner or licensed contraetor.
Skip nezt sectian,if this applies; Cost of Pcrmit ���0
Statc Surcharge $ S,OU
Mail-In Fce(1f Applicablc) R 2.00
Total Permit Fee S
�k�'�thtj'q.,'+�����`��'�� f�i`! I
If obove does not apply;follow guidcl.ines bclow:
�, c'9NT CT PRiCE '"is 1 ZS%of conttaet price with a(Minimum Fee of 550.00)
�a CDD� ' x.0125$
(contrnct pricc) (minlmam SS0.00)
Z. STATE SURCHARGT
' x.00OS $ _
(c�nct�ct pt���)
3. POSTAG�&HANDLING(Only on Mail-In Applica.tions) $ Z.0�1
4. TOThI�PERMI.T FEE(Add L'tncs 1-3 Above) $
■ "` C�NTRACT PRICE or 70B COST mcans the a.etual or eseimated dollar amount charged for the
permittccl work incl.uding ma�erials,labar,pro�it,and othet fxed costs. It is l:be amot�nt to bc charged
to tbe customer for thc work donc. If any material, cquipment, labor or insta3latio.ns are fumished by
the owner,tenant or any other party,tk�e reasonable market valnc o:P such items must be added.tq thc
estimated oose or contract price :Eot�ermit fee purposes. In tl7e event t,hat there is a dispute an the
amount of the job cosl, the City may request the submi�sion of a signed.copy of che actual contraet.
� , ,,' � ��
The undersigned.hereby appl.i.es to the City for issuance of a Mechanical Penrit, agrees to do all
work in strict accordance wich the or�clinances of the City and the regulations of the Sta.te oi'
Minnesota, and ceztiftes tl�at all statennenes made on this application are complete, true flnd
correct.
Applieant's Signature. Date: U � �I
'x._�� .. ,' aw�9wlx, �Y,'o' ,�.i , 9
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