HomeMy WebLinkAbout2016-00781 (Fireplace) . � CITY OF ORONO * 2 0 1 6 - PJ 0 7 8 1 *
2750 KELLEY PARKWAY DATE ISSUED: 07/07/2016
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 1400 BALDUR PARK RD
PIN : 08-117-23-31-0001
LEGAL DESC : BALDUR PARK
: LOT 015 BLOCK 001
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIREPLACE-GAS
VALUATION : $ 2,000.00
NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION.
CONTINENTAL GAS FACTORY FIREPLACE
APPLICANT MECHANICAL 50.00
HEAT[NG&COOLING DESIGN INC STATE SURCHARGE MECH(VALUATION) 1.00
1010 118TH AVENUE TOTAL 51.00
BLAINE,MN 55434- Payment(s)
(763)291-8519 51.00
OWNER
ELLIOTT, STEVE
1400 BALDUR PARK RD
WAYZATA,MN 55391-
AGREEMENT AND SWORN STATEMENT
The work for wfiich 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 wi[hin 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time afrer 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.
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Applicant Permitee Signature Date Issued Signature Date
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,�('\ s���-, C�ty of Oron.a ' ,�: � " �Q M .�ur� �Am 1 .t,�,' Kk,n rr�r �0. s
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Grystal BaY,�1 55323 A��r�ss,ed y,� ,, �k ",� '�� .�ifuts�f�4 ; ` �-
Phone(952)249�600 k'ax(952)249-461,6 >, . ; _ _ r ' >,_, � 7-����N,.1?? .`�
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���a' , �.��1N CTTY Ok' a120h Q-1'IECFiA�CA PE
K�x,��, T1 RlV�IT
(AIl Commercial pena�its mt�st be eppzoved by ihe Building Official or X�nspcctor and/or Fi�e IvIarshall)
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l. You may a��ly for meck�a�,ica1 permiits by mail or it1 pez-son at the Czty of£'ices. Ap��ications wi,11
be reviewed and a pezzz�it wili be zssued withu�two working days.
Z. �ermit cards wili be ser�t by xeturti mail a£ter a re�view xs comple#ed. �ERMIT'S,A,k�NO'�
VALID UIvT1L XOU R�;CEIV�,A.PER'v�T. WORK MU �iOT�� UNT' �iE
�'ER�'V,[��'CAT�D�S�QSTEb Ozv'�HE JOB SI�'E.
3_ �Ieahanica� esi�s—Coz�a�Iete caleu�atzoz�s,details arAd specifieatiozzs a�•e required�or eae,h
heata��g,ventilatxoz�,liumidi&cation-dehuttazr�i�ication,azad a�z conditiazaizag i_nstallatiozX i.�cluding
heAt loss/k�eat gain calculation,desigu ter.�perat7u�s,oc�uipment ratzz�gs uid ide�uti�Zcation as to
ty�e,mx�iuf'acturax�and mode�. Data sha11 be�xesented oz�£ozxn pro�vided.
4. Whozz aray ne�v coz�struction or repo,odel�Z is invo�ved,A sepa�ate building pe�it must be
oUtairxed.
5. .A,il work Aaust be donc iva accordanee wztl�t�le Uniforzz�Iv�ech�nieal Code/State B�i�dung Code
requize�ents.
6. ,t�l work must be iz�spected(rougli-in and fjz�al). Call(952)249-4600.
(24-48 t�oar uotice rec�uirec�)
7. House�Teatizag Test}.2eco�rd znust be subz7�itted befare f:u�al.
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[�/]Residentia� �C.o�aexcial(Approvai Required)
[��Tew ❑Addztional ❑12epai�s �Repkace
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Szte Address: �400 BALDUR PARK RD
Owner: STEV� ELUpTT Mai�iu�g Address:
City: Z�p:
T-iome��one: Alternate P�Zozze:
i ..r, � . , r n I "�5 �9 i
. ctlN 4, 'O` �A I � �
Contract�AT!!VG & CQOLING DESIGN fNGCoxztactP�rson�: ANGI�
Adciress: �Q10 918TH AVE State Boz�d#: MB003339
City: BLAINE Z1�:MN Expi�a�ion T7ate:
�lione: 763-291-8519 A,Zteznate Ph��,e�
� Insuxance �Cwcxent: EXp. 9/16
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Note: A,�l Geotherma� Sys1�ems will z�ow require a� 't Plan&Rev�ew by our Bui�diulg Officia�_
ZS THIS GEO�'�TERMAL? ❑Yes ❑No
HEA'�T.I�TC SYSTEMS
Quantity:
Make:
Model:
F�tel:
F1ue Size:
Z�put BTYJs:
Output BTUS:
CFM:
CQOLIN'G S�'STEMS
Qua�.tity:
Make:
Mode�:
Tons:
�.Pawer
PT,ACE
� C'7as k'actory�irep�ace Brand Name: CON7IN�NTA�.
❑ Wood Bu,n�izzg Fu�epiace
, ❑ Wood Stove Model No.: CB42
� Wood Stove with Flue/Masozuy
VENTILA'z'��N
❑ No. Z{xtck�en Exhaust duct recirculatiu�g _ c�
❑ No. Bath Bx�aust(xn.ust have ducr outside) ��
❑ No. Otk�e�•�'ans: Locatxo��s `���,
k'iT�L STO E (Must be ap,�roved by F�r¢,Marshall if praposin�to abanrlon tank in plrrce.)
❑ Insfallation � �ezaovaI
Fuel 0i1: ga�loz�s ❑ Undei�ground ❑ Zz�side ❑ Outszde
�,P Gas: �gallons
Othe�:
GAS�,INE ONLX
❑ Outdoa�Grzll � Ot�,er/List Wk�at&Where: GAS L1NE Tp FIREPLACE
2
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❑ Yes,tY�is section app]ies
�e replace�ment of a Residential fixtuze or appliance tb,at meets a11 t��zee of tk�e;Followiz�g rec{uiremez�ts:
I. oes not z�ec�Uire maciz�Zcation to e�ectzical or gas se�vice.
2. T�as a total cost o£$500.00 or less;exe ud' the cost o:Ftlie fixture o�appli�ce:and
3. Zs unproved,u�stalled oz�xeplacod by d�e homeowz�er or lic�nsed contracto�.
Skzp z�eat sectiozz, zf tlus app�ies; Cost of Permit $��
State SuXc�arge $�.(�0
Mail-In�'ee(If Applicable) $_ 2_Op
To#al Perm�t�Fee $
��aUove does,not appiy; tollow guideliaxes below:
1. �ONTRAC�'PKYCE *zs 1.25%o�contract price with a(1VTir�iionum Fee o�'$50.00)
2000.00 x:o12S$
(conaact price) (minizuuiop$54.00)
2. ,STATE SiJ�2CI�RGE
— 2000.0o Y.000s $
(corrir�ct przc�)
3. �OS�',�1,G�&H q_,���,ING(Chaly on Mai�-�za,r1.���licat�oz�s) $_ 2.00
4- TQ'�AL P�Kl�'���'FEE(A,dd Z..ines 1-3 Above) $
■ * CONTRA,CT PRIC� ox• JO� COS� means the actuai ar estzz�ated dollar amount ck�az�ged for ttze
pez7naitteci work zzxclud'utg materzaas,labor,pxo�it,and othex fixed eosts_ Zt is the a�zzou�cat to b�cbarged
to tk�e casiome��or the w-ork done. If az�y x�ateriaf, eqwi�znen�, laboz or instal�ations are fum�ished by
. tlie owz�er, #enant or az�y other party, the re�sonab�e zuiarket value of such itezvs must be added to the
estiAraated eost oz contraet pnice for per�z��t �ee p�u�poses. in the Ev�,z�t �hat t}iere is a clispute on tne
amotmt o�t��,e job eost;tlae City naay �rec�uest the subznission o�a si,�ec� copy of the aetuaa eonCract_
Tlze uz�dersigned k��xeby a��lies to tlie Ci2y for issua�r�,ce of a Meck�anical �e�it, agrees to do al�
woz•�C ;it�; strict accorda,nce with the ord'u�ances o�tk�e City az�d the regulations of tlze State o�
Maz►z�esota, and eertifies that afl stateztteuts z�n,ade on this a��lication are complete, true az�d
correct.
Applicaz�t's SignituXe: Dat�: Q7/07/16
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�—Tv� TE TIME
CITY OF ORONO CALLED IN �—
INSPECTION NOTICE SCHEDULED �3: U
PERMIT NO. a� "L'C7� P��
ADDRESS
OWNER T LEPHO O.
CONTRACTOR �'
� DESCRIPTION � "'�'�
ly ❑ FOOTING ❑ DEMO- AL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
y COMMENTS:
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W ❑WORKSATISFACTORY:PROCEED ``,�PROJECT COMPIEfE
� ❑CORRECT WORK 8�PROCEED �/❑ SI 3UE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECWERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. (g52) 249-46��
OwnerlContractor on site:
Inspector. f^' I�w "7�
White Copy/lnspector's File Canary CopylSfte Notice