HomeMy WebLinkAbout2014-00933 - gas fireplace , +� CITY OF ORONO ''`2014-00933X
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2750 KELLEY PARKWAY DATE ISSUED: 08/2U2014
' ORONO, MN 55356-
� (952) 249-4600 FAX: (952) 249-4616
ADDRESS : 1 161 ELMWOOD AVE
PIN : 07-117-23-14-0029
LEGAL DESC : SKARP& LINDQU[STS FERNHILL LA
: LOT 009 BLOCK 000
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RES[DENTIAL
CONSTRUCTION TYPE : FIREPLACE-GAS
VALUATION : $ 4,000.00
NOTE: l GAS FIREPLACE(MENDOTA)
APPLICANT MECHANICAL 50.00
STATE SURCHARGE MECH (VALUATION) 2.00
TW[N CITY FIREPLACE STONE CO INC MAIL-IN FEE 2.00
6521 CECILIA CIR
EDINA, MN 55439- TOTAL 54.00
(952)941-2685 Payment(s)
Minnesota State License#:mech-MB682977 CHECK 200631 54.00
OWNER
SUNDBERG, RICHARD
5125 WEST STREET
GREENWOOD, MN 55331-
AGREEMEIVT AND SWORN STATEMENT
Che work for which this permit is issued shall be performed according to
thc 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 typc 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 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 anv time for dae cause.
_ � � �{ (
Applicant Pe itee ignature Date Issu d y Signature Date
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l;ity ot Urur�o
2150 Kelley Parkway
Orono MN 55356 952-249-4GU0
fteceipt No; 3,011619 Aug 21, 2p14
Twin City Fireplace Stone Co Inc
Previous Halance: �U
Permits
2014-U0933 1161 Elmwoud 50.00
AVe
101-3�'53U
Mechanical/Septic/Other
Per�mi ts
2014-OU933 1161 E 1 rr�w�od � �jp
AVe
lUl-2U802
Due to govts-State
Permit5
2U14-00933 1161 Elmwood � pp
AVe
1G1-344A0
Bldg Permits-mail in fees
_----------
Total: �4 ��
Chcck � �
Check No: 200631 �a.G�
Payor:
7win City FireF�lace Stone Co [nc
Tutal Applied: 54.GU
- ------ -
Change Tendered: .00
08/21;2U i 4 12:28t'M-----____
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FOR C[TY LJSE ONLY
/`��O A'O City of Orono
/ �y P.O.Box 66 Date Received: Permit#
2750 Kellzy Parkway
� Crystal Bay,MN 55323 Approved By: Amount$:
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Phone(952)249-4600 Fax(952)249-4616
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�q�.f�H���F.� CITY OF ORONO—MECHANICAL PERMIT
_____ (All Cornmercial permits must be approved by the Building Official or Inspector and/or Fire Marshail)
� 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 Designs—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. Ali 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 Apply)
[�Residential ❑Cummercial(Approval Required)
[�New ❑Additional ❑ Repairs ❑Replace
Job Site/Owner Information: �
Site Address: � � � � ���w�nd �-C� -
Owner: �C�� �1l��ht'N41 MailingAddress: II �I �I'M.�JllO(�(� � •
,
c�cy: �ro v�D z�p: ��31��
Home Phone: ��2"Z��� ���� Alternate Phone:
Contractor Information:
Contractor: �V�f 11/l �,�-�v -l—ireDl�tce Contact Person: ,�11�C��Z1 L ��Y�-� h
Address: ��Z� �1 Ll� �I�'• State Bond#: ��������
City: �'l�'� Zip:�l��}3�lExpiration Date: ��� � �
Phone: ��2 �'`��'�2���J Alternate Phone:
[� Insurance—Current: �Vl� SW�(,t,�.�,
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MECHANICAL SYSTEMS BEING INSTALLED
Note: All Geothermal Systems will now require a Site Plan& Review by our Building Official.
IS THIS GEOTHERMAL? ❑ Yes ❑No
HEATING SYSTEMS
Quantity:
Make:
Model:
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Modei:
Tons:
H.Power
FIREPLACES
� Gas Factory Fireplace Brand Name: ��Q.V��O'rGl
❑ Wood Burning Fireplace ,
❑ Wood Stove Model No.: �v�
❑ Wood Stove with Flue/Masonry
VENTILATION
❑ No. _ Kitchen Exhaust duct recirculating cfm
❑ No. Bath Exhaust(must have duct outside) cfm
❑ No. _ Other Fans: Locations cfm
FUEL STORAGE (Must be approved by Fire Marshall 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
PERMIT FEE CALCULATION(S)
F3ASED OFF -2002 STATE STATUE
❑ Yes,this section applies
The replacement of a Residential fixture or appliance that meets ali three of the following requirements:
1. Does not require modification to electrical or gas service.
2. Has a total cost of'$500.00 or less;excludine the cost of the fixture or appliance:and
3. Is improved,installed or replaced by the homeowner or licensed contractor.
Skip next section,if this applies; Cost of Permit $ 15.00
State Surcharge $ 5.00
Mail-In Fee(If Applicable) $ 2.00
Total Permit Fee $
PERMIT FEE CALCULATION(S)—JOBS OVER $500.00
If above does not apply;follow guidelines below:
1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00)
��I��� x.0125 $ �� .�0
(contract price) (minimuro$50.00)
2. STATE SURCHARGE
� L� O x.0005 $ Z ' ��
(con ract price)
3. POSTAGE& HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMI7'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.
MECHANICAL PERMIT APPLICAiTION AGREEMENT
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.
Applicant's Signature: _ �y/1���/lJ��r'V�C� Date:_� `� ��
3
� Rachel Dodge
From: Christine Mattson
Sent: Monday, June 22, 2015 8:06 AM
To: Rachel Dodge
Subject: FW: 1161 Elrnwood Avenue Mechanical Final Inspection
Attachments: Mechanical F�inal Inspection 1-21 and 1-23-15.pdf; Twin City Fireplace 1-21-15.pdf
Please follow-up.
Thanks.
From: Rick Sundberg [mailto:sundberq.rickCa�gmail.com]
Sent: Thursday, June 18, 2015 9:18 AM
To: Christine Mattson
Cc: wsoojianC��colfaxco.com
Subject: RE: 1161 Elmwood Avenue Mechanical Final Inspection
Christine— i spoke with Chris Becker of TC Fireplace. He advised that since TC Fireplace did not run the gas line they
would not be the ones who would perform a gas line air test. Sabre Heating and Plumbing ran the gas line.
I was at the final inspection an 1/21 and the inspector checked off the fireplace expect he wanted an airtest on the gas
line as you indicated. So an air test was scheduled with Sabre two days later on 1/23 and the gas line passed. This was
noted on the mechanical final re-inspection which was signed off on 1/21 and again on 1/23 (after the gas line airtest
was donej. Please c3ear this up with the inspector. I do not know why he did not sign off that the gas line passed on the
fireplace inspection but he did sign off on the mechanical final re-inspection. The inspection reports are attached.
Thanks
Rick Sundberg 612-298-1173
From: Christine Mattson [maiito:CMattsonCa>ci.orono.mn.us]
Sent: Monday, June 08, 2015 2:59 PM
To: 'Rick Sundberg'; Melanie Curtis
Subject: RE: 1161 Elmwood Avenue Mechanical Final Inspection
Thank you for the follow up. I will have our records updated.
Christine�
From: Rick Sundberg [mailto:sundberq.rick@amail.com]
Sent: Monday, June 08, 2015 2:37 PM
To: Christine Mattson; Melanie Curtis
Subject: 1161 Elmwood Avenue Mechanical Final Inspection
Hi Melanie and Chris—attached is the scan of the final mechanical inspection that was performed and passed on 1/23.
Call/email with questions. Thanks!
Rick Sundberg 612-298-1173
1
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I " T PERi11T NO.: 201400101
� CITY OF �R�NO
2'75Q KELLEY PARKWAY
nAr�.�ssuEn: 02/03I2014
(�li()NO, MN SS356-
(952) 2�9-460Q FAX: O52) 249-4616
ADDI2ESS : I 161 ELMWOOD taVE � P�RiVTIT APPLICANT:
PIN : 07-]17-23-1�-0029 5l�E312E tIGATING& AIR COND (NC.
LEGAL DESC : ShARP c�LINDQU[STS FERNI i1LL LA 15a35 MEDLNA ROAD
: LOT 009 E3I.,OCK 000 PLYMOUTI�,�1N 55447
PERYIIT TYPE � : MECHANICAL(>5500)
PROPERTY TYPE : RESIDCN'C1AL (763)473-226?
CONSTRUCTIOIY TYP'E : ti1ECHANICAL-MUL'1"IPLB
VALUATION : S lU,R48.00
(1) BRYANT FURNACE - NATURAL GAS -3" FLUE-78,000 INPUT, 71,760 OUTPUT, 160Q CFM
(1) BRYANT AlC- 3 TONS
(4) BATH EXHAUST-80 CFM
BL�ILDING INSPECTION RECORD
�t8 F��IUUR NOTICE REQUIR�D POR AC,L [NSPECTIONS.
CALL FOR INSPECTTONS W�EEKDAYS:
iNSYECTION TYPE D��"fE INSP�CTOR (NSP�CTION TYPE DAT'F INSPECTOR
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Rachel Dodge
To: sand�@sak�reheating.com
Cc: Christine Mattson
Subject: RE: Inspection for 1161 Elmwood Ave- Permit#2014-00933
07/02/15
Sandy,
I just talked to our inspector poug from Metro West.
He said the permit#2014-00933 has been closed out, no other inspections are needed at this time.
He also said the permit#2014-00]_01 has been closed out, no other inspections are needed at this time.
C�achel�adye
Administrative Assistant
City of Orono
952-249-4603
rdod�e@ci.orono.mn.us
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