HomeMy WebLinkAbout2015-00914 - gas fireplace � � CITY OF ORONO
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2750 KELLEY PARKWAY DATE ISSUED: 07/30/2015
ORONO, MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS : 2335 GLENDALE COVE LA
P[N : 34-118-23-33-0066
LEGAL DESC : GLENDALE COVE
: LOT 007 BLOCK 001
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCT[ON TYPE : FIREPLACE-GAS
VALUATION : $ 1,200.00
NOTE: GAS FACTORY FIREPLACE-HEAT-N-GLO
APPLICANT MECHANICAL 50.00
STATE SURCHARGE MECH(VALUATION) 0.60
CARTER CUSTOM CONSTRUCTION&FRPL MAIL-IN FEE 2.00
3276 FANUM ROAD#400
VADNAIS HEIGHTS,MN 55110- TOTAL 52.60
(651)653-0190 Payment(s)
Minnesota State License#: HVAC-MB004750 CHECK 9758 52.60
OWNER
Advanced Home Exteriors Inc.
1161 WAYZATA BLVD E
SUITE 167
WAYZATA,MN 55391-
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 does
not grant permission for additional or related work which requires sepazate
permits. All provisions of laws and ordinances goveming this rype 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 after work has commenced.
The applicant is responsible for assuring alI 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 Per itee Signature Date Is ed Signature Date
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�� FOR 1'USE ONLY
���� City oP�OO rono ���� �� ���� ���
P U.Box1 GG Date Recei e Permi:�t
� O 275D F:clley Parkway
' � Crystal Ray,MN 55323 Approved By: Amount S:�
� Phone[952)249-a60U Fax(952)249-46L6
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��'kESHo��"� CI1'Y O�ORUVO—MECII�NICAL PERIVIIT
(A31 Comrnerc:al pernnts mus!bc�ppraved b}'lhe Buildinb Official or Ins�ector ar.cllor Fire Marshull j
GENERAL INFORMATIOi�
�. Y"ou may appl}�fbr mechanical pernnits by mail or in person at the City off`ices Applications will
be reviewed and a permit will be issued within two working days.
2. Permit cards wi11 be senl by return mail after a rev�ew is completed. PF.R;�t[TS ARE VOT
VALID L'N'TIL YOU�RECEI V�A N�;EZMI�C. WORK MC�ST 10T BEGIN CIh�T1L THE
PERI�IIT CARD IS POSTED ON TH�:J0�3 STI E.
;. Mec:,anical Desiens='I Complete calculations,derails and specifications are required for each
___ _ —
hc2ting,ventilation.humidificaEion-dehumidification,and air conditioning installaiion including
heat loss/heat gain cal�culation,design Eem�cratures,eqaipmert ratings a��d identificaYion as to
type,R:anufaclurer andl,model. Data shall be presented on fonr, provided.
4. When any new construction or remotieiing is involved,a separate building permit must be
obtained. ��
5. Al1 ti�rork must be done'in accordance wilk�the Unifomi Mechanical Code/State Building Code
rcquiremcnls_ �
6. All work must be inspected (rough-in and fina'.). Ca�l(952)249-46Q0.
(2�-48�oar nntice requircd)
7. [-[ouse Heating Test Rccord rnust be submitted Uefore final.
TYPE OF PERMIT
_ {Check A11 That Apply}
�Residential ❑Coinmercial(Approval Required)
l`
�New Q Additional ❑Repairs ❑ Replace
� Job Site/Owner Informa�ion:
Site Address� v���l� �IZ.Y LL/lLl,�� � V-�- {i���
Uwmer �,���(�� I' ��,�,� MaiIing Address: 1� ^ �- �V(,����(l'(
City� f� I� �� Zip: ����7�
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ffome Phone: �o�`1��CJ �1ltemate Phone:
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Contractor Information: �
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Contractor: (,��5,�,{r� � ��' _���%�(,�ontact Person: �°' � ��� �^ {�7
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Address: �Z�-�.��, '� �L..�G���UU Statc Bond#: / �)�}����
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City: ��ad� � Tip_���j Fxpiration Date: �I�,���
Phone: t4��r ���3'�'�j 1 � Alten�ate Phone: �1-��/-JL-��
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� ❑ Insurance-Curren�: V ( _
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M�3ANICAL SYS MS BE1NC'�INSTALLED �
Note:A11 Geotn�rr�al Syst�eins will now require a Site Plan&Review by our Buildi�lg Ofticial.
1S THIS GEOTHERIVIAL? ❑ Yes ❑No
HEATLVG SYSTEMS , ,
Quaniity ' I�i
Make: 'I �
1�TodeL 'I
Fuel: I -— .
Flue Si�e: li I I
Tnput BTUs: � I
Output BTUs: ''
CF!�4
COOLING SY5TENIS li �
Qtkl�l�ih�': � i
Make: '
iI — , - -
Model:
Tons:
H. 1'ower , �
- I , -. - I
FIREPLACES � '
� Gas Factory Fireplace i� Brand Name: �����7��
Wood Buming Fircplace �`7 �
❑ Wood S.o�•e Model No.: /��j� ' ,�J//'�1���'
❑ Wood Sto�e�uith Flue!Masonry
VENi'II,ATIOn I ' I'
❑ No. �� �Kitchen�xhaust duct recirculating cfrn
❑ No. Bath Exhausf(must��ave duct outside) _ cfm
❑ No. i O[he:Fans: Locations cfin
� I
FL'EL 5TORAGE {�Ylust Le'ripprorerl by Fire�llarshall if'propasing ta abafrdon ta�ek iir place,)
❑ lnsta]]ation ❑ Removall
Fuel Oil: ' �I ga]lons I ❑ Underground ❑Inside ❑Outside
LP Gas: �I � gallons
Other: '�I j
GAS LINE ONi.Y ���I �I I
❑ Outdoor Grill �'i ❑ Other I�ist What&Where:
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£'d lb9Z-99L-699 oi;on.i�suo��uo�sn�aa}�e� dEZ;Z096 6ZInf
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��� � � '���'�� � PEIZMIT FEE C�4LCULA'TIOAT(S)
I �BASED OFF-20�2 S'TATE STATLTE
❑ Yes,this section applies
The repEacement of a Residential t�iKture or apnliance that mects all three of the fo�lowing requireinents:
l. Does not reyuire inodification to electrical or gas service.
2. Has a total cost of�500.00 or less;excl�udina the oost of the fi;:ture or appl iance: 2nd
3. Is improved,installed or replaced by the homeowner or licensed contractor_
Skip nean sectio�n,ifthis applies; �I Cost of Permit $ 15.00
' I State Surcharge � � pp
; I Mai]-In Fee(IfApplicable) $ 2 fl0
, ! Total Permit Fee $
' �
�_ PERMIT F�E CALCULATII�N{S)-JOBS OVER$500.00
If abuve does not aprly;follow'guidclines below: ',
i
I. C0IVTRAC'I'PRIC� * �s 1.2�%of comract price with a('.Ninimum Fee of$�OAQ)
, /02� � X.a1�s� j—(� • UC7
�i (contract price) mininium$50.00)
2. STATE SURCHARGE j !]�, � /`�� /,
� I � �? �� x.0005 � �f
fcontract price)
3. POSTAGE&1��1�N�DLIN(i(Only on l�Iail-In Applications) $ 2.Op
I� ' Q' d �
4. TOTAL PERti11T'�I+EE(Add Lines 1-;Abave R •
) .. �l)
• '� CON"I"R,1CT PRICF, oi'IIJOB COST means the actual or esnmated doitar amou�t char�ed for the
permitted work including�'materials,labor, profitl,and olher fixed cosls. ft is the amount to be char2ed
to CF►e customer for the work done Tf any material,equipment labor or u�stallalions are furnished by
the owner, tenant or an}�ot.�er party, the reasonable market value of such items must be added to t�e
estimated cost or contrac� price for permit fee pur}xfses In the e��ent dlat there is a dispute on the
amoiint of the job cost,ttie City may request the submission of a signed copy of the actua� contract.
' II
[----' MECI-�AhII AL PERMIT I PLICATION AGREEMENT
, �I
The undersigned hereb a 'll�I'ics to the Ci for rssuance of a Mech�n'� o
Y PP �S' a �cal Permrt, a�rees to �o a11
wo:k in stricl accordance with tl�e ordinances �Icrf the City and the regulations of the State of
Minnesota, and certifies tii�a't all statements made on this application are compfete, true and
correct 'i i I
/ �i �/ /
Applicant's Signattue: ate: ! /
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OFFICE: 651.653.0190 �
FAX: 651J65.2541 ✓ !/
Ilivdww.ca rtercustomconstruction.com �
cartercustomconstructionCa7qmail.com
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Date: -7 �� �v�J '
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ADDR�SS : �335 GLERiI7t1L�C(JVE�,A �'ERMIT AFf'LICANT: �._�.`"�---.�n.,_... �
Pi�t : S4-I 1&-23d�3-fi0btr Ct��T'ER CUS1'C3M Gt}�iSTRiJCTIC)4�(b'z FRPL
LEGAL D�SC : GT ENI)�LE C4V� �2'� !'.�2°�!T�; �O�,J��u4
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48 HOL1Ft NC:1��tC�E REQUII2ED�FC3R A,LL I?,dSPE-�TI�PdS.
CALL�0�.tNSP1ECTIOt�1�WEEKDAYS:
CONST'It[��"TIU�F I�(}iJItS: '��m-8pm Wee�days�4c Sam-8pm W�k�s�d,s& Hafidays
I�ISPECTIQN TYPE I3AT� IP��S!'FCTUR DA'TE I�ISPECTUR
MECHAtdiCAL-Rt}UGH IN " f� � �
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� T�S CA�BLI�1��'T B�P"fl�i"fE�AI�iD VL'4lBLE A1''ALL�IMF.�[I1�iTIL WU�K i�C+[)7��v[PLETL+'.
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7 �AT,� TIME
CITY OF ORONO LLED IN U
INSPECTION NOTI SCHEDULED �%`���' L� GI-�D�
PERMIT NO. �� COMP�ETED
ADDRESS -e�'1 u Q- C�
OWNER TELEP NE NO. S���S3-���J�
CONTRACTO "
� DESCRIPTION �v '�' 'v
ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBIN RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF ❑ P BING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB CHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
4J ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
� ❑ DEMO-SITE ❑ SEPTIC INSTALL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
v�i COMMENTS:
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W ❑WOR TISFACTORY:PROCEED ❑ PROJECT COMPLETE
a RECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O � CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
EFORE COVERING PERMANENT
❑ RRECT UNSAFE CONDITION WITHIN HOURS. O PHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hou 'n advan ) 249-4600
, �
OwnerlContractor on site:
�
Inspector. �
White Copyllnspector's File Cenary CopylSite Notice
V
DATE TIME
CITY OF ORONO CA�LED IN
INSPECTION NOTICE SCHEDULED
PERMIT NO.�r,�v^ G� 4/y COMPLETED �-/o� �S�
ADDRESS � 3•3� G /�•��c./� Gt,v� � .
OWNER TELEPHONE NO.
CONTRACTOR �4'�'���' C�s�a� F� �.
� DESCRIPTION r� �� /C•�
ll� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
y ❑ 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 OWNERlCONTRACTOR TO MEET YOU:_YES_NO
��., COMMENTS:
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W ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
C�,�C9RfiECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W/
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WIIL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED_CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952� 249-46��
OwnerlContractor on site: ,��/��
Inspector. �
White Copylinspector's File Canary CopylSite Notice