HomeMy WebLinkAbout2014-00651 - gas fireplace " � CITY OF ORONO * 2 0 1 4 - 0 0 6 5 1 *
2750 KELLEY PARKWAY DATE ISSUED: 06/30/2014
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 2345 GLENDALF. COVt; LA
PIN . 34-118-23-33-0067
LEGAL DESC : GLENDALE COVE
: LOT 008 BLOCK 001
PERMIT TYPE : MF.CHANICAL(>$500)
PRONERTY TYPF, : RESIDENTIAL
CONSTRUCTION TYPE : FIREPLACE-GAS
VALUATION : $ 1,500.00
APPLICANT MECHANiCAL 50.00
STATE SURCHARGE MECH (VALUATION) 0.75
CARTER CUSTOM CONSTRUCTION & FP MAIL-IN FEE 2.00
6128 GOODVIEW TR CR N
HUGO, MN 55038- TOTAL 52.75
(651)653-0190 Payment(s)
Minnesota State License#: BUII�-BC632066 CREDIT CARD 4167 52.75
OWNER
ADVANCED HOME EXTERIORS INC
1 16l WAYZA"I�A BLVD E#167
WAYZATA, MN 55391-
AGRF.EMENT AND SWORN STATEMF,NT
I'hc work for which this permit is issued shall be performcd according to
thc approved plans and spccitications,applicablc City approvals,and thc
State Building Code. "I�his permit is for only the work described and docs
not grant pcm�ission for additional or relatcd work which rcquires scparatc
permits. All provisions ol�la���s and ordinanccs govcrning[his typc o��work
shall be compied�vith���hed�cr or not speciticd herein.'I'his permit will
expire and become null and void if construction authorized is not
commenced��•ithin 180 da��s of the date of issuance,or if construction is
suspended for a period of 180 days at any time after work has commenced.
I�he applicant is responsible for assuring all required inspections are
requcsted in contbm�ance���ith the State Building Code.This permit may bc
revoked at any time for due cause.
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Applicant Permitae Signature Date Issu d By Signature Date
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_._ __. __ ___ ___.
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FOR CTTX USE OIVLY �
/�-O^,O City of Orono �2b 1�"D s�
/ t y P O-[3oY 66 Da:e ReceivcG Permit#i �
27�Kelley Parkwa�
�f � Crystsl Bsy,MN 55323 APProved BY. -- — .4mocvit$' S�.7
Phonc(9�2j 249-4600 f aY(952)249-4616
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�\`� �.�'� CITY OF O RQ N O—N I E C H�N I C A[. P E R'V 1 I T
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jAll Commcreial permits mu�t be approved by the Buiiding O�cial or[nspec:or andlor Fire Marshall)
GENERAL iNFORMATION
l. You ma}�apply for machanical permits by mail or i�person at the City offices. Applications will
be reviewed and a pern►it wiJl be issucd within rwo�vorking days.
2. Pertnit cards will be sent by return mail after a review is comp(eted. PERMITS ARE NOT
VALiD UivTII,YOlJ RECEIVE A PERMIT. WORK iYI[JST 1�OT SEGin UNTIL THE ;
PERMIT CARD IS POSTED ON TH�JOB Sl"I'E.
3. Mechanical Desi�ns—Complete calculations,details and specifications are rec�uired for each
heati�g,ventilation,humidification-dehumidification,and air conditioning�nstallation including
heat loss�'heat gain calculation,design temperatures,equipment ratings and identitication as to i
type,manufacturer and model. Data shall be presented oo form provided.
4. W'nen any new construction or remodeling is involved,a separate building permit must be
obtained.
5. AI1 work must be done in accordance�vith the Uniform Mechanical CoderState Building Code
requi rements. I
6. All�vork must be inspected(rouoh-in and fnat). Call (952)249-4600.
(24-98 hour notice required}
7. House Heating Test Record must be submitted before final.
TYPE OF PERMIT
(Check All That Apply) _ ____
/�Residential ❑Comniercial(Approval Required) i
C New ❑ Additional ❑ Repairs ❑Replace I
Job Site I Owner Information:
- - i
Site Address: �� � 5 ��1�f'tc�CC-!� �G 11� �f' � �
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Ov��ner:-�Q��C.UiI� �,��I f'YI�S Mailing Address: � �
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City: t/�C� Zip: �s��
Home Phoile: Alternate Phone:
Contrac#ar I�formation: _� I
�ou�ktr c'�st��� c=�,�S-(�-uc�-tc� I
Contractor: Gontact Person: ��"��
3�`7(0 �—�^a.iv� C'.��
Address: State Bond#: �'�� �(`��� �
�,'�f1L�l� ��I��S GJS)�v I
City: Zip:_, Expiration Date: �'3~ `� i
Phone: �S�`"�� �0��f% Alternate Ahone: (���5�3��
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❑ Insurance—Current: �
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L 6�9Z-99L �99 .1 l � 1 � l �
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MECHANIGAL SYSTEMS BE1NG INSTALLED �
iVotc:Al! Geothermal Systems will now require a Site Plan�Re�-iew by our Building Officiai. �
�
IS I'HIS GF.OTHF.RMAL? ❑Yes �No i
HEATIIYC SV'STEMS �
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Quantity: � 1
ILiake: �G- �?�� -- I
I�fodel: S���� ---- — - -- - ---
Puel: �1 �
---- �
O�'
Flue Size: G
Input BTUs: �`%��� _ __
�-- --- -- --
Output BTUs: ZS�� !. I
CFM: I
COOLING SYSTEMS
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Quantiry: —_.._ �
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Make:
i
1Liodei:
Tons: I
� I
[-T.Power I
FIREPLaCES
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� Gas Factory Fireplace Brand Nan�e: (�"�� �_ _
,r] Wood Buming Fireplace
❑ wood Stove i�todel No.: S L.��U
❑ Wood Stove with Flue;Masonry �
VE1VTiLATTON �
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❑ No. Kitchen Exhaus[ duc� recirculatin� cfm
❑ No. Bath Exhaust(must have duct outside) cfm (
❑ ;Va Other Fans: Locations cfin
FUE L STORAGE (l�tust he approved by Fire Mursizal!if proposing to abandnn tank in place.)
❑ [nstallation ❑ Removal �
I
Fuel Oil: gtllons ❑ Underground ❑Inside ❑Outside I
LP Gas: gallons '
Other:
�
GAS LINE ONLY �
❑ Outdoor Ccrill ❑ Other/List�Vhat&Where:
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� —� FERMIT FEE CALCLTLATION(S) � �
BASED OFF -2002 STATE STATUE r g
❑ Yes,this section appiies
i
The replacement ofa Residential fixture or a�pliance that meets al]three of the foflo�ving requirements:
1. Does not reyuue modification to clecfrica[or gas service.
2. Has a tota!cost of$�00.00 or less;cxcludine the cost of the fixture or appliance:and
3. Is improved,installed or rep[aced by the homeowner or licensed centtactor.
Skip ne�ct sec[ion, ifthis applies; Cost of Permit $ 15.00
State Surcharge $ 5.00
Mail-I»Fee(If Applicable) $ 2.OQ
Total Permit Fee $
PERMIT F�EE CALCULATION�S�—JOBS OVER$SOOAO � �
If above does not apply;follow guidelines below:
l. CONTRACT PRICE • is 1:?5°/a of contract price with a(Minimum Fee of$50.00)
,��,O(: x.012�$ �CU•GC� i
(conhacG price) (minienum S.i0.00} �
2. STATE SURCIiARGE
x.0405 $ r�S
(con�racl pricc) �
3. POSTAGE&]FAlVDL1NC(Only on Mail-In Applic2tions) $_ 2.00 I
i
4. TOTAL PERIVIIT FEE(Add Lines 1-3 Above) $ �Z. �S i
❑ * CUN1 RACT PRfCE or 10B COST rneans the actual or estimated dollar amount charaed for the
permitted work including materials,labor, profit,and other fixed costs. It is the amowlt to be eharged I
to rhe customer for the work done_ If any material,eq�ipment,labor or insta[lations are furnished by I
the oumer,tenant or any other party,the reasonabte market va[ue of such items must be added to the
estimated cost or contract price for pemiit fee purposes. In the event that there is a dispute on the
amouni of the job cosi, the City may request the submission of a signed copy of the actual contract.
�
MECHAIvICAL PERMIT APPL[CATION AGREEMENT �
,
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The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all
r�rork 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, h-ue and �
correct. I
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Applicant's Signaturc: ���` �� Date: �'"�u I`� �
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� DATE TIME "
CITY OF ORONO CALLED IN
INSPECTION NOTIC / SCHEDULED — "'/ 9� 30
PERMIT NO. �v� '�d SL OMPLETED
ADDRESS S � �
OWNER TELEPHONE N�SI-�oS -Ol 1�
CONTRACTOR a�-�L- � ��
>; DESCRIPTION — �f
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� ❑ FOOTING ❑ PLUMBING FINAL EXCAV/GRADING/FILLING
Q � POURED WALL �MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
O ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
? ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
� ❑CORRECT WORK&PROCEED SS� ISSUE CERTIFICATE OF OCCUPANCY
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0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� 249-46QQ
OwnerlContractor on site:
Inspector. ..Y- ,
White Copyllnspector's File Canary CopylSite Notice
V
OATE TIME
CITY OF ORONO CALLED IN
INSPECTION OTICE SCHEDULED ��,�
PERMIT NO. / " �� COMPLETED _ 5 r�,
ADDRESS �3 �,5 �ilc.t�l�e �o�e Lrt _
OWNER TELEPHONE NO.
CONTRACTOR Ca��'' C4s��'►'1- CO�5�`-- �F-� ,
� DESCRIPTION �-P• ���L
W ❑ FOOTING ❑ DEMO-FINAL ❑ 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
� ❑ INSULAT19N ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q�R�'� ❑ WATER HOOK-UP
❑ FOLLOW-UP
i ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
v ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNERlCONTIiACTOR TO MEET YOU:_YES_NO
c�.� COMMENTS:
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� ❑WORKSATISFACTORY:PROCEED �p1F�T COMPLEfE
W ❑CORREC7 WORK 3 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECONERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑pHOTOTAKEN
INSPECTOR WFLL REfURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUtRED.CALL TO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. (g52) 249-46��
OwnerlContractor on site:
Inspector:
White Copyflnapecto�'s FHe Cenary CopylSfte Notiee