HomeMy WebLinkAbout2014-00704 -gas fireplace � , CITY OF ORONO * 2 0 1 4 — 0 0 7 PJ 4 *
2750 KELLEY PARKWAY vATE ISSUED: 07/17/2014
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 2345 GLENDALE COVF, LA
PIN : 34-118-23-33-0067
LECAL DESC : GLENDALE COVE
: LOT 008 BLOCK 001
PERMIT TYPE : MECHANICAL(>$500)
NROPERTY TYPF. : RESIDENTIAL
CONSTRUCTION TYPE : FIREPLACE-GAS
VALUATION : $ 1,500.00
NO"I�L'.: THIS PEE2M1"I�1S FOR A 2ND 1�IRI?PLACF,IN"I'H1�: I3nSI�:��F:N"I'
NOWS MOUEL# NE3V42361
APPLICANT MECHANICAL 50.00
STATE SURCHARGE MECH (VALUATION) 0.75
CARTER CUSTOM CONSTRUCT[ON & FP MAIL-IN FEE 2.00
6128 GOODVIEW TR CR N
HUGO,MN 55038- TOTAL 52J5
(651)653-0190 Payment(s)
Minnesota State License#: BUIL-BC632066 CHECK 8204 52.75
OWNF,R
ADVANCED HOME EXTERIORS INC
1161 WAYZATA BLVD E t#167
WAYZATA, MN 55391-
AGREEMENT AND SWORN STATEMENT
The work lor which this perniit is issued shall be perfom�ed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work describcd 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 pemiit 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 Yor a period of 180 days at any time aftcr 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.
��C, / /
Applicant Permitce Signature Datc lssued By 'i nature Date
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F R C �' F.ONLY
/�� City of�rono �h/'/� `�
P.O Box 6G Date Receiv�: �� Permi[�# ��U{7� /V
, �� 2750 Kelie}•P�arkwa��
I Crystal Bay,h1N 55323 Approved By Amount$:
i � Phonc(952)2�19a6D0 Fax(4S2}249-4616
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� ��.rh.F���." CITY OF ORON�—MECHANICAL PER:VIIT
(All Commercial permrts must be 2pprorcd by thc Building OOicial or]nspec[or andlor Fire Marshall)
GENERAL INFORIvIATION
1_ You may apply for mechanical permits by mail or in person at the Cit�-effices. Applicacions�vill
be reviewed and a pennit will be issucd within two working days.
2. Permit cards will be sent by return mail after a review is completed. PE7�W'1'S.4}i�VO"I'
VALID LTITIL,YOU REC�IVE A PERI�IIT. WORK VI(;ST N07 BEGIN[i�TT1L 7'F�E
PEI2MIT C.aRD IS POSTED ON THE JOR SITE.
3. Nlechanical Desiens—Complete calculations,details and specitications are required for each
heating,ventilation,l�umidif cation-deliuiniditication,and air conditioning installation including
:7ea2 loss�`heat�ain calculation,desi,;n temperatures,equipment ratings and identification as to
type,manu;acturer and model. Data shall be presented on form provided.
4. When am•new construction or remodelinD is involved,a separate building perrnit must be
obtained.
5. All work must be doae in acc�rdance H�i�h the Uniforni�iechanica(Code/State Building Code
req u irements.
6. All work must be inspzcted(rough-in and final). Call(952)244-4600.
(24-48 hour uotice required)
?. House Heatino Test Record must be submitted before final.
TYPE OF PERMIT
(Check All That Apply) �
_________ \���
�esidential ❑Commercia] (Approval Required} ���
�\
❑New ❑Additional ❑ Repairs ❑Replace � ���
Job Site/Owner Informat�on: �� 1�� ' �-
� f i �
Site Address: � `-�`� 5 �� /�C��� ��'Z l—►'1
Owner: ��'�1/C{,�'1C�� "�'�PS �Vlailing .Address: ()(,^�2�'�-� ���'' �
S v.t�' �
`` 5 S3Sc�
c�ry: C���r r> z�p:
Home Phone: Alternate Phone:
Contractor Inf�rmation:
Coniractor: �,.,^�.;�'�zc.� (�u5�tx� (;;���S�v�c�'�Contact Person: ____
Address: 3 2-�� ���� ��� Slaie Bond#: �-��(`,���S(�
City: �,��Ck��{�S I��� ` 1�� Zip:��1� Expiration Date: �— 3-- �(c.
Phone: ��5�-L45�""U��1� Alternate Phone: �,pS}- Z�S�S��
❑ Insurance—Current:
1
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MECHA�ICAL SYSTE�vIS BE1NG INST..<1LLED
Note: Al2 Geothermal Systems will now require a Site P?an&Review by our Building Official. ,
IS THIS GE()THERMAL? ❑ Yes ❑ Ne
HEATINC SYS'IEMS
Quantity: �
Make: r�LJ iA�
ModeE: ���� I Z� } _�
Fuel: � '�1,�
—._._ __ -- -
Flue Size: `� `?�I
input BTUs�
Output BTUs: �/U�'�
CFM:
C:OOLINC;SYSTF.:VIS
Quantity:
�f a4ce:
�fodel:
Tons:
H. Power
FIREPLACES
� Gas Facton Fireplace Brand Name: �jvU"'�
❑ Wood k3urning F'irepiace 2
❑ Wood St�ve hlodel No.= �V`�j� � 2- J� �
❑ Wood Stove wi�h Flue/Maso�uy
VEIY"T(1.ATION
❑ No. Kitchen Exhaust duct recirculatino efm
❑ No. Bath Exhaus�(must have duct outside) cfin
❑ Na Qther Fans: Locations cfm
�'UEL STORAGE (Must be approved by Frre Marshall ifprnnosing tn ahandoii 1ru�k in pface.)
[ 3nstallation ❑ Removal
Fuel Oil: gallons ❑ Undergound ❑Inside ❑Outside
LP Gas; gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill ❑ Other/List N�hat&�Vhere:
2
;
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—�.—.— .
PERNIIT FEE CALCULATION{S}
BASED OFF -2002 STATE ST.ATUE
❑ Yes,this section applies
The replacement ofa Residential fixture or appliance that meets all three ofthe following requirements:
1. Does not require moditication to elzctrical or gas sen�ice.
2. Has a total cost of$5�0.04 or less;e:ccludina the cost of the fixture or appliance:and
3. Is improved, installed or replaced by the liomeowner or Eicensed contractor.
Skip nexrt section,if this applies; Cost of Pem�it $ I S.GO
State S�ucharee $ 5.00
Mail-In Fee(lf Applicable) $ 2.00
Total Permit Fee �
PERMIT FEE CFILCULATION(S)—JOBS QVER$500.0�
If above does not apply;foilow g«idelines below:
1. CO�TRA,CT PWCE *is 1.25%of contract price�+•ith a(Minimum Fee of$50.00)
isc� x.o��5� ��
(conUact priccl (minimum$SQ.00)
2. STATf SIiRCHARGE �—��' '
. x.D005 $
(contract pnce)
3. POSTAGR&HA?�IDLING(Only on Mail-�n Applications) $ 2.00
4. TOTAL PERtiLIT FEE(Add Lines 1-3 Above) $ ��-���
• * CONTRACT PRICE or J�R COST means the actual or estimated dollar amount charged for the
permitted wor;c including materia',s, labor,profit,and other fixed costs. It is the amount to be charged
to che customer for the work do�ie_ lf any material, equipment, labor or instaliations are furnished by
the o�vner, tenant or ar.y other parhi,the reasonable market value of such items must be added to the
estimated cost or contract price for pe�nit fee purposes. In the event tnat there is a dispute on the
amount of ttie job cost,ihe City may request the submission of a signed copy of the actual contract.
� MECHANICAL PERMIT APPLICATION AGREEMENT
Thc undersigned hereb}' 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
I�9innesota, and certifies that all statements made on this application are complete, true and
correct.
�� �� �
Applicant's Signature: � � Date: � �� ��� �
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� . � ._.� DATE TIME ✓/
CITY OF ORONO CALLED IN 7 - -1 �_�
INSPECTION NOTICE SCHEDULED 7- - ,����
PERMIT NO. ����D��S� COMPLETED
ADDRESS o�,��7 ��'L/�A�,P �,L��P
OWNER �LEPHONE NO. �S� S ' �7�
CONTRACTOR � L�l/GS
>; DESCRIPTION " Q -'�-`�-
�
� ❑ FOOTING ❑ PLUMBI FINAL ❑ CAV/GRADING/FILLING
Q ❑ POURED WALL �CMECHANICAL RI O 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 ❑ COMPtAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOH TO MEEf YOU:_YES_NO
� COMMENTS:
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W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
� ❑CORRECT WORK&PROCEED �� ISSUE CERTIFICATE OF OCCUPANCY
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWiTHIN HOURS. ❑ PHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CAIL INSPECTOR � CITATION ISSUED
C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cal1 forthe next inspection 24 hours in advance. (J52� 249-46��
Owner/Contractor on site:
Inspector.
White Copyll�spector's File Canary CopylSite Notice
�,� ��� DATE TIME �
CITY OF ORONO CALLED IN
INSPECTION OTIC �CHEDULED D' �
PERMIT NO. " v� �7cOMPLETED
ADDRESS s��.�,��le/Ia�a�� �ei�G �1I
OWNER TELEPHONE NO. loS���r-�,�Qn
CONTRACTOR ��'� ����'� �
�: DESCRIPTION ���`� -' (.�� 1 ��"(� ��'" -
�
ly ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
� ❑ POURED WALL 0 MECHANICAL RI ❑ LAKESHORE/WETLANDS
y
O ❑ FRAMING ❑ MECHANICAL FINAL p TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL / � FOUNDATION/REMOVAL
Z OWNERfCONTRACTOR TO MEET YOU:_YES (�O
� COMMENTS: �
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� ❑WORK SATISFACTORY:PROCEED �ROJECT COMPLEfE
� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE CWERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL REfURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. (952� 249-46�0
OwnerlContractor on site:
Inspector. � '''"'
White Copyllnspector's File Canary CopylSite Notiee