HomeMy WebLinkAbout2014-00839 - gas fireplace ' ' CITYOFORONO * z0 14 - 00839 *
2750 KELLEY PARKWAY DATE ISSUED: 08/OS/2014
ORONO, MN 55356-
�: (952) 249-4600 FAX: (952) 249-4616
ADDRESS : 2385 GLENDALE COVG LA
PIN : 34-118-23-33-0069
LEGAL DESC : GLENDALE COVE
; LOT O10 BLOCK OOl
PERMIT TYPE : MECHANICAL(>$500)
PRONERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIREPLACE - GAS
VALUATION : $ 850.00
No�i�r:: i firn�rii.�l�oR cns Fi�
APPLICANT MECHANICAL 50.00
STATE SURCHARGE MECH (VALUATION) 0.43
FIRESIDE HEARTH & HOME MAIL-IN FEE 1.99
2700 FAIRVIEW AVE
ROSEVILLE, MN 55113 TOTAL 52.42
(651)633-2561 Fayment(s)
Minnesota State License #: mech-20512060 CHECK 2004786 52.42
OWNER
ALPINE CAPITAL
9401 73RD AVE. N #400
BROOKLYN PARK, MN 55428-
AGREEMENT AND SWORIY STATEMENT
l�he���ork for which this permit is issued shall be performed according to
the approved plans and speciYications,applicable City approvals,and the
State[3uilding Code. This permit is for only the N�ork described and does
not grant permission for additional or related work which requires separatc
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
commeneed within 180 days of the date of issuance,or it�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�vith the State E3uilding Code.'I�his permit may bc
revoked at any time for due cause.
�_� 1 ' ' " / /
Applicant Permitee Signature Datc Issued I3y Si ature Date
�
FOR CITY USE ONLY
�O A'O City of Orono
�y P.O.Box 66 Date Received: Permit#
2750 Kelley Parkway
Crystal Bay,MN 55323 Approved By: Amount$:
Phone(952)249-4600 Fax(952)249-4616
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�qkFs����t�' CITY OF ORONO—MECHANICAL PERMIT
(All Commercial permits must be approved by thc Building Official or Inspector and/or Fire Marshall)
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,equipmeni 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. All 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 A 1
�sidential ❑ Commercial(Approval Required)
«
ew ❑ Additional ❑Repairs ❑ Replace
Job Site/Owner Information:
Site Address: ���4J ����(� (,�`� C(�� l n
Owner: �� �� Mailing Address: ��� Z �ZS� �,�
c�ty: �i I u�a zip: � ���� 3
�
o e Phone: LQIt- �l�S��� Alternate Phone:
Contractor Information:
'-1E�ki'H & HO�IE TE(;HN
Contractor: ,�ha �iCJCere�r ,��-ARTH&Hp��Person:
Lic BC662656
Address: 2700 FAIRv1Fw AVE(Vl� Bond#:
ROSEVILLE, MN 55113
City: 651�3.2561 Expiration Date:
Phone: Alternate Phone:
❑ Insurance—Current:
1
� � 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:
Model:
Tons:
H.Power
FIREPLACES
� Gas Factory Fireplace Brand Name: �����
Wood Burning Fireplace �' n ���
❑ Wood Stove Model No.: p��� l.C�
❑ 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)
BASED OFF -2002 STATE STATUE
❑ Yes,this section applies
The replacement of a Residential fixture or appliance that meets all 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°/a of contract price with a(Minimum Fee of$50.00)
�� x .0125 $ �
(contract price) (minimum 550.00)
2. STATE SURCHARGE ��
x.0005 $ �
(contract price)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ �o`� _ "� �
■ * 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 materiai, 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. I❑ 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 ac±ual contr�ct.
""°�' '' MECHANICAL PERMIT APPLICATION 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.
, . � l
Appl�cant s Signatur : Date. ��
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTION SCHEDULED
PERMIT NO. COMPLETED
ADDRESS �- ��� G I+�Y1 C��I ce �,ro��^E'LA
OWNER TELEPHONE NO.
CONTRACTOR
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� DESCRIPTION ��1 �S I ���.. �Q S ( �.
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Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL
J ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL
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V EFORECOVERING PERMANENT
CORRECTUNSAFECONDITIONWITHIN HOURS. p pf{OTOTAKEN
INSPECTOR WILL REfURN
' ❑STOP ORDEH POSTED.CALL INSPECTOR O CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 2 ours in adv ) 249-46�0
OwnerlContractor on site: '
Inspector.
White Copylinspector's File Canary CopylSite Notice
� DATE TIME �
CITY OF ORONO p p g3 c�CALLED IN � `�
INSPECTION y,OTIC �j SCHEDULED ' - �
PERMIT NOot� `�����'�"'�`"jCOMPLETED
ADDRESS � � �� ������ C� O V
OWNER � - TELEP ONE NO �� 3 8 7 '
CONTRACTOR
�: DESCRIPTION �v -�
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lV ❑ FOOTING ❑ PLUMBING FI AL ❑ V/GRADING/FIL�ING
� ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS
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Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR '=�CITATION ISSUED
Cl INSPECTION REQUIRED.CALI TO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. �95Z� Z49-4600
OwnerlContractor on site:
Inspector. �-� r..— �'
White Copyllnspector's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
PERMIT NO. -�/''.��f'-�'.�-�f COMPLETED ��'� ~'�
ADDRESS �3�s'� ����r c���`P �ovc' �t=
OWNER �ELEPHONE NO.
CONTRACTOR �- �' -��°''�'S�� ���'����
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� DESCRIPTION rG� �� i
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� ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS
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Q O FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ,'�,�,qt— ❑ SEWER HOOK-UP ❑ COMPLAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
� ❑ PLUMBING RI ❑ SEPTIC FINAL � FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ PHOTOTAKEN
INSPECTOR WFLL REfURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CAIL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
OwnerlContractor on site:
Inspector. -
White Copyllnspector's File Canary CopyfSfte Notice