HomeMy WebLinkAbout2017-00005 - gas fireplace • CITY OF ORONO * 2 0 1 7 - PJ 0 0 PJ 5 *
' 2750 KELLEY PARKWAY DATE ISSUED: O1/OS/2017
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 2649 CASCO PO[NT RD
PIN : 20-117-23-24-0029
LEGAL DESC : SPRING PARK
: LOT 138 BLOCK 000
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIREPLACE-GAS
VALUATION : $ 2,000.00
NOTE: ALL TESTING REPORTS SHALL BG ON SITE A'I'FINAL[NSPECTION.
NEW GAS FIREPLACE(KOZY HEAT)
APPLICANT MECHANICAL 50.00
STATE SURCHARGE MECH(VALUATION) 1.00
GLOWING HEARTH AND HOME MAIL-IN FEE 2.00
100 ELDORADO DR[VE
JORDAN, MN 55352 TOTAL 53.00
(952)495-2927 Payment(s)
CREDIT CARD 6025 53.00
OWNER
KINDL, DUST[N&CAS[E
2649 CASCO PT RD
WAYZATA, MN 55391-
AGREEMEIYT AND SWORN STATEMEIYT
"I�he work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable Ciry 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 type of work
shall be compied with whether or not specified herein.This permit�vill
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 all 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 Permitee Signature Date [ssued By Signature Date
01 I04l2017 12:32 GLOWING HEARTH&HOME �AK�52 492 6006 P.002l005
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� Phona(952)29�9-460fl F�(952)249�616 '��. ,. -a% ��,��W._`"�:�'.��9�,�'��r�,�., �c �noor ' �.,�,,:�"�"�i
��{q ��'~� CXTY OF ORON'(�–MECHANrCAL p�RMIT
k£5�I0�" (All Commcrcial permics must bc approved by the Buildieg Off:cial or Ir.s�ccror;nd/o:Fire M3rsha1l)
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1. You m,ay apply For mecl�anical permits by rr�ail or in person at the City offices. Applications wili
be reviewed and a permi#wall be issu�d within two working days.
2. Fermit cards will be sent by retum maiI after a revier�v is cpmpleted. PBRMTTS ARE NOT
V.A.LID TJN'TIL YOU�C�TVE A P�RMIT. 'VVdRK M "�'NOT B�GIN UN i 'xXX�
��RMIT CA,X2,D YS pOSTED ON T�T�JOB Si'�'�,
3. Mechanica]DesiQns—Complete caleulations,details and speeifications axe rec�uired for each
heating,vent�lation,humidification-dehumidification,arid air eond;tioning installation including
heat loss/k�eat gain ealculation,design temperatures,equipment rata�.gs and identifcation as to
type,manu�acturer and rnodel. l7a�Ca shall be presented on forcn provided.
4. 'l�hen any new construction or remodeling is involved,a saparate building permit must be
obtained.
5. All rvork rr�ust be done in accordanee with the Uniform Mcchanical Code/State Building Code
requirements.
6. A,�!work must be inspected(rough-in and final). CaII(952)249-4600.
(2,4-4$hour nottice required)
7. House Heating xest Reeord mnst be submitted before final,
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y re � �;YPE OF`�'��..ivITT , � ,� ',�� ` `' ,�����'r.�r '�'�
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�ResidentYal []Commercial(t#pproval Required) (Backflow Device: �AVB ❑P'V$]
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❑New ❑Additional ❑Repaits ❑Reptace
�:�l.Lu��F��� ����.'��M'f����tl�'�'1: .��ry,'��t��'Fd+�.�„VM�Vn�rr
Sit�Addxess: o�.��''� �,.5 Ci� ��• Q.p�.
�ner` '(��`-� YY� ��x�t'�.4..�s3Y�'t'� �lin,g Address: � � QL'src, �,�
c��: C����a-.� z�p: S 53��
I-�ozme Phone; � •�� �S°-�r �..�5'0.p Altezx�ate Phone:
�w,�.�`�QT1`tTS�r,�'�^��'"�Lj,�C�jL'�X1���k1 M"xan"^"°,:� i t�y<:,�j;�l�; fr'�`� '��^
,1'::WPr�.w ..tiia.i..w� A,�. l�C..I.-.wYKYi[��l �yA�� ti��d�y-1�G na,�e�n'.�'�t� ��Y,Y,�c
Contractor: f: r Contact Person: ����
Address: 1� �\��'t,,,�__�,_�('. Stare Bon;d#: C54�5'7 n
City: � �-v–� �ip:5����piration Date: a l �� �I�_
Phone: �,5.� "-1,�4'� �'j���� Alternate Phone:
L] Insurance--Cuz�ent: _��,( ,
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01!04l2017 12:33 GLOWING HEARTH&HOME �A1f�52 492 6006 P.003l005
Note:All Geothermal S�stems will now requaXe a Site Plan&Review by our$uilding Official.
IS THIS G�OTHERMAL? ❑Yes 0 No
H�ATYNG SYSTE1vXS
Quantity:
Malce:
Model:
Fue�:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
CdOLING S'S�STEMS
Quantity:
Make:
Mode�:
Tons_
H.Power
�IREPLACE
`�l Gas Factory Fireplace Brand Na�me: _ � a.a t�
0 'VV'ood Buming Fireplace ` ���
❑ Wood Stove Model No.: �'�.$� ��
❑ Wood Stove with�'luc/Masoary
'VENTILA'Y"TON
❑ No. _ Kitchen Exhaust duet recireulating cfxn
❑ No. Bath�xhaust(must have duct outside) ��,
❑ No. Other�ans: Locations �;�
FU��,STORAGE (Must be approved by Fire MarshaCl tf,proposing to abandon tank in place.)
❑ Installation ❑ Removal
Puel 0i1: �gailons ❑ Underground ❑��,side ❑Outside
T,P Gss: gations
Other:
A,S LI�E O X,,�:'
❑ Outdoor GrilI [] Other/�.ist What 8t Where�
2
01l0412017 12:33 GLQWING HEARTH&HOME �Ax}952 492 6006 P.004I005
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1. CQ�'X'RACT PI2YC� "is 1.25%of contracC price with a(Minimum Fee of SS0.00)
�"��� x.0125$ ��"�
(contract price) (minimura�50.00)
2. STA �S'C)'RCHARG�
x_0005 $_ �.� l��
(contrect pricc)
3. POS'I'AGE&H.ANDT INCr(Onl�on MaiI-Tn Applications) $ 2.00
4. TOT,A,X,pERMIT���(Add Lines 1-3 Above) $��
• * CONTRACx p�TCE or JOB COST means the actua[ or estimated doIlar amount charged for the
pe�nitted work incSuding materials,labor,pro�t,and ather�xed costs. It is the amount to bo charged
to the customer�or the work done. Yf any material,equipment,Iabor or installations are fumished by the
owner, tenant or any other party, the r�asonable rnarket value of such items must be added to the
�stimated eost or co�tr�eet price for permit fce purposes. Tn the event that there is a dispute on the amount
of the job cost, the Ciry may request the submission of a signed copy o£ the actual contract.
- �- -
xhe undersigned hereby applies to the City for x5suance of g MeehanicaI Pe�iit, agrees to do all
work iz� strict accordance wXtkA the ordir�az�,ces of the C�ty and the regulations of tk�e 8tate of
Mitulesota,and eectifies Th�t alI stateme�,ts znade on tltis applicatior�are complete,true and correct.
App�icant's Sigz�ature: �"`'�'~�:.�xt� �� ��� q
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3
DATE TIME
V
CITY OF ORONO CALLED IN
INSPECTION NOTICE � SCHEDULED
PERMIT NO.a,6�7 ' Gb��S COMPLETED ��� ' �CS O
ADDRESS ��i�l� �k SG���� ` /2� •
OWNER TELEPHONE NO.
CONTRACTOR G l[��J� KS �G���� �- �U�C�
� DESCRIPTION �' �` �`�
ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
� ❑ 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 ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
Z
v ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNERICONTtiACTOR TO MEET YOU:_YES_NO
«� COMMENTS:
� 1l�.���� G��'�Q•�.es d�
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W ❑WORK SATISFACTORY:PROCEED ❑ PRW ECT COMPLETE
� RK 6 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
0 ❑CORRECT WORK,CALL FOR REINSPECTtON TEMPORARY
V BEFORECONERING PERMANENT
�CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR NALL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CI7ATION ISSUED
❑INSPECTIONREWIRED.CALLTOARRANGEACCESS.
Cail br the next inspection 24 hours in advanoe. (952) 249-4600
OwnerlContractor on site:
Inspector. �""
White Copyllnspector's File Gnary CopylSita Notke
�� � � �
� DATEr_���� I TIME ���G,/
CITY OF ORONO :�C LLED IN � ��� �
INSPECTION NOTICE ����SCHEDULED ��
rERMR NO. •�C I co LETED � �
ADDRESS `� � y�1� ��.=��' C; �7� �
OWNER TELEPHONE NO. C��� ����%
CONTRACTOR Y jT
� DESCRIPTION ✓� �`�p �Q- �t(�-�
LL ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
� ❑ 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
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
J AL ❑ WATER HOOK-UP ❑ FOLLOW-UP
= AS BUILT-SURVEY ❑ SE R HOOK-UP ❑ FOUNDATION/REMOVAL
J ❑ DEMO-SITE ❑ TIC INSTALL
2 OWNERfCONTRACTOR TO MEET YOU: YES_NO
v�i COMMENTS:
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W ❑WORKSATISFACTORY:PROCEED �ROJECT COMPLEfE
� O CORRECT WORK&PROCEED O ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY
V BEFOREC0IIERING PERMANENT
O CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-46��
OwnerlContractor on site:
Inspector. ���
Whits Copyllnspector's File Cenary CopyfSite Notice