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HomeMy WebLinkAbout2013-0040 - gas fireplace CITY OF ORONO * z 0 1 3 - 0 0 4 P1 9� ,�" 2750 KELLEY PARKWAY DATE ISSUED: OS/28/2013 ORONO,MN 55356- (952) 249-4600 FAX: (952)249-4616 ADDRESS : 4156 HIGHWOOD RD PIN : 07-117-23-44-0019 LEGAL DESC : HIGHWOOD LAKE MTKA : LOT 023 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 1,500.00 NOTE: NAPOLEAN GAS FIREPLACE-MODEL LHD45N THIS PERMIT IF FOR THE SECOND FIREPLACE GOING INTO THE SAME HOUSE. APPLICANT MECHANICAL 50.00 CONDOR FIREPLACE&STONE CO. STATE SURCHARGE MECH(VALUATION) OJS 8282 ARTHUR ST NE SPRING LAKE PARK,MN 55432 TOTAL SOJS (763)786-2341 OWNER MUSGJERD, SCOTT&MELISSA 4156 HIGHWOOD RD MOLJND,MN 55364 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 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 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 aze requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. S / ai� 13 /v��/� Applicant Permitee Signature Date Issue y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 05/24/2013 10: 29 7637177267 CONDOR PAGE 01/03 � C� of Orono ,; � R CfT� `I75�C�N]LX �O�r � � � �j�C� �Vj-� P,O.Box 6d 1�Lb��,e�C�►'! ;'��✓'�' Pm'rYhlt�l� <��� T`'� ! u 2750 Keliey Pnrkway , !',' � � Crystal Bay,MN 55323 �1��IC�tt�l�'�'�'- ,i, � i'. A�t}bWtt� � ��i,:' rnone(952)2a�-a�soo Fex(952)249-4616 � 'S�, G` �� .7 ��k�s�o�� CI'I'�' �F ORONO—MECHA�IZCAL PER11�ZT (All Cpmmerdnl permits must be approvcd by che Building O�cial or[espectar and/or Fire Marshnll) ��1��17.A���C�RM,A7�4N' , , .,, , : > �;; , ; , , „ ,,. , , . �, 1, You may�pp)y for m,ech�nical permiCs by maiE or i�person at the C�ty offices. Applicstions will bc reviewed aad a permit wifI bt issued within two woxking days. 2. Permit cards will bc sent by return.m�il after a rcview is campletcd. PERMiT5 ARE NQT VALIb tJTITIL YOU R�CEIVE A PT-,RMIT. WO,RK MUST NQT'�RGIN UNTiL.THE P��iMIT CARb IS PQS�'Eb dN THE QB�ITE 3. Mechanica esi s—L"qmplete oalculacions,detaits and spCcifioatiqns are required fpr eaeh heat[�g,venti[atio�,humidification-dehumidifccal'ion,and air cot�ditioning installatinn includirtg heat loss/heat gsin calculmtion,design tera7petatures,equipmcnt ratings snd identification as to rype,manufacture�r and model. Data shall be presented on form pravided_ 4, When any new construction or remodeling is involved,a separate building permtt tnust be obtained. 5. All wo:rk must be donc in accordanec with the Uniform Mec�Anieal Code/Staze Build;ng Code requiremettts. 6. All wdrk must be inspected(�ough-in and fi�al). Call(952}249-4G00. (24-4$�out noticc required) 7. House Heating TCst Record must be submitted bcfore final. ; , � ��� „ � . , � , ,. , ,. � � �` "�" , ; ,� , ` �������1����� � ;, � � �ltesidentiat ❑Commercial(Approval Required) �e�' ❑Additipna( [�.Re airs P ❑Replace , fb��l'��",�''d'4�et':�Tl�D�T'1�.�14�: Site Address: � -� C.�v� � Owner: -U' (.' S e �a�°S Maili.r�g I�ddress: City: . �, Zip: Home Photte: �o� , �. -�,�� � AItexnal'e Phone: C��tra�'�oP,Ti��'at�i,�it��i�: ' ;, , S���� Cp�tCaCtor: � /E! Tr'/'c L�i�� �ontact Person: �I J�D��I� ,�(�,��/��/J l Address:�'� 7�I� State Bond #: City: Sp,� l� /�1/ll ZiFS����-Expiration bate: Phone: ��.3���,��3 y qltcrnate�hone: ❑ Insurance—Current: 1 65/24/2613 16:29 7637177207 CONDOR PAGE 02/63 , Note: All Geothe�rnal Systems will now require a Site �an&Review by our Building Offcial. �S THIS G�OTH�R�AL7 ❑Yes ❑No HEATANG SYST�M9 Qustlt�ty: Makc: Model: Fuel: �'1ue Size: Input BT'U5: Output BNs: CFM[: COOLING S�'STEMS Quanttty: Make: Model: Tores: H.Power PLA � Ga�Fec�tory Fireplacc Brand Nanae: IV� L �/'{� �]� Wood Burning Fireplace , _ ,� J s�� WoodStove Model.No.: �f .�7 ❑ Wood Stove with Flu�/Masonry (/' �rUa"��w°S 4lV,L� NT UN � No. , Kitchen Exhaust dpct recirculating �efm ❑ No, � Bath Exhaust(mu9t have duct outside) ��, ❑ No. Othcr Fang: Locations cfm �[JFL S'I'ORAGE (Mkst be approved by�re Mar,shq�1!ij'prnpos�ng tn abartdo�taxk fn jr�ac�) ❑ Installativn [� �Lcmaval Fuel Oil: _gallons ❑ Underground ❑inside []Qutside LP Gas: gallons Ochcr. G��,+INE ONLY � ❑ Outdoor Qril) ❑ Othe�r/List What�Wherc: 2 05/24/2613 10:29 7637177267 CONDOR PAGE 63/63 ❑ lt'es,this section applies The replaCemcnt of a Residential fixture or an»l�ance t�at meets a11 three of tho�Follpwing rcquircments: 1. Does not requie+e modif cation to elcetrical or gas service, 2. Ha,s a co t of$500.00 or less;excluding t11c cost of the Fixture or appiip�tca:ettd 3. Is improved,ingtalled or rcplaced by the homeowner or liccnsed conEractor. Skip next section,i£this applies; Cosi of Permit $ I5,00 Stste Suroharge $ S,OU fVaail-It�Fcc(If Applicab3e) $ 2.D0 Tat91 Pcrt�q{�+'ee $ ifabave docs not apply;foltow guidclines below: i. CONTRACf PRI�E �is 1.25°Je of rqntract price with a(Minimutt��'ee of 550.00) � �QV,�V X.0�2�� �"'6 V V (Contl'�Ct pricx)�� (minimum$30.IHI) 2. STATE SUItCHARGE, x,0005 $ ��� (contract price} �_... 3. POS'fACf�&HANDLiNG(pnly oe Mail-In Applicattvns) $_„ 2.00 4. �'OTAL PERMfT F'�E{Add Lines 1-3 Above) $ �do �� ■ ' CONTRACT PRJC� or]OB COST moaes che aotual ar estpnnated dollar amount chargcd for the permitted work including materials,laber,profit,a»d othcr fixed costs. �t is thc amount to be charged tQ thc customer for tho work dane. If any Rnaterial,equipmenik, labor ar installations arc fumished by thC owner,tenan�t or sny otlier pat4y,thc reasonable markct value of such ptems must be added to thc estimiated cost or contract ptioe fvr permiC fee purposes_ �n the evsnt that there is a dispute on the amount o�the jab coxt,the CiYy may reques2 the submission of a si�ed oopy of the Aetua[ contract The undersigned hereby applies to the City for issraance of a IV�echanical Permit, agrees to do a11 work i�n strict aeeordance with the ordinanees of the City and th.e regulataons of the State of Minnesota, and certifies that �lI statemen.ts made on this appiicatiQn are cornplete, true and corz�ect. Applicant's 5ignature: Date• �a y_�� � �� �� �y ✓ CITY OF ORONO / CALLED W ,�'�Ap� TIME INSPECTION NOTI E-�.,�,/�, C SCHEDULED �Z �' � PERMIT NO. ��� 'v�� � C MPL TED r ADDRESS �� OWNER LEPHONE•NO. ��7��v'��� CONTRACTOR L� � Q �-- �; DESCRIPTION � � � � � ❑ FOOTING ❑ PLUMBING INAL ❑ EXCAV/GRAD�NG/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 � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W C � J O >. � O � W � Q � Z W � W � � d W� RK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑Ct�RRECT WORK,CAIL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETtJRN ❑STOP ORDER POSTED.CALL INSPECTOR '� CITATION ISSUED ❑ INSPECTION REQUIRED.CALI TO ARRANGE ACCESS. Cal1 for the next inspection 24 hours in advance. (Q52� 249-4600 OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice