HomeMy WebLinkAbout2014-00444 - gas fireplace ` CITY OF ORONO * 2 0 1 4 - 0 0 4 4 4 *
' 2750 KELLEY PARKWAY DATE ISSUED: 05/13/2014
ORONO,MN 55356-
952 249-4600 FAX: (952 249-4616
ADDRESS : 1065 LINDEN LA
PIN : 07-117-23-14-0066
LEGAL DESC : LINDEN BEACH
: LOT 000 BLOCK 000
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIREPLACE-GAS
VALUATION : $ 13,400.00
NOTE: 4 GAS FIREPLACES HEAT N GLO
1 WOOD FIREPLACE HEAT N GLO
GAS LINES BY OTHERS
APPLICANT MECHANICAL 167.50
STATE SURCHARGE MECH(VALUATION) 6.70
GLOWING HEARTH AND HOME MAIL-IN FEE 2.00
100 ELDORADO DRIVE
JORDAN,MN 55352 TOTAL 176.20
(952)495-2927 Payment(s)
CHECK 18915 176.20
OWNER
KUZNIK,TONY&CARRIE
10690 ZIEGLERS DRIVE
BROOKLYN PARK,MN 55443-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be perfortned 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 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 aRer 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.
(
�.Gvt� l l
Applicant Permitee Signature Date Issued By S ature Date
� �
' �A,O City of Orono
i r P.O.Box 66
2750 Kellcy Pail�vvay
Crystal Bay,MN 55323
Phone(952)249-4600 Farz(952)249r4616
rt �t.
��t,�� SHo���1 CIT'Y OF ORONO—MECHANICAL PERMIT
(All Cornmerciial pem�ii��at be a�mvod by tlu Building OfHcial or Inspecmr and/or Fin Maca6a11)
1. You may apply for mechanical permits by mail or in person at the City offices. Applications will
be rcviewed and a permit will be issued within two working days.
2. Permit cards will be sent by retum mail af3er a review is completed. PERMITS ARE NOT
VALID UNTIL YOU RECEIVE A PERMTf. WORK MUST NOT BEGIN UNTII.THE
PERNIIT CARD IS POSTED ON THE JOB SITE.
3. Mechanical Desians—Cotnplete calculations,details end specifications are ra�uirod for each
heating,ventilation,humidification-dehumidification,and air conditioning installadon iacluding
heat losa/heat gain caiculation,design temperahu�es,equipment ratings and identification as to
type,manufachu�er and model. Data shall be presented'on form provided.
4. When any new conetruction or remodeling is involved,a separate buitding permit must be
obtained.
5. All worlc must be done in accordance with�e Uniform Mechanical Code/State Building Code
requirements.
6. All work must be inspected(rough-in aad final). Call(952)249-4600.
(24-48 hour notice requ�ired)
7. House Heating Test Record must be submitted before final.
Residential ❑Commercial(Approval Required)
New ❑Additional ❑Rcpairs ❑Replace
Site Address: ��f�� � �l�C��1RYl Q
Owner:�,ot,.Y1 v�SC1Y1 �S Mailing Address: ��� f��.l'►'lkX �
c�ty: 1�1 r4.��r-L.0` z�p: 55 3�-C�
� �7�3- ��SS- o��
Home Phone: Alte�Phone:
Contractor:� ' �7�' 'Contact Person: � C"�`��-Q-�,.�
Address: ��� �State Bond#: ���.'ei`��Q
• City: � Zig����xpiration Date: � � �
Phone: ��"�a''���1_O Altemate Phone:
Insurance—Current: (��t�T 3� �� Z� ( �
1
�
� Note:All Geothermal Systems will now require a i e Pl &R�by our Building Official.
IS TffiS GEOTIiERMAL? ❑Yes ❑No
HEATII�TG SYSTEMS
Qaantity:
Make:
Model:
Fuel:
Flue Siu:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Qaantity.
Make:
Model:
Tons:
H.Power
�Pr�.�►��s �� c�� �� �a� �3�
Gas Factory Fi=eplace � Brand Name: `��w I�ut� � J����
Wood Buming Fu+eplac� T , p�y,/�
❑ Wood Stove Model No.: !�� �"5 �'���7 °�/U,X�f'
❑ Wood Stove with Fluc/Masonry+ �
�
vErrr�.�►TTox _ �`+ �t�2a.f�C�C.� �5�c-�t--z'g 1
�L:�iSdTi� �Pi-� ��T �QC4
❑ No. Kitchen Exhaust duct recirculating cfin
❑ No. Bath Exhaust(must have duct outside) cfm
❑ No. Other Fans: Locations cfm
FUEL STORAGE_(Must be approved by Fire MarshaJl tf propoaisg to abandon tank�n placG)
❑ Installadon ❑ Removal
Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside
LP Gas: gallons
Other:
GAS LINE ONLY � � � ��S J� C TS'�►�S
❑ Outdoor Grill ❑ Other/List What 8c Where:
2
❑ Yes,this section applies
The replacement of a Residential fixh�re or aDoliance that mcets all tluee of the following requirements:
1. Does not require modification to electrical or�s service.
2. Has a total cost of$500.00 or lcss;ex 1 ' the cost of the fixhue or appiiance:and
3. Is improved,installed or rcplaced 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 S
If above does not appty;follow guidelines below:
1. CONTRACT PRICE *is 1.25%of conhact price with a•(Minimnm Fee of 550.00)
pd
�' X.oi2s$ ��7�S�
�•ontracc price) (mimmam sso.o�
2. STATE SURCHARGE r.� �
-W x.0005 $ ` �
(����)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PEItMIT FEE(Add Lines 1-3 Above) $ ��� `�
■ * CONTRAC'T PRICE or JOB COST means the actual or estimated dollar amount charged for the
permitted work including matcrials,labot,profit,and other fixod costs. It is the amount to be charged
w the customer for the work done. If any material,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. Ia the event that there is a dispute on the
amount of the job cost,the City may request the submissian of a signed c�opy of the actual contract.
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.
Applicant's Signature: Date: �� I
3
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Parcel iv1ap Scale: 1" =5G ft. ��
ID: 07-117-23-14-0066 A-T-B: Both �
Print Date: 10/24/2014
Owner A A Kuznik&C L Kuznik Market $632,000
Name: Total:
Parcel 1065 Linden La Tax $8,790.92
Address: Orono, MN 55364 Total: (Payable:2014)
P rtY
Pro e Residential Miscellaneous Sale �650,000
Typ@: PI'ICe: This map is a compilation of data from various
sources and is furnished"AS IS"with no
Home- Non-HomeStead Sale 06/2012 representation or warranty expressed or
stead: Date: impiied,including fitness of any particular
purpose,merchantability,or the accuracy and
completeness of the information shown.
Parcei 1.34 acres Sale VaCallt LBfld COPYRIGHT OO HENNEPIN COUNTY 2014
Area: 58,539 sq ft Code: �
�!, Think Gree.n. I
http://gis.hennepin.us/Property/print/default.aspx?C=450301.3992000003 3,4978620.5327... 10/24/2014
� �ATE TIME J
� CITY OF ORONO CALLED IN �
INSPECTION NOTI _BD �,/�/sCHEDULED �
�ERMIT NOo2 Y' 7�C�M�LETE� �
ADDRESS �DG1S L//2CNi1•� [�1'C/
OWNER TELEPHONE NOIQ 1 Z ZSD �T�I
CONTRACTOR ��� �'t'
� DESCRIPTIONdTJ �/ /«
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FIWNG
� ❑ POURED WALL �MECHANICAL RI ❑ LAKESHORENVETLANDS
Q�FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z p INSULATION ❑ WOOD BURNER/FIREPLACE O SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
v ❑ DEMO-SITE O SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J � PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/HEMOVAL
2 �NNERICONTRACTOR TO MEET Y�W:_YES_NO
� COMMENTS: I�Lrr�/ri.a . <'_��r��S— �+�
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W ❑WORK SATISFACTORY:PROCEED ❑PRW ECT COMPLETE
� /L�eE�AiiE$FWORK b PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
0 vO CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECWERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑pHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
O INSPECTION REW IRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-460�
OwnerlContractor on site:
inspector.
White Copyllnspector's File Cenary CopylSite Notkx
DATE TIME `/
v
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED �-
PERMIT NO..a�l���f!/COMPLETED .�=�5
ADDRESS �6 6 7 �.�n�e�,, G4_
OWNER TELEPHONE NO.
CONTRACTOR � �iti=� �s•r�� { X�"��
� DESCRIPTION��� �` '�
�
� ❑ FOOTING O PLUM8ING FINAL ❑ EXCAV/GRADING/FIWNG
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS
y � FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
�_/�INAL 0 SEWER HOOK-UP ❑ COMPLAiNT
��� DEMO-SITE ❑ SEPTIC MAINT. O fOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J � PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
Z ONfNERICONTRACTOR TO MEET YOU:_YES_NO
v�i COMMENTS:
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� ❑WORKSATISFACTORY:PROCEED RWECTCOMPLEfE
W ❑CORRECT WORK 8 PROCEED O ISSU CERTIFICATE OF OCCUPANCY
0 �CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE CONERiNG PERMANENT
�CORRECTUNSAFECONDITIONWITHIN HOURS. ❑pHOTOTAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
❑STOP OROER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 forthe next inspection 24 hours in advance. (952) 249-460�
OwnerfContractor on site:
Inspector. '�
White Copyllnspector's File Canary CopylSite Noties