HomeMy WebLinkAbout2014-01411 - gas fireplace ,
CITY OF ORONO * Z 0 1 4 - PJ 1 4 1 1 *
` 2750 KELLEY PARKWAY DATE ISSUED: 12/10/2014
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 2660 LYDIARD AVE
PIN : 21-117-23-23-0031
LEGAL DESC : VERN-MAR MANOR
: LOT 005 BLOCK 000
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : F[REPLACE-GAS
VALUATION : $ 2,500.00
APPL(CANT MECHANtCAL 50.00
STATE SURCHARGE MECH (VALUATION) L25
PRACTICAL SYSTEMS MAIL-IN FEE 2.00
4342B SHADY OAK RD
HOPK[NS, MN 55343 TOTAL 53.25
(952)933-1868 Payment(s)
CREDIT CARD 5815 53.25
OWNER
BAUER, MR. & MRS. BRUCE
2660 LYDIARD AVE
EXCELSIOR, MN 55331-
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
Sta[e 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 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 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 Issued By�Signa ure Date
952933 i 869 20:59:47 12-08-2014 2/4
FOR C1'1'Y IJSE aNLY
. ,�O A' City of Orano
�y P.O.Box 6G Date Received: Permit#
� 2750 Kellcy Pad.�way
Crystal Bay,MN 55323 Approved$y: Amount$:
Plmne(952)249-4600 Fax(952}249�bt6 �
Y �
�����Swo��'G` CITY OF ORONO-MECHANICAL PERMIT
(All Commercial perniits must bc approved by thc Building OfEicia)or Insp�roto�and/or Fin;Marsl�all)
GENERAL INFORMATI�N
i. You may apply for mechanicai permiGs by mail or in person at the City offices. Applications will
be reviewed and a permit will be issued within two workinb days.
?. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT
VAI.ID UNTIL YOU RECEIVE A PERMIT. WORK MUST Ni�'F BEGIN UNTIL THE
PERMIT CARD IS POSTED ON THE JOS SITE.
3. Mechanical Desi¢ns—Complete calculations,details and specifications aze required for each
heating,ventilation,humidification-dehumidification,and air con8itioning installation including
heat loss/heat gain calculation,design temperatures,equipment r$tings and identification as to
type,manufacturer and model. Data shalI be presented on form piovided.
4. When any ne�v construciion or remodeling is involved,a seParate building permit must be
obtained.
5. All work must be done in aecordance with the Uniform Mechanical Code/State Building Code
rec�uirements.
6. f�ll work musE be inspected(rough-in and final). Call(952)249-4600.
(24-08 hour notice required)
7. I-�ouse Heating Test Record must be submitted before final.
TYPE OP PERMIT
Check All That A 1
�Residential ❑Commercial(Approval Required)
❑New ❑Additiona( ❑Repairs �Repiace
Job Site/Owner Information:
Site Address: Z��O L.`/DIAg.D AVE - �xCELS10R N1t�1 55331 (ORONO MU�ICIPALI't'y�
Owner: [�RUC�P. T. FJaU-P.2 MaiIing Address: 2l�[00 L�f D1ARD AVE
city: ExCE�sio� ziP: �5331
Home Phone: ��t521�i�-1-°lOf�y Alternate Phone:
Contractor Information:
Contractor: P�ZP.CTIC.AI.SySCF,NIS Contact Person: SNAR�.A COt`1RAD
Address: �1.3'�-12� S��OaIL�c} State Bond#:
City: O '.i Zip:��3Expiration Date:
Phone: (G52�q33-1��R Alternate Phone:
❑ Insurance-Curretit:
1
9529335•869 21:00:04 12-OS-2014 3!4
- ` MECHAMCAL SYSTEIVIS BEING INSTALLED
Note:All Geothenmal Systems will now require a Site Plan&Revlew by our Building Official.
IS THIS G�OTHERMAL? ❑Yes dNo
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 Nauie: -t-
❑ Wood Burning Fireplace
❑ Woocf Stove Model No.: CSK"3�-
❑ Wood Stove with Flue/Masonry
VENTILATION
❑ No. KiEchen Exhaust duct recirculating cfm
❑ No. Bath Exhaust(must have duct outside) cfm
❑ No. Other Fans: Locations cfm
F[IEL STORAGE (Miest be approved by Fire Marslrall if proposisg to abandon tank in place.}
❑ Installation ❑ Removal
Fuel Oil: gaIlons ❑ Underg�bund ❑Inside ❑Outside
LP Gas: galions
Odier:
GAS LINE ONLY
❑ Outdoor Gritl ❑ Other/List What&Where:
2
952933?.869 21:00:16 12-08-2014 4/4
PERMIT FEE CALCULATION(S)
BASED OFF:-2002 STATE STATUE '
❑ Yes,this section applies
The replacement of a Residential fixture or agpliance 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;exclu in the cost of the fixture or appiiance:and
3. Is improved,installed or replaced by the homeowner or licensed contractor.
Skip ne.ct 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 CALCULATIUN S —JOBS'CfVER$500:00
If above does not apply;follow guidelines below:
1. CONTRACT PRICE * is 1,25%of contract price with a(Minimum Fec of$50.00)
� 2,500.00 x.oi2s$ � 50.00
(contract pricc) (minimum$SQ.00)
2. STATE SURCHAI2GE d�
`� �-,���Q� x.0005 $ � �.Z�
(contract pricc)
3. POSTAGE&HANDLING(On}y on Mail-In Applications) $ 2.00� _
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ � 'r'J f.2.�
■ '" 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. Tt is the amount to be charged
to the customer for khe work done. If any material, equipment, labor or installations are fumished by
the owner, tenant or any other party, the reasonable rnarket value of such items must be added to the
estimated cost or contract price for permit fee purposes. In the event diat there is a dispute on the
amount of d�e job cost, the City may request the submission of a signed copy of the actual contract.
; NIECHANTCAL'PERIVIIT APPLICATION A.GREEMENT
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 tlae City and the regulaeions of the State of
Minnesota, and certifies that alI statenients made on this applicatio�i are complete, true and
correct.
Applicant's Signature: ��i2� �N� Date: �2 08 1`�
�
3
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DATE /� TIM
CITY OF ORONO CALLED IN ��o.�_
INSPECTION OTIC SCHEDULED -
PERMfT NO. � —�1 �I COMPLETED
ADDRESS �
OWNER LEP NE ��������'
CONTRACTOR �u'J --r
� DESCRIPTION �� �
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FI NG
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z � INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP p COMPLAINT
J O DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL O HARD COVER REMOVAL
J ❑ PLUMBING RI O SEPTIC FINAL ❑ FOUNDATION/REMOVAL
2 OWNERICONTRACTOR TO MEET YOU:�YES_NO '
y COMMENTS: 9�j,� ��'1 P� 4�/` e.St ��iw< �/ ��c
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� O WORK SATISFACTORY:PROCEED �CT COMPLETE
W ❑CORRECT WORK 3 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE CONERING PERMANENT
O CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP OROER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 2a hours in advance. (952) 249-4600
OwneNContractor on site:
Inspector: �
White CopyAnspector's File Canary CopylSite Notke