HomeMy WebLinkAbout2015-01549 - gas fireplace ' ' CITY OF ORONO * 2 0 1 5 - 0 1 5 4 9 *
2750 KELLEY PARKWAY DATE ISSUED: 12/14/2015
ORONO,MN 55356-
� (952)249-4600 FAX: (952) 249-4616
ADDRESS : 4009 NORTH SHORE DR
PIN : 07-117-23-44-0004
LEGAL DESC : HIGHWOOD LAKE MTKA
: LOT 000 BLOCK 000
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIREPLACE-GAS
VALUATION : $ 5,900.00
NOTE: (2)HEAT-N-GLO FIREPLACES
APPLICANT MECHANICAL 73.75
CONDOR FIREPLACE&STONE CO. STATE SURCHARGE MECH(VALUATION) 2.95
8282 ARTHUR ST NE MAIL-IN FEE 2.00
SPRING LAKE PARK,MN 55432 TOTAL 78.70
(763)786-2341 Payment(s)
CREDIT CARD 0509 78.70
OWNER
Craig Scherber&Associates,Inc.
305 LAKEVIEW DR
TONKA BAY,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 Ciry approvals,and the
State Building Code. This permit is for only the work described and dces
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances governing this type of work
shal!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.
� � / / ��
Applicant Perrr►itee Signature Date Issue By ature Date
O 12-14-2015 10:18 Fax Services -�19522494616 �2
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,,,,.._ F R CI Y USE ONLY
� .,... Gi of Orono �J "`�/
' �+ � ., P.�ox ti6 I�ate Rc�e�e : �� � crmit M --_
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� V 1 275D ECclley Parkway
� Crystal Bay,MN 55323 Approved f3y: ____�,_ Rmount S:
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Ay � Phone(952j 249•4600 Fax(952}24�-4616
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���`���.,,��ryti�ik,�c`,� C[TY OF ORONO—MECHANICAL PERMIT
(All Conunercial per,nits must be approveJ by thc 9uilding Official or InspeGor and/nr Fire Marshall)
GENERAL INFORMATION �
1. You may appiy for meehanical permits by mail or in person at thc City offices. Applications wiil
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 RECENE A YERMfT. WORIC MUST NQT BEGIN UN7'IL"fHE
PERMIT CARD IS POSTED ON T����(,�����',�;�
3. Mechanical Desians–Complete calculations,details and specifications are required for each
heating,ventilation,humidification-dehumidification,aad air conditioning installation including
heat loss/heat gain caleutation,design temperatures,equipment eatings and identification as to
rype,manufacturer and model. Data shall be presented on form provided,
4. When any new construction or remodeling is involved,a separate buikding permit must be
� obtained.
5. All work must bc done in accordence with the Uniform Mechanical Gode/State$uilding Code
requirements,
6. All work must be inspected(rough-in and fina]). CaU(952)249-4600.
(24-48 hour notice required)
7, Flouse Heating Test Record must be submitted before final.
— ....,.... .
TYPE OF PERMIT
--_,._... ._...._._�._._�......_ (Chcck All That Ap�ly)___._......,,..__..__._.___...._�.._....._�._..._._._._._r.______.�
�esidt,nti:al ❑Commereial(Approval Required)
�Vr,�v ❑Additiona! ❑Repairs ❑Replace
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Job Site/Owner Tnformation:
Site Address: �-���"���' �„y�'y C.; �.-,�� .,,,�,L�`�
�
(3w�zi�r: 1�l`���`.:Y1. � ��`�-k.� MailingAddress: �`��O�S l,�l�-�i'Y�� 1U► .
F'
c�ty: �1� �l.c°.��.,.�c.�f'-���.� �.�a�..��,.� z�p: ���� e
Horne Phone: 1�Q�S�, �Q �� Alternate Phone:
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Cantractor lnformation;
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L..,.C�..�L �"`.�" " ...��,,�,, ,�Y.�V'I,t�.r..,�d.._�r �� t,r`�/""" _` ,l/„
Contractor: `� l�'C'�nt��ct F�erscrn� ..��"-L��'�-'h--�--''
Address: ��� �li�Gt�l��N State Bond#; Y�'1�V� ��,�
City:�{r-����i�Zip�3 Expiration Date: ___�v_� � "j.�..�_
Phone: �_,����� �-�`�"C Alternate Phone:
,,...,
❑ Insurance—Current: .....��..�,..._�4`1.��.�C�C..^�,,�..C.."....c;�._...._..�
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O 12-14-2015 10:18 Fax Services a 19522494616 �3
MECHANICAL SYSTEMS BEING INSTALLED
Note:All Geothermal Systems will now require a Site Pian&Rcvicw by our Building Official.
IS TH1S GEUTHERMAL? ❑Yes ❑No
1�EATTNG SYSTEMS
Quantity:
Make:
Model:
Fuel:
Flue Size:
Input�3'1'Us;
oucpur BTus:
CFM:
COOLING SYSTEMS
Quandty;
Make:
Model:
Tons: •
H.Power
FIREPLACES � �"`) �
� r,x
Gas Factory Fireptace Brand Nama; ' �
j.:.:�'��.��.._�_� �_
❑ Wood Burning Fireplace •1..,M `
C,_] WoodStovc ModeiNo,; T'�y�:1 V'^ ���4� I��
_.........---- —
❑ Wood Stove with Flue/Masonry
t�� �.- 1 PI
VENTiLATiON
� No, Kitchen Exhaust duct recirculating cfm
❑ No. Bath Exhaust(must have duct outsidc) cfm
� No. Other Fans: Locations cfm
FUEL STORAG� (Must be apprvved by Fire Marshat!7f proposing ro abandon lank in p[ace.)
❑ Installation [] Removal
Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside
LP Qas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill ❑ Other/List What&Where:
2
� 12-14-2015 10:18 Fax 5ervices -�19522494616 �4
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_ _ PERMIT FEE CALCULATIQN(S) _ __
BASED OFF-2002 STATE STA'TUE
(�] Yes,this section applies
The r�placement of a Residential ,fixturc�r appliance thac mects aU tbree of thc following requirements:
1. Does not require rnodificati�n to electrical or gas service.
2. Has a total cost of$5�0.00 or less;ex 1 'n the cost of the fixture or appliance:and
3. is improved,installed or replaced 6y the homeowner or licensed contractor.
Skip next section,if this applies; Cost of Perrnit $ I5.00
State Sureharge $__ 1.00
M�il-In i'ee(If Applicable) $ 2:00
'I'otal Permlt F'ee $
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_� _ �_PERMIT FEE CALCULATION(S)—JOBS OVER$500.00
__.,_W___._._..___...._.._.._......................���.......�...�......�_........�J
If above does not apply;follow guidelines below:
1. CONTRAC'r PR]CE *is 1.25%of contract price with a(Minimum Fce ot'�$0.00)
..�k!/v• � x.0125$,...... ..
(contract pdce} ���(minimum��50.0u)
2. STATF.SURCHARCE
_x.UU05 $
__...,..: __.
(contract price)
3. POSTAGB&HANDLING{Only on Mail-In Applications) �a_ 2.00
4. TO'T'AL PERMIT FEE(Add Lines I-3 Above) $ �_�
• " CONTAACT PRICE or JOB COS'I' means the actual or estimated dullar amount charged for the
permitted work including materials, labor,profit,and other fixed costs, It is thc amoant to be charged
to the cusfomer for the work done, If any material, equipment,labor or insta(lations arc lurnishcd by
the owner, tenant or any other party, the reasonabic markct valuc of such items must be acidcd to the
estimated cost or contract price for pennit fce purposes. In 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 actual contract.
_..._.._.,._...�.,.. _ _ .. ... . .....
MECHAMCAL_PERMIT APPLICATION AGREEMENT
.-----.._...�— - -----....,�.....�....._._.__..�.__,.._.._.,.._,.,..,...,...,,...,,,..�
The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do al]
work in strict accordance with the ordinances of the City and the regulations of the State of
Minnesota, and certifies that all statcmcnts madc on this application are complete, true and
correct.
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Applicant's Sign�ture ���_�,.,) ___. ,_ Date: �� � I� �
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� DATE TIME
CITY OF ORONO CALLE IN �
INSPECTION NOTICE ,a 5��SCHEDULED �S- �_
PERMIT NO. �I� I 5 COMPLEfED
ADDRESS `t C�(7 q �/ • ��l O f'�- D i� .
OWNER TELEP�ONE NO. ����7�0 7�-{(
CONTRACTOR �, ��
� DESCRIPTION J�1�L°.� ���5 -- ��S
lN ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
y ❑ 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
_
J ❑ DEMO-SITE ❑ SEPTIC�TALL
2 OYYNERICONTRACTOR TO MEET YOU:_YES NO
y COMMENTS:
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W ❑WORKSATISFACTORY:PROCEED � ❑PROJECT COMPLEfE
�,/�6G�FiFtG6'F-VVORK 8 PROCEED G������ '�'0 ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECTVYORK,CALL FOR REINSPECTION � TEMPORARY
V BEFORE CWERING Gd�� pERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pHOTO TAKEN
INSPECTOR WILL REfURN
❑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�0
OwnerlContractor on site:
�
Inspector: - -
White CopyllnspecMrs File Canary CopylSite Notice
�
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CITY OF ORONO CALLED IN �—D�E/� TIME
INSPECTION N TIC G�SCHEDULED �� __'�
PERMIT NO. �bl D�� /COMPLETED
ADDRESS__,`7`BD� W. DY���/'�
OWNER LEPHO NO.
CONTRACTOR k
� DESCRIPTION ��
Ly ❑ FOOTING ❑ DEMO-FIN L ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLIN(3
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
v �NAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
? OMINEAICOI�fTRACTOR TO MEET Y�WI:_YES_NO
� COMMENTS:
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µJQ�eL C'o,�-,f��e� —
0
Q ��n.�.t ���f�
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� ❑VMORK SATISFACTORY:PROCEED OJECT C0IAPLETE
W ❑CORRECT WORK a PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT NIORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE CONERINO PERMANENT
O WRRECT UNSAFE CONDITION WITHIN HWRS. p pHpTO TAKEN
INSPECTOR WFLL RETURN
❑GTATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPEC710N RE�l11RED.CALL TO ARRAN(iE ACCESS.
CaY tor the next Mspectfon 24 hours in advance. (952) 249-4600
Owne�lContractor on site:
inspector: �
CuPYAnspecfw's FIN C�nary Cop�►ISit�NoNe�