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HomeMy WebLinkAbout2018-00065 - gas fireplace + -`� CITY OF ORONO * 2 0 1 e — a 0 0 s 5 * 2750 KELLEY PARKWAY DATE ISSUED: Ol/19/2018 ORONO,MN 55356- (952)249-4600 FAX: (952)249-4616 ADDRESS : 1760 SHORELINE DR PIN : 10-117-23-14-0017 LEGAL DESC : N/A : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 5,800.00 NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. GAS FIREPLACE-HEAT-N-GLO WOOD FIREPLACE-RUTHERFORD APPLICANT MECHANICAL 72.50 STATE SURCHARGE MECH(VALUATION) 2.90 GLOWING HEARTH AND HOME MAIL-IN FEE 2.00 100 ELDORADO DRIVE JORDAN,MN 55352 TOTAL 77.40 (952)495-2927 Payment(s) Minnesota State License#:mech-MB005786 CHECK 26372 77.40 OWNER KUHLMANN,MEREDITH 1760 SHORELINE DR WAYZATA,MN 55391- AGREEMENT A1�1D 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 dces not grant permission for additional or related work which requires separate permiu. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction suthorized is not commenced within 180 days of the date of issuance,or if construc[ion 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. • �/ �l/ f / � / I � Applicant Permi ee Signature Date Issued By S ture Date � �' • �L1R �I"Y US�O�IL�Y � City of Orono � � � � �� P.O.Box66 ���'�,� Datelteee�vec�.. �'� �����#k��,,,,,,,;,_ .� . .._ 2750 Kelley Parkway . ..- Crystai Bay,MN 55 , f� AppmvCd$y: ,�,,,,,,,;,�„W;,,;,;Amirunt$:��,�,,, �� Phone(952)249-46�x�9�)��9�16 �`�l �°�� C ^�—MECHANICAL PERMIT �xES HOR (All Commercia perm�its mus be approved by the Building Official or Inspector and/or Fire Marshall) ����.t'�.11`V i'��4E�'1�'���� 1. You may apply for mechanical permits by mail or in person at the City offices. Applications will be reviewed and a permit will be issued within two working days. 2. Permit cards will be sent by retum mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Desiens—Complete calculations,details and specifications aze required for each heating,ventilation,humidification-dehumidification,and air conditioning installation including heat loss/heat gain calculation,design temperatures,equipment ratings and identification as to type,manufacturer and model. Data shall be presented on form provided. 4. When any new construction or remodeling is involved,a separate building permit must be obtained. 5. All work must be done in accordance with the Uniform Mechanical Code/State Building Code requirements. 6. All work must be inspected(rough-in and final). Call(952)249-4600. (24-48 hour notice required) 7. House Heating Test Record must be submitted before fmal. �'"' TYP�Q�'FERI�?�IT Check:Aill Th�t,A;`W 1 �Besidential ❑Commercial(Approval Required) [Backflow Device: ❑AVB ❑PVB] �New ❑Additional ❑Repairs ❑Replace z J�a'�'����:���te�;I�fail�iatic�ll: Site Address: �� �D� �`�1����`(��'. �\V� Owner: �� '' �� Mailing Address: �� �� �� S�� c��: v�c�M 2��'r�- z�p: 5 S�l � Home Phone: Ut.,�^ a\�^ ��� Alternate Phone: �€�i�trac�o�'I�ifcia����ci�i.;� Contractor: � � ���� Contact Person: Address: \l�'� ��a.�'� �f' State Bond#: �L'� 005 r] �'l0 City: J�� z�p:5 5 35�piration Date: � 1� 0 Phone: �,�- ��a ��n� Alternate Phone: ❑ Insurance—Current: 1 Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official. IS THIS GEOTHERMAL? ❑ Yes ❑No HEATING SYSTEMS Quantity; Make: Model: Fuel: Flue Size: Input BTUs: Output BTUs: CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H.Power FIREPLACES G�� ��^��C Gas Factory Fireplace � � Brand Name: 1'(�� �' �� � Wood Burning Fireplace f���ZJ���� Wood Stove Model No.: 1' ❑ Wood Stove with Flue/Masonry VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfm ❑ No. Bath Etchaust(must have duct outside) cfin ❑ No. Other Fans: Locations cfin FUEL STORAGE (Must be approved by Fire Marshall if proposing to abandon tank in place.) ❑ Installation ❑ Removal Fuel OiL• gallons ❑ Underground ❑Inside ❑Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill ❑ Other/List What&Where: 2 . •'► 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) �O VV•� x.0125 $ `a � �� (contract price) (minimum$50.00) 2. STATE SURCHARGE �� � x.0005 $ o�' �� (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERIVIIT FEE(Add Lines 1-3 Above) $ r���� ■ * 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. It is the amount to be charged to the customer for the work done. If any material,equipment,labor or installations are furnished by the owner, tenant or any other party, the reasonabie market value of such items must be added to the estimated cost or contract price for permit fee 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. 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: � ��l t � 3 ✓ DATE TIME CITY OF ORONO CALLED IN �� �ti II'-�''^^ INSPECTION N ICE SCHEDULED Z-3�gnn PERMfT NO. �- COMPLETED --ADDRESS ��`0 C� �1('J�/'�i�/I�� ��W��� OWNER TELEPHONE NO. ��� ���G✓�) r-CONTRACTOR N���� �--DESCRIPTION ` �� ��� �r���T " I Yl� W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION DRAIN TILE ❑ PLUMBING FINAL ❑ TREE REMOVAL 2 ❑ LATHE ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WAILS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP �4 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 01NNERICONTRACTOR TO MEET 1FlOU:_YES_NO � COMMENTS: L✓oo� �'�� �i'�S ,�':r'e TJl t [X � ��rhs+.��., U��-� re ,T�� Gl�a,��n�t � 0 a�i Q�.'L S` �-i�� O� �/'c 3 S S'�'✓1 -� � �� wi o� �,�r� O(a c� o/{ 0 W � Q � � W 0� j W a'N�ORKSATISFACTORY:PROCEED ❑PROJECT COMPLEfE � ❑CORRECT WORK 8 PROCEED O ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERINCa PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR O CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor on site: Inspector: '' ��a'� � yyhite Copyllnspecto�'s Ffle Cenary CopylSite Notiee