HomeMy WebLinkAbout2014-00639 - gas fireplace CITY OF ORONO Illlllllll�llllllllhlllllllllllll�lll�llllldlllllllllll
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2750 KELLEY PARKWAY DATE ISSUED: 06/23/2014
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
AI.)DRESS : 951 SPRING HILL RD
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PIN : 26-118-23-44-0002
LEGAL, DESC : UNPLATTED 26 118 23
: LOT 000 BLOCK 000
PERMIT TYPE : MECHAN[CAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIREPLACE-GAS
VALUATION : $ 2,000.00
NOTE: I HEAT N GLO GAS FP
APPL[CANT MECHANICAL 50.00
GLOWING HEARTH AND HOME STATE SURCHARGE MECH(VALUATION) 1.00
100 ELDORADO DRIVE MAIL-IN FEE 2.00
JORDAN, MN 55352 TOTAL 53.00
(952)495-2927 Payment(s)
CHECK 19087 53.00
OWNER
PASTEL ET AL TRUST,JOANNE M
951 SPRING HILL RD
WAYZATA,MN 55391-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specific�tions,applicable City approvals,and the
State Building Code. This pemiit is for only the work described and does
not gr�nt permission for additional or related work which requires separate
permits. All provisions of laws and ordinances governing this type of work
shall be compied with���hether or not specitied herein.This permit will
expire and become null�nd void if construction authorized is not
commenced within 130 days of the date of issuance,or if construction is
suspended for a period of I80 days a[any time after work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance with the State Buildin�Code.This permil may be
revoked at any time for due cause.
/ /
?�pplicant Permitzt Signature Date Issued B�-Signature Datt
�O A�O City of Orono
�Y P.O.Box 66
2750 Kepey Padcway
Crystal Bay,MN 55323
Phone(952)249-4600 Fa�c(952)249-4616
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t,� ��Ha��,° CITY OF ORONO—MECHANICAL PERMIT
(Ali Commercial p��its must bc�proved by the Building Official or In�Ctor and/or Fin Marshall)
1. You may apply for mechanical pern►its by mail or in person at the City offices. Applicallons will
be rcviewed and a pennit will be issued within lwo working days.
Z. Permit cards will be sent by retum mail after a review is completed. PERMITS ARE NOT
VALID UNTIL YOU RECENE A PERMIT. WORK MUST NOT BEGIN UNTII.THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Mechanical Desi¢ns—Coc�lete calculations,details and specifications are required for each
heating,ventil�tion,humidification-dehumidi$cation,and sir conditioning installadon including
heat lossi[�eat gain calcularion,design iemperatures,equipment ratings aad 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 peimit 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 nodce required)
7. House Heating Test Record must be submitted before final.
Ibl Resideatial ❑Commercial(Approval Required)
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New ❑Additional ❑Repairs ❑Replace
Site Address: ' � �n `
` � ' � �c���-I
pwner: d (�Mailing Address:
City: I r uL�''� �-+,tS Zip: S��O,�
Home Phone: ���—��c�1�c � Altemate Phone:
Contractor:���'� ��'� �Contact Person: � �e�� �
Address: l ��"�G� � State Bond#: O�-P
' � ��
• City; � '1 Zip:�S xpiration Date: �
Phone: ��d�'y��-����l.P Alternate Phone:
Insurance—G�urent: /b 2 / 3 — /�7 �/�
1
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� � Note:All Geothermal Systems will now require a i PI &Review by our Building Official.
IS THIS GEOTHERMAL? ❑Yes ❑No
HEATII�TG SYSTEMS
Qnantity.
Make:
Model:
Fuel:
Flue Size:
Input BTUs: .
Output BTUs:
CFM:
COOLING SYSTEMS
QnantirY:
Make:
Model:
Tons:
H.Power
FIREPLACES
��Gas Factory Ficeplace Brand Name: � �`-v
a Wood Burning Fireplace �l ���
Wood Stove Model No.: �..
❑ Wood Stove with Flue/Masonry
VENTILATION �
❑ No. Kitchen Exhaust duct recirculatiag cfm
❑ No. Bath Exhaust(must have duct outside) cfm
❑ No. Other Fans: Locations cfm
FUEL STORAGE (Must be approved by Flre Marshdl if proposiAg to abondon ta�JE in plac�)
❑ Installation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside
LP Gas: gallons
Other:
GAS LINE ONLY �G�S �C,7LQ 6" " "��
� ,
❑ Outdoor Grill ❑ Other/List What&Where:
2
: �
❑ Yes,this section applies
The repiacement of a Residential fixture or sonliance that mcets all thrce of the following requirements:
1. oe require modification to electrical or gas service.
2. Has a tato 1 cost of$500.00 or less;excludine thc cost of the fixture or appliance:and
3. Is improved,instatled ar replaced by the homeowner or licensed contractor.
Skip next section,if this appli�; Cost of Pennit $ 15.00
State Surcharge $ 5.00
Mail-In Fee(If Applicable) S 2.�
Total Permit Fee S
If above does not apply;follow guidelines below:
1. CONTRACT PRICE *is 1.25%of coatract price with a•(Minimum Fee of$50.00)
ar,�.a-1� x.0�25$ 5a�rso
��c�;a� c�mom sso.eo�
2. STATE SURCAARGE �
�C".DD t � x.0005 $ '
(contract price)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) S ���i �O
■ * CONTRACT PRIc:E or JOB COST means the aetual or estimaieci dollar amount chargcd for the
permitted work including materials,labor,profit,and o�er fixed costs. It is the amount to be charged
to the cusWmer for the work done. If any material,equipmeat,labor or installadons 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 submission of a signed copy of the actual contract.
The undersigned hereby applies to the City for issuance of a Mechanical Pennit,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 a11 statements made on this application are complete, true and
correct.
Applicant's Signatttre: � Date: � � g /
3
!�� J l DATE TIME V
C I T Y O F O R O N O CALLED IN �-_;�
INSPECTIO NOTI�� �� SCHEDULED /�' �
PERMIT N�l`-r` "" COMPLEfED
ADDRESS Sl L�l� �
OWNER TEL HONE N ��� -'��� � 7�� !
CONTRACTOR
� DESCRIPTION 'P � - � �-�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADI G/FILLING
Q ❑ POUREDWALL �MECHANICALRI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING MECHANICAL FINAL
Q ❑ 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
i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTO TO MEET YOU: YES_NO
� COMMENTS: ��TC- �U e - D U 0 �
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� ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
W RRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFOREC�/ERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca1 t inspection 24 hours in advance. (g52) 249-460�
O Contractor on sit P�4� C�/'GtC`t��
Inspector. �
White Copyll�spector's File Canary CopylSite Notice
J�, � 1 TIME v
CITY OF ORONO CALLED IN "�
INSPECTION TIC G�SCHEDULED � �
PERMIT NO. ' / COMPLETED
ADDRESS 51
OWNER ELE ONE N . • �
CONTRACTOR
� DESCRIPTION
� ❑ FOOTING ❑ PLUMBING FINAL EXCAV/GRADING/FIWNG
Q ❑ POURED WALL �MECHANICAL RI ❑ LAKESHORE/WETLANDS
y O FRAMING O MECHANICAL FINAL
❑ TREE REMOVAL
Z ❑ INSULATION O WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATIOWREMOVAL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS: F•P• -�i�Ewvri�— ('IQF.�S1•1�'e S -��L.
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W� ❑WORK SATISFACTORY:PROCEED ❑PRW ECT COMPLETE
W ❑CORRECT W'ORK 8 PROCEED O ISSUE CERTIFICATE OF OCCUPANCY
� �ORRECTWfORK,CALL FOR REINSPECTION TEMPORARY
V� B�ORE CaNERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR W{LL RETURN ❑CITATION ISSUED
O STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cau -nspectlon 2a Nours,in advance. (952) 249-4600
ctor on sit • t r�
Inspector:
White Copyllnapector's File Canary CopylSite Notice
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTION OTICE SCHEDULED
PERMIT NO. ���1 "d�►63� COMPLEfED �
ADDRESS pb / �Ori•r.�- �s L� ��
OWNER TELEPHONE NO.
CONTRACTOR ��W�� ���� 'F�a�"'�e
� DESCRIPTION �'�f /e•�'
�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FIWNG
Q ❑ POURED WALL CHANICAL RI p LAKESHOREMIEfLANDS
y ❑ FRAMING p MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
Z OWNERICONTRACTOR TO MEET YOU:_YES_NO
y COMMENTS:
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W ❑WORK SATISFACTORY:PROCEED JECT COMPLETE
� ❑CORRECT WORK&PROCEED O I CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pH0T0 TAKEN
INSPECTOR YVILL RETURN
O CITATION ISSUED
❑STOP OROER POSTED.CALL INSPECTOH
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call forthe next inspection 2a hours in advance. (g52) 249-4600
OwnerlContractor on site:
Inspector:
Whits Copyllnspector's File Canary CopylSite Notice