HomeMy WebLinkAbout2017-00464 - gas fireplace � ' � CITY OF ORONO
2750 KELLEY PARKWAY * 2 0 1 7 - 0 0 4 6 4 *
DATE ISSUED: OS/OS/2017
ORONO,MN 55356-
(952)249-4600 FAX: (952) 249-4616
ADDRESS : 1280 SPRUCE PL
PIN : 08-117-23-32-0027
LEGAL DESC : N/A
: LOT MB BLOCK O10
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIREPLACE-GAS
VALUATION : $ 3,000.00
NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION.
ADDITIONAL:GAS FIREPLACE(HEAT&GLO)
APPLICANT MECHANICAL 50.00
STATE SURCHARGE MECH(VALUATION) 1.50
GLOWING HEARTH AND HOME MAIL-IN FEE 2.00
100 ELDORADO DRIVE
JORDAN,MN 55352 TOTAL 53.50
(952)495-2927 Payment(s)
Minnesota State License#:mech-MB005786 CHECK 24911 53.50
OWNER
RYAN,JOHN
1280 SPRUCE PL
MOLJND,MN 55364-
AGREEME1vT 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 does
not grant permission for additional or related work which requires separate
pertnits. 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 authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of l80 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 n- _
revoked at any time for due cause. �rv J
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Applicant Permitee Signature Date Issued By Si ture Date
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(� City of Orono � �� r �� „* ���l�
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2750 Kelley Pazkway �� { � �. �
Crystal Bay,MN 55323 .�1�?roved By: ' '.:A�iai�t�;'�,�����„�
Phone(952)249-4600 Fax(952)249-4616 '
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`�kESH�4�G CITY OF ORONO—MECHANICAL PERMIT
(All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall)
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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 return mail after a review is completed. PERNIITS 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 are 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 final.
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esidential ❑Commercial(Approval Required) [Backflow Device:❑AVB ❑PVB]
❑New Additional ❑Repairs ❑Replace
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Site Address: � ` �---
Owner: Mailing Address: �a$� S��— ��'""
c�ri: ��Y�o z�p: ��3�3
Home Phone: � hone: q.`��a-- ��"��� ��
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Contracto�� � �lU�' �ntact Person:
Address: `� (� State Bond#: �__���,,��O�
City: \� Zip ��xpiration Date: - �P �
Phone: lJ� �-C�"Ic-�—�,��- -� � Alternate Phone:
Insurance-Current: )d <<o � l b` Z?� �1
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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
� Gas Factory Fireplace Brand Name: �`=�(��
❑ Wood Burning Fireplace /�
❑ Wood Stove Model No.: �
❑ Wood Stove with Flue/Masonry
VENTILATION
❑ No. Kitchen E�chaust duct recirculating cfm
❑ No. Bath E�chaust(must have duct outside) cfm
❑ No. Other Fans: Locations cfm
FUEL STORAGE (Must be approved by Fire Marshall ijproposing to abandon tank in place.)
❑ Installation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside
LP Gas: gallons
Other:
GAS LINE ONLY �\I ���{/'�
�r
❑ Outdoor Grill ❑ Other/List What&Where:
2
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1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00)
�(�(/V•� x.0125$ � �
(contract price) (minimum 550.00)
2. STATE SURCHARGE o� l �
� • �x.0005 $ l
(contract price)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ � �
■ * 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 reasonable 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: �
3
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DATE TIMIE
CITY OF ORONO CALLED IN p''
IN8PECTION NOTICE 6CHEDULED �(q� �, 1!tl���
PERMIT NO.?�1'I - OU�lo� COMPLETEp� ���._
ADDRESS I Z-a O ����C� �� .
OMINER TELEPHONE NO.q SZ- y92-9z7(o
CONRRACTOR � �
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W O WORK SATISFACTORY:PROCEED ❑PfiOJECT COMPLETE
� ❑OORRECT WOFiK a PROCEED ❑ISSUE CERTIFlCATE OF OOCIJR�UrCY
o�OORRECT W�O�(,CALL FOR fiE1NSPECTION 7HiAPORANV
�j ���� PERMtANB�1T
O OORRECT UN3AFE CONOITION WITHIN HOUR3. ❑PHOTO TAKEN
INSPECTOR YVILL RETUf�I
❑STOP OROER P08TED.CALL INSPECTOR O CITA710N ISSUED
❑INSPECTION REQUIRED.C/1LL TO ARRAN(iE ACCESS.
caM�or n�e nsxt�nspectio�2�t no�rs in adv�,o.. (�i2� 249-4600
on site:
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CITY OF ORONO ��"GALLED IN �
INSPECTION NOTI� —7 .,L�`�-' SCHEDULED _?��/�/ / ����
PERMIT NO. +�� � / COMPLETED r
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� DESCRIPTION � �,
ly ❑ 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
_ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
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2 OWNERlCONTRACTOR TO MEET YOU: YES_NO
c�.� COMMENTS:
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� WORKSATISFACTORY:PROCEED ❑PRWECTCOMPLETE
W CORRECT WORK 3 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O �CORRECT VYORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECONERING PERMANENT
�CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WlLL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (952) 249-46��
OwnerfContractor on site:
InSpector: ��'�'�� G
White Copyllnspector's File Cenary CopylSite Notiee