HomeMy WebLinkAbout2014-00069 - gas fireplace CITY OF ORONO * 2014 - 00069 *
2750 KELLEY PARKWAY DATE ISSUED: OV2212014
! ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS 315 TONKAWA RD
PIN 06-117-23-14-0021
LEGAL DESC REG. LAND SURVEY NO. 0540
LOT 000 BLOCK 000
PERMIT TYPE MECHANICAL(>$500)
PROPERTY TYPE RESIDENTIAL
CONSTRUCTION TYPE FIREPLACE-GAS
VALUATION $ 1,240.00
NOTE: GAS LOG SET-REPLACE EXISTING
APPLICANT MECHANICAL 50.00
WOODLAND STOVES&FIREPLACES
STATE SURCHARGE MECH(VALUATION) 0.62
MAIL-IN FEE 2.00
2901 E. FRANKLIN AVE. TOTAL 52.62
MINNEAPOLIS, MN 55403-
(612)338-6606 Payment(s)
CHECK 43004 52.62
OWNER
Waycrosse, Inc.
MACMILLAN, MARTHA E
15407 MCGINTRY RD W
WAYZATA, MN 55391-
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
State 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 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 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.
Applicant Permitee Signature Date Issue B ignature Date
City of Orono FOR CITY USE ONLY
'V P.O.Box 66 Date Received: Permit#
2750 Kelley Parkway
Crystal Bay,MN 55323 Approved By: Amount S:
Phone(952)2494600 Fax(952)2494616
S
�lgkFS HO��C CITY OF ORONO-MECHANICAL PERMIT
(All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall)
GENERAL INFORMATION
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. 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 Designs—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.
(2448 hour notice required)
7. House Heating Test Record must be submitted before final.
TYPE OF PERMIT
Check All That Apply)
Residential ❑Commercial(Approval Required)
❑New ❑Additional ❑Repairs E?/Replace
Job Site/Owner Information:
Site Address: 3P5 / cy1 K-AtJ'
Owner: '"/ '0 IGtC'�'i
Note: All Geothermal Systems will nowreqre a Site Plan&Review by our Building Official.
Yes N i
IS THIS GEOTHERMAL? � o
HEATING SYSTEMS
Quantity:
Make:
Model:
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H.Power
c,
FIREPLACES kw"A
6,4e, Loe-j
Gas Factory Fireplace Brand Name: RoAarpTa6C7�,,
El Wood Burning Fireplace
El Wood Stove Model No.:
M Wood Stove with Flue/Masonry
VENTILATION
❑ No. Kitchen Exhaust duct recirculating cIrn
❑ No. Bath Exhaust(must have duct outside) cfm
❑ NO. Other Fans: Locations cfm
FUEL STORAGE_(Must be approved by Fire Marshall ifproposing to abandon tank in place.)
El Installation F1 Removal
Fuel Oil: gallons ❑ Underground El Inside El Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill ❑ Other/List What&Where:
2
4
PERMIT FEE CALCULATIONS)l " 4 ' r
M, •. BASED OFF -2002 STATE STATUF,'c,M, pfi,
❑ Yes,this section applies
The replacement of a Residential fixture or appliance 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;excludint=-the cost of the fixture or appliance:and
3. Is improved,installed or replaced by the homeowner or licensed contractor.
Skip next 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 CALCULATION(S)—JOBS OVER$500.00
If above does not apply;follow guidelines below:
1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$550.00)
.2 VO.0V
x.0125$ a0-0v �
(contract price) (minimum$50.00)
2. STATE SURCHARGE
�o46,-V x.0005
(contract price)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ 5�
■ * 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.
MECHANICAL PERMIT APPLICATION AGREEMENT
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.
A • � '� % r
Applicant's Signature: Date:
3
C-5 DATE TIME
CITY OF O CALLED IN -
INSPECTION NUC SCHEDULED 44
PERMIT NO. COMPLETED
ADDRESS c 1S
OWNER TELEPHO kJ E NO.6101
CONTRACTOR
DESCRIPTION - �Q
El FOOTING C1 PLUMBING FINAL ❑ E A GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ SHORE/WETLANDS
y
❑ FRAMING ECHANICAL FINAL
Q � [I TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
El FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
❑ DEMO-SITE ❑ SEPTIC MAINT ❑ FOLLOW-UP
❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPTIC FINAL Cl FOUNDAMON/REMOVAL
�E ONTRACTOR TO MEET YOU�hIES_NO
y COMMENTS:
a �,CiS Cdr .rl��rtp✓_
j
49 ro le/VC-0
O
U.
W
cc
zt
A402,e Cl�rwa9ls
W
cc
j
d
WU ❑WORK SATISFACTOR't PROCEED >QXOJECTCOMPLETE
W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
OwnedCor on site:
nspector. IVA
White Copy/Inspector's File Canary Copy/We Notice