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HomeMy WebLinkAbout2010-00051 - fireplace - gas CITY OF ORONO PERMIT NO.: 2010-00051 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 02/02/2010 952 249-4600 FAX: 952 249-4616 ADDRESS 720 TONKAWA RD PIN 05-117-23-34-0002 LEGAL DESC PARTENS POINT 1ST DIV LOT 009 BLOCK 000 PERMIT TYPE MECHANICAL(<$500) PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE FIREPLACE-GAS VALUATION $ 150.00 NOTE: FIREPLACE WAS PURCHASED BY HOMEOWNER-THIS PERMIT IS FOR INSTALLATION ONLY. APPLICANT MECHANICAL 15.00 DLW COMFORT SOLUTIONS LLC 3660 71ST CT STATE SURCHARGE MECH(VALUATION) 0.50 CIRCLE PINES,MN 55014- TOTAL 15.50 (763)783-5983 OWNER MIDDLETON,PAT 720 TONKAWA RD LONG LAKE,MN 55356- 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 revo tan time for due cause. Applicant Permitee Signature Date Is d By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. R � � pCity of Orono FOR CITY USE ONLY City P.O.Box 66 Date Received: Permit# 2750 Kelley Parkway '. ;... Crystal Bay,MN 55323 Approved By: Amount$: (952)249-4600 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 DesiM—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. TYPE OF PERMIT Check All That-Apply) ///Residential -----��� El Commercial(Approval Required) ❑ New ❑Additional ❑ Repairs ❑Replace Job Site/Owner, 7 Information: Site Address: 1. � l2 J <� Owner: 1,v1,"c(d'/,e Mailing Address: Zz0 ;.r7.H/0 &1 dy ,e;j City: p,'o i?D Zip: SS.3S Home Phone: Alternate Phone: Contractor Information: Contractor: t9L ty 5QL1.0-t Contact Person: QaK W%C Address: 36 J 91 SX C�/ State Bond#: City: (*""---/C / 1� I Zip:4;7-17 Expiration Date: OL- ,201a Phone: <�0j Z - 53L-Z7-7/ Alternate Phone: kni 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 /J XGas Factory Fireplace Brand Name: Ilea ❑ Wood Burning Fireplace _ ❑ Wood Stove Model No.: 5 L SSo 7K_ ❑ Wood Stove With Flue VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfm ❑ No. Bath Exhaust(must have duct outside) cfm ❑ No. Other Fans: Locations cfm 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 � in ;. 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;excludin¢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 $ .50 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ If above does not apply;follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) �d X1 x.0125$ (contract price) (minimum$50.00) 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50) x.0005 $ (contract price) (minimum$ .50) 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 STATE SURCHARGE is.0005 of the Building Department at(952)249-4600 for the price. 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. `✓ � '� ��% III Applicant's Signa Date. 3 5_4 ( DATE TIME V CITY OF ORONO CALLED IN v—// INSPECTION NOTICE SCHEDULED j PERMIT NO.02010—��s� COMPLETED ADDRESS 7,Z0 4'w� ,d OWNER TELEPHONE NO. 612- 5-3 2 2771 CONTRACTORL� > DESCRIPTION ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAWGRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS ti ❑ FRAMING ❑ MECHANICAL FINAL ❑ 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 ? ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL OWNER/CONTRACTOR TO MEET YOU:_YES_NO COMMENTS: W 0- cc cc J O cc O W CC Q Z W z W CC WRKOW SATISFACTORY:PROCEED ❑ PROJECT COMPLETE RRECT WORK?£PROCEED 1-1ISSUECERTIFICATE OF OCCUPANCY 0 ❑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 El CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: Inspector. y White Copy/Inspector's File Canary Copy/Site Notice