HomeMy WebLinkAbout2008-00282 - gas fireplace CITY OF ORONO PERMIT NO.: 2008-00282
2750 KELLEY PARKWAY
ORONO,MN 55356- DATE ISSUED: 10/08/2008
952 249-4600 FAX: 952 249-4616
ADDRESS : 1220 TONKAWA RD
PIN : 08-117-23-42-0001
LEGAL DESC : AUDITOR'S SUBD.NO.217
LOT 009 BLOCK 000
PERMIT TYPE MECHANICAL(>$500)
PROPERTY TYPE RESIDENTIAL
CONSTRUCTION TYPE FIREPLACE-GAS
VALUATION $ 6,400.00
NOTE:
1 WOOD BURNING FP
2 GAS FP-SET AND VENT ONLY-NO GAS LINES
APPLICANT MECHANICAL 80.00
CONTRACTORS BUILDING SUPPLIES LLC STATE SURCHARGE MECH(VALUATION) 3.20
4060 MAPLE HURST DR S
ROCKFORD,MN 55373 TOTAL 83.20
(763)477-9000
Minnesota State License#: 929413686
OWNER
EBERTZ,MICHEAL
1220 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 c9afermance with the State Building Code.This permit may be
revoked y time fordu cause.
12
AppraXPertnifee gifnafure ate Issued By St6ature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
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City of Orono riu b� �' a7 Nm
P.O.Box 66
2750 Kelley Parkway
Crystal Bay,MN 55323p�' x �
(952)249-4600 .. `
CITY OF ORONO—MECHANICAL PERMIT
(All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall)
GEENE iIMx° 03�T r
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.
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z .,.,,y. }-�..,haw- .�s=. 'tv,S+ ,."� , ^ GR` ��r.u�.,
VResidential ❑Commercial(Approval Required)
New ❑Additional ❑Repairs ❑Replace
Sly/ te }
Site Address: r N Pip
Owner: N �Lly! Mailing Address:
City: Igi T�� Zip:
Home Phone: 652" 3-5�'3.!> Alternate Phone:
Cnl�tr; ctoxilf
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Contractor: Contact Person:
Address: _4d0 Aw"7-A State Bond#:
7 l
City: �Il Zip: Expiration Date: / 5169
Phone: Alternate Phone:
❑ Insurance—Current:
1
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1
y
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 S� v' L /Uv G A-5
2— Gas Facto Fireplace / Brand Name: /0
D'FiP � �
Wood Burning Fireplace 2
Wood Stove Model No.:
❑ Wood Stove With Flue
VENTILATION
❑ No. Kitchen Exhaust duct recirculating cfin
❑ No. Bath Exhaust(must have duct outside) cfm
❑ No. Other Fans: Locations cf n
FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHALL)
❑ Installation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill ❑ Other/List What&Where:
2
❑ Yes,this section applies
The replacement of a Residential fixture or antiliance 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;excluding 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) $ 1.50
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$35.00)
C IN/ 7-75 � oO Ob
x.0125$
(contract price) (minimum$35.00)
2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of S.50)
x.0005 $
(contract price) (minimum$ .50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50
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.
Applicant's Signature: Da`te:� O �U
3
DA TIME
CITY OF ORONO CALLED IN
INSPECTION N T E a �1JSCHEDULED
PERMIT NO. /�'^ Q 'COMPLETED
ADDRESS /a a O / _�
OWNER / CONTR.t4 -1 �rS A lAn
TELEPHONE NO. a P50 & 9 9& e-
DESCRIPTION �e r — / �
❑ FOOTING p MECHANICAL RI ❑ EXCAV/GRADING/FILLING
y ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
O p INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
v ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
v p PLUMBING FINAL ❑ FOUNDATION/REMOVAL
OWNERICONTRACTOR TO MEET YOU:_YES_NO
COMMENTS:
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a
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O
W
O
W
W
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Q
Z
W
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LUJ WORK SATISFACTORY:PROCEED El PROJECTCOMPLETE
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W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
OO ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on site:
Inspector. 1 I
White Copyllnspector's File Canary Copy/Site Notice
DA TIME
CITY OF ORONO CALLED IN //`
INSPECTION NOTI E SCHEDULED O
PERMIT NO. aXF D6aeg-COMPLETED
ADDRESS l 2 d0 7I72�G1-cc��
OWNER CONTR. C.On7GS Ido 0 ,
TELEPHONE NO. 9',50 loq��o �SGd
DESCRIPTION Ar
❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
H ❑ INSULATION ❑ WOOD BURNER/FIREPLACE
O ❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
v ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
i ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
v ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
OWNERICONTRACTOR TO MEET YOU:_YES_NO
COMMENTS:
W
a
O
O
W
W
cc
Q
2
W
z
W
CC
O
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KIWAORK SATISFACTORY:PROCEED El PROJECT COMPLETE
W ORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
00 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING 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
OWner►Contractorsite: C44 4)
Inspector. w 1 /moi
White Copyllnspectoes File Canary Copy/Site Notice