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HomeMy WebLinkAbout2011-00208 - gas fireplace CITY OF ORONO PERMIT NO.: 2011-00208 a 2750 KELLEY PARKWAY ORONO, MN 55356— DATE ISSUED: 04/11/2011 F t 952 249-4600 FAX: 952 249-4616 ADDRESS 2845 WATERTOWN RD PIN 04-117-23-21-0003 LEGAL DESC AUDITOR'S SUBD.NO.230 LOT 008 BLOCK 000 PERMIT TYPE MECHANICAL(>$500) PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE FIREPLACE-GAS VALUATION $ 3,500.00 NOTE: 42"CAROLINA GAS FIREPLACE APPLICANT MECHANICAL 50.00 CARTER CUSTOM CONSTRUCTION&FP STATE SURCHARGE MECH(VALUATION) 5.00 6128 GOODVIEW TR CR N HUGO,MN 55038- MAIL-IN FEE 2.00 (651)653-0190 MISC FEE 0.00 Minnesota State License#:20632066 TOTAL 57.00 OWNER Watertown Properties LLC 16440 41ST AVE N PLYMOUTH,MN 55446- 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 (evoked at any time for due cause' ''ytitltll✓ L/�_ l l l l Applicant Permitee Signature Date Issued By S' ature ate SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO . i FOR CITY USE ONLY %- City of Orono �Q� P.O.Box 66 Date Received: Permit# 2750 Kelley Parkway n"�• I� Crystal Bay,MN 55323 Approved By: Amount$: ti Phone(952)2494600 Fax(952)249-4616 CITY OF ORONO—MECHANICAL PERMIT (All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall) GENERAL INFORMATION I. 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. (24-48 hour notice required) 7. House Heating Test Record must be submitted before final. TYPE OF PERMIT Check All That Apply) ®Residential ❑Commercial(Approval Required) EZNew ❑Additional ❑Repairs ❑Replace Job Site/Owner Information: Site Address: dadadf a g y 57 ��-},�� �n pCA(j Owner: Phi ) F l u n n Mailing Address: o� gy r LiG4v4u� le cA city: Of ona Zip: Gig-3s-(o Home Phone: a)a 39 6- 4 A7 a Alternate Phone: Contractor Information: C&r4e Cus+ori► Contractor: CanSVtu(,4-,l,-4 fftfWlActJ Contact Person: CG(-Cly' Address: G I o� G�)d V i CQ 7t'V'S to Bond#: 70 793 U6 City: U Zip: 55'b3g Expiration Date: Phone: (T 1 Alternate Phone: ❑ Insurance—Current: T,7,3 3 7b 1 MECHANICAL SYSTEMS BEING INSTALLED 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: y� ce"ro koc, ❑ Wood Burning Fireplace ❑ Wood Stove Model No.: ❑ Wood Stove with Flue/Masonry 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#proposing to abandon tank in place.) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside LP Gas: gallons Other: GAS LINE ONLY J Outdoor Grill ❑ Other/List What&Where: 2 PERMIT FEE CALCULATION(S) BASED OFF-2002 STATE STATUE ❑ Yes,this section applies The replacement of a Residential fixture or appliance that meets all three of the following requirements: 1. Doesno require modification to electrical or gas service. 2. Has a total cost of$500.00 or less;exciudine 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 CALCULATIONS 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$50.0�0))�W 315W•W x.0125$ G-C)- (conuw price) (minimum 550.00) 2. STATE SURCHARGE **Add the State Bldg Code Div.Surcharge(Minimum Fee of 55.00) x.0005 $ 'J -00 (contract price) (minimum S 5.00) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ Jr—7 00 • * 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 times the Contract Price or a minimum of$5.00. 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 in on this application are complete, true and correct. Applicant's Signature: Date: Reset Forst 3 p, 51e� D TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMITNO.o2D// -�d� COMPLETED ' ADDRESS 0?d Z15 OWNER TELEPHONE NO 65/- Z 30 - 92 3 CONTRACTOR �� '�CzzsyV`— > DESCRIPTION S AZ it -/r,57' IU ❑ FOOTING ElPLUMBING FINAL ElEXCAV/GRADING/FILLING LL 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 W ❑ DEMO-FINAL �❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL OWNERICONTRACTOR TO MEET YOU:_YES_NO COMMENTS: cc LU a rc d W f2 Z! W z W cc d LU/N,,WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE cc W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE 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 ❑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. White Copy/Inspector's File Canary Copy/Site Notice v -7E / TIME v CITY OF ORONO 9__�`CALLED IN � ?/// INSPECTION . OTICE jJ SCHEDULED -71Z / PERMIT NO. C/ COMPLETED ADDRESS OWNER TELEPHONE NO. CONTRACTOR >: DESCRIPTION ���'/ El FOOTING ❑'PLUMBING FINAL ElEXCAWGRA IN6/�ILL y ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS O ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ElINSULATION ❑ WOOD BURNER/FIREPLACE El SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS ElFINAL ElSEWER HOOK-UP El COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL r ❑ PLUMBING RI ❑ SEP I INAL ElFOUNDATION/REMOVAL OWNER/CONTRACTOR TO MEET YOU: YES_NO o COMMENTS: cc W a J O a O W W cc Q Z W W WW ❑WORK SATISFACTORY:PROCEED ROJECTCOMPLETE 41 W El WORK&PROCEED ElISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WILL RETURN El El STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (J52) 249-4600 Owner/Contractor on site: Inspector. w White Copy/Inspector's File Canary Copy/Site Notice