HomeMy WebLinkAbout2014 - 00219 - gas fireplace CITY OF ORONO //11111111 II II II 1 11 111 I II
0029 *
2750 KELLEY PARKWAY DATE ISSUED: 03/18/2014
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 2060 WEBBER HILLS RD
PIN : 03-117-23-34-0015
LEGAL DESC : WEBBER HILLS
: LOT 008 BLOCK 002
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIREPLACE-GAS
VALUATION : $ 2,100.00
NOTE: GAS LINE FOR COOK TOP AND FIREPLACE
I KITCHEN EXHAUST
APPLICANT MECHANICAL 50.00
STATE SURCHARGE MECH(VALUATION) 1.05
DITTER INC. TOTAL 51.05
820 TOWER DRIVE
Payment(s)
MEDINA,MN 55340
(763)478-9558 CHECK 28528 51.05
OWNER
ANDERSON, JASON&JAMIE
2060 WEBBER HILLS RD
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.
��� Ai / 3 -/�-/� i i
f p ica t Permitee Signature Date Issued By gnature ate
FOR CITY USE ONLY
tillto.,A tO City of Orono
V P.O.Box 66 Date Received: Permit#
2750 Kelley Parkway
Crystal Bay,MN 55323 Approved By: Amount$:
Phone(952)249-4600 Fax(952)249-4616
Aa
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kESCITY 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)
ig Residential ❑Commercial(Approval Required)
❑ New ❑Additional U Repairs El Replace
Job Site/Owner Information:
Site Address: 0 6 0 k)zQER H ILLS' X O4IJ
Owner: JWQN i?A'I26I _S'OX Mailing Address: ?066 /1)60 ///LLS A7,6
City: 010/Y0 Zip: 3S-37/
Home Phone: Alternate Phone:
Contractor Information:
Contractor: D 177- -/ %Nd, Contact Person: LJ//l V JTICR
Address: g01O TZ WWR !1/2 State Bond#:
City: dhAlEL Zip: 40 Expiration Date:
Phone: X63-4W-IL.C41 Alternate Phone: 1 / —F41-4330
❑ Insurance—Current:
1
-
,.
PERMIT FEE CALCULATION(S)
BASED OFF -2002 STATE STATUE
El 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;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 $ 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$50.00)
at /0d, 00 x.0125$ SO, a
(contract price) (minimum$50.00)
2. STATE SURCHARGE O.l 00( 00 x.0005 $ /t 0 LC---
(contract price)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ -2:00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ c5.!i
• * 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.
Applicant's Signature: ����
Date: 3 - / -/4-
3
/4-3
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: t1 Oi( OW N'17? StIPP IW
Wood Burning Fireplace
❑ Wood Stove Model No.:
❑ Wood Stove with Flue/Masonry
VENTILATION
No. / Kitchen Exhaust ( ' duct recirculating 300 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: G-p6 k PP £- fiReaneE
2
DATE TIME J
CITY OF ORONO CALLED IN I
INSPECTION NOTI E SCHEDULED 3 -/R `7-i j: 34
PERMIT NO.ow Ir-00 4-17 COMPLETED
ADDRESS bo G1eAlet 94+rX�d 4/
OWNERn �� TELEPHONE NO.7,63 V78 ?SSC
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CONTRACTOR �ClG
>; DESCRIPTION 6a6 e-"e M
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k ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
❑
c POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
Q EJ TREE REMOVAL
❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP Cl PROGRESS
❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
v LI DEMO-SITE ❑ SEPTIC MAINT ❑ FOLLOW-UP
❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v CIPLUMBING RI CISEPTIC FINAL CI FOUNDATION/REMOVAL
Z OWNERICONTRACTOR TO MEET YOU:_YES NO
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ORK SATISFACTORY:PROCEED
CI PROJECT COMPLETE
0 CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
Oj BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
El CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cal • • - . : . inspection 24 hours in advance. (952) 249-4600
Owne Contractor on site: To
Inspector. , / --Itv-
White Copylinspector's File Canary CopylSite Notice
5614D TIME
CITY OF ORONO CALLED IN `� yte
INSPECTION NOTI E SCHEDULED d'22-I9 /C7_'OC
PERMIT NO.02.0 It--DCS Z(c[ COMPLETED ,,J
ADDRESS Zo , Y
OWNER //�� // ,, TELEPHONE NO.7t,3 -4/7C..-9-SS'
CONTRACTOR L1 c,\ 1 t
3. DESCRIPTION
LU ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
❑ TREE REMOVAL
Z ❑ INSULATI• ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ R•'i SLAB ❑ WATER HOOK-UP ❑ PROGRESS
►.w INAL ❑ SEWER HOOK-UP ❑ COMPLAINT
❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
tu ❑ DEMO-FINAL ❑ SEPTIC INSTALL LI HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES NO
oco COMMENTS:
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0
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0 WORK SATISFACTORY:PROCEED OJECT COMPLETE
CC ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
CI ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
L7 CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN
INSPECTOR WILL RETURN
LISTOP ORDER POSTED.CALL INSPECTOR LI CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 h rs in advance. ' ' '-4600
Owner/Contractor on site:
Inspector. O/
White Copyllnspector's File Canary CopylSite Notice