HomeMy WebLinkAbout2014 - 00474 - gas fireplace CITY OF ORONO 1111111111 II 1111 II II 1111
• * 2 0 1 4 - 0 0 4 7 4
2750 KELLEY PARKWAY DATE ISSUED: 05/19/2014
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 2360 WILLOW HILL DR
PIN : 03-117-23-23-0023
LEGAL DESC : WILLOW HILL
: LOT 3 BLOCK 1
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIREPLACE-GAS
VALUATION : $ 1,800.00
NOTE: HET N GLO GAS FP
APPLICANT MECHANICAL 50.00
STATE SURCHARGE MECH(VALUATION) 0.90
GLOWING HEARTH AND HOME MAIL-IN FEE 2.00
100 ELDORADO DRIVE
JORDAN,MN 55352 TOTAL 52.90
(952)495-2927 Payment(s)
CHECK 18926 52.90
OWNER
BATA,JEFF&PAULA
19000 31ST PLACE N
PLYMOUTH, MN 55447-
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.
,k E/V
Applicant Permitee Signature Date Issued By Sig Ire
Date
C
'O A yO City of Orono
<V P.O.Box 66
2750 Kelley Parkway
Crystal Bay,MN 55323
Phone(952)249-4600 Fax(952)249-4616 rk
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c,�� sr;o �(.5. CITY OF ORONO—MECHANICAL PERMIT
(All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall)
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.
(24-48 hour notice required)
7. House Heating Test Record must be submitted before final.
a
Pi Residential 0 Commercial(Approval Required)
!l New 0 Additional ❑Repairs 0 Replace
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Site Address: c'' 3(-PO LO‘ t ) VVI 1
11 MailingAddress: 5 r �� - # R\KO
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Owner: 1:'v t 41 \ i(t(o S
City: Wet-A-)613eJ-c- -- Zip: GJ 91 4
Home Phone: Alternate Phone: 1
4
Contractor.'(M' ' 4 q' I t Person: i
Address: l IWO _ 4 t = e, Sa State Bond#: '11'1P)CC `,C)
City: ---3- V\ Zipal, >xpiration Date: D-,1`Q\ 1
Phone: cl 3.-4 (D-01a-to Alternate Phone:
Insurance—Current: 10 12-.-2 , 3 --- I (J92 /fLf
1
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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: p�a
/ U Wood Burning Fireplace (Abet_j
❑ Wood Stove Model No.: /h _ ip s
❑ 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 ifproposing to abandon tank in place.)
❑ Installation 0 Removal
Fuel Oil: gallons ❑ Underground 0 Inside 0 Outside
LP Gas: gallons
Other:
GAS LINE ONLY ) * r
0 Outdoor Grill 0 Other/List What&Where:
2
0 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 $
If above does not apply;follow guidelines below:
1. CONTRACT PRICE *is 1.25%of contract
price with a•(Minimum Fee of$50.00))
x.0125$ 50r(1O
(contract price) (minimum$50.00)
2. STATE SURCHARGE0)7')
x.0005 $ / /L
(contract price)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $
qc,
■ * 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 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.
Date: y�
Applicant's Signature: Y
3
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CITY OF ORONO CALLED IN 2
INSPECTION TI l/SCHEDULED Z / f; 3157
PERMIT NO. / ��/,�e' COMPLETED
ADDRESS 02360 (/4I �7U"e /
OWNER 1/ EL ONE NO. 9'52/W3 2Z 7
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CONTRACTOR 1 f
DESCRIPTION /79 ?et
tu ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
c ❑ POURED WALL MECHANICAL RI ❑ LAKESHORE/WETLANDS
" ❑ FRAMING ❑ MECHANICAL FINAL
Q ❑ TREE REMOVAL
❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q 0 RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
0 FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
v 0 DEMO-SITE 0 SEPTIC MAINT. 0 FOLLOW-UP
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LIJ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPTIC FINAL 0 FOUNDATION/REMOVAL
2 OWNER/CONTRACTOR TO MEET YOU:_YES_NO
2 COMMENTS: 72c5 Lock 8
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e'CORRECT WORK&PROCEED CI ISSUE CERTIFICATE OF OCCUPANCY
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O CO RECT 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: AIO
Inspector. ?,
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DAT TIME k/
CITY OF ORONO CALLED IN J /�
INSPECTION NQfl9E SCHEDULED 4( " / r
PERMIT NOf9 / 5/—.0.0c/7 /1COMPLETED
ADDRESS 32 32.0 (.v l lI -/-41,61-
OWNER / TELEPHONE///_� NO.‘/2 7'f 3077
CONTRACTOR 67/0�G `,4
37; DESCRIPTION A
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Li ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
❑ FRAMING ❑ MECHANICAL FINAL
O ❑ TREE REMOVAL
❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
C ❑ RADON SLAB ❑ WATER HOOK-UP 0 PROGRESS
❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ 1=1DEMO-FINAL 0 SEPTIC INSTALL ❑ HARD COVER REMOVAL
J I0PLUMBING RI ❑ SEPTIC FINAL LIFOUNDATION/REMOVAL
'zI OWNER/CONTRACTOR TO MEET YOU:_YES NO
v COMMENTS: 720 V L 15�
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❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
O/COREIECT WORK,CALL FOR REINSPECTION TEMPORARY
C.1 BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
CI 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_ / it------
White
vWhite Copylinspector's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTIONOTICE SCHEDULED
PERMIT NO.�5111(`&oy7V COMPLETED A9'o11-IV
ADDRESS a360 Gv;Ilaw j-cil n
OWNER TELEPHONE NO.
CONTRACTOR G/oW"Kf' T4411lu► 'f" {Apia
DESCRIPTION 64) #'P . r;neat
tu 0 FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q 0 POURED WALL ❑ MECHANICAL RI 0 LAKESHORE/WETLANDS
y 0 FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
• ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q 0 RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
Cfgr-ftlAL ❑ SEWER HOOK-UP 0 COMPLAINT
v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI 0 SEPTIC FINAL ❑ FOUNDATION/REMOVAL
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OWN ERICONTRACTOR TO MEET YOU:_YES_NO
cn• COMMENTS:
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I ❑WORK SATISFACTORY:PROCEED )ROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ I SUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
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. (952) 249-4600
Owner/Contractor on site:
Inspector. Cod r-o-'
White Copylinspector's File Canary CopylSite Notice