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HomeMy WebLinkAbout2017 - 00800 - gas fireplace CITY OF ORONO 1111111111 IiI I 1 I I 1 I I I1I 2750 KELLEY PARKWAY * 2017 - 00800 * ' DATE ISSUED: 07/12/2017 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 4575 WOLVERTON PL PIN : 31-118-23-31-0007 LEGAL DESC : FOXFYRE ESTATES : LOT 001 BLOCK 002 PERMIT TYPE : MECHANICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 6,737.00 NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. HEAT-N-GLO FACTORY FIREPLACE APPLICANT MECHANICAL 84.21 COMFORT BY DESIGN STATE SURCHARGE MECH(VALUATION) 3.37 240 NORTH BROADWAY MAIL-IN FEE 2.00 ELLS WORTH,WI 54011- TOTAL 89.58 Payment(s) CREDIT CARD 9398 89.58 OWNER JOHNSON,REBECCA L 4575 WOLVERTON PL MAPLE PLAIN,MN 55359- 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. Applicant Permitee Signature Date Issued y Signature Date RECEIV • City of Orono F R USE ONLY (c 0N PO.Box 66 Date Received:'Permit# � (/v JUL 1 ^4 O 2750 Kelley Parkway 0',6g ' Crystal Bay,MN 55323 Approved By: Amount$: Phone(952)249-4600 Fax(952)249-4616 CITYOF ' .. kl` V're't4-60e.Ck.arso .n\t• VAS �qk SHO�EG 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 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) RI Residential ❑Commercial(Approval Required) [Backflow Device:❑AVB ❑PVB] ❑New ❑Additional ❑Repairs ❑Replace Job Site/Owner Information: Site Address: -I 15 a ( V4 r4 Cri-N (c e Owner: k4z. 1 \11 L0.c . Mailing Address: 57S L3 a fu'40-r f CkCe City: in r S k ?tit =\ rn Zip: S5-CN 7 Home Phone: to 1 -`��r`� S�// Alternate Phone: Contractor Information: Contractor: Cc-m-Ce-t+ ,bl.e "ii./13 Contact Person: Address: O N 6•4-L c-oelLZ State Bond#: f ' -a&"1 g City: E I(S cA r-`Fk WI' Zip: (10/1 Expiration Date: 4-1 ( 9 f a IP Phone: 7/S- 73-3(..SS. Alternate Phone: E , tris ❑ Insurance-Current: e/ 7/4/_l 71 1V EC IGAL SYS-`T:EMS B ING7 STAL-Ltl 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: i-Le:af 1Z a(b ❑ Wood Burning Fireplace El Wood Stove Model No.: ❑ Wood Stove with Flue/Masonry VENTILATION El No. Kitchen Exhaust duct recirculating cfm El 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 El Removal Fuel Oil: gallons El Underground El Inside El Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill El Other/List What&Where: 2 PERMIT F E vLATI( 5R. , r ro '. _ ,r. 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) in-M.71 0 x.0125$ Z .'a\ (contract price) (minimum 550.00) 2. STATE SURCHARGE 6737. 00 x.0005 $ 3.3 7 (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ %'3,SS ■ * 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. oitylf fu tr* tic $70M Fv',6€i CCG , &WO �':-6 ii'as mi'`�i4 The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all work in strict accordance with the ordinances of the City and the regulations of the State of Minnesota,and certifies that all statements made on this application are complete,true and correct. Applicant's Signature: + fZi/ Date: 9—//—/2 3 _r.---�'-. DATE TIME CITY OF ORONO —eAtLED IN INSPECTION N%TIC �Ag SCHEDULED `1-17-17 /6:(Y r * PERMIT NO. . 4 -7 COMPLET / /- ADDRESS • _5 �� !l�`>°rTOyL --j7IGL, OWNER A TEL O(N'E NO. �� Zil/'� CONTRACTOR If// r �� �s �w I� J i DESCRIPTION i/-� /-4 ���� W ❑ FOOTING 0 I EMO-FINAL ❑ SEPTIC FINAL 14.. ❑ POURED WALL 0 PLUMBING RI ❑ EXCAV/GRADING/FILLING Q 0 FOUNDATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL ❑ RADON SLAB 0 MECHANICAL RI 0 SITE INSPECTION Q 0 FRAMING 0 MECHANICAL FINAL ❑ RATED WALLS • ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT Q 0 FINAL 0 WATER HOOK-UP D FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP 0 FOUNDATION/REMOVAL v ❑ DEMO-SITE 0 SEPTIC INSTALL S OWNER/CONTRACTOR TO MEET YOU: YES NO / . a COMMENTS: °l�°P�v 94S h u e - a I$//u/e✓ a xereQ Fes,-1 ._ o - 30 - a<,- Ie d/da. • £2 OSDA22%c., ZeWe 1,," i-ce4 4.15 -/a 14"- 4`�cic //'0 0% o t / (/frne - 14J Q �, °. />rt rOLI 4.ep i•ti © -Firl�-C e,...r - 12 i W G gx /1.f e -0t. rt d W 0 WORK SATISFACTORY:PROCEED 0 PROJECT COMPLETE CC CORRECT WORK&PROCEED C]ISSUE CERTIFICATE OF OCCUPANCY Li Q ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY Ot...) BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. O PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED C]INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner!Contractor on site: Inspector 0 I"" White Copy/Inspector's File Canary CopylSite Notice A/-- LS‘d-- A E TIME \/ CITY OF ORONO CALLED IN 7 _--2,..4 ,--c -/7 INSPECTION{I�QTICE_0D p-SCHEDULED -7 -A7-17 / :32 PERMIT NO j 7 O COMPLLEETTE� / /� ADDRESS g57S t i 't T/ OWNER • ELEP NE N . - ��S V CONTRACTOR � � gii L trie, DESCRIPTION #G� f .. )-iit_-, 4, ❑ FOOTING 0 DEMO-Fl L 0 SEPTIC FINAL Q ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL ❑ RADON SLAB 0 MECHANICAL RI 0 SITE INSPECTION Q 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS Z ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT Q ElFINAL 0 WATER HOOK-UP 0 FOLLOW-UP Lai ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL J ❑ DEMO-SITE 0 SEPTIC INSTALL - rL p/acd R T 2 OWNERICONTRACTOR TO MEET YOU: YES_NO y COMMENTS: cc a 'as L•'r,.- ,4 -S 6-e•k.,A ;hSrZ'ETe, 1 o ) z o X C. 4 C.,\,0_,c- I( ePy,C) cc I- 1 v.., 1,-, 2::C" -;\ ;‘..\i ci .-.c,,\ (P')Irri-4/ )0 W CC Q i2 2 W Z W CC LU1(VORKSATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑eORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O CICORRECT WORK,CALL FOR REINSPECTION TEMPORARY ✓ 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/She Notice