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Home My WebLink About2015-01439 (mechanical- 5 gas fireplaces) CITY OF ORONO * Z p� 1 5 - 0 1 4 3 9 * ' 2750 KELLEY PARKWAY DATE ISSUED: 1 U09/2015 ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 2470 CARMAN ST P[N : 20-117-23-12-0066 LEGAL DESC : LEHMAN LAGOON : LOT 1 BLOCK 1 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL COI�ISTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 8,860.00 NOTE: (5)GAS FIREPLACES APPLICANT MECHANICAL 110.75 STATE SURCHARGE MECH(VALUATION) 4.43 GLOWING HEARTH AND HOME MAIL-IN FEE 2.00 l00 ELDORADO DRIVE JORDAN, MN 55352 TOTAL 117.18 (952)495-2927 Payment(s) CHECK 21924 117.18 OWNER JARNES,JEFF&JACQ 2470 CARMAN ST WAYZATA,MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to [he approved pians 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 separa[e permits. All provisions of laws and ordinances governing this type of work shall be compied with whe[her or not specified herein.This permit will expire and become null and void if cons[ruction authorized is not commenced within l80 days of the date of issuance,or if construction is suspended for a period of l80 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. � �� C� / � ° (�l��U l �/ ! Applicant Permitee Signature � Date Issued y Signatare Date . , . RECENED CI' Y USE ONLY � City of Orono ('� �j �- �� P O.Box 66 No� U � �� Date Recei� � ��Permit#�� d �✓� 2750 Kelley Park�vay Crystal Bay,MN 553 t,�O Approvcd By: Amount$ �� 7•/ Phone(952)24y-461��9 I I a � � y,� � <.�,�Es�o��,�' CITY OF ORONO—MECHANICAL PERMIT _ (All Commercial permits must be approved by the Building Ofticial 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 Desiens—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 A 1 �] Residential ❑ Commercial(Approval Required) [�New ❑ Additional ❑ Repairs ❑Replace Job Site/ Owner Information: R Site Address: ��i/ �-(,��.�� , ��' �, ��-�� _� Owner: ��'��-- ;� ..i�-�;l,� M � �� Mailing Address: -"i� 1 � ��1,)�� -T�/ �� ,� City: �� _ -� �� Zip: �/��-li Home Phone:�'JI' J�� I� Alternate Phone: Con ractor Information: ��l�l.L �b�� t' CC�Y�-� ��;� �L'�� V�I�IJ✓� � Contractor: Contact Person: Address L�� D�a�(� IJ�- State Bond #: �'J�� /ll✓ I� `� , J �, City: O� ��' i �Z p�J'�" Expiration Date: � �� l.� Phone: �� I� !� Alternate Phone: s ,,�n � � Insurance—Current: �Q UJ d �� p� �� 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: 1 � I � � Make: � r (� �1.�11 ��l0 1 �� O �I,�UI� Model: P � � �� 1 o�U`"T{1L � � �1�DT S �(�OC� Fuel: ��_ 1 v 4 I "�,? P" Flue Size: Input BTUs: Output BTUs: �� "{ �QJ� 3�� !�� .�� CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H. Power FIREPLACES ��` ,� Gas Factory Fireplace Brand Name: ❑ 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 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: 2 � PERMIT FEE CALCULATION(S) � �� ( BASED OFF - 2002 STATE STA`fUE � ❑ 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;excludinQ 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 $ 1.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ PERMIT FEE CALCULATION S -10BS OVE�.$SOO.QO ` If above does not apply;follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) V�lX 0. ��(/ x .0125 $ � (contract price) (minimum$50.00) 2. STATE SURCHARGE �I ,, � �/� � (�� O� x.0005 $ J (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ I ( � ' � V ■ * 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. [f 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 �D-1 � � � DATE TIME I�+ CITY OF ORONO CALLED IN -iDeZ� INSPECTION TIC CHEDULED l�2-D3-�S .� PERMIT NO. - � MPLEfED ADDRESS � `T"7� /� OWNER TE PHONE NO. �`" ��T� CONTRACTOR � DESCRIPTION � � - � � W ❑ FOOTING ❑ DEMO INAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL v ❑ DEMO-SITE ❑ SEPTIC INSTALL � 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: C� � � . W C � J O � � O � W � Q � 2 W � � � J d W� ❑ RK SATISFACTORY:PROCEED ❑ ECT COMPLEfE W CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 ❑ RRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECObERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILI REfURN ❑STOP ORDER POSTED.CA�L INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) -46�� OwnedContractor on site: Inspector: White Copyllnspector's File C nary CopylSfte Notke