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HomeMy WebLinkAbout2014-00788 (mechanical- gas fireplace) CITY OF ORONO * 2 0 1 4 - 0 0 7 8 8 * ' ' 2750 KELLEY NARKWAY DATE ISSUED: 07/24/2014 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2690 CAROLINE AVE PIN : 20-117-23-24-0033 LEGAL DESC : WESSELS SUBD OF SPRING PARK LO : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 7,500.00 NOTE: (3) TOWN&COUNTRY GAS FACTORY FIRGPLACES SET AND VENT ONLY APPLICANT MECHANICAL 93.75 STATE SURCHARGE MECH (VALUATION) 3.75 PRACTICAL SYSTEMS MISC FEE 0.00 4342B SHADY OAK RD HOPKINS, MN 55343 TOTAL 97.50 (952)933-1868 Payment(s) CREDIT CARD 0961 97.50 OWNER LIBERMAN, ZN&TAL 1 145 SETTLERS ROAD MEDINA, MN 55340- AGREEMENT AND SWORN STATEMENT I'he work for which this perniit is issued shall be perfornied according to the approved plans and specifications,applicable City approvals,and the State f3uilding Code. This permit is tor only the work described and does not grant permission for additional or related work which requires sep�uatc permits. All provisions ot laws and ordinances goveming this type of work shall be compied with whether or not specitied 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 I 80 days at any time afrer wark 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 ��� � � � �� Applicant ermitee Signatu Date Issue y Signature Date 9529331869 17_52 34 07-24-2014 2/4 � FOR CITY USE ONLY �O^' City of Orono �y P.O.Box 66 Date Received: Pennit� � 27>0 Kcllcy Par{:way ; Cryswl[3ay,MN 55323 Approvcd By: _ Amounf S: I Phonc(9i�)249-4600 Fa�(952)249�i616 1 � � � Z � �`'Ars,io�`v CITY OF ORONO—MECHANICAI,PERMIT __.� (All Commcrcial perenits must be approved by ttx:Suilding OfGcial or{nspector 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 wili be issued within two working days. 2. Permit cards will be sent by retum 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 SIT�. 3. Mechanical Desiens—Comptete calculations,detaiEs and specifications are required for each heatin�,ventil�tion,humidification-dehumidification,and air conditioning installation including heat loss/heat gain calculation,design temperatures,ec�uipment ratings and identification as to type,manufacturer and modei. Data shall be presented on form provided. 4. When any ne�v construction or remodefing is involved,a separate buildino permit must be obtained. 5. Alt work must be done in accordance with the Uniform Mechanical Code/State Building Code requirements, 6. All work must be inspeeted(rough-in and final). Call(952)249-4600. (24-48 hour notice required) 7. House Heating"I'est Record must be submiited before final. TYPE OF PERMTT Check All That A 1 0 Residential ❑Commercial(Approval Required) / ❑Ne�v ❑Additional ❑Repairs (�Replace Job Site/Owner Information: Site Address: 1 l o�'�f�7 � .c�_t"�,����C )��I`. Owner:�,�l�:-��(ti1�1S�1 Mailing Address: City: ;�,��;i�l) Zip: `'>`>�'�y-U Home Phone: Alternate Phone: Contractor Inforn�ation: Contractor: 1�t�1��;;��.� ��,=,r�����`� Contact Person: ��Cr`�;i I-�l��1 � Address: �1��'�`1-�i'�, �:,'f'��:�t���i (7�'e�r.�_c� StateBond#: �'V���>> r�,-�,����fU � City: /����,�>�' �!1�. Zip:<;�-;��,���", Expiration DaCe: a i�;��i`� Phone: ��I`�-z?�i���� � 1;<���. Alternate Phone: ❑ Insurance—Current: 1 9529331869 17 52 49 07-24-2014 3/4 MECHA.NICALSYSTEMS BEING INSTALLED Note: All Geothennal 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: OuEput STUs _ ___ CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H.Po�ver FIREPLACES [� Gas Factory Fireplace �'�� Brand Name: ��.>�1�(t� 3 l����,n;��U ❑ Wood Burning Fireplace ` ❑ Wood Stove Model No.: �1,�4 2. l_J:. ❑ Wood Stove�vith Flue/Masonry , � '�.�.� -;,,�, � ��:,���j VENTILATION ❑ No. Kitchen Exhaust duct _recirculating cfm ❑ No. Bath Exhaust{must have duct outside) cfm ❑ No. _ Other Fans: Locations______�� _ cfm FUEL STORAGE (Must be approverl by Fire Murslral!if proposi�rg fo abundon tuirk i�r place.) ❑ Installation ❑ Removal Fuet Oil: gallons ❑ Underground ❑Inside ❑Outside LP Gas: gallons Other. GAS LINE ONLY ❑ Outdoor Grill ❑ Other/List What&Where:__ _._____ 2 9529331869 1 7 53 01 07 24 2014 4/4 PERMIT FEE CALCULATION(S) BASED OFF-2002 STATE STATUE ❑ Yes,[his section applies The replacement of a Residential fixture or appliance ihat meets all three of tl�e 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 Pern�it $ 15.00 State Surcltargc $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Pcrmit Fec $ PBItMIT FEE CALCULATION S �JOBS OVER$500.00 lf above does not apply;follow guidelines below: l. COIVTRAC'I'PRICE *is 1.25°/o of contract price with a(Minimum Fce of�50.00) -�.�� ;�l x.0125$ ����..�`7 (controct pricc) (minimum SSO.QO) 2. STATE SUFtCT�ARGE ���i Ol> x .0005 $ !�_ .}`� (contmct price) 3. POSTAGE&HANDLTNG(Only on Mait-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ �'��".`'���.J ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted�vork 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, eyuipment, labor or installations are furnished by the owner, tenant or any other party,the reasonable market vaiuc of such items must be added to the estimated cost or contract price for permit fee purposes. In the event that there is a dis�pute on the amount of the job cost, the City may request the submission of a signed copy of the actual contract. MECHANICAL I'ERMIT APPLICATION AGREEMENT Tfie undersigned hereby applies to the City for issuance of a Mechanical Permit, agrces to do all work in strict accordance with the ordinances of the City and the regulations of the State of Minnesota, and certi6es that all statements tnade on this application are complete, true and con•ect. � �� � � Applicant's Signature: ��1�J t�� � _,� ' Date: �"���� ���-�- 3 � � �� � T,E TIME ✓ CITY OF ORONO CALLED IN �� INSPECTION OTIC SCHEDULED �� — �� PERMIT NO. 'd0 � COMPL�TED ADDRE OWNER • LEPHONE NO 3 CONTRACTO � DESCRIPTION , �'Q � � ❑ FOOTING ❑ PLUMBIN INAL EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z � INSULATION O WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC I ❑ HARD COVER REMOVAL J ❑ PLUMBING RI PTIC FINAL DATION/REMOVAL Q OWNERICONTRACTOR T EET YOU:_YES_NO ' y COMMENTS: �� � ��� � W a � J � �1 �� O �. � O � W � Q � 2 W � W � j W ❑ RKSATISFACTORY:PROCEED ❑PROJECT COMPLEfE � CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN �NSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALLINSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 2a hours i advance. (952 49-4600 OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopyfSite Notice � � � �,�- � �� "` DATE TIME CITY OF ORONO CALLED IN �D< < 3l� � INSPECTION NOTICE scHE�u�e� '� �� PERMIT NO. � �d�"(�.��r�S�oMa�ereo ��� ADDRESS � � �- � OWNER TEL ONE NOI � �� C HTRACTOR � ESCRIP�� ��` ����� ' " � t� ❑ FOOTING ❑ DEMO-FINAL ❑ 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 J ❑ DEMO-SITE ❑ � TIC INSTALL � OWNERfCONTRACTOR TO MEET YOU:�YES_NO v�, C MMENTS: � � W ` � C J �(it_ !S O / a� ��o� �`�� �P ���C��x Z� O � W � Q � 2 W � W � J d W ❑WORK SATISFACTORY:PROCEED OJECT COMPLETE � ❑CORRECT WORK&PROCEED I UE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY V BEFORECWERING PERMANENT ❑CORRECTUNSAFECONDITIONWITNIN HOURS. p pHOTOTAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 4�i dva -46 0 OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice