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HomeMy WebLinkAbout2014-00653 (mechanical- gas fireplace) CITY OF ORONO * 2 PJ 1 4 - 0 0 6 5 3 * , 2750 KELLEY PARKWAY DATE ISSUED: 06/26/2014 , ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 3225 CASCO CIR PIN ; 20-117-23-43-0021 LEGAL DESC : SPRING PARK : LOT 029 BLOCK 000 PERMIT TYPE : MGCHANICAL(> $500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 7,500.00 NOTF: 2'I�OWN&COliN'[�RY GnS E'P 1 WOOD BURNING FP APPLICANT MECHANICAL 93.75 STATE SURCHARGE MECH (VALUATION) 3.75 GLOWING HEARTH AND HOME MAIL-IN FEE 2.00 100 ELDORADO DRNE JORDAN, MN 55352 TOTAL 99.50 (952)495-2927 Payment(s) CHECK 19151 99.50 OWNER LEESTMA, MARTIN & KATHRYN 3225 CASCO C[K WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT fhe work for which this pemiit 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 rype of work shall be compied with whether or not specified herein.'Chis permit will expire and become null and void if construction authorized is not commenced H�ithin 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time afier work has commenced. �I�he applicant is responsible for assuring all requircd inspections are requested in conformance with the State Building Code.This pemut may be revoked at any time 1�or due cause. `/`Zi"""_ " / / Applicant Permitee Signature Date Issued I3 ignature llate F�R CTTY USE Oh'LY � �0�� City of Orono ' - P.O.Box 66 Date Received: Permit# 2750 Kelley Pazkway Crystal Bay,!�1N 55323 ApprovedBy: Amount$: Phone(952)249-4600 Fax(952)249-4616 y �' - `��,�k ��,� CITY OF ORONO-MECHANICAL PERMIT �S�� (All Commerciai permics must bc approved by the Building Official or Inspector and/or Fire Mazshall) � GENERAL INFORIVIATION : _ °' � l. 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 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 SITE. 3. Mechanical Desiens—Complete calculations,details and specifications are required for each heating,ventilation,humidification-dehumidification,and air conditioning installation including heat lossi'heat gain calculation,design temperztures,equipment rat:nas and identification as to rype,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 Ail That A 1= �f Residential ❑Commercial(Approval Required) � ` �New ❑Additional ❑Repairs ❑Replace ' Job Site/Uwner Info�zna�.c�n�a.;r ��� " �,�� Site Address: J �. ��� Owner: J���C��L-�-�- Mailing Address: �S 3 L..� �i�-2. S 1 � c�ty: �. z�p: SS 3°� ( Home Ph�ne: �-2`a,�{�P�.'�-}(��Alternate Phone: Contractvr Infornaation: Contractor:� (3W� �� `� ontact Person: � �C�S Address: I�� Cc C��State Bond#: ��d��J��`p '_ City: �i(��V� Zip:�3j�',�cpiration Date: ����_ Phone: �5�=�� -�'!�� Alternate Phone: Insurance-Current: 0 2 -` b I'Z..'� �`i" � 1 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: Modet: Tons: H.Power FIREPLACES � L�tl� # I �- � '}- as Factory FireplaceC� Brand Name: �tM�✓� �"` l:U 1��� Wood Burning Fireplace ��� _ ❑ Wood Stove Model No..��4"a- • �-�,3 ❑ Wood Stove with Flue/Masonry L,p 6 ,�. S�,,,�,,,�� 1�,,,v��.S ���,�: F n'► Z VENTILATTON Mo�,� ; J W��}e'1.--T�I-�1�" - ❑ No. Kitchen Exhaust duct recuculating cfin ❑ 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 ❑ Remova] Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside LP Gas: gallons Other: GAS LINE ONLY — GI(�S �:.NES `� y �`�'�-R.'rS ❑ Outdoor Grill ❑ Other/List What&Where: 2 .; ____. _-------_. ;:�ry-���MIT I���cnl�eLr:L,�A1�Io�{s�. . '�'``�ED 4�F=2(l02 STATE STATUE ❑ 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 Mait-In Fee(If Applicable) $ 2.00 Total Permit Fee $ �y.�� t�� �,;-,.� ,�',„�„�.,. If above does not apply;follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) '15Uo , o c� X.oi2s$ �13 .^1 S^ (contract price) (minimum$50.00) 2. STATE SURCHARGE r�c� �O � � � I J � x.0005 $ � (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ —( l , � U ' ■ * 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 aze fiu-nished 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. Applicant's Signature: ��'-- Date: as� � 3 ��i� Q�� G�. b� CITY OF ORONO CALLED IN INSPECTION TI scHE�u�E� � -I-f�O-[� � PERMIT NO. -�-5� COMPLEfED ADDRESS 3Z�-5 CQ.S co Cs�c,�o OWNER TELEPHONE NO`-'�� �4�Q�-6 CONTRACTOR � a DESCRIPTION � C� �` �� � ly ❑ FOOTING PLUMBING FINAL ❑ EXCAV/GRADING/FILLING 4' ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y O ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ 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 INSTALL ❑ HARD COVER REMOVAL J � P�UMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO ME YOU:_YES_NO � � COM ENTS: Y /'b`!O e T�f 7i�1 e �•� ��3t- �"` L - v� � �� - aK a ��� r ' � �i��•r l�J r 4 �"S' �12.E1: ` ' r6 �.wc� '�4 rL � � in C!6 � �-�e �re 4 �� -- y/ � W � � �i � l� /i Z"Q S- d �' • �/� Se4< <G S /<n� �e rl ��°�'i,��dt ��- o Gh�,,�C. •�',��< � s! c!� W �d�G�.IG� cd►'��r ri� �-f[6Se � � lAri�i4� ��ss�6la ��s S!r c.��� d �/4lG� r il� G�bs s �i�Y�rr's�. G-�-�"� � W� ❑WORK SATISFACTORY:PROCEED C` � �/}� ❑ PROJECT COMPLEfE � "�ORRECT WORK&PROCEED ���Q� ❑ ISSUE CERTIFICATE OF OCCUPANCY O �0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pH0T0 TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (J52� 249-4600 OwnerlContractor on site: �6 k�— Inspector. �-��^-' '�" White Copyllnspector's File Canary CopylSite Notice