HomeMy WebLinkAbout2014-00280 (mechanical- gas fireplace) CITYOFORONO * z014 - 00280 *
2750 KELLEY PARKWAY DATE ISSUED: 04/04/2014
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 3227 CASCO CIR
PIN : 20-117-23-43-9999
LEGAL DESC : SPRING PARK
: LOT MB BLOCK MB
PERMIT TYPE : MECHANICAL(> $500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIREPLACE-GAS
VALUATION : $ 10,400.00
NOTE: (2)GAS FACTORY FIREPLACES
APPLICANT MECHANICAL 130.00
STATE SURCHARGE MECH (VALUATION) 5.20
GLOWING HEARTH AND HOME MAIL-IN FEE 2.00
100 ELDORADO DRIVE
JORDAN, MN 55352 TOTAL 137.20
(952)495-2927 Payment(s)
CHECK 18672 137.20
OWNER
O'ROURKE, JAMES
1 181 VAGABOND CT N
PLYMOUTH, MN 55447-
AGREEMENT AND SWORN STATEMENT
"I'he work for which this permit is issued shall be performed according to
the approved plans and specitications,applicable City approvals,and the
State E3uilding Code. This permit is for only the work described and does
no[grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances goveming this type of work
shall be compied with whether or no[specified herein.This permi[will
expire and become null and void if construction authorized is no[
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time aRer work has commenced.
The applicant is responsible for assuring all required inspections are
requested in contbrmance with the State Building Code.This permit may be
revoked at any time for due cause.
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Applieant Permitee Signature D te Issue y Signature Date
�tE��ElI'F�
�OR C Y USE ONLY
�(�A r`'� City of Or�� —B ,� -t � '[ ��L7
�y� P.O.Box 66 Date Recefv d: � Permit# ��7�
� 2750 Kelley Parkway r �
Crystal B��S�(j�C�i��:J Approvzd By: Amount$: / 3/.
Phone(9� 249-4600 Fax(952)249-4616
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f`�K�sNa�e.-�/ CITY OF ORONO—MECHANICAL PERMIT
(All Commercial permits must be approved by the Building Otfcia]or Inspector and/or Fi:e Marshall)
GENERAL INFORMATION
1. You may apply for mechanical permits by mail or in person at the City offices. Applications will ��C�n��
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�ARD 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 calcalzSion,uesign tetnperatures,e�uip.nent ratings a7d i.�',entifcation as tc
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 I )
�Residential ❑Commercial(Approval Required)
New ❑ Additional ❑ Repairs ❑ Replace
Job Site I Owner Information:
Site Address: ���� ��� ,Q� ������ _
Owner� �1 Mailing Address: �L��
City: �t'�.- Zip: ��� I
Home Phone: �,��,—�n�"�"��°+Iternate Phone:
Contractor lnformation:
Contractor� � '�'�,��itact Person:
� ;ca�o
Address: I , `�tate Bond#:
City: J "___ _ Zip�Jr,3��xpiration Date: � I LQ
Phone: ` IS�"�C( c�"`— I���Alternate Phone:
Insurance—Current: l� � r- b Z2-� ��
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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 1��� ��Y` ��`4�
� Gas Factory Fireplac� Brand Name: �� �� �����'-`-
Wood Burning Fireplace --
❑ Wood Stove Model No.: � — � – �,�. ,C�
❑ Wood Stove with Flue/Masonry ---------T
V ENTILATION ������S �� D���
❑ No. Kitchen Exhaust duct recirculating cfin
❑ No. Bath Exhaust(must have duct outside) cfin
❑ No. Other Fans: Locations cfm
FUEL STORAGE (Must be approved by Fire Marshall ijproposing to abandon tank in p[ace.)
❑ Installation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑ Inside ❑Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill ❑ Other/List What&Where:
2
' , .
� � � AERMIT ��E CALCULA`�I�7N(S) � ��
� � � � �� B�1SED Cl�'F - 2002 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;excludin�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 $
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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 � x.0125 $ � ���
(contract pnce) (minimum$50.00)
2. STATE SURCHARGE (�
I l,J � x.0005 $ � �
( ontract price)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines l-3 Above) $ � ��
■ * CONTRACT YRICE or JOB COS'T means the actual or estimated dollar amount charged �or the
permitted wark 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 pariy, 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.
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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.
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Applicant's Signature: Date:
3
DATE �, TIME
CITY OF ORONO - CALLED IN
INSPECTION NOTICE SCHEDULED
PERMIT NO.�a/�1•DO�fSD COMPLETED -��"��
ADDRESS 3�a z L'+�sLd G�• .
OWNER TELEPHONE NO.
CONTRACTOR C��JK� 1Yck✓�'' 'F ��'�e-
a DESCRIPTION ��s �'/- `
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� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� FI AL ❑ SEWER HOOK-UP ❑ COMPLAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNbATION/REMOVAL
2 OWNERlCONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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GW ❑WORKSATISFACTORY:PROCEED '�PROJECT COMPLEfE
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W ❑CORRECT WORK 8 PROCEED � ❑ ISSUE CERT�FICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-46��
OwnerlContractor on site:
Inspector. � �
White Copyllnspector's File Canary CopyfSite Notice
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.��� DA TIME
CITY OF OI'SIJIV V CALLED IN l��/
INSPECTION NO IC SCHEDULED �-/�� -��
PERMIT NO.��� - �2� C PLEfED '
ADDRESS �a �� CX�
OWNER T LEPHONE a -o �-,3 �
CONTRACTOR —
� DESCRIPTION �� ` � `'"U -
�
� ❑ FOOTING ❑ UMBING FINAL XCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREM/ETLANDS
y ❑ FRAMING O MECHANICAL FINAL
❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNERIFIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� � FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
v ❑ DEMO-SITE ❑ SEPTIC MAINT.
❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACT R TO MEEf YOU:_YES_NO
v�i COMMEN . �� � • �• -" Ve h�i � - C r .t : —
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W� �6IORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE
W ,LT�C9RRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL REfURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. (g52) 249-46��
OwnerlContractor an site:
Inspector. �"�-
White Copyllnspector's File Canary CopylSite Notice