HomeMy WebLinkAbout2014-00234 - gas fireplace � CITY OF ORONO
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2750 KELLEY PARKWAY DATE ISSUED: 03/24/2014
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 2824 CASCO POINT RD
PIN : 20-117-23-32-0006
LEGAL DESC : CASCO HEIGHTS
: LOT 000 BLOCK 004
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIREPLACE-GAS
VALUATION : $ 2,000.00
NOTE: TRAVIS GAS FIRFYLACE-MODEL NO.PVS GSR2
APPLICANT MECHANICAL 50.00
STATE SURCHARGE MECH(VALUATION) 1.00
PRACTICAL SYSTEMS MAIL-IN FEE 2.00
4342B SHADY OAK RD
HOPKINS, MN 55343 TOTAL 53.00
(952)933-1868 Payment(s)
CREDIT CARD 0961 53.00
OWNER
SLOAT, BRIAN&CHRISTINE
2824 CASCO PT RD
WAYZATA, MN 55391-
ACREEMENT A1vD 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[3uilding 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 !80 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 causc.
C��2t Q,r:���J `�a S�!/5� � �a'� �y
Applicant Permitee Signature Date Issue By Signature Date
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��OA r City of Orono �i� l �/ p �/
+y P.O.Qox GG Da�e Rec �r��_�!�'["� Pcrmit;.� `'f�
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Crystal 13ay,MN 553�3 Approve�By: Amount S:��.
Yhone(952)249-4bOD Fa.e(952)249-461b
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�.�,�.�51���: CITY OF ORONO—MECHANICAL PERMIT
(All Commercial permits must be approved by Ihe i3uilJing OfGci�l or Inspector ancUor Fire Marshall)
GENERAL INFORMATION
1. You�nay apply for mechanicaf permits by mail or in person at the City offices. Applications wiil
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
VALTD UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERMIT CARD IS POS"fED ON THE JOB SIT�.
3. Mechanical Desi�ns—Complete calcuiations,details and specifications are required for each
heating,ventilation,humidifieation-dehumidification,and air conditioning installation including
heat loss/heat gain calculation,design temperatures,equipment ratinbs and identification as ro
type,manufacturer and modeE. Data shail be presented on form provided.
4. When any new construction or remodeling is invoIved,a separate building permit must be
obtained.
5. All work must be done in accordance with the Uniform Mechanical Code/State Building Code
requirements.
G. Atl 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 ReGuired)
❑New ❑Additional ❑Repairs ❑Replace
Job Site/Owner Information:
(
Site Address: ��[> ���� ��1:;c_c,� !�- c,�n.{�� i�c�
Owner: ��>�l c;��n � � c; :� � Mailing Address: �l�,��( C`r.:.,-; cc� ���,,:��� <<'��
City: �.! < <?� c> Zip: S S 3`�i I
Home Phone: ���' '� -��f 3"�- >����j Alternate Phone:
Contractor Information:
Contractor: p�tt►Crzca�sYs['Er�s Contact Person: �-��' i�C��E (�'��_�u�Sc �'��``
43426 SHADY OAK RD
HOPKINS,MN 55343
Address: State Bond#: i�t�C:%�.-";;�,:� I C%
City: Zip: Expiration Date: �} �� 7 �l�f
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Phone: ��i�<}-`�i ��� �� <<:`�C����` A1Cernate Phone:
— � �
❑ Insurance—G�irrent: �� �;�:,-�..���cLo�r<�� -����;_.<,�� �o�-c-c;c; 7c-':��
1 �
� 9529331869 20:00 59 03-24-2014 314
MECHANICAL SYSTEMS BEING R�15TALLED
Note:Ail Geothermal Systems wiit now require a Site Plan&Re�iew by oui•Building Official.
IS THIS GEOTHERMAL? ❑Yes �'No
FIEATING SYSTEMS
Quantity:
Make:
Model:
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H.Po�ver
FIREPI.ACES
�� Gas Factory Fireplace Srand Name: � ��` � � `�
❑ Wood Burning Fireplace
❑ Wood Stove Model No.: ��4 �:j ��i� ;�
❑ Wood Stove�uith Fluc/Masonry
V ENTILATION
❑ Na Kitchen Exhaust duct recirculating cfm
❑ No. __ $ath Exhaust(must have duct outside) cfm
❑ No. O[her Fans: Locations cfm
FUEL STORAGE (Must be approved by Frre Marslra!!if proposing to aba�tdon tarik in place.)
❑ Installation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside
LP Gas: gallons
Qther:
GAS LINE ONLY
❑ Outdoor Grill ❑ Other/List What&Where:
2
'' 952�J331869 20.01:11 03-24-2014 4/4
PERMIT FEE CALCULATION(S)
BASED O�'P -2002 STATE'STATUE
❑ Yes,this section applies
The rcplacemcnt of a Residential fixture or aQ�yliance 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. ls improved,installed or replaced by the homeowner or licensed contracror.
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 $
PERMIT FEE CALCULATION S -`JOBS'OVER$500.00
If above does r�ot apply;follow guidelines below:
1. CONTC2ACT P12ICE *is 1.25%of contract price with a(Minimum Fee of$50.00)
��'�=U�f x.0125$ Jl� OC:
(contract pricc) (minimum$50.00)
2. STATE SURCHARGE
x.0005 $ ( , C> ��
(contmct pricc)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMiT FE�(Add Lines l-3 Above) $ �-� 3� �' �`�
• * CONTRACT PRICE or 70B 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 ro be charged
to[he cus#omer for the work done. If any material, equipment, labor or installations are fumished by
the owner, tenant or any other party, the reasonable market vaiue 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
Mi�mesota, and certifies that all statements made on this application are complete, true and
correct.
. / - �
�
Applicant's S�gnature�_ `=-�,-'1..<G\ �C �- .r.'iw�>�:._�i�.t,� _ Date: ''- ��.'�( /L��
'�
3
ATE TIME ► /
CITY OF ORONO CALLED IN –� V
INSPECTION N�O,,,TICE CHEDULED — /D '
PERMIT NOa[J -'� �OMPL ED
ADDRESS � �oZ 7" �LS�Z��Cd
OWNER TlEI.�HO NO��^ 3�g�
CONTRACTOR ra K� .s –
� DESCRIPTION �/��- �!'l�C �` .
�
� ❑ FOOTING ❑ PL ING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL CHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING M CHANICAL FINAL
Q ❑ TREE REMOVAL
Z ❑ INSULATION OOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
� O DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTI FINAL ❑ FOUNDATION/REMOVAL
� ERIC Ny CTOR TO MEET YOU:�YES_NQ. _
� COMMENTS: �rLG(.l� Ol� �`IV�G��"ll'l�. 7(o�J "�3�7^��D�
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W WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLETE
� ❑ RRECT WORK&PROCEED O ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECWERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOA �CITATION ISSUED
❑INSPECTION REQUIRED.CAIL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in dvance. (952� 2 -46��
OwnerlContractor on site:
Inspector.
White Copyllnspector's File Canary CopylSite Notice