HomeMy WebLinkAbout2014-00331 - gas fireplace � CITY OF ORONO * 2 0 1 4 - 0 0 3 3 1 *
2750 KELLEY PARKWAY DATE ISSUED: 04/17/2014
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 2975 CASCO POINT RD
PIN : 20-117-23-31-0045
LEGAL DESC : SPRING PARK
: LOT 089 BLOCK 000
PERMIT TYPE : MECHANICAL(> $500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIREPLACE-GAS
VALUATION : $ 4,100.00
NOTE: f IF;AT N GLO 6000C
TOWN&COUNTRY"CC36 CE3
APPLICANT MECHANICAL 5].25
STATE SURCHARGE MECH(VALUATION) 2.05
GLOWING HEARTH AND HOME MAIL-IN FEE 2.00
100 ELDORADO DRIVE
JORDAN, MN 55352 TOTAL 55.30
(952)495-2927 Payment(s)
CHECK 18785 5530
OWNER
GOODWIN, KURT& BARBARA
7310 KURVERS POINT ROAD
CHANHASSEN, MN 55317-
AGREEMENT AND SWORN STATEMEI�T
I'he work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. "�his permit is for only the work described and does
not grant permission for additional or related work which requires separatc
pennits. All provisions of 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 tlie date of issuance,or if construction is
suspended for a period of 180 days at any[ime after work has commenced.
The applican[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.
��� / /
Applicant Permitee Signature llate [ssued By S� ature Date
f
FOR CITY U5E ONLY
�O A yO City rnf Orono
�y P.O.Box 66 Date Receroed: Permrt#
2750 Kelley Parkway
Crystal Bay,MN 55323 Approved By; Amount$:
Phone(952)249-4600 Fax(952)249-4616 � � ��� ���� � �
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�qK�SH�R�,G CITY OF ORONO—MECHANICAL PERMIT
(All�ommercial permits must be approved by the Building Official or[nspector and/or Fire Marshall)
,�`'T�� .. �� �� .'�� ..�'' ;...��, �.;;.,, ��x, .
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 r�e sent by retum mail after a review is completed. PERMITS ARE NOT
VALID UNTIL Y�OU RECENE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Mechanical DesiQns—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 identitica[ion 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��PERNIIT � ,
Check All��That A� 1 ��
�Residential ❑Commercial(Approval Required)
T
�New ❑Additional ❑Repairs ❑Replace
Job�ite��/��wner�Infoi7nation: �� ��' ` ���:�
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Site Address: �—t�S (��-� �D I�l� �
Owner:���`�CS�Q1 Mailing Address: I S 3 � W1Cp S�
c�ry: �e� z�p: �3� �
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Home Phone: �l?��o�����1lternate Phone:
C��tractor=:��►rm�t�a� �'� � ` '
,. �.�� � �.�,�� �� .�«���;�
�Contractor:� '� Contact Person: �k �'��-��
Address: � , \k v State Bond#: m J �5 1 pCp
City: � Zip:��xpiration Date: �I �� � �
Phone: �S�"4�I�..'�'.�-� � Alternate Phone:
Insurance—Current: O 2 � � `�j` ��
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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 ��S
�Q Gas Factory Fireplace �� Brand Name: l � �������
�❑� Wood Burning Fireplace �.0 3/ . C�?
❑ Wood Stove Model No.: — �•P J
❑ Wood Stove with Flue/Masonry
VENTILATION
❑ No. _ Kitchen E�chaust 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 {�� ��Q,,r �
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❑ Outdoor Grill ❑ Other/List What&Where:
2
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�� PEi2MIT'`FEE CALCULATION(S) W _ ____ __�
F3ASED nFF -200'� 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 $
If above does not apply;follow guidelines below:
1. CONTRACT PRICE *is 1.25%of contract price with a•(Minimum Fee of$50.00)
� • b X.oi2s$ � � �� �
(contract price) (minimum$50.00)
2. STATE SURCHARGE
�C�U, � x.0005 $ � '�
(wntract price)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ �� , �b
■ * CONTRACT PRICE or JOB COST means tl�e acival or estimated .a,oll�r 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 are furnished by
the owner, tenant or any other party,the reasonable mazket 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:� /� ��
3
//DA TIME �
CITY OF ORONO CAL�ED IN �z � �
INSPECTION OTI ��D33/ SCHEDULED
PERMIT NO. COMPLETED
ADDRESS � 97S �� ��
OWNER TELEPHONE NO.��2 z�� s��7
CONTRACTOR �I�W�A �" b`�
� DESCRIPTION �� ��
�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREMIEfLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
Q ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLIOW-UP
? ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v � PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNbATION/REMOVAL
Z OWNERICONTFiACTOR TO MEET YOU:_YES_NO
c�., COMMENTS:
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W� RKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE
W RECT WORK 8�PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECWERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WILL REfURN ❑CITATION ISSUED
�STOP ORDER POSTED.CALIINSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 49-46QQ
OwnerlContractor on site:
Inspector.
White Copyllnspector's File Canary CopylSite Notice