HomeMy WebLinkAbout2014-00940 - gas fireplace CITY OF ORONO �2014-00940*
. 2750 KELLEY PARKWAY DATE ISSUED: 08/2�/2014
ORONO, MN 5�356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 1645 BOHNS POINT RD
PIN : 17-]17-23-11-0007
LEGAL DESC : REG. LAND SURVEY NO. 0565
: LOT 000 BLOCK 000
PERMIT TYPE : MECHANICAL(> $500)
PROPERTY TYPE : RESIDENTIAL
COIVSTRUCTION TYPE : FIREPLACE-GAS
VALUATION : $ 15,700.00
NOTE: (4)GAS FIREPLACE 1-3 TOWN&COUNTRY 4TH HEAT&GLO
APPLICANT 196.25
GLOWING HEARTH AND HOME ��gs
City or urono 2.00
100 ELDORADO DRIVE 2750 Kel ley Parkway
JORDAN, MN 55352 )runo MN 55356 952-249-4600 206.10
(952)495-2927 F;eceipt No: 3.G11638 Aug 25, 2U14
206.10
�lowing Hearth & Home
OWNER revious Balance: .UU
ermits
'2014-OU940 1745 Bahns Pt 19G.'r_5
CHURCH,JOHN & KLERISSA Rd
1645 BOHNS PT RD 01-32530
�echanical/Septic/Other
WAYZATA, MN 55391- �'ermits
P2U14-00940 1745 Bohns Pt 7.85
Rd
101-20802
Uue to govts-State
AGREEMENT AND SWORN STATEMENT Permits
P2014-�00940 1745 Bohns Pt 2.OU
The work for which this permit is issued shall be performed according[o Rd
the approved plans and specifications,applicable City approvals,and th� 101-34440
State Building Code. This permit is for only the work described and doe Bldg Perm l ts-mal 1 in fees
not grant permission for additional or related work which requires separ�
permits. All provisions of laws and ordinances governing this type of wi 7r�ta1: 206.10
shall be compied with whether or not specified herein.This permit will CheCk +
expire and become null and void if construction authorized is not Cheek No: 19414 ZOti.10
commenced within 180 days of the date of issuance,or if construction is PdyoY:
suspended for a period of 180 days at any time after work has commencr r,1�,w i„� Ha;,r th R Hnm�
The applicant is responsible for assuring all required inspections are
requested in conformance wi[h the State Building Code.This permit ma;
revoked at any time for due cause.
C�-�,. � � �����
Applicant Permitee Signature Date Issue _ Signature Date
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, Fox errY us�oh�.�
� �O. `� City of Orono
�\/ P.O.Box 66 IIateReceived: Permit#
2750 Kelley Pazkway
Crystal Bay,MN 55323 Approved By: Amount$:
Phone(952)249-4600 Fax(952)249-4616
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`��k� Q��,�' CITY OF OR01�10-MECHANICAL PERMIT
S� (All Commercial permits must be approved by the Building Official or Inspector and/oc Fire Marshall)
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1 Y� � � ���� C��� Applications will
be
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3. I� � �� n ( �� r� quired for each
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4. \' �� l Y� �'S rmit must be
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Contractor: � '�� ontact Person: f C�t,Q,�,s
Address: `C� +``-'� State Bond#: ����
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� City: � Zip����xpiration Date: �
Phone: � �- � - ��j Alternate Phone:
Insurance-Current: 22�I 3�" � �7i l�
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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 /` '3\ ���
Gas Factory Fireplace �''� B�and Name� �1)1.(��� J `ICW� ��`U
Wood Bumin Fue la�
g P �t�
- ❑ Wood Stove Model No.: � y'��(.�
❑ Wood Stove with Flue/Masonry � .����C�� �
�i�0 -t-Yn-�
VENTILATION 3 ',���,��
❑ No. Kitchen Exhaust 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.)
I' ❑ Installation ❑ Removal
�
Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill ❑ Other/List What&Where:
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�,§'��;��.t� (�FF-2402 5TA'I"E STATUE
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❑ 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;excludine 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$50.00)
l , c� X.o�25$ i��� �5
contract price) (minimum$50.00)
2. STATE SURCHARGE i�� �f�' / �-� �� c,�
(/v �/v x.0005 $ t3
(contract price)
, 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ O�r�(�
■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the
permitted wo+'k inc�udinD materials,la�+or,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 furnished 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.
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Applicant's Signature: Date:
3
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TE _/ TIME
CITY OF ORONO CALLED IN `f —'�'�-
INSPECTION OTICE '/^SCHEDULED � - _12�
PERMIT N `ft�COMPLETED
ADDRESS �� �"� �0�� �//�I T
OWNER � T EPHONE NO o? ��'�
CONTRACTOR �
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�; DESCRIPTION � Q ��
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4� ❑ FOOTING ❑ PLUM8IN FINAL CAV/GRADING/FILLING
� ❑ POURED WALL ❑ MECHANICAL RI LAKESHORE/WETLANDS
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O ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z O INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL O SEWER HOOK-UP � COMPLAINT
v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
Z OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W RKSATISFACTORY:PROCEED O PROJECT COMPLEfE
� ❑CO RECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY
V BEFORECOVERING PEfiMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WILL REfURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. (952� 2 6��
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OwnedContractor on site:
Inspector.
White Copyllnspector's File Cenary CopylSite Notice
DATE TIME �
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
PERMIT NO. cOMPLETED
ADDRESS
OWNER TELEPHONE NO.
CONTRACTOR '
>; DESCRIPTION
�
W ❑ FOOTING ❑ PLUMBtNG FINAL ❑ EXCAV/GRADtNG/FILLING
� ❑ POURED WALL ❑ MECHANICALRI ❑ LAKESHORENVETLANDS
�
Q ❑ 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 ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEEf YOU:_YES_NO
� COMMENTS:
�
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W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE
� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
�u , �
� �'CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
��j.�`,BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WIIL REfURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in.advance. (952� 249-46��
OwnerfContractor on site:
Inspector.
White Copylinspector's File Canary CopylSite Notice