HomeMy WebLinkAbout2016-00110 - gas fireplace CITY OF ORONO * z 0 1 6 - 0 0 1 1 0 *
2750 KELLEY PARKWAY DATE ISSUED: 02/03/2016
` ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 100 CREEK RIDGE PASS
P[N : 03-117-23-12-0016
LEGAL DESC : CREEKSIDE IN ORONO
: LOT 005 BLOCK 001
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCT[ON TYPE : FIREPLACE-GAS
VALUATION : $ 8,000.00
NOTE: 3 GAS FIREPLACES& 1 WOOD FIREPLACG
APPLICANT MECHANICAL 100.00
STATE SURCHARGE MECH(VALUATION) 4.00
PRACTICAL SYSTEMS TOTAL 104.00
4342B SHADY OAK RD Payment(s)
HOPKINS,MN 55343 CHECK 8605 104.00
(952)933-1868
OWNER
PETERS,BARRY& KRIS
19210 HACKAMORE ROAD
CORCORAN, MN 55340-
AGREEMENT AIVD 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 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.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of l80 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 cause. �,�
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Applicant Perm�tee Signature Date Issued By Signature Date
ROR ITY S�� NLY � �
��� City of Orono ��J ��t�(p � �� �
� P.O.Box 66 Date Received: Permit#
2750 Kcllcy Parkway � ?(J
Crystal Bay,MN 55323 Approvcd By: __�_�"1` Amount$:�� �
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Phone(952)249-4600 Fax(952)249-461G �"��
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`qkfSH���G CITY OF ORONO-MECHANICAL PERMIT
(nll Commcrcial ncrmit�must bc approvcd by thc Ruilding Official or Inspccmr and/or Pirc Marsl�all)
GENERAL INFORMATION
1. You may apply for mecl�anical 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. Pennit 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 UNT[L THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Mechanical Desi�ns—Coinplete calculations,details aud specifications are required for each
heating,ventilation,humidificatiou-dehumidification,and air conditioning installation includulg
heat loss/heat gain calculation,design temperatures,equipment ratings and identification 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�nust be inspected(rough-in and final). Cafl (952)249-4600.
(24-48 hour notice required)
7. House Heating Test Record must be submitted before final.
TYPE OF PERMIT
(Check All That Apply)
❑Residential ❑ Commercial(Approval Requued)
�New ❑ Additional ❑Repairs ❑ Replace
Job Site/ Owner Information:
Site Address: j � ('�Q��C �,t(j�, �(�,,SS
Owner: �jOf f l� ���1'JCS Mailing Address: �� � $�'St'-��o�C�
c�ty: �nne�d(is z�p: 55�Ib�
Home Phone: Alternate Phone: (.Q1�" 37(,o"'Q � (�
Contractor Infornlation:
Contractor: �((�,Gj'IC�o�..l �taS1-C,I'Y'�ontact Person: ,,p����� ��,��
Address: �3�}a�S��r(�,ti�State Bond#: �$��j��
City: � �1 tr1 Zip. ,3�3Expiration Date: � ��(,p
Phone: q�j���33- �g(�� Alternate Phone:
❑ Insurance-Current: ( LS' � G �U��1'S
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MECHANICAL_SYSTEMS BEING INSTALLED __�
. Note: All Geothermal Systems will now requii-e a Site Plan &Review by our Building Otlicial.
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
Gas Factory Fireplace—L�a-S �K�.S�'��I•and Name: T{(�,VI S � G,��.S�"I C�
Wood Burning Fireplace
Wood Stove Model No.: ��0 � ��T�W�
❑ Wood Stove with Flue/Masonry y a
VENTILATION
❑ 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.)
❑ Installation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑ [nside ❑ Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill ❑ Other/List What&Where:
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_ � ' �� �� � , ; �� � PERMIT FEE CALCUF,ATIQNS � .�.���_�.�������
1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00)
��(��•� x .0125 $ ���. �
(contract pricc) (minimum$50.00)
2. STATE SURCHARGE �y�
� �uOO.OD x .0005 $��"�' . W
(contract pricc)
3. POSTAGE&HANDLING(Only oii Mail-in Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ t a�•�
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■ * 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. Tt is the a�nount 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 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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�EANIC 6 `
The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all
work in strict accordauce 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 Signaturc: ��, Date: a,I I ' ,�Q
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DATE TIME
CITY OF ORONO CALLED IN O?�
INSPECTIONN.�TICE SCHEDULED ,o?� X—/� l ,'
PERMIT NO. ocU��o�d l�0 OMPLETED
ADDRESS
OWNER EL HONE!�NO.
CONTRACTOR �a /T�-b
� DESCRIPTION Q
ty ❑ FOOTING ❑ DEMO- INAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
_ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
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W RKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE
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O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. O PHOTO TAKEN
INSPECTOR WILL REfURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
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Cau for the next inspection 2 t h�urs i"�� , �nce. (g52) 249-460�
OwnerlContractor on site:
inspector. �
White Copyllnspector's Ffle Canary CopyfSite Notice
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{ .;;� ` �' L'� DATE TIME � ?��
CITY OF ORONO �"' � -��s�'°'�e LED I _.�����
INSPECTION NOTICE SCHEDULED ~' ___���.�`1
PERMIT NO.����rG_-� (��n j/C.% connP�ErE� ��l
ADDRESS / C7�% � r_r_ � � �C�
OWNER TELEPHONE NO. � � �� � o�7�j
CGFVTRd4CTOR ��X �/������ti
� DESCRIPTION �'���-CtiG7 /�--�- ('�� ��
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Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL �/ +�-�_�
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION//�-��{-�/
_ ❑ FRAMING ❑ MECHANICALFINAL ❑ RATEDWA�LS �1��+�;:
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT �� �
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
_ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
J ❑ DEMO-SITE ❑ S PTIC INSTALL
� OWNERICONTRACTOR TO MEET YOU: YES_NO
� COMMENTS: �'� f�i� C�) � F� T7`4SA
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W ❑WORK SATISFACTORY:PROCEE� �����K PRO ECT COMPLEfE
��(3EiRGC�WORK 8�PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
�NSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
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Call for the next inspection 24 hours in advance. (952� 249-46��
OwnerlContractor on site:
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Inspector. `-- ^�
Whi opyllnspector's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTI E SCHEDULED
PERMIT NO. av/ '�116 COMPLETED ��6
ADDRESS �� ���/'Y�� �Q�
OWNER TELEPHONE NO.
CONTRACTOR
� DESCRIPTION�4S � ' r���4cc ��4G
l� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
v �FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
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v ❑ DEMO-SITE ❑ SEPTIC INSTALL
Z OWNERlCONTRACTOR TO MEET YOU:_YES_NO
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W O VVORKSATISFACTORY:PROCEED li�RB�.IECT COMPLEfE
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O O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (952) 249-4600
OwnerlContractor on site:
Inspector. �� � 7�
White Copyllnspector's Ffle Canary CopylSfte Notice