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HomeMy WebLinkAbout2014-01378 - gas fireplace CITY OF ORONO * 2 0 1 4 - PJ 1 3 7 8 * t 2750 KELLEY PARKWAY DATE ISSUED: 1U26/2014 ' ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 3309 CRYSTAL BAY RD PIN : 17-117-23-41-0016 LEGAL DESC : WALLACES ADDN TO VIL OF MTKA B : LOT 001 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE- GAS VALUATION : $ 1,500.00 NO�I'F,: III;n�I'N GLO F�IRI-:PI,nCE APPLICANT MECHANICAL 50.00 STATE SURCHARGE MECH (VALUATION) 0.75 CONDOR FIREPLACE& STONE CO. MAIL-[N FEE 2.00 8282 ARTHUR ST NE SPRING LAKE PARK, MN 55432 TOTAL 52.75 (763)786-2341 Payment(s) CHECK 82�21 52.75 OWNER SCHMID, DAVID 3309 CRYSTAL BAY RD WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT I�he work tor which this pennit is issued shall be performed according to the approved plans and speeiYications,applicable City approvals,and the State E3uilding Code. 'I�his permit is for only the work dcscribed and docs not grant permission lor additional or related work which requires separate pennits. nll provisions of laws and ordinances governing this[ype of work shall b�compicd with whether or not specified herein.This permit���ill expire and become n�dl and void if construetion authorized is not commenced within 180 days oY the date of issuanec,or if construction is suspended tor a period of 180 days at any time after work has commenced. The applicant is responsible Yor assuring all required inspections are requcsted in conformance with the State E3uilding Code.This permit may be revoked at any time for due cause. �� ��� C�l.�.��� ��'.._ ��� � � ; '1��1C� ��� �� -� ,��' , ` �� Applicant Permitee Signature Date Issucd f3y Si�nature Date ;:. . FOR CI"I'Y USE ONI.Y /'�O A ra City of Orono _i�(�� � r � �V Y.O.Box 66 Date Received: Permit# ( 2750 Kelley Parkway � Crystal Bay,MN SS�e �� � � Approved By: Amount$: � Phone(952)249-4600 Fax(952)249-4616 `�. � s � `�� �.�', CITY OF ORONO—MECHANICAL PERMIT �kE S t{��� (All Commercial permits must be approved by the Quilding Official or Inspector ancUor Fire Marshall) GENERAL INFORMATION 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 be sent by rettirn mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECENE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Desi�ns—Complete calculations,details and specifications are required for each heating,ventilati�n,humidification-dehumidification,and air conditioning installation including heat loss/heat gain calculation,design temperatures,equipment ratings and identification as to type,manufacturer and model. Data shall be presented on forn�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 Uniforni Mechanical Code/State Building Code requirements. 6. All work�nust be inspected(rough-in and final). Call(952)249-4600. (24-48 hour notice required) 7. I Iouse I Ieating Test Record must be submitted before final. TYPE OF PERMIT Check All That A 1 ) �Residential ❑Commercial (Approval Required) �New ❑Additional ❑Repairs ❑ Replace a Job Site/Owner Information: � � � �U Site Address: � Owner:��"Z � .l� (C.�C�� � Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor Information: Contractor: ��� � I, �I�G� Contact Person: � �� Address:Q�o�� I'T1�'�/�If S� �� State Bond#: ��J �U�vl ( �/ �13� ����� � City:���� ��- ��`" Zip. Expiration Date: Phone: ��3'��� a3 �f I Alternate Phone: ❑ Insurance—Current: 1 t MECHANICAL SYSTEMS BEING INSTALLED Note: All Geothermal Systerns will no�v require a Site Plan&Review by our Building Official. [S THIS GEOTHERMAL? ❑ Yes �No � HEATING SYSTEMS Qttantity: Make: Model: Fuel: Flue Size: Input BTUs: Output BTUs: CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H. Power FIREPLACES � Gas Factory Fireplace Brand Name: . �L(,� ' (1� �I � ❑ Wood Buming Fireplace C f�� J � ❑ Wood Stove Model No.: ❑ Wood Stove with Flue/Masonry 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 Marsha/l if proposing to abandon tank in place.) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑ Inside ❑ Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill ❑ Other/List What&Where: 2 � � � PERMIT FEE CALCULATION(S) �'� BASED OFF - 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. I�as a total cost of$500.00 or less; excluding the cost of the fixture or appliance:and 3. Is improved,installed or replaced by the homeowner ar licensed contractor. Skip next section,if this applies; Cost of Permit $ 15.00 State Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Totai Pcrmit Fe2 $ PERMIT FEE CALCULATION S' -JOBS OVER$SOO.i�O �:..,;. .. .., . �-: `` If above does not apply; follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of�50.00) pl'��D � x .oi2s $ g �J� . OJ (contract price) (minimum$50.00) 2. STATE SURCHARGE � C /��� x.0005 $ � � J (contract price) 3. FOSTAGE&HANDL�NG(Only on Mail-In Applications) $ 2.00 � �S� 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) � �� � • * 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. It is the amount to be charged to the customer for the work done. If any material, equipment, labor or installations are fumished 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. '� ��'���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 Minnesota, and certities �ha� all statements made on this application are complete, true and correct. ��J ", --��,� Applicant's Signatu�e; �'`� ate: 3 � - �, ✓ DATE TIME TY OF OI'SVNO �� CALLED IN INSPECTION N TICE SCHEDULED __fi��i��� PERMIT NO. � — � COMPLETED ADDRESS �� �C�� �'���t�ll f�C/ � OWNER TELEP E NO. - ��� �37 CONTRACTOR ��n`�''� j� ���-- �; DESCRIPTION � � � ❑ FOOTING ❑ LUMBING� ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL MECHANICAL RI ❑ LAKESHORE/WETLANDS � ❑ FRAMING A ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q p 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 J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: �� ��i► a F� � � G�t �h� ��u�l � o -. ✓'e�� �� C/��v�rr.rc�e.� - a,C - ���c '' �n� r.�lQ-��o,�, s�i�c��P .�ro vib�t� — � - ° ' �6 �25 /ir!c 4,.%- �� Sz` �>��i�s ���e_ � �- 0/'r� l�G�l �L�i �o r �'� �• G rL 1'�.L . T�?rc� Q z �•t�,;Q C •P• c.tts� - O,� -_ � /?D ��`•rt ��C't O r 94 S ���l e 4�r f t�� � . j .� 'f,� [ S 'f/ ti1 � W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT O CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 2a hours in advance. (952� 249-4600 OwnerfContractor on site: Inspector. ��h^- White Copyllnspector's Ffle Canary CopylSite Notice V � =���� ���DATE TIME � CITY OF ORONO CALLED IN -�—� - INSPECTION N �C ��1��-/ SCHEDULED ����[p�� -� PERMIT NO. �a COMPLETED ADDRESS �� t a r � o�ttye¢�+ "' _ fo� --/�/�'—�r� 3 OWNER TELEPHONE ,�- CONTRACTOR y/ � � � DESCRIPTION — W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING R ❑ EXCAV/GRADING/FILLING � ❑ FOUNDATION WATERPROOF ❑ PLUM FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ HANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING CHANICAL FINAL ❑ PROGRESS � ❑ INSULATION ❑ WO D BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ S WER HOOK-UP ❑ HARD COVER REMOVAL v ❑ DEMO-SITE ❑ TIC INSTALL ❑ FOUNDATION/REMOVAL Z OWNERICONTRACTOR TO MEET YOU: YES_NO v�i COMMENTS. � - W � J ' O �. � .. O 1 � ` ' Q � 2 W � W � � J W ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � RRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑COR ECT 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 dvance. (95 �-4600 OwnerlContractor on site: �� Inspector. � i White Copyllnspector's Ffle anary CopylSite Notice