HomeMy WebLinkAbout2016-00206 (mechanical-gas fireplace) s
� CITY OF ORONO * Z 0 1 6 - 0 0 2 PJ 6 *
2750 KELLEY PARKWAY DATE ISSUED: 03/OU2016
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 3131 CASCO CIR
PIN : 20-117-23-34-0007
LEGAL DESC : SPRING PARK
: LOT 044 BLOCK 000
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIREPLACE-GAS
VALUATION : $ 7,000.00
NOTE: 2 NEW GAS FIREPLACES(MENDOTA)
APPLICANT MECHANICAL 87.50
STATE SURCHARGE MECH(VALUATION) 3.50
TW[N CITY FIREPLACE STONE CO INC TOTAL 91.00
6521 CECILIA CIR
EDINA, MN 55439- Payment(s)
(952)941-2685 CHECK 20547 91.00
Minnesota State License#: mech-MB682977
OWNER
WAHLIN, AL&TAMI
3131 CASCO CIR
WAYZATA,MN 55391-
AGREEMENT AND 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 goveming 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 l SO days of the date of issuance,or if construction is
suspended for a period of l SO days at any time afrer 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 Permitee Signature Date Issued By Signat�ke Date
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t FOR CITY USE ONLY
O City of Orono
� � P.O.Box 66 Date Received: ���//bPermit# G���+C'� �C (�
� 2750 Kelley Parkway 1 Gj/ 00
+ Crystal Bay,MN 55323 Approved By: ��� Amount$:�L_
I Phone(952)249-4600 Fa�c(952)249-4616
�yF�q ��.�'� CITY OF ORONO—MECHANICAL PERMIT
Kf S H� (All Commercial permits must be approved by the Building Official or Inspector and/or Firc 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 pernut will be issued within two working days.
2. Pernut 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 UNTIL THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Mechanical Designs—Complete calculations,details and specifications are required for each
heating,ventilarion,humidificarion-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 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) [Backflow Device: 0 AVB ❑PVB]
❑ New ❑Additional ❑Repairs ❑Replace
Job Site/Owner Information:
Site Address: ���J ` C��t.�L D V i�
Owner: G
� �T�ti� ( ��V"I 1�),� Mailing Address: �10��
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City: �L1�V1 �) zip:
Home Phone: ��'Z ��(�l� ���� Alternate Phone:
Contractor Information:
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Contractor: � �G�tact Person: u f� i ' C�V lC��i'W
Address: �`JZ I G�G t �lG(., �l✓v��State Bond#: ������ �
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City: �G���'tG� Zip:���Expirarion Date:
Phone: �j,Z." �7' —1�Z�J Alternate Phone: �Z. "'"("7 � -'���
[�, Insurance—Current: __
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MECHANICAL SY5TEMS BEING INSTALLED
Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official.
IS THIS GEOTHERMAL? ❑ Yes �1Vo
HEATING SYSTEMS
Quantity:
Make:
Model:
Fuel:
Flue Size:
Input BTUs:
Uutput BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H.Power
FIREPLACES
(� Gas Factory Fireplace� 2' Brand Name: I V 1�L1, � I `-�
❑ Wood Burning Fireplace ,�- /�f � \'
❑ Wood Stove Model No.: 1'� I l� ���G'� �V ��
❑ Wood Stove with Flue/Masonry
VENTILATION
❑ No. Kitchen Exhaust duct recirculating cfin
❑ No. Bath Exhaust(must have duct outside) cfin
❑ No. Other Fans: Locarions 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
❑ Outdoor Grill ❑ Other/List What&Where:
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PERMIT FEE CALCULATIONS
1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00)
-������ - � a X.o�zs$ �-�-- �c�
(contract price) (minimum S50.00)
�
2. STATESURCHARGE �1
�(��� - l,' �� x.000s $ .J- , �,�\r'�`L L��
(contract pnce) �)� `,� �'
��yr�
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.
4. TOTAL PERMI'I'FEE(Add Lines 1-3 Above) S �� , � ��
■ * CONTRACT PRICE or JOB COST means the actual or estimated doliar 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 market value of such items must be added to the
esrimated cost or contract price for pemrit 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 Pernut, 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.
� � � � 25 � �O
Applicant's Signature: � Date:
3
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`�/ DATE TIME
CITY OF ORONO CALLED IN
INSPECTION T E .� SCHEDULED -yT-7— ��T—
PERMIT NO: %��" � �oMP�ErE�
ADDRESS -� � � � ���.�� <� ��---�C���:
OWNER TELEPHONE NO��� � � � � -�`�' ��
CONTRACTOR ��-(1� f ��.�� St��(�r�
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� DESCRIPTION �_���Ct �= (� __ �='�1L"k_'��.�r�-4
ly ❑ FOOTING ❑ DEMO-FINAL ❑ 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
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
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J ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNERlCONTRACTOR TO MEET YOU:_YES_NO
y COMMENTS:
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W WORKSATISFACTORY:PR EE ❑ OJECT MPLEfE
a ❑ RRECT VYORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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� ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY
V BEFOREC01/ERING PERMANENT
❑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 24 urs in adv 2� 249-4600
OwnerlCorttractor on site:
Inspector.
White Copyllnspector's Ffle Canary CopylSite Notice