HomeMy WebLinkAbout2014-00668 - gas fireplace CITY OF ORONO * 2 0 1 4 - 0 0 6 6 8 *
, 2750 KELLEY PARKWAY pATE issuE�: 06/30/2014
ORONO, MN _55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 1535 FA[RVIEW CO"I'"TAGG LA
PIN : 07-117-23-43-0007
LECAL DESC : ORCHARD BEACF{
: LOT 003 BLOCK 000
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIREPLACE-GAS
VALUATION : $ 4,600.00
NOTE: 2 I fI;A"C N GLO GAS FP
APPLICANT MECHANICAL 57.50
STATE SURCHARGE MECH (VALUATION) 2.30
GLOWING HEARTH AND HOME MAIL-IN FEE 2.00
100 ELDORADO DRIVE
JORDAN, MN 55352 TOTAL 61.80
(952)495-2927 Payment(s)
CHECK 19158 61.80
OWNER
HOUCK, DANIEL&JnNE
1705 ELDORADO CIR
SUPERIOR, CO 80027-
AGREEMENT AND SWORN STATEMENT
�Che work for which this permit is issued shall be performed according to
the approved plans and specitications,applicable City approvals,and Uie
State l3uilding Code. 'I�his permit is fbr only the��ork described and does
not grant permission for additional or rclated���ork���hich requires scparate
perniits. nll provisions of laws and ordinances governing this type of work
shall be compied with�ahether or not specitied herein.'I�his 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 180 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance with the State F3uilding Code."fhis permit may be
revoked at am�time for due cause.
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npplicant Permitee Sign�ture Date Issued I3y Sig ure Date
r
FOR CITY USE Ol�'LY
O City of Orono
P.O.Box 66 DateReceived: Penvit#
� �� 2750 Kelley Parkway
Crystal Bay,MN 55�23 Approved By; Amount$:'
Phone(952)249-4600 Fax(952)249-4616
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`� �.�' CITY OF ORONO-MECHANICAL PERMIT
��xkS H�� (All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall)
GEI�IERAL INFC?RMATION_
1. You may apply for mechanical permits by mail or in person at the City offices. Applications will
be reviewed and a pe�rnit will be issued within two working days.
2. Permit cards will be sent by retum mail after a review is completed. PERMITS ARE NOT
VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Mechanical Designs—Complete calculations,details and specifications are required for each
heating,ventilation,humidification-dehumidification,and air conditioning installation including
heat I�sslheat gain cs'.culation,design temperatur�s,equipmvnt ratinbs and ider.tification as to
type,manufacturer and model. Data shall be presented on form provided.
4. When any new construction or remodeling is involved,a separate building permit must be
obtained.
5. All work must be done in accordance with the Uniform Mechanical Code/State Building Code
requirements.
6. All work must be inspected(rough-in and fmal). Call(952)249-4600.
(24-48 hour notice required)
7. House Heating Test Record must be submitted before final.
� TXPE OF�'ERMIT
' Check All T'l�at A �
�`Residential ❑Commercial(Approval Required)
/
�New ❑Additional ❑Repairs ❑Replace
� Job Site/Own$r Info�n,at�a�:..,:` `"
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Site Address: �
Owner: �� L���t.��1p,�L��Cf"SMailing Address: � ,/
c��y: o - z�p: �532�
Home Phone: �Q���,^��-•-�,.`�S�Alternate Phone:
Contractar�nfarmation:'
Contractor: ��[�,�'`�ontact Person: �'
y Address: �QQ� V� State Bond#: �,� S 7��U
City: � Zip�_�j�xpiration Date: � �O
Phone: �5�. ���a.."]�j Alternate Phone:
Insurance-Cutrent: C,� :Z, — bI2 � �
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�PE�I�'�T��E CALCU�A'1"T4N��j�
� B�SED O,�F-.2t�0? STATE STA'I"UE �,:, ,.;�
❑ 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 repiaced by the homeowner or licensed contractor.
Skip next section,if this applies; Cost of Permit $ l 5.00
State Surcharge $ 5.00
Mail-in Fee(If Applicable) $ 2.00
Total Permit Fee $
f� ��-
If above does not apply;follow guidelines below:
1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00)
�-�'�b� �° X.oi2s$ �� �SC�
(contract price) (minimum$50.00)
2. STATE SURCHARGE �UV 6� x.0005 $ � � J�
(contract price)
3. POSTAGE&HANDLING(Only on Mail-In Appiications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ V
■ * CONTRACT PRIG'E �r JOB COST means the zctuzl or estimated dollar amonnt chatged for thP
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
• 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 Signariue: Date: 1
3
C� TE TIME�
CITY OF ORONO CALLED IN �—
INSPECTION NOTICE HEDULED �_
PERMIT NO.c�1�`�—��� MPLETED
ADDRESS S ` 1
OWNER TE E HON NO. �Z ����
CONTRACTOR �
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�: DESCRIPTION a-
�
� ❑ FOOTING ❑ PLUMBING FINA ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI O LAKESHORENVEfLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
� ❑ INSULATION � WOOD BURNER/FIREPLACE O SITE INSPECTION
Z
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
� ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
� ❑ PLUMBING RI ❑ SEPTIC FINAL O FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
c��, COMMENTS:
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W ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
� C RRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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O ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY
V BEFORECWERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. (952) 249- 00
OwnerlContractor on site: �
Inspector. �` ��'
White Copyllnspector's File Ca� ry CopylSite Notice
✓
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
PERMIT NO.�a/',/'DOLLS COMPLETED �- �i'��.�
ADDRESS��� 3 T �,i v«� �$��'� L7 .
OWNER TELEPHONE NO.
CONTRACTOR ���'��� ��a'/�'�"� �aw Q
�; DESCRIPTION �ES � �'
�
W ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
� ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WEfLANDS
�
O ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� INAL ❑ SEWER HOOK-UP ❑ COMPLAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNERfCONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� ❑WORKSATISFACTORY:PROCEED ROJECT COMPLEfE
� ❑CORRECT WORK&PROCEED �UE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECWERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL REfURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail forthe next inspection 24 hours in advance. (952) 249-4600
OwnerlContractor on site:
.
Inspector. �✓''
White Copyllnspector's File Canary CopylSite Notice