HomeMy WebLinkAbout2010-00367 - gas fireplace CITY OF ORONO PERMIT NO.: 2010-00367
' 2750 KELLEY PARKWAY
ORONO, MN 55356- �ATE [SSUED: OS/19/2010
952 249-4600 FAX: 952 249-4616
ADDRESS : 2400 FOX ST
PIN : 04-117-23-41-0011
LEGAL DESC : MAJESTIC SPRUCE ADDITION
: LOT l BLOCK 1
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIREPLACE-GAS
VALUATION : $ 3,300.00
NOTE: TOWN&COUNTRY TC36 ARCH GAS FIREPLACG
APPLICANT MECHANICAL 50.00
GLOWING HEARTH AND HOME STATE SURCHARGE MECH (VALUATION) 1.65
100 ELDORADO DRIVE
JORDAN, MN 55352 MAIL-IN FEE 2.00
(952)495-2927 TOTAL 53.65
OWNER
LINDBLOOM,JULIE
2690 RAINEY RD
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 E3uilding 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 Uiis type of work
shall be compied with whether or not specified herein.This permit will
expire and bccome 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 I 80 days at any time after work has commeneed.
"I�he applicant is responsible for assuring all required inspec[ions are
requested in conformance with the State Building Code.This permit may be
revoked at any time for duc cause.
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Applicant Permitee Signature Date Issued[3y gnature
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB .
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FOR CITY USE ONLY � �
,,.���`� City of Orono
�/'Q� 4`� P.O.Box 66 Bate Received_ Permit#
p 2750 Kelley Parkway
�S�����A;.� Crystal Bay,MN 55323 Approved By: Amount$: �
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CITY OF ORONO—MECHANICAL PERMIT
(All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall)
GENERAL 1NFORMATION -
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 return 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,ventilation,humidification-dehijmidification,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 PERMIT
� �� � � �(Check All`That A 1 ) � � � � ���
❑✓ Residential �Commercial(Approval Required)
❑New ❑Additional ❑Repairs ❑Replace
Job Site!Owner Information:
Site Address: 2400 FOX STREET
Owner: LINDBLOOM Mailing Address: 2400 FOX STREET
City: ORONO Zip: 55323
Home Phone: Alternate Phone:
Contractor Information:
Contractor: GLOWING HEARTH & HON�F Contact Person: �UDY PICKUS
Address: 100 ELDORADO DR State Bond#: 41 BSBAE8641
JORDAN 55352 02/16/11
City: Zip: Expiration Date:
Phone: (952)492-9276 Alternate Phone:
✓❑ Insurance—Current: 10/22/10
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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
� Gas Factory Fireplace Brand Name: Town&Country
❑ Wood Burning Fireplace TC36 ARCH
� Wood Stove Model No.:
❑ Wood Stove With Flue
VENTILATION
❑ No. Kitchen Exhaust duct recirculating cfm
❑ No. Bath Exhaust(must have duct outside) cfin
❑ No. Other Fans: Locations cfin
FUEL STORAGE (Must be approved by Fi�e 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 FEC CALCULATION{S)
[3ASE?I)OF'F -2402 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. 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 $ .50
Mail-In Fee(If Applicable) $ 2.00
Total Permit Fee $
��a=. �.;� ��;
If above does not apply;follow guidelines below:
1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00)
3,300.00 x.0125$ � rj(�r�v
(contractprice) (minim m$50.00)
2. STATE SURCHARGE ** Add the State Bldg Code Div.Surcharge(Minimum Fee ofS.50)
3,300.00 x.0005 $ 1.65
(contract price) (minimum$ .50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ � l�
.
■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the
permitted work includine materials, labor,profit, and other fixed costs. It is the amount to he charged
to the customer for the work done. If any material, equipment, labor or instaliations 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 STATE SURCHARGE is.0005 of the Building Deparhnent at(952)249-4600 for the price.
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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.
Applicant's Signature: _ Date: 05/18/10
Reset Form
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� y DATE TIME
CITY OF ORONO " � I CALLED IN J �CJ /C
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INSPECTION NOTICE SCHEDULED ' �`�r„
PERMIT N0. ��(�%�{����'y� COMPLETED
ADDRESS �� � L ��^ c=� � �"1�-
OWNER TELEPHONE N
CONTRACTOR - � l � ^ -f �1�'T�=n �
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�: DESCRIPTION �-7�`��S �- I�f�1C��QC� .
�
lL� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
� ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS
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O ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
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
J ❑ PLUMBING RI ❑ SE FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU• YES_NO
� COMMENTS:
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GW�WORKSATISFACTORY:PROCEED fl PROJECTCOMPLETE
� ❑CORRECT WORK 8 PROCEED ' 1SSUE CERTIFICATE OF OCCUPANCY
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O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. G PHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-4600
Owner/Contractor on site:_
Inspector. �� t � .S
White Copyllnspector's File Canary CopylSite Notice