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HomeMy WebLinkAbout2016-01410 - gas fireplace , CITY OF ORONO * Z 0 1 6 - PJ 1 4 1 0 * 2750 KELLEY PARKWAY DATE ISSUED: 1U07/2016 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1220 BRACKETTS POINT RD PIN : 11-]17-23-32-0018 LEGAL DESC : RGT ORONO POINT : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS ACTNITY : O/S BUILDING-UNDEFINED VALUATION : $ 11,500.00 NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. 1 GAS FIREPLACE ORTTAL OF:F:110 APPLICANT MECHANICAL 143.75 STATE SURCHARGE MECH(VALUATION) 5.75 WOODLAND STOVES&FIREPLACES 2901 E. FRANKLIN AVE. MAIL-IN FEE 2.00 MTNNEAPOLIS, MN 55403- TOTAL 151.50 (612)338-6606 Payment(s) CHECK 47094 151.50 OWNER HANNAFORD,JIJLE&ELIZABETH 1220 BRACKETTS PT RD WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plaris 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 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 180 days of the date of issuance,or if construction is suspended for a period of 180 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. _-.-------- s,- _. .-� r , F J T ��.,�. L� � � �k`s-- �f� � l /�1 �� � Applicant Permitee Signature Date Issued Signature , Date ' P'OR CIT1'USE ONL1' `� � � City of Orono ;' � �� �-��� ��� P.O.Bos 66 Dat�Recei�°ed: _ Permit# � � 3750 Kcllc��Park��a� �� �� Crystal Ba ',M(�»�''C nPProvcd E3y: Aniount$: � � � Ph`����1�'�i��ax(9i�)249-�4616 �- \ y, ,� ( ��``' i..`� �,�.�,�}s�{���� / N�V "'�1�60F ORONO—MECHANICAL PERMIT ___ __ - (All Commcrcial pcnnits must bc approved by thc Building Ofticinl or In,pcctor ancllor Pire Marshallj GENERAL INFOR ATION 1. You may apply for mechanical pern�its by mail or in person at the City offices. Applications��ill be revie�ved and a permit will be issued within two working days. • 2. PermiY cards�vill be sent by returtl mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU REC�IVE A PERMIT. WORK n1UST NOT BEG1N UNTIL THE PERMIT CARD IS POSTED ON THE JOB SIT'E. 3. MecllanicaL Desi ns—Complete cale��lations,details and specifications are required for eacll heating,ventilation,humidification-dehun�idification, and air conditioning installation including heat loss/heat gain calctilation,design temperatures, equipment ratings and identification as to type,manufacturer and model. Data shall be presented on fonn��rovided. 4. When any new construction or re�nodeling is involved, a separate building permit inust be obtained. 5. All work must be done in accordance witl�tl�e Uniforin Mechanical Code/State Buildii�g Code requireinents. 6. All work must be inspected(ro�igh-in and final). Call (952)249-4600. (24-48 hour notice required) � 7. House Heating Test Record mi�st be submitted before final. TYPE OF P�RMIT (Check All That A 1 ) Residential ❑ Commercial(Approval Reqiiired) [Backflow Device: ❑ AVB ❑PVB] ❑ New ❑ Additional ❑Repairs ❑ Replace - Job Site/ Owner Infonnation: � ,,� Site Address: O�i," ✓��✓-�'.�,�°�-5 � L%i,�/y� ,i�.����.�' � � � Q_ n Owner��� �'���! ��� Mailing Address: ��'���' ����P� ✓'Z�'r��/�`'`9' � City: �1�-E���� Zip: �� ��'l � �Io�ne Phone: Alternate Phone: �F'�� —�� /— �J'i �5�-- Contractor fornlation: � �� � l�-��""� 6t c-5 Contracto�� CL-C,��l���i�<.��'�'c' _ � (, 5 Contact Person: ��(n��- Address: ������ � ����n State Bond #: ����Z'��C��� , City: � �� Zip:�����'�xpiration Date: ��� •� ���`� �LL� �-� -73�75 Phone: �����- `�J� ��`'��'�r' Alternate Phone: ��� —� ��� ❑ Insurance —Current: � ��%'/��� .� ��'��] 1 MEC[lAN1CAL SYSTEMS BEING INSTALLLI� � Note: All Geothermal Systeiils �vill now rec� ire a Site Plan&Keview by our Building Olficial. _ IS THIS CE01'HL+'RMAL? ❑ Yes [�o HEATING SYSTEMS Quantity: Make: Model: " Fue(: Flue Size: Input BTUs: Output BTUs: CFM: COOLING SYSTLNIS Quantity: Make: Modcl: Tons: H.Power FIREPLACES � Gas Factoi}�I�ireplace Braud Name: ���-��' ❑ Wood Buruing Fireplace ❑ Wood Stove Model No.: O � • � � � � �� ❑ Wood Stove witl�Flue��Masonry VENTILATION ❑ Na Kitchen Exhaust duct recirculating cfin ❑ No. Bath Exhaust(must have duct outside) cfm ❑ No. Other Fans: Locations cfm FUEL STORAGE (Alust Ge rrpp��ored Gl�Fi�•e[17nrslrnll if p�•oposing to nGnndon tn�►Ic in pluce.) ❑ Installatiun ❑ Removal Fucl Oil: gallons ❑ Underground ❑ Inside ❑Outside LP Gas: gallons Other: CAS LIN� ONLY � ❑ Outdoor Grill ❑ Other/List What&Where: 2 - PERMIT FEE CALCULATIONS l. CONTRACT PRTCE * is 1.25%of contract price with a (Miniminn Fee of$50.00) � �� �Zi�,�, ��� x .0125 $ ��� ��' (contract priccl (minimum!6511.011) 2. STA1'E SURCHARGE I � �`���� � �� x .0005 $ �, ��� (contract pricc) 3. POSTAGE& HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE (Add Lines 1-3 Above) � ���. `�� • * CONTRACT PRiCE or JOI3 COST means the achial or estimated dollar amount charged for the periuitted work including materials, labor, profit, a�Id other fixed costs. It is the amo��nt to be charged to the custoiner for the work done. If ai�y material,equipn�ent, labor or installations are fin-nished by the owner, tenant or any other party, the reasonable market value of such items u�ust be added to the estimated cost or contract price for pennit fee p�n-poses. In the event that tl�ere is a dispute on the amoimt ' of the job cost, the City �nay request the submission of a signed copy of the actual contract. MECHANICAL PERMIT APPLICA"r10N AGREEMENT The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all work in strict accordance witli the ordinances of tl�e City and the regulations of the State of Minnesota,and certifies tllat all statements made l�is application are complete, true and correct. � � L�Applicant's Si�naturc: 'yi � Date: �� :� ��/� 3 1 , � � DATE TIME `� CITY OF ORONO ��c�l� CALLED IN INSPECTION N�TICE SCHEDULED �7 �2/1'� PERMIT NO. L��'� COMPLEfED ADDRESS � �Z Z� �l�� r I� C' . ']�- OWNER TELEPHONE NO. ��� �`���,� CONTRACTOR +� � �"'�� 7� � DESCRIPTION �'`? � f i/'P/2�G�c � �� ty ❑ 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 Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP 2 ❑ AS BUILT-SURVEY ❑ S WER HOOK-UP ❑ FOUNDATION/REMOVAL r ❑ DEMO-SITE ❑ PTIC INSTALL Z OWNENCOKTRACTOR TO MEEi Y�OU: YES_NO y COMMENTS: �- � r'd v r \ e r! ll� � ��tG� � S �� K�' r�za ��G o , � Cil� ` e ¢'� ��.$ � �� � � ° .s�� � , ;� �t�� �� !� �,.� QCf�+r ���` —� � �� ,,�ar /"e t%�oec�y,� � Z W � W 2 � J W ❑WORK SATISFACTORY`.PROCEED ❑ PROJECT COMPLETE � O CORRECT VMORK 3 PROCEEO ❑ISSUE CERTIFICATE OF OCCUPANCY w 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CdVERiN(3 PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑pHOTOTAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED O STOP ORDEN POSTED.CALL INSPECTOR NSPECTION REOUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owne�IContractor on site: Inspector. WMte CopYMnspecMr's Flle C�nary CopYlSit�Notics � � � )'C,.� DATE TIME CfTY OF ORONO � cnLLED IN —�–�— INSPECTION NO��E, ! I scHEOULED _�1 � PERMR NO. -� �l,��,I�J I C COMPLETED ;, , ADDRESS �.:�•�--�(' `'',Z?r�"'[ �,f���7`�_ � � � �NNER TELEPHONE NO.j'�`�=� �3�r���"� CONTRACTOR �,.�;��� - ✓�C.t�x- %� -S� '' DESCRIPTION �C' ����� �- �'�f-C�lt'r_—�/u� l�y ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING �O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL 2 ❑ 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 _ ❑ DEMO-SITE ��PTIC INSTALL v ? OWNERICO�fTNACTOR TO MEET YWJ: YES_NO � COMMENTS: � T � , �'�- js � �-.� �e�,, o � � J �� O {�� � Q �- �/� � t'� C�✓ b Zr ,S' r �. � — � i(� i' C�IC_... W � -+ j 4�j �\W-O�RK SATISFACTORY:PROCEED ❑PROJECT COMPLEfE �`�O CORRECT W'ORK S PROCEED ❑ISSUE CERTIFlCATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CdVERIN(3 PERMANENT �CORRECT UNSAFE CONDITION WITHIN HOURS. p pHpTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTiON REUUIRED.CALL TO ARRANGE ACCESS_ Call for the next inspection 24 hours in advanoe. (952) 249-4600 OwnerfCoittra���� ► Inspector: YVhite CoPYAnspectors Flle C�nary CoPYISIb Notics E-� � D TE TIME V CITY OF ORONO CALLED IN ! � ��,� � MISPECTION OTICE SCHEDULED o` ' �� PERMIT N d !� CO LETED ADDRESS ���� � � O�WNER T PHONE NO. CONTRAr_mR I.�/��_ .I _ ,����� , - - - � � � DESCRIPTION �` �-�- �y ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q � POURED WALL ❑ PLUMBING RI ❑ EXCAWGRADING/FILLING O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL 2 ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION � ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT � ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP 41 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ r ❑ DEMO-SITE ❑ SEPTIC INSTALL Z OwNf�CONTRACTOR TO MEET YOU:_rE8_NO � �ME� ��,� u �o��� +- r- -� � u o��v �,� �� � � 0 � � W aC � � W � r�.� � , W ❑WORK SATISFACTORY:PFIOCEED ,' 'ROJECT COMPLETE � O CORRECT WOFiK 3 PROCEED O ISSUE CEFiTIFICATE OF OCCUWINCY O O CORRECT WORK,CALL FOR REINSPEC710N TEMPORARY V BEFORE COWERIN(i PERMANENT ❑CORRECTUNSAFE(�ONDITIONWITHIN HOURS. p pHpTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR O CITATION ISSUEO ❑IN3PEC710N RC-0UIRED.CALL TO ARRAN(iE ACCESS. caa ro�n�e ne�h�spection Za nours�a�►�,o.. (952) 249-4600 on site: �„�«: �J��,:. � WMN Cop�h�s�t��M Can�ry Cop�ISib Notlw