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. _-.--------
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Applicant Permitee Signature Date Issued Signature , Date
' P'OR CIT1'USE ONL1'
`� � � City of Orono
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�,�.�,�}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�.����.�'
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Owner��� �'���! ��� Mailing Address: ��'���' ����P� ✓'Z�'r��/�`'`9'
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City: �1�-E���� Zip: �� ��'l �
�Io�ne Phone: Alternate Phone: �F'�� —�� /— �J'i �5�--
Contractor fornlation:
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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
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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: �-
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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
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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
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? OWNERICO�fTNACTOR TO MEET YWJ: YES_NO
� COMMENTS:
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�`�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
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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 _ ,����� , -
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� 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
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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