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HomeMy WebLinkAbout2008-00402 - gas fireplace s � CITY OF ORONO PERMIT NO.: 2008-00402 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUEn: i U19/2008 952 249-4600 FAX: 952 249-4616 ADDRESS : 3534 NY PL PIN : 20-117-23-42-0019 LEGAL DESC : TAYLORS SUBD OF SPRING PARK LO : LOT 000 BLOCK 000 PERMTT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 1,000.00 NOTE: 1 LENNOX ADAGIO GAS FIREPLACE APPLICANT MECHANICAL 35.00 BORGSTROM ROOFING SHEET METAL INC STATE SURCHARGE MECH(VALUATION) 0.50 2675 2ND ST N ST PAUL,MN 55109- TOTAL 35.50 (612)369-7982 OWNER DANBERRY 3534 IVY PL 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 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 aze requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. �° �.� ���--�-� /� l / 9 / �� l l Appl�t Permi ee Signature Date Issued y Si ture Date SEPARATE PERMITS REQUIRED FOR WORK OTHER T N DESCRIB BOVE. / � � I• . , ' 1�A C.�I'�i��'=f�NL'f'' :. �,���� City of Orono ` `� � P.O.Box 66 I�ate Rece�ved Permrt# ��� 2750 Kelley Parkway � �a� ; �� Crystal Bay,MN 55323 `-1�ppro�ed:By � .AmQunt$:�. ��� (952)249-4600 CITY OF ORONO—MECHANICAL PERMIT (All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall) �GE��AL�f�R1�ATT('�i�i 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. Permit cards will be sent by rehun 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 Desi�—Complete calculations, details and specificarions are required for each heating,ventilation,humidification-dehumidificarion,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. ��;����,��� k . : . . -.' ... ,, . . ... � i '. ; �,� '��„ � .. .��_�1��"�1�� `�� �� �� , � � � � � :� , �� � . . . � �a � _-� �„�� .�. _ :. � � �� �Residential ❑ Commercial(Approval Required) �-New ❑Addirional ❑Repairs ❑Replace , �ob-5���I lOvvi�er tn�orma��in: Site Address: �l S �� ,r(-�/� �� �t� Owner: �aN�c.2ti ���u ��. Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor Iriforma.tiori:; . . Contractor: -� I �S��Contact Person: �fV« � S�r`- Address: �7� �'�d s '� State Bond#: /�'�/� o�.Sa�7 City: �, v Zip:��Expiration Date: 7 � �oD Phone: �f�- 3�j - 7`]��� Alternate Phone: ❑ Insurance—Current: 1 � . , . ) Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official. IS TffiS GEOTHERMAL? ❑ Yes ❑No HEATING SYSTEMS Quanrity: Make: Model: Fuel: Flue Size: Input BTUs: Output BTUs: CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: • H.Power FIREPLACES � Gas Factory Fireplace Brand Name: �Pn/1,px ❑ Wood Burning Fireplace ❑ Wood Stove Model No.: 7Q' f0 NI'n ❑ Wood Stove With Flue VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfin ❑ No. Bath Exhaust(must have duct outside) �� ❑ No. Other Fans: Locarions �� FLJEL STORAGE (Must be approved by Fire Marshall if proposing to abandon tank in p[ac�) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑Inside ❑ Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill ❑ Other/List What&Where: 2 n � .��. ❑ Yes,this section applies The replacement of a Residential fixture or appliance that meets all three of the following requirements: 1. Does not require modificarion 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 secrion,if this applies; Cost of Pernut $ 15.00 State Surcharge $ .50 Mail-In Fee(If Applicable) $ 1.50 Total Permit Fee $ If above does not apply;follow guidelines below: 1. CONTRACT PRICE *is 1.25°/a of contract price with a(Minimum Fee of$35.00) ��ov X.o�25$ (contract price) (minimum$35.00) 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50) x.0005 $ (contract price) (minimum$ .50) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar 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 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 Department at(952)249-4600 for the price. 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: f � � � D � 3 ��� �- �/ `pA�� TIME CITY OF ORONO CALLED IN � INSPECTION NOTIC t�a�aEDULED l/-2d'o � PERMIT NO. o�Q� ��! COMPLETED ADDRESS 3s`3� luc� PL�'� OWNER CONTR. ���1 s�(�--� TELEPHONE NO. �� °� � ��- 7�� L � DESCRIPTION FP /`-�-- � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORENVETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT v ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMB L ❑ FOUNDATION/REMOVAL � OWNERI ONTRACTOH T YOU:�YES�NO � COMMENTS: � W a � J O � � O � W � Q � 2 W � W � � � W �YWORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE � '"✓ti W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Ca11 for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: Inspector. �� /��l White CopyMspector's File Canary CopylSite Notice