HomeMy WebLinkAbout2016-00126 - gas fireplace _ CITY OF ORONO * Z 0 1 6 - 0 0 1 2 6 *
2750 KELLEY PARKWAY DATE ISSUED: 02/08/2016
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 2945 JAMESTOWN RD
PIN : 28-118-23-31-0005
LEGAL DESC : GARDEN GROVE
: LOT 001 BLOCK 002
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIREPLACE-GAS
VALUATION : $ 2,500.00
NOTE: NEW GAS FIREPLACE(TRAVIS)
APPLICANT MECHANICAL 50.00
STATE SURCHARGE MECH(VALUATION) 1.25
PRACTICAL SYSTEMS MAIL-IN FEE 2.00
4342B SHADY OAK RD
HOPKINS,MN 55343 TOTAL 53.25
(952)933-1868 Payment(s)
CHECK 8611 53.25
OWIYER
WAHLIG,MICHEAL&JOELLEN
2945 JAMESTOWN RD
LONG LAKE,MN 55356-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable Ciry 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 I80 days of the date of issuance,or if construction is
suspended for a period of 1 SO days at any time after 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 ate Issued By Signatu Date
ROR CITY USE ONLY
' O City of Orono 'J;
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P.O.Box 66 Date Received:,� � Pcrmit# Ll�' n— 'S�
?750 Kcilcy Parkway ��
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Ci}stal Bay,MN 55323 Approvcd By: ���,,� Amount S: �� ' S
Phone(952)2�39-4600 Fax(952)249-4616
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l�kesHo�``G CITY OF ORONO —MECHANICAL PERMIT
(nll Commcrcial pa�mits must bc appruvcd by thc Building Ofticial or Inspcctor and/or I�irc Marshall)
GENERAL INFORMATION
L 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 RECEIVE 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 far each
heating,ventilation,humidification-dehumidification,and air conditioning installation including
heat loss/heat gain calculation,design temperatures,equipinent ratings and identification as to
type,manufacturer and model. Data shall be presented on fo*m 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 Apply)
$�Residential ❑ Commercial(Approval Required)
�New ❑ Additional ❑ Repairs ❑Replace
Job Site/ Owner Information:
Site Address: O�9 �15 .�Q.1f�S�1_�[� 5
Owner: ��k.C�, 1,�����_ Mailing Address: a q�5 JQMLS� '�(3 S
city: �_(��L.(�k�. zip: 5535Cp
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Home Phone: �rj�- y�5- q��a Alternate Phone: (�I��' 3 a�r 5�e�y
Contractor Information:
Contractor: ��b�,c�'►C�►., Sl,�.,5� Contact Person: �QXltl��f' �1Q,��Q�t'A
�
Address: �}3y�t3 Slno�.v� C�.lC,1�State Bond#: �� �D35 I O
City: � n zip:553y3Expiration Date: —t ���O
Phone: �S�•433— �$�o� Alternate Phone:
❑ Insurance—Current: �t,.�t�dC.r''S C��oup
1
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: Tr"Q.1��5
❑ Wood Burning Fireplace ��,`c� ����..��
❑ Wood Stove Model No.: Y �
❑ Wood Stove with Flue/Masonry
VENTILATION
❑ No. Kitchen Exhaust duct recirculating cfin
❑ No. Bath Exhaust(must have duct outside) cfm
❑ No. Other Fans: Locations cfm
FUEL STORAGE (Must be approved by Fire 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:
2
.
1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00)
�.SC�(�•oo X.oias$ ��j.L'k�—
(contract price) (minimum$50.00)
2. STATE SURCHARGE
���0(�•(�L"� x.0005 $ � '1i►�j
(contract price)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
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
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.
Applicant's Signature: � �.��,,,� C����� Date: oZ�3� I�
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CITY OF ORONO CALLED IN x`
INSPECTION NOTICE SCHEDULED a—a�•�'—/� �D_'G�
PERMIT NO. �ls-��2� co LETED
ADDRESS ��'S
OWNER ' - TEL HONE NO. � � ����5
CONTRACTOR �� r1 '��
� DESCRIPTION ��� � ' ` _ `'v�
ly� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB �ECHANICAL 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
_
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNERlCONTRACTOR TO MEET YOU:_YES_NO
c�., COMMENTS:
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� ❑WO KSATiSFACTORY:PROCEED Qr�D �ROJEC�OMPLET�
W RK 8 PROCEED /^ ❑ ISSUE CERTIFICATE OF OCCUPANCY
❑CORRECT WORK,CALL FOR REINSPECTION /� •/0� TEMPORARY
V BEFORECOVERING �rf�G PERMANENT
�CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL REfURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call tor the next inspection 2a hours in advance. (g52) 249-4600
OwnerlConVactor on site:
Inspector_ �
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White Copyllnspector's File Canary CopylSlte Notiee
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTIOy..�IOTICE SCHEDULED �—
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ADDRESS ���-i���_� ,.�.1�'°'��"�;� �i�
OWNER TELEPHONE NO.
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� DESCRIPTION ,,G` �-� -�-�< r``S7 (�`�` cx_-- � #�J
lN ❑ FOOTING �� :rr` �V� ❑ DEMO-FINAL ❑ SEPTIC FINAL ��
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Q ❑ POURED WALL L' �E�,��y� ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING MECHANICAL FINAL ❑ RATED WALLS
� �NSULATION <'�WOOD BURNER/FIREPLACE ❑ COMPLAINT
� I�,�INAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
Wf�❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
v ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNERlCONTRACTOR TO MEET YOU:_YES_NO
c�.� COMMENTS:
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GW �IORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
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W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-4600
OwnerlContractor on site:
Inspector. /.�- �
White Copyflnspector's File Canary CopylSite Notice
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTIC ��O`� SCHEDULED � �.
PERMIT NO. COMPLEfED
ADDRESS 2- �1 � S LJ � `YL�S�U t,c�,p /Z�I_
OWNER TELEPHO E NO. �a��7J�99'Z�.
CONTRACTO � /�QGf <S S�
� DESCRIPTI �i!7 a/ �� � L i Y� �f
ty ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBiNG RI ❑ EXCAV/GRADING/FILLING
y ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
� FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
� ❑ DEMO-SITE ❑ S PTIC INSTALL
2 OWNERICONTRACTOR TO MEET YOU: YES_NO
� COMMENTS:
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� ❑WORKSATISFACTORY:PROCEED ROJECT COMPLEfE
� ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY
� BEFORECWERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. (g52) 249-4600
OwnerlContractor on site:
Inspector. �
Whi e Copyilnspector's File Canary CopylSite Notice