HomeMy WebLinkAbout2016-00120 - gas fireplace CITY OF ORONO * z 0 1 6 — 0 0 1 z 0 *
-- 2750 KELLEY PARKWAY DATE ISSUED: 02/08/2016
' ORONO,MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 1220 LAKEVIEW AVE
PIN : 10-117-23-24-0019
LEGAL DESC : UNPLATTED 10 117 23
: LOT 000 BLOCK 000
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIREPLACE-GAS
VALUATION : $ 3,700.00
NOTE: GAS FIREPLACE(HEAT N GLO)
APPLICANT MECHANICAL 50.00
STATE SURCHARGE MECH(VALUATION) 1.85
MASTER GAS FITTERS,INC. TOTAL 51.85
2242 JENNIFER LANE Payment(s)
NORTH ST PAUL, MN 55109- CHECK 11995 51.85
(651)248-3603
Minnesota State License#:mech-MB3478
OWNER
SCHNOOR,MR.&MRS. DOUGLAS
1220 LAKEV[EW AVE
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 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
permi[s. All provisions of laws and ordinances governing this rype 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 L80 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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A �cant Permitee Signature Date Issued By Signature Date
FOR CIl'Y USE ONLY
. /�O . City of Orono � � � , , �ZQ
��/O P.O.Box 66 llatc Rcccivcd: � � Pctmit#
�' 2750 Kelley Parkway t/ + g C�
� 1 Crystal Bay,MN 55323 Appro��ed B}�: fJ Amount$: �I,
� � Phone(952)2�19-4600 Fax(952}249-4616
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�qk�SH���� CITY OF ORONO–MECHANICAL PERMIT
,_,_� (.All Commercial permits must be appro�ed by the Building Official or Inspector and%or Fire Manhall}
GENERAL INFORMATION
1. You may apply for mcchanical permits hy mail or in person at the City offices. Applications will
be reviewed and a permil will he issued v��ithin two working days.
2. Permit cards will be sent by return mail atter a review is completed. PERMTTS ARE NOT
VAL.ID UNTiL YnU RECEIVE A PERMIT. WORK MUST NOT BEGiN UNTIL THE
PERMIT CARll IS POSTED ON THE dOB SITE.
3. Mechanical Desiens—Cotnplete calculations,details and specifications are required for each
heating, ventilation,huinidification-dehumiclificarion,and air conditioning installation including
heat lossil�eat gain ealculation,design temperatures,equipment ratings and identification as to
type,manufacturer and model. Data shall be presented on fo�m provided.
4. When any nevt•construction or remodeling is involved,a separate building perniit must be
obtained.
5. All work must be done in accordance with the iJniform Mechanical Code,-State Building Code
requirements.
6. All work must be inspected(rough-in and final). Call (952) 249-4600.
(24-48 hou�•notice required)
7. 1 Touse Heating Test Record must be submitted hefore final.
TYPE OF PERMIT
(Check All That A 1
�esidential ❑ Commercial(Approval Required)
[✓�New ❑ Additional ❑ Repairs ❑ Replace
Job Site/Owner Information:
Site Address: ,o��V L�"l��J i�� �"(� /J(�
O�vner: Mailing Address:
City: Zip:
Home Phone: Alternate Phone:
Contractor Information:
Contractor: /l�AS�2 �v�rS ���2,5 Contact Person: 0� ��z/C Ci!/��
Address: State Bond#: /�� � � 7�
MastQr Gas Fkters, Inc.
Ciry: 2242�ennifer Lane Zip: Expiration Date: � o�o i
Nort . au , 5510�—
Phone: �,�/– ���.�6� Alternate Phone: '�
� Insurance– Current: �� ,6t�2��q-r�
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`�.�s�y�!4 jfif�)C�;�,X�i; j,y r�sj _ ,� .,
�i�
� Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official.
IS THIS GEOTHERMAL? ❑Yes ❑No
AEATING SYSTEMS
Quantity:
Make:
Model:
Fuel:
Flue Size:
lnput BTUs:
Output BTLJs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H.Power
FIREPLACES
� Gas Factory Fireplace Brand Name: � /`� �Gl�,�J
❑ Wood Burning Fireplace
❑ Wood Stove Model No.: ����ir►� �'30
❑ Wood Stove with Flue/Masonry �/��/
VENTILATION
❑ No. Kitchen E�aust duct recirculating cfin
❑ No. Bath E�chaust(must have duct outside) cfm
❑ No. Other Fans: Locarions cfin
FUEL STORAGE (Must be approved by Fire�ilarshall if proposing to abandon tank in plac�)
❑ Installation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑lnside ❑OuLside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill ❑ Other/List What&Where:
�
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1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00)
3?�a � x .0125$ �� �
(contract price) (minimnm 550.00)
2. STATE SURCHARGE /
,3�� � x.0005 $ ! • ��
(contract price)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
�� ��
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) S •
■ * CONTRACT PR10E or JOB COST means the actual or esrimated dollaz amount charged for the
pennitted work including materials, labor,profit, and other fixed costs. lt is the amount to be charged
to the customer for the work done. lf any material,equipment,labor or installations are furnished by the
owner, tenairt 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.
�s�,�.�;�;37�� r�' �? c�u =� � �, ;,, ,�
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T'he 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: O�►tii � � Date: ���/�'�
�
� l.�
�P/` DATE lUM'E
CITY OF ORONO CALLED IN
INSPECTION NOTICE ,�,� SCHEDULED �(D
PERMIT NO.����D'l� ��OMPLETED
ADDRESS � ��-� ��V I FF'L�'�.
OWNER TELEP ONE NO.�'�� �`��� ���
CONTRACTOR -
� DESCRIPTION �`� � � � `� �l �1 a I
� ❑ FOOTING ❑ DEMO-FINAL � C� 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
_ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
J ❑ DEMO-SITE EPTIC INSTALL
2 OWNERICONTRACTOR TO MEET YOU: YES_NO
v�, COMMENTS:
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W�NORK SATISFACTORY:PROCEED O PROJECT COMPLEfE
�Y �
W � ORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR
❑CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
�all for the next inspecti�hours in advance. (g52) 249-4600
ntractor on site: `�S
Inspector. �F'�'
White Copyllnspector's File Canary CopylSfte Notice