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HomeMy WebLinkAbout2016-00783 - gas fireplace , . ; CITY OF ORONO * 2 0 1 6 — 0 0 7 8 3 * 2750 KELLEY PARKWAY DATE ISSUED: 07/07/2016 ORONO,MN 55356- (952)249-4600 FAX: (952)249-4616 ADDRESS : 3438 LYRIC AVE PIN : 17-117-23-43-0077 LEGAL DESC : NAVARRE HEIGHTS : LOT 023 BLOCK 005 PERMIT TYPE : IVIECHANICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 1,275.00 NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. HEAT&GLO GAS FIREPLACE APPLICANT MECHANICAL 50.00 STATE SURCHARGE MECH(VALUATION) 0.64 GLOWING HEARTH AND HOME MAIL-IN FEE 2.00 100 ELDORADO DRIVE JORDAN,MN 55352 TOTAL 52.64 (952)495-2927 Payment(s) CHECK 23268 52.64 OWNER Landsource LLC KOHOUT,JAMISON 550 25TH AVE N ST CLOUD,MN 56303- 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 dces not grant permission for additional or related work which requires separate permits. All provisions of Iaws 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 are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. `�'l.(�a,�e� � 7 � � �/� Applicant Permitee Signature Date Issued By 'gnature Date C � R CIT USE ONLY O City of Orono / �� �/� �J � � P.O.Box 66 Date Recei / Permit t�l� / � � 2750 Kelley Parkway / _ Crystal Bay,MN 55323 Approved By: Amount$:�a, (L Phone(952)249-4600 Fax(952)249-4616 � � ��.�k�.s�o��.�' CITY OF ORONO—MECHANICAL PERMIT (All Commercial pennits must be approved by the Building Official or Inspector and/or Fire Marshall) GENERAL iNFORMATION ECEIVED 1. You may apply for mechanical permits by mail or in person at the City offices. Applications wiI�UL O 7 ���� 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 CITY OF ORONO PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Desiens—Complete calculations,details and specifications are required for each heating,ventilation,humidification-dehumidification,and air conditioning installation including heat loss/heat gain calculation,design temperatures,equipmcnt 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. TYPE OF PERMIT Check All That A 1 ) Residential ❑Commercial (Approval Required) [Backflow Device: ❑ AVB ❑PVB] New ❑Additional ❑ Repairs ❑ Replace Job Site /Owner Information: Site Address: � T� l._— I � � � ��,(� Owner: _ !�� � � . ai �ng Address: �� � �' '�-Y� �� �� City: ���1 'Uf��V I � n Zip: �s�3� � Home Phone: Alternate Phone: ���— I � � ��� ? Contractor [nformation: �-, . , ContractoA��(�% � Contact Person: Y1 t�� Address: � � ��LFLX� �� State Bond #: � � � �5�7 � City: � C�- Zip�s���xpiration Date: �-- 1�U L l, Phone: `��� —��!�-� ��7� Alternate Phone: � Insurance—Current: �� �Z (S '�� �Z��� , � 1 �`;�I�iICAL S�`�TE���'�EING INSTALLED 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: ���� ��G Wood Burning Fireplace �f , �7--j��/f _ %�/�� ❑ Wood Stove Model No.: �� 7 J�J ��— � ❑ Wood Stove with Flue/Masonry VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfm ❑ No. Bath Exhaust(must have duct outside) cfin ❑ No. Other Fans: Locations cfm FUEL STORAGE (Must be approved by Fire Marshall iJproposing 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 M , PERMIT FEE CALCULATIONS 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) � (�,�� • � x .0125 $ �/�� (contract price) (minimum�50.00) 2. STATE SURCHARGE I��7 5� � X.000s $ � C.P (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ , r � ■ * 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. MECHANiCAL PERMIT APPLICATION AGREEMENT 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 stat ments made on this application are complete,true and correct. Applicant's Signature: Date: � � 3 f TIME CITY OF ORONO cnLLED IN � - INSPECTIO�r..y�.l E /Qjry 9 SCHEDULED �— �� PERMfT NCl3Q�� �����0 COMP D ADDRESS OWNER � T HONE O. � '"���� 9 CONTRACTOR � DESCRIPTION a-� 4~j ❑ FOOTING ❑ DEMO-FI AL S FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL 2 ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLAC� ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ v ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 O'WNEWCONTiiACTOR TO MEEf Y�OU:_YE3_NO h COMMENTS: � v�,��,�i� . c��f4�� - z� -- � — na �� �,� � � ��s �.�� � ° _����� �o br �� C��� - 0 W 0C Q z Gp/✓�GL` � �},�C Gd,rr � W OC , O W� ❑NlORK SATISFACTORY:PROCEED ❑PROJECT COMPLETE ,�CORRECT W'ORK 3 PROCEED ❑ISSUE CERTIFlCATE OF OCCUPANCY 0 vO CORRECT NfORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOMERING PERMANENT ❑C�RRECT UNSAFE CONDITION WITHIN HOURS. p pHpTO TAKEN INSPECTOR YVILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED O INSPECTION REW IRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952 j 249-46�0 OwnerlContractor on site: �nspector: S�, ,;,,,-7�� VYhite CopyAnspecto�'s File Canary CopylSite Noriee [��I � I�` l/ C � DA TIME CITY OF ORONO CALLED IN - Q' INSPECTION OTICE SCHEDULED PERMff N O -�7� COMPLETED ADDRESS ���� OWNER T LEPHONE NO. CONTRACTOR � � DESCRIPTION v ��"-"` �� ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ 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 � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL v ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICONTIiACTOR TO MEET YiOU:_YES_NO , � COMMENTS: ���T.,S �'�G /��/�l�C� � /�Es��r� ��l 9 - a`Z y'-!.� k�l s•�� - -- j �— � - o �:��� � � °° I�(/DrK C6N�lJl�c �c'r S/JeG 5 W � Q � • W � �lrw�� .�js9�E`�dL � j W ❑WORK SATISFACTORY:PROCEED �QJECT COMPLETE � ❑CORRECT W'ORK 3 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CONERING PERMANENT ❑CORRECTUNSAFECONDITIONWRHIN HOURS. ❑pHOTOTAKEN INSPECTOR WFLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTIONREWIRED.CALLTOARRANGEACCESS. Call for the next inspection 24 hours in advance. (g52) 249-46�0 OwnerlContractor on e: Inspector: ��"v White Copyllnspector's File C�nary CopylSHe Notice