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HomeMy WebLinkAbout2013-00575 - gas fireplace � ` CITY OF ORONO * z 0 1 3 - 0 0 5 7 5 * 2750 KELLEY PARKWAY DATE ISSUED: 06/26/2013 ORONO,MN 55356- . (952) 249-4600 FAX: (952)249-4616 ADDRESS : 1579 MAPLE PL PIN : 08-117-23-33-0033 LEGAL DESC : CRYSTAL BAY VIEW : LOT O11 BLOCK 006 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 1,100.00 NOTE: LENNOX GAS FACTORY FIREPLACE APPLICANT MECHANICAL 50.00 GLOWING HEARTH AND HOME STATE SURCHARGE MECH(VALUATION) 0.55 100 ELDORADO DRIVE JORDAN,MN 55352 MAIL-IN FEE 2.00 (952)495-2927 TOTAL 52.55 OWNER Maple Place LLC 550 25TH AVE N ST.CLOUD,MN 56303- AGREEMENT AND SWORN STATEMENT The work for which this pertnit is issued shall be performed according to the approved plac�s 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 caS�e. __. �`����a.�°� � �?�.� /3 �v!Q,at. �2�� L3 Applicant Perm�tee Signature Date � Issu By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � � ������ II� q " ` � City of Orono . 'yl'! <�''$ 57s � �� P.O.Box 66 ,JUN 2 6 2013 ' " 2750 Kelley Pazkway � ��� � � ,� � Crystal Bay,MN 55323 �^ y ,� �� �� � r Phone(952)249-4600 ��9�16�N '.�,.�; � �x�8� ' r� . , `. ��t °~� CITY OF ORONO-MECHA1vICAL PERMIT ���5���� (All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall) 1. 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 PERNIIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Desi�ns—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,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. (2448 hour notice required) 7. House Heating Test Record must be submitted before final. � ��• � � � � �- � � ,' �� �s �.�'' '`�'��,�" �"`'. ��' �Residential ❑Commercial(Approval Required) �New ❑Additional ❑Repairs ❑Replace ��_ r ,� J S X --:���h �'�5� ���.� Site Address: IJ � Owner:i�1. -J �' `n� I`��/��`�-JMailing Address: � �� �, ��ty: ...��'l�� ti� Z�p: �55�s� Home Phone:-1 Sa2��I 3 - �I�� Alternate Phone: Contractor: �--� � ontact Person: ��� �L�LGf.� �I rD� �� /�� (� S�7 �� Address: �� l� �-��� State Bond#: � � 31 I City: � � Zip�j��xpiration Date: Phone: Vl,��-��-1�- '-(�-�� Alternate Phone: Insurance-Current: � �i/� � 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 BTiJs: Output BTUs: CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H.Power FIREPLACES Gas Factory Fireplace Brand Name: lX��n'D Wood Burning Fireplace ��— ,�� �, n`�� , L,l � Wood Stove Model No.: `��( �.ur �T(J Wood Stove with Flue/Masonry YENTILATION ❑ No. Kitchen Exhaust duct recirculating cfin ❑ No. Bath Exhaust(must have duct outside) cfm ❑ No. Other Fans: Locations ��► FUEL STORAGE (Must be approved by Fi�e Marsha[[if proposing to abandon tank in place.) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside LP Gas: gallons Other: GAS LINE ONLY � � f���L� ❑ Outdoor�nll ❑ Other/List What&Where: 2 ❑ Yes,this section applies The replacement of a Residential fixture or appliance that meets all three of the following requirements: 1. Does not require modification 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 section,if this applies; Cost of Permit $ 15.00 State Surchazge $ 5.00 - Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ If above does not apply;follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) �,��i x.0125$ ��V� (contract price) (minimum 550.00) 2. STATE SURCHARGE //°�/� ��} l v[/� V(i x.0005 $ ' �� (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $. Sa� �� ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollaz 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 mazket value of such items must be added to the estimated cost �r contract price for permit fee piuposes. In the event that there is a disp��te �n 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 conect. ApplicanYs Signature: Date: � �Sf 3 DATE TIME " CITY OF ORONO CALLED IN INSPECTION OTICE �SCHEDULED PERMIT NO. "� COMPLETED a" �--LG ADDRESS /S1 Q /Yl�/Q��Ce OWNER TELEPHONE NO. CONTRACTOR � � � i�� � DESCRIPTION �o�'-�•''�5 ���ty���� W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL � ❑ 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 ��L ❑ WATER HOOK-UP �'�OLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL v ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNEiYCONTMCTOR TO MEET YiOU:_YES_NO � COMMENT5: a o ��1�S .D��.,.�.�t- ��(� �/i'Jl�dr. � �1��- Dc�a,.:� ' �O Q Gd �ss�r¢� a�� !a-�'Z—,C3 � W W OC J � O WORK SATISFACTORY:PROCEED /�R6dE8�EOM PLETE W ❑CORRECT W'ORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOMERING PERMANENT ❑CORRECT UNSAFE CONDITiON WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cal1 forthe next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor on site: Inspector: �����--' � White CopyAnspecto�'s File Cenary CopylSite Notiee