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.
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" ` � 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.
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�Residential ❑Commercial(Approval Required)
�New ❑Additional ❑Repairs ❑Replace
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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 �
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� 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:
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� 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