HomeMy WebLinkAbout2013-00574 - gas fireplace l
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CITY OF ORONO * 2 0 1 3 - 0 0 5 7 4 *
2750 KELLEY PARKWAY DATE ISSUED: 06/26/2013
ORONO,MN 55356-
(952)249-4600 FAX: (952) 249-4616 -
ADDRESS : 1535 MINNIE AVE
PIN : 08-117-23-33-0065
LEGAL DESC : HICKORY HILL
: LOT 005 BLOCK 000
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
Landscource LLC
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 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 consWction 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 caus .
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Applicant ermitee Signature Date Is d By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
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� City of Or� ��'�� d�d��l�,�� J t
� �/� P.O.Box 66 '� ; �.!��
V 2750 Kelley Par���� f�A��
Crystal Bay,MN ��
Phone(952)249-4600 Fax(952)249�616
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t.� �.G CITY OF ORONO—MECHANICAL PERMIT
���d� (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 cazds 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 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,manur"acturer and modei. Data snail 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.
�Residential ❑Commercial(Approval Required)
�New ❑Additional ❑Repairs ❑Replace
Site Address: �� �n/'2 C�Q-
Owner`-�P�-h �OY�� �S Mailing Address: � /
c�ri: �' �'t� z�p: .��3�`7
Home Phone:�S%Z���~`3��� Alternate Phone:
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Contractor: � � ��.�d'G ontact Person: ��'�
Address: � � �I�State Bond#: ���J����
�/ �City: � Zip:��xpiration Date: � �
Phone: �����`�����-7� Alternate Phone:
Insurance–Current: ((�j — 1? Y
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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 BTLJs: _.._ .
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H.Power
FIREPLACES
� Gas Factory Fireplace Brand Name: WL
Wood Burning Fireplace 4
❑ Wood Stove Model No.: � � L�7 I �
❑ Wood Stove with Flue/Masonry
YENTILATION
❑ No. Kitchen E�chaust duct recirculating cfin
❑ No. Bath Exhaust(must have duct outside) cfin
❑ No. Other Fans: Locations ��►
FUEL STORAGE (Must be approved by Fire Marshall if proposing to abandon tank in plac�)
❑ Installation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside
LP Gas: gallons
Other:
GAS LINE ONLY ��.J � �-�Q4^S
r
❑ Outdoor Grill ❑ Other/List What&Where:
2
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❑ Yes,this section applies
The replacement of a Residential fixture or appliance that meets all three of the following requirements:
1. Dces 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 Surcharge $ 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)
��V�r VV X.�12$$ f ��
(contract price) ( imum SS0.00)
, 2. STATE SURCHARGE r�r^ `/
� __.ll v lJ r c� X.0��5 $ , �`J
(contract price)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
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4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $�`�C � ��
• * 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 fumished 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
conect.
Applicant's Signature: Date: "' �-� ��
3
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CIn OF ORONO CALLED IN ? ��� �3
INSPECTION OTICE SCHEDULED -1� �i�
PERMIT NO. �� OMPLEjED
ADDRESS ��� �,/�il�
OWNER T PHONE O. � � " �
CONTRACTOR �
� DESCRIPTION '" � `
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� ❑ FOOTING ❑ PLU G FINAL EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI � LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. O FOLLOW-UP
_ ❑ DEMO-FINAL O SEPTIC INSTALL O HARD COVER REMOVAL
J ❑ PLUMBING RI � SEPTIC FINAL ❑ FOUNDATION/REMOVAL
2 OWNERICONTAACTOR TO MEET YOU:_YES_NO
c�., COMMENTS:
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W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE
� ❑CORRECT WORK 8.PROCEED O ISSUE CERTIFICATE OF OCCUPANCY
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O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECWERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALLTOARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. (g52) 249-4600
OwnerlContractor on site:
1 ,
Inspector. ��
White Copyllnspector's File Canary CopylSite Notice
� � � DATE TIME V
CITY OF ORONO CALLED w �/ ��
INSPECTION NOTICE SCHEDULED � �
PERMIT NO�d�.�+-���� PLETED
ADDRESS �
OWNER EPHONE N�S -3�3-���
CONTRACTOR
>; DESCRIPTION J�� �v��
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� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
� ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
Z OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS: � 1
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GW�4f�RK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WlLL RETURN
O STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Cail for the next inspection 24 hours in advance. �95Z� Z49-46�0
OwnerlContractor on sit •
Inspector. �
White Copyllnspector's File Canary CopylSite Notice