HomeMy WebLinkAbout2013-00474 - gas fireplace * CITY OF ORONO * 2 0 1 3 - 0 0 4 7 4 *
2750 KELLEY PARKWAY DATE ISSUED: 06/10/2013
" ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 1545 MAPLE PL
PIN : 08-117-23-33-0029
LEGAL DESC : CRYSTAL BAY VIEW
: LOT 007 BLOCK 006
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIREPLACE-GAS
VALUATION : $ 1,150.00
NOTE: 1 LENNOX H7516 GAS FP
APPLICANT MECHANICAL 50.00
GLOWING HEARTH AND HOME STATE SURCHARGE MECH(VALUATION) 0.57
100 ELDORADO DRIVE
JORDAN,MN 55352 MAIL-IN FEE 2.01
(952)495-2927 TOTAL 52.58
OWNER
Maple Place LLC
550 25TH AVE N
ST.CLOUD,MN 56303-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be perfortned according to
the approved plans 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 sepazate
permiu. 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 cause.
/ / / /
Applicant Permitee Signature Date Issued By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
FOR CITY USE ONLY
' �O ` O City of Orono
I�F P.O.Box 66 Date Received: Permit#
, 2750 Kelley Parkway
Crystal Bay,MN 55323 Approvcd By: Amount$:
Phone(952)249-4600 Fax(952)249-4616
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<.��.�S�p�,�`'' CITY OF ORONO-MECHANICAL PERMIT
(All Commercial permits must bc approved by U�e Building Oflicial or Inspector and/or Fire Marshall)
GENERAL INFORMATION
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
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,manufacturer and model. Data snall 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)
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New ❑ Additional ❑ Repairs ❑ Replace
Job Site/Owner Information:
Site Address: s �` ���
Owner:�\�c�-�'1-��� },,�rnQ,� Mailing Address: T �%
City: �,�(�.{�Yl�..-. Zip: _-C,�_���5 �
Home Phone:�� �Y� Alternate Phone:
Contractor Information:
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Contractor: �rl � on t Person: ��YVt J�� r�-�'�
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Address: l � tate Bond#: � �����E-D
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City: � Zip;��j��Expiration Date: ~ ` �
Phone: g:>�-�1�-��/���.C� Alternate Phone:
Insurance-Current:
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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 BTL1s:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H. Power
FIREPLACES
� Gas Factory Fireplace Brand Name: ��� `
� ❑ Wood Burning Fireplace
❑ Wood Stove Model No.:
❑ Wood Stove with Flue/Masonry
VENTILATION
❑ No. Kitchen Exhaust duct recirculating cfin
❑ No. Bath Exhaust(must have duct outside) cfin
❑ No. Other Fans: Locations cfin
FUEL STORAGE (Must be approved by Fire Marsha[Z if proposing to abandon tank in p[ace.)
❑ Installation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑ Inside ❑ Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill ❑ Other/List What&Where:
2
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���� PERMIT F�E CALCULATION(S) �`�� ��
�� BASED aFT - 200'?�����STATE STATUE
❑ 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;excludin�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 $
. . ����� _��`�:���:ALCULA'�� :,... �:���s R�500.Ot��.M
If above does not apply; follow guidelines below:
l. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00)
�� , � X .0125 $ 5�� �
�(contract price) (minimum$50.00)
2. STATE SURCHARGE r/� �'j-�� / S
/ � �� �/(�' x.0005 $ �
(contract price)
3. POSTAGE& HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ v �� `' �
■ * 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. ]f 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. ln 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.
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The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do ali
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: Date: �/"` � �`�'
3
�r� `� DATE TIME �
CITY OF ORONO CALLED IN � /�/3
INSPECTION NOTICE (/ SCHEDULED �p -� �—
PERMIT NO. U�d/3-/�'l1�L77' COMPLETED
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ADDRESS � --5
OWNER _ TELEP ONE NO. S�^� �����
CONTRACTOR G�
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�, DESCRIPTION
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� ❑ FOOTING ❑ PLUM FINAL ❑ EXCAV ADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
O O TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� �IORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
OwnerlContractor on site:
Inspector. ,'�� �
White Copy/lnspector's File Canary Copy/Site Notice
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
PERMIT N0.��3 U�17�f COMPLETED - �� 6
ADDRESS /S�j5` /'l�a�/G ��.
OWNER TELEPHONE NO.
CONTRACTOR �G w�;s f�c4,rtk -�-�{o r.tQ
� DESCRIPTION ���L 6`tS r• P
t1� ❑ 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
J ❑ FINAL ❑ WATER HOOK-UP ,,�F6LLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNER/CONTRACTOR TO MEET YOU:_YES_NO
c�.� COMMENTS:
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W� ❑WORKSATISFACTORY:PROCEED �ce$QJECT COMPLETE
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WlLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTIONREWIRED.CALLTOARRANGEACCESS.
Call forthe next inspection 2a hours in advance. (g52) 249-4600
OwnerlContractor on site:
Inspector: /� �
White Copyllnspector's Ffle Canary CopylSite Notiee