HomeMy WebLinkAbout2009-00735 - gas fireplace .
CITY OF ORONO PERMIT NO.: 2009-00735
2750 KELLEY PARKWAY
� ORONO,MN 55356- DATE ISSUED: 10/20/2009
952 249-4600 FAX: 952 249-4616
ADDRESS : 1135 NORTH ARM DR
PIN : 07-117-23-14-0064
LEGAL DESC : SKARP&LINDQUISTS FERNHILL LA
: LOT 000 BLOCK 000
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIREPLACE-GAS
VALUATION : $ 3,426.00
NOTE: 1 KOZY HEAT MODEL 936 GAS FP
APPLICANT MECHANICAL 50.00
GLOWING HEARTH AND HOME STATE SURCHARGE MECH(VALUATION) 1.71
100 ELDORADO DRIVE
JORDAN,MN 55352 MAIL-IN FEE 2.00
(952)495-2927 MISC FEE 0.00
TOTAL 53.71
OWNER
MEERKINS,C WEILER&R
1137 NORTH ARM DR
MOLJND,MN 55364
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 does
not grant permission for additional or related work which requires sepazate
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.
1'he applicant is responsible for assuring all required inspections aze
requested in conformance with the 9tate Building Code.This permit may be
revoked at any time for due�ause.
����C.G.t� Lr` l l l l
Applicant Permitee Signature Date Issued BySi ture Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER N DESCRIBED A VE.
FOR CITY USE ONLY
, � �,�D�,O City of Orono
P.O.Box 66 Date Receivedt Pernvt#
� 2750 Kelley Parkway
3 � `;�� Crystal Bay,MN 55323 Approved By: .Amount$:
'�� (952)249-4600
CITY OF ORONO—MECHANICAL PERMIT
(All Commercial permits must be approved by the Building Official 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 ga�n calculation;design temperatures,eq�sipment ratings and ideniificaticrn 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 fmal). Call(952)249-4600.
(24-48 hour notice required)
7. House Heating Test Record must be submitted before final.
TYPE UF PERMIT
Ghec1�AtI That A 1 '
0 Residential �Commercial(Approval Required)
❑ New ❑Additional � Repairs 0 Replace
rt�b Site I Owner Infor�natian; '
Site Address: 1135 NORTH ARM DRIVE
Owner: CLAUS WEILER Mailing Address: 1135 NORTH ARM DR
City: ORONO Zlp; 55364
Home Phone: �952)215-9351 Alternate Phone:
Contractor Tnformation:
Contractor: GLOWING HEARTH & HOW�F Contact Person: ANNETTE WILLIAMS
Address: 100 ELDORADO DR State Bond#: 41 BSBAE 8641
City: JORDAN Zip: 55352 Expiration Date: 02/15/10
Phone: (952)492-9276 Alternate Phone:
✓❑ Insurance—Current: 10/22/10
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 BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantiry:
Make:
Model:
Tons:
H.Power
FIREPLACES
� Gas Factory Fireplace Brand Name: KOZY HEAT
❑ Wood Burning Fireplace
� Wood Stove Model No.: 936
❑ Wood Stove With Flue
VENTILATION
❑ No. Kitchen E�chaust duct recirculating cfin
❑ No. Bath Exhaust(must have duct outside) cfin
� No. Other Fans: Locations cfin
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
.
❑ 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 $ .50
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$50.00)
3,426.00 x.0125$ 50.00
(contract price) (minimum$50.00)
2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50)
3,426.00 x.0005 $ 1.71
(contract price) (minimum$ .50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ 53.71
■ * CONTRACT PRICE or JOB COST means the actual ar estimated dollar amount charged far 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.
■ ** I'he STATE SURCHARGE is.0005 of the Building Department at(952)249-4600 for the price.
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
correct.
Applicant's Signature: Date: �� O�
3
� D TIME
CITY OF ORONO CALLED IN `l`
INSPECTION OTI E�73� SCHEDULED /l�o�9 :
PERMIT NO DO COMPLETED
ADDRESS �S �Y
OWNER NTR.
TELEPHONE NO. SZ'Z�S q�S�
� DESCRIPTION r"� � ` `�r L�/yl.P l�ri¢dZJJra2
� ❑ FOOTING � MECHANICAL RI ❑ EXCAV/GRAOING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORENVETLANDS
y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE
O ❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
"� ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
_ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
v�, COMMENTS:
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W�/��nIORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
W ❑ OC RRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY
V BEFORE CONERING PERMANENT
O CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WlLL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECT�ON REQUIRED.CALLTO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. (g52) 249-4600
OwnedContractor on ite:
Inspector. � �
White Copyllnspector's File Canary Copy/Site Notice