HomeMy WebLinkAbout2012-00292 - gas fireplace ' ' CITY OF ORONO * 2 0 1 z - 0 0 z 9 z *
2750 KELLEY PARKWAY . nA'rE�ssuEn: 04/18/2012
ORONO,MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS : 1453 PARK DR
PIN : 07-117-23-42-0022
LEGAL DESC : SAGA HILL REVISED
: LOT 009 BLOCK 015
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRLTCTION TYPE : FIREPLACE-GAS
VALUATION : $ 2,000.00
NOTE: GAS FIREPLACE-HEAT-N-GLO
GASLINE FROM FURNACE TO FIREPLACE
APPLICANT MECHANICAL 50.00
KAVENEY,PATRICK STATE SURCHARGE MECH(VALUATION) 1.00
1453 PARK DRIVE TOTAL 51.00
MOUND,MN 55364
OWNER
KAVENEY,PATRICK
1453 PARK DRIVE
MOiJND,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 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 a plicant is responsible for assuring all required inspections aze
req st in conformance with the State Building Code.This permit may be �
f r due cause.
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Applicant Permitee Signature Date Iss d y Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
FOR CITY USE ONLY
O4 O City of Orono
P.O.Box 66 Date Received: Permit t�
v, ,, 2750 Kelley Parkway
� ,1��'��r !� Crystal Bay,MN 55323 Approved By: Amount$:
���o� Phone(952)249-4600 Fax(952)249-4616
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 Desians—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.
(24-48 hour notice required)
7. House Heating Test Record must be submitted before final.
TYPE OF PERMIT
Check All That A 1
0 Residential ❑Commercial(Approval Required)
0 New ❑Additional ❑ Repairs ❑Replace
Job Site/Owner Information:
s�te Aaaress: 1453 Park Drive, Orono 55364
oWner: Patrick Kaveney Ma;l;,,g Adaress: �453 Park Drive
c;�,: Orono Z;p: 55364
Home Phone: �952� 250-5770 Alternate Phone:
Contractor Information:
Contractor: OWneC Contact Person: PatYIC�C
Address: State Bond#:
City: Zip: Expiration Date:
Phone: Alternate Phone:
❑ Insurance—Current:
1
Note:All Geothermal Systems will now require a Site Plan&Review by our Building Official.
IS THIS GEOTHERMAL? ❑ Yes 0 No
HEATING SYSTEMS
Quantity:
Make:
Model:
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H.Power
FIREPLACES
0 Gas Factory Fireplace Brand Name:
Heat-n-Glow
❑ Wood Burning Fireplace
❑ Wood Stove Model No.:
❑ Wood Stove with Flue/Masonry
VENTTLATION
❑ No. Kitchen Exhaust duct recirculating cfm
❑ No. Bath Exhaust(must have duct outside) cfin
❑ No. Other Fans: Locations cfin
FUEL STORAGE (Must be approved by Fire Marshall if proposing 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:
Furnace to fireplace
2
PERMIT FEE CALCULATION(S)
BASED OFF - 2002 STATE STATUE
❑ Yes,this section applies
The replacement of a Residential fixture or ap�liance 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;excludinQ 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 $ l 5.00
State Surcharge $ 5.00
Mail-In Fee(If Applicable) $ 2.00
Total Permit Fee $
PERMIT FEE CALCULATION S -JOBS OVER $500.00
If above does not apply;follow guidelines below:
1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00)
2,000.00 X .o12s $ 50.00
(contract price) (minimum$50.00)
2. STATE SURCHARGE Z,OOO.00 �O.00
x.0005 $
(contract price)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $62.00
■ * 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 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.
MECHANICAL PERMIT APPLICATION AGREEMENT
The undersigned hereby applies to the City for issuance of a Mechanica] 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.
:
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Applicant's Signature: Date:
Reset Form
3
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� ❑ FOOTING ❑ PLUMBING FINA ❑ EXCAV/GRADING/FILLING
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Q ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
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? ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J �RI ❑ SEP�FINAL ❑ FOUNDATIOWREMOVAL
� OWN RACTOR TO MEET YOU: YES_NO
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iNSPECTOR WFLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (g52) 249-4600
Owner►Contra r on
Inspector.
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DATE TIME
CITY OF ORONO CALLED IN `7 //�
INSPECTION NOTICE SCHEDULED �r/ �f:.� 9- ��,�„
PERMIT NO. :�D�t�"�U��OMPLETED
ADDRESS � �l `� 3 ��--r,� � �
OWNER TELEPHONE O. s�-a5v 57��
CONTRACTOR �7�7'-/C�. �I��h�
>; DESCRIPTION f�--mb �j�j-7� �
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� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
� ❑ FRAMING ❑ MECHANICAL FINAL
O ❑ 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 ❑ SEP IC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SERI�IC FINAL ❑ FOUNDATION/REMOVAL
� OWNEH/CIINTRACTOR TO MEET YOU:��YES_NO
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W ❑WORK SATISFACTORY:PROCEED ROJECT COMPLETE
WL'�'�9RRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILI RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-46��
OwnerlContractor on sit
Inspector. �-�
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