HomeMy WebLinkAbout2017-00996 - gas fireplace .� CITY OF ORONO * Z 0 1 7 - 0 0 9 9 6 *
' 2750 KELLEY PARKWAY DATE ISSUED: 08/22/2017
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 880 PARTENWOOD RD
PIN : OS-117-23-43-0001
LEGAL DESC : PARTENWOOD
: LOT 006 BLOCK 001
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIREPLACE-GAS
VALUATION : $ 14,900.00
NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION.
2 GAS FIREPLACES
BRAND-ORTAL
BOTH ARE SET AND VENT
GASLINES BY OTHERS
APPLICANT MECHANICAL 186.25
STATE SURCHARGE MECH(VALUATION) 7.45
WOODLAND STOVES&FIREPLACES MAIL-IN FEE 2.00
2901 E.FRANKLIN AVE.
MINNEAPOLIS,MN 55403- TOTAL 195.70
(612)338-6606 Payment(s)
Minnesota State License#: mech-MB0003804 CHECK 49452 195.70
OWNER
GRAY,JERRY&CYNTHIA
880 PARTENWOOD RD
LONG LAKE,MN 55356-
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[he work described and does
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances governing 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 are
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
` � � ,��-i /`
Applicant ermitee Signature Date Issued By ature Date
��/9��'��D FOR CITY USE ONLY
City of Orono v
�O�O P.O.Box 66 Date Received: Pem�it#
°750 Kelley ParkwayAI'(�
Crystal Bay,MN 553'�3"" � •, ��� Approved By: Amoimt$:
Phone(952)249-4600 Fax(952)249-4616
��. G; C�TY OF ORONO
l.� ��,� C1TY OF ORONO-MECHANICAL PERMIT
�.,'tiE.s FI O
� � (All Commercial pennits must be approved by the Building Official or Inspector and/or Fire Marshall)
GENERAL 1NFORMATION
L 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 S1TE.
3. Mechanical Designs—Complete calculations,details and specifications are required for each
l�eating,ventilarion,humidification-dehumidification,and air conditioning installation including
heat loss/heat gain calculation,design temperahires,equipmFnt ratings and identification as to
type,manufacturer and model. Data shall be presented on fonn 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 nmst be submitted before final.
TYPE OF PERMIT
Check All That A 1 )
�Residential ❑Commercial(Approval Required) [Backflow Device: ❑AVB ❑ PVB]
❑ New ❑Additional ❑Repairs ❑Replace
Job Site/Owner Information:
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Site Address: �� � ��"�� t��� ��
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Owne� Mailing Address: �� . �-��t'1�'��f.� '
City: ��3'1� � Zip: �5 ��
Home Phone: C��'r �T�� �'����i Alternate Phone:
Contracto�iformation:
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Contractor��{,�'�P[ k� i - �� Contact Person:
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Address: % '�( � "rl���l State Bond#: ��� �-��
City: ���J Zip: ���/�(TExpiration Date: �� I�1 %�� .
Phone: (y�,�'�'`�evV� Alternate Phone:
❑ Insurance-Current: `�/��'' �� V��'/�t�
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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 BTUs:
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 cfm
❑ No. Bath Exhaust(must have duct outside) cfm
❑ No. Other Fans: Locations cfm
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:
2
Aug, 2�1�t11��.58AM ~ r No, 0464 P. 1
��es �'I�� �s
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Note:All Geothetmal Systems will now require a Site Plan&Review by ouY BuiIding Official.
ZS THIS GEOTHERMAL? ❑Yes ❑No
HEATING SYSTEMS
Quantity;
Make:
Model:
Fuel;
Fh►e Size:
Input BTUs'
Output BTUs'
CFM;
COOLING SYSTEMS
Quantity:
Make;
ModeL•
Tons:
H.Power __—
CES
� � Gas Factory�ireplace Brand N'ame:
c�'r�..(�- �1 11�
❑ Wood Surning Pireplace �� I�
❑ Wood 5tove Modei No.�
❑ Wood Stove with Flue/Masonry
'V�NTILATION
❑ No. �itchen Exhaust duct recirculating cfm
❑ No. Bath Exhaust(must have duct outaide) cfm
❑ No. Other�ans: Locations cfm
FUEL STORAG�'_(Must be approved by Fire Mnrshull if propasing to abandon tank in ploce.)
❑ Instellation ❑ Removal
Fuel Oil� gallons ❑ Underground ❑Tnside ❑Outside
LP Gas; gallons
Other;
GA5 TNE ONLY
❑ Outdvvr Grill Q Ocher/L� t What&vVhere�
�� �!�-�:-�� K� '.'_"/ [� �✓r �� 1���J �/'_'��
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1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00)
/�r���� C C1 x.0125 $ /�(.+�' ';�1 E7
(contract price) (minimum$50.00)
2. STATE SURCHARGE L� r7 �[
/�,« x.0005 $ /�`/�
contract price)
3. POSTAGE&HANDLING(Only on Mail-ln Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ��. ���
■ * CONTRACT PR10E or JOB COST means the actual or estimated dollar amount charged for the
permitted wark 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,labar or installations are fiirnished 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.
° MECHANICAL PERMIT APPLICATION AGREEME�'`
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�an t is application are complete,true and correct.
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Applicant's Signature: 7 Date: � ��D ��
3
C. l,Q �� ` /
DATE TIME V
CRY OF ORONO CALLED IN � �
INBPE�CTION NOTICE SCHEDULED
PERMR NO. � ' d co��n
ADDRESS �
OMINER TELEPHONE NO.��- 3� ' �
CONTRACTOR �����d ` l �77�U� . �D/� _ w�
�� DESCRIPTION .��Y, ��=1—'
❑ FOOTINCi ❑ DEMO-FINAL ❑ SEPTIC FINAL
� � POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
O ❑ FOUNDATION WATERPROOF ❑ PLUMBIN(i FINAL ❑TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
� ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNERIFIREPLACE ❑ COMPLAINT
� ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATIOWREMOVAL
_
r ❑ DEMO-SITE ❑ SEPTIC INSTALL
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W O WiORK SATISFACTOHY:PROCEED ❑PFiOJECT COMPLETE
� ��pRRECT y11pF�1C A PROCEED ❑ISSUE CERTIFICATE OF OOCURANCY
W
O O OOF�iECT WORK,CALL FOR REINSPECTION TEMPORARV
V BEFORE COVERINO PEqMANENT
❑C�ORRECT UNSAFE OONOITION WITHIN HOURS. ❑PHOTO TAKEN
INSPECTOR WILL RETURN
O STOP OFiDER POSTED.CALL INSPECTOR O dTATION 1.4SUED
p INSPECTION REOUIRED.CALL TO ARRANtiE ACCESS.
c��n���u no�,�m�►�,o.. (952) 249-4600
oMrr�Icomracta on site:
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