HomeMy WebLinkAbout2013-00478 - gas fireplace CITY OF ORONO * 2 0 1 3 - 0 0 4 7 B *
� � 2750 KELLEY PARKWAY DATE ISSUED: OC�1]/2013
ORONO,MN 55356-
(952) 249-4600 FAX: (952)249-4616
ADDRESS : 2789 PHEASANT RD
PIN : 21-117-23-32-0005
LEGAL DESC : REG.LAND SURVEY NO.0310
: LOT 000 BLOCK 000
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIREPLACE-GAS
VALUATION : $ 15,000.00
NOTE: 3 GAS FIREPLACES
2 WOODBURNING FP
APPLICANT MECHANICAL 187.50
GLOWING HEARTH AND HOME STATE SURCHARGE MECH(VALUATION) 7.50
100 ELDORADO DRIVE
JORDAN,MN 55352 - MAIL-IN FEE 2.00
(952)495-2927 TOTAL 197.00
OWNER
TEYNOR,GAIL&JOSEPH
13225 CARDINAL CREEK RD
EDEN PRAIRIE,MN 55346-
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 I80 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.
� I�CI'X'T�"C�S���'
�O�rO City of Orono .
�r P.O.Box 66 i�T�eceiv�: l�c�'# , ,
2750 Kelley Pazkway
Crystai Bay,MN 55323 Appravod$y: , Amount�:
Phone(952)249-4600 Fax(952)249-4616
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1.�,��������' CITY OF ORONO-MECHANICAL PERMIT
(All Commercial permits must be approved by the Building Official or Inspector and/or Fire MarshalQ
C",�rE�E�AL UR.I�IAfiIC}2+T
1. You may apply for mechanical permits by mail or in person at the City offices. Applications will
be reviewed and a permit will be issued within two working days.
2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT
VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Mechanical Designs—Complete calculations,details and specifications are required for each
heating,ventilation,humidification-dehumidification,and air conditioning installation including
heat loss/heat gain calculation,design temperatures,equipment ratings and identification as to
type,manufacturer and model. Data shall be presented on form provided.
4. When any new construction or remodeling is involved,a separate building permit must be
obtained.
5. All work must be done in accordance with the Uniform Mechanical Code/State Building Code
requirements.
6. All work must be inspected(rough-in and final). Call(952)249-4600.
(24-48 hour notice required)
7. House Heating Test Record must be submitted before final.
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$� ' �h�+ek��'�`l�at A 1
�Residential ❑Commercial(Approval Required)
❑ New ❑Additional ❑ Repairs ❑Replace
Job Site/U ' Infarm�.ti�n:
Site Address: �
Owner: �1�.(� ' �� Mailing Address: � I�V ���'�
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c�Ty: 'ltir��� z�p: 6S3 D
Home Phone: �j S� �11��5�� Alternate Phone:
�c�ntractt�r i ' rmation: '
Contractor: ��l �r1 � �F/�Person: � � �/l•ci'k-���
Address: � ,�(/State Bond#: ��,� ��v l �C.P
City: IT Zip:�xpiration Date: a' ��D ��
Phone: �S�-Y�r� -QI r�-7(I� Alternate Phone:
Insurance-Current: /� �o�--- �v�/��
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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 B1'LJs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H.Power
FIREPLACES C,,�✓v"
��.
s�3 Gas Factory Fireplace �� Brand Name: ��T � ��
Wood Burning Fireplace 5`P�- /�, I /,, ���'�
❑ Wood Stove �����5 Model No.: ��.U���Y �
❑ Wood Stove with Flue/Mas
VENTILATION
❑ No. Kitchen Exhaust duct recirculating cfin
❑ No. Bath E}chaust(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:
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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. 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 neat 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$50.00)
i � x.0125$ �O��S�
( ontract price) (minimum$50.00)
2. STATE SURCHARGE ��1 o�y� fq�`-� ��o
(! VV x.0005 $
(contract price)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ���� �
■ * 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.
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.
ApplicanYs Signature: Date: � �� ��
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CITY OF ORONO c —/Z"
INSPECTION OTICE SCHEDULED '13-/3 �
PERMITNO. ������7� C PLETED
ADDRESS ��lJ / ���/���L�" /�
OWNER • T EPHONE NO� -� ����
CONTRACTOR � ��- �`
>; DESCRIPTION ? r � �� _ ��
ly ❑ FOOTING ❑ PLU BING FINAL ❑ EXCAV/GRADING/FILLING
� ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
�
O ❑ FRAMING ❑ MECHANICAL FINAL ❑ 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. ❑ FO�LOW-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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GW O�RK SATlSFACTORY:PROCEED ❑ PROJECT COMPLETE
� ❑CORRECT WORK 8�PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CAL�INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-46��
Owner/Contractor on site:
Inspector. �.,� ,�' �!�"1'�
White Copyllnspector's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
PERMIT NO�;��-�-�1� COMPLETED �"�a �.cs`"
ADDRESS�7R? �i��tdsit �/p�
OWNER TELEPHONE NO.
CONTRACTOR ����� �����- 'F�Q"��-
� DESCRIPTION ��5 F/�`
4~j ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
Vj ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
v ❑ WATER NOOK-UP �OLLOW-UP
_ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL
v ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL
2 OWNERICONTRACTOti TO MEET YOU:_YES_NO ,
� COMMENTS: /"�.��+s;t /felcO�.� �.le� � C�/l�i��
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� ❑4YORK SATISFACTORI".PROCEED ROJECT COMPLETE
W ❑CORRECT W'ORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOYERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pHOTO TAKEN
INSPECTOR WILI RETURN ❑CITATION ISSUED
O STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
OwnedContractor on site:
Inspector:
e CopyAnspector's File Canary CopylSite Notice