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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 �� � 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. ����. � �����'�������' �_�,�_ $� ' �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 ���'� ( 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�/�� 1 r • 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: 2 r ��� � � ��� . � � �� � �-�E3�-�- , � ������ ���� �� - - � ����- � ���- i C����"� � � � � z �- � � ��� _ �� �v �� ����� �� � � � _ �.� P �0 NT�� '� � � � ❑ 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: � �� �� 3 � ' � �� 9ATE TIME v 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: � W 4 � � O � �. � /g-� "��, ��� o -� � W � Q � Z W � W � � 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�� �4��,�L inso��a:.. � ��'- L -13-i3 - o� o , � � � �/�'1� A?Od0 k�l �?ec.+�{ • �'/ili� wJO�te - o a_ a7`4 _ . W R Q 2 T/j.,S ��✓r.�t.L �K�t�eaOk.y /NGi.�. �0�� �Crrt.� � � ', �� - ��L tS�'l �- i?�`"�7 •._ � � J � ❑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