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Home My WebLink About2017-00157 - gas fireplace CITY OF ORONO * z 0 1 7 - 0 0 1 5 7 * , � 2750 KELLEY PARKWAY DATE ISSUED: 02/2U2017 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2800 SHADYWOOD RD P[N : 21-117-23-13-0023 LEGAL DESC : REG. LAND SURVEY NO. 1196 : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 3,000.00 NOTE: ALL TESTWG REPORTS SHALL BE ON SITE AT FINAL INSPECTION. GAS FACTORY FIREPLACE-HEATILATOR APPLICANT MECHANICAL 50.00 STATE SURCHARGE MECH(VALUATION) 1.50 GLOWING HEARTH AND HOME MAIL-IN FEE 2.00 100 ELDORADO DRIVE JORDAN, MN 55352 TOTAL 53.50 (952)495-2927 Payment(s) Minnesota State License#: mech-MB005786 CHECK 24477 53.50 OWNER BERGH, HANS&SHARON 2800 SHADYWOOD RD EXCELSIOR, MN 55331- 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 rcquires 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 l80 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. r �� '-e� � a � �� 7 Applicant Permitee Signature Date Issued B ignature Date v � � , ,. ��OR = "�USG ONLY � • �� City of Orono �.�'� )�� P.O.Box 66 Date R eived:�� Permit# � �� O 2750 Kelley Parkway � Crystal Bay,MN 55323 Approved By: Amount$:� Phone(952)249-4600 Fax(952)249-4616 � � .� ,�. y ti F �.�kFs►-io4``�' CITY OF ORONO-MECHANICAL PERMIT (All Commercial permits must be approved by the Building Ofticial 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 RECENE A PERMIT. WORK MUST NOT BEG[N UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Desiens—Complete calculations,details and specifications are required for each heating,ventilation,humidification-dehumidification,and air conditioning installation including heat losslheai gain caiculation,design temperatures,equipmem 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. �ECEIV'�� 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. �'�� ? �Q1� (24-48 hour notice required) 7. I-�ouse Heating Test Record must be submitted before finaL �'y-�(�� TYPE OF PERMIT (Check All That A l �Residential ❑Commercial(Approval Required) [Backflow Device: ❑AVB ❑PVBJ New ❑Additional ❑Repairs ❑ Replace Job Site/Owner Information: -- � � Site Address: Owner: (��(,II ��Ol�rl ai mgAddress: IS�3� tI15��' " City: Zip: "�JJ��3� � Home Phone: �1�- cj��- 1s�� ,Alternate Phone: Contractor Information: � � Contractor:� ��`I��Y o tact Person: �; Address: I �- State Bond #: {�� 5°� �� City: � z�p:5535�xpiration Date: � �� Phone: � - � Alternate Phone: Insurance-Current: �0 2Z I ' J 2-Z/f 7 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 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 E�chaust(must have duct outside) cfm ❑ 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 �� S ❑ Outdoor Grill ❑ Other/List What&Where: 2 � R 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) 3lJVV , (.� x.0125$ �Q rVV (contract price) (minimum 550.00) 2. STATE SURCHARGE �� I� � (� x.0005 $ �� u (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL FERMiT FEE(Add Lines 1-3 Above) $ �J � �� ■ * 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 correct. Applicant's Signature: Date: 4 �� 3 � � `J DATE TIME J CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED `f'-S -�� 3u PERMIT NO. �� - �'��7 COMPLETED ADDRESS Z-�� S I��/�,��C� V�G� OWNER - TELEPHONE NO..��'�Z�SQ��`�'Z— CONTRACTOR -� �� L � . �; DESCRIPTION �� -�-� `� � tlr ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS H O ❑ FRAMING ❑ MECHANICAL FINAL p 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 ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � I/��.�s , �leQ�a�,s 'a� � �."� —�—, J � l,b �5 1�� -Ll-s f��e � 0 � � � �/t�S`i /f?�S7��ez ll G��' /��14�1��'-eS Q z S,Oc�S W � W � J ��WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE W ❑�QRRECT WORK&PROCEED ❑ ISSUE CERT�FICATE OF OCCUPANCY O �CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call tor the next inspection 24 hours in advance. (J52� 249-4600 OwnerfContractor on site: Inspector.� White Copyllnspecto�'s Ffle Canary CopylSite Notice DATE TIME (/ CITY OF ORONO cnLLED IN INSPECTION NOTICE SCHEDULED PERMtT NO. �G� •U�U 7 COMPLEfED �'`�"+�� ADDRESS i�S6D0 S�l.�I.�G�/�f0 �- OWNER TELEPHONE NO. CONTRACTOR G lG t+�r ic �/`�4►'�� DESCRIPTION � �•� 7"'�G ty ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING �Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL 2 ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑�TION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT v ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ v ❑ DEMO-SITE ❑ SEPTIC INSTALL Z 01MNEi4CONTRACTOR TO MEET YiOU:_YES_NO � COMMENTS: � ��G �s /�to 1�� Ga� (�� j o i.vi��i- ��rt�G �. � , ° r�H•sti� .��✓ s�P�s - W aC Q 2 // GJD'�� +t,dliZ`c � .��'S GZ� � , W �^ j �i's�t-� t ci�w�.� W ❑WOFiKSATISFACTORY:PROCEED �OJECT COMPLETE � ❑CORRECT WORK 8 PROCEED ❑ISS�E CERTIFICATE OF OCCUPANCY W 0 ❑WRRECTYIFDRK,CALL FOR REINSPECTION TEMPORARY V BEFORE COh/ERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR Wlll RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED O INSPECTION REdU1RED_CALL TO ARRANGE ACCESS. CaH forthe next inspection 24 hours in advance. (952) 249-4600 OMrnerlContractor on site: Inspector: whia conrn��eo�8 Fiw Cenary CopylSlb Notiee