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Home My WebLink About2017-00977 - gas fireplace � � CITY OF ORONO 2750 KELLEY PARKWAY * Z 0 1 7 - 0 PJ 9 7 7 * DATE ISSUED: 08/17/2017 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1750 SHADYWOOD RD PIN : 17-117-23-21-0021 LEGAL DESC : SHADY-WOOD : LOT 016 BLOCK 000 PERMIT TYPE : MECHANICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 3,585.00 NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. MENDOTA GAS FIREPLACE MODEL FV46-NAT.GAS APPLICANT MECHANICAL 50.00 STATE SURCHARGE MECH(VALUATION) 1.79 TWIN CITY FIREPLACE STONE CO INC 6521 CECILIA CIR MAIL-IN FEE 2.00 EDINA,MN 55439- TOTAL 53.79 (952)777-4125 Payment(s) Minnesota State License#:mech-MB682977 CREDIT CARD 5715 53.79 OWNER SHAW,GRETCHEN&LYLE 7001 KENESTON DR 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 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 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;�(.�"�<��,�.1 ;L � �G � l � � l / / Applicant Permitee Signature Date Issued Bv Signature Date Aug 16 17 02:47p Twin City Fireplace 9529422093 p.1 CI USE ONLY �O A T City of Orono � � ,a/) � � 1 yO P.O.Box 66 Date Receive�. Pem�it tl � � ��v �� 2750[�elley Parkway ��I � � Cq�sta!Bay,�IN 55323 .4ppraved$y: Amaunt S: Phone(952)249�600 Fax(952)249-4GiG a > y � fi � �q �.�' CITY OF OR�1�10—MECHANICAL PERNIIT kEs H�� (All Cotnmercial permits must be approved Lry the Bu:lding Official or lnspcctor and/or Fire Yfarshall) GENERAL INFORMATIOI�i 1. You may apply for mechanical pertnits by mai]or in person ai ihe City offices. Applications will be reviewed and a permit will be issued within two working days. 2. Pennit cards will be sent by return mail after a review is completed_ PERMFTS ARE NOT VALID UNTIL YOU RECEIVE A PER1bIIT. WORK MlJST ivOT BECiN UNTIL THE PERILIIT CARD 15 POSTED OlV THE JOB SITE. 3. Mechanical DesiQr►s—Complete calculations,details and specifications are requir*�for each heating,ventilation,humidificatian-dehumidification,and air conditioning installation including heat lossJheat gain calculation,design temperatures,equiprnent ratin�s and identification as to type,manufacturer and mode[. Data shall be presented on form provided. 4. When any new construction or remodeling is invotved,a separate building permit must be obtained. 5. .Alt work must be done in accordance with the Uniform Mechanical CodeiState Building Code requiremenls. b. .411 work must be inspected(rough-in and�nal). Call(952)249-4600. (24-.18 hour notice required) 7. Pouse Heating Test Record must be submitted before final. 'I'YPE OF PERMIT Check All That A I �X Residential ❑ Commercial(Approval Required) [Backflow Device: []AVB ❑PVB] ❑New ❑Additional ❑ Repairs ❑Replace Job Site/Owner Information: Site Address: ��0 Shaclywood Road Owner: Gretehen S. Shaw Mailing Address_ �7�� Shadywood Rd C�ty: Wayzata Z��: 55391 Home PE�one: Alternate Phone: Contractor Information: Contractor:Twin Ci Fire lace & Stone C Beth Ayers �Y P �ontact Person: AdcEress: 6521 Cecilia Circle State Bond #: MBfi82977 City�: Edin� Z�p��439 Expiration Da�e: 07130/18 Phone: `�52.777.4125 � Aiternate Phone: g52.941.2685 [�xJ insurarcce—Current: � Aug 16 17 02:47p Twin City Fireplace 9529422093 p.2 N1ECI3ANICAL SYSTEMS �ING INSTALLED Note:Al[Geothermal Systems will now require a Si Plan&RevieK-by our Building Official. IS THIS GEO'�HERN[AL:� ❑ Yes �No REATING$YSTEMS Quantrty Make: Model: Fuel: Flue Size: i Input BTUs: _ � Output B71Ts: ' CF�I; CUOLINC SYSTEVLS Quanroity: Make: i Model: Tons: H.Power FIREPLAC,ES � Gas Facton�Fireplace Brand�Tame: M@ilC�Ofa a Wood Burtting Fireplace \Vood Stove Model No.: FV�6 - IVBt. Gas ❑ Wood Stove with Flue/Masonry VENTILA'�[OPF ❑ No, Kitchen Exhaust duct recirculating cfm � No. Bath Exhaust(must have duct outside) C� No. Other Fans: I.ocations �� iJEL STQRAGE (.tifust be opproved by Fire Marshall�f'proposing to abandvn tamk iR plac�) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ l:nderground ❑Inside �Outside LP Gas: gatlons Other GAS LINE ONLY ❑ Outdoor Grill ❑ Other I List V�hat&Vt7here: 2 Aug 1617 02:48p Twin City Fireplace 9529422093 p.3 PERMIT FEE�CAL ULA'�'IONS 1. CONTRACT PRICE " is 1.25°k of oontraCt price with a(Minimum Fee oiS50.00) 3,585.Q0 X.olu$ 50.00 (contract price) (minimurn 550.00) 2. STA'f�SURCHARGE - 3,585.�0 X.000s $ ��79 (contracl prioe) 3. POSTAGE&NANDLING(On1y on Mail-In pppfications) $ 2.00 4. TOTAL.PERMIT FEE(Add Lines 1-3 Above) $ 53.79 �' ■ * CO\TRACT PRICE or JOB COST rneans the actual or estirnated dollar amount chatged for the �itted work ineluding maberials,labor,profit,and other fixed costs. It is the amount to be charged to the customec for the work done. If arry material,eq4ipment,labor or installations are furnished by the owner, tenant or any other party, the reasonable matket value of snch items must be added to the estimated cost or contract price for permit fee purposes, In the event that there is a d'sspute on the amou�rt of the job cost, the City may request the submission of a signed copy of the actua] contract. NiECHA1�ICAL PERMTT APPLI-ATION AGREEMENT The undersigned hereby applies to the City for issuar�ce of a Mechanicai Permit, agrees io do all work in strict accordance with the ordinances of thle City and the regulations of the State of Minnesota,and certifes that ll statements made on tl��s application are complete,true and correct, Appiicant's Signature: Date: 08/16/17 �' Pt�. � �8�.�, .�� a:�- c� c�,�. �r pc1"'�e'�'}� db �I�no,. F,a.„,.:�}- , �. '(�,y� I 3 i � DATE � TIME CITY OF ORONO CALLED IN INSPECTION OTICE SCHEDULED � O: PERMIT NO. o � COMP ETED ' ADDRESS �� OWNER ELEPHONE NO.��"�+7�rs��I CONTRACTOR � �� r � DESCRIPTION �� 4~j ❑ FOOTING ❑ DEMO-FINAL ❑ SEpTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXQAV/GRADING/FILLING y ❑ FOUNDATION DRAIN TILE ❑ PLUMBING FINAL ❑ TR�E REMOVAL Z ❑ LATHE ❑ MECHANICAL RI ❑ SIT�INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RA D WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COI�IPLAINT J � ❑ WATER HOOK-UP ❑ FOL�OW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOI.KVDATIOWREMOVAL v ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO h COMMENTS: W � `�• /j @G • � J �.O � � �� 0�'/� �11rt�Q� W aC Q � W � j ,QCrr.s-� �� ❑WORKSATISFACTOR`tPROCEED ROJECTCOMPLEfE W �CORRECT WORK 3 PROCEED ❑ ISSUE CERTIFIC TE OF OCCUPANCY � ❑CORRECT WORK�LL FOR REINSPECTION TEM RARY V BEFORE CONERING PER ANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pHOTO TAKEN INSPECTOR WILL RETUIRN �CITATION ISSUE ❑STOP ORDER POSTED.CALL,INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. � Call for the next�nspection 2a hours in advance. (g5 ) 249-4600 OwneNCoMractor on siil�e: Inspector: k-- � White CopyAnspector's File Cenary CopyfSite IMotiee