HomeMy WebLinkAbout2017-01041 - gas fireplace t } �
CITY OF ORONO * z 0 1 7 - 0 1 0 4 1 *
2750 KELLEY PARKWAY DATE ISSUED: 08/30/2017
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 : $ 6,695.00
NOTE: ALL TEST[NG REPORTS SHALL BE ON SITE AT FINAL INSPECTION.
GAS FACTORY FIREPLACE
MARQUIS-GRAND INFINITE LINEAR MUTLI-SIDED FIREPLACE
APPLICANT MECHANICAL 83.69
STATE SURCHARGE MECH(VALUATION) 335
TWIN CITY FIREPLACE STONE CO INC MAIL-IN FEE 2.00
6521 CECILIA CIR
EDINA,MN 55439- TOTAL 89.04
(952)777-4125 Payment(s)
Minnesota State License#:mech-MB682977 CREDIT CARD 5715 89.04
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
Sta[e 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 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. ,
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Applicant Permitee Signature Date Issued By ' ature Date
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� 2750 Kelley Parkway �,
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I � Phone{952}2a9-4600 Fax(952)249-4616 i
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���kESK�¢e�' CITY OF ORONO-1VIECHANICAL�'ERMIT
(All Comrceercial permits must be approved by the Building 6Ffcial or Inspeccor:md/or Fire]vlarshal])
GENERAL INFORMATION
1, You may apply for mechanical permiu by mail or in person at the City offices_ Applicapons wil!
be ra�iewad and a permit will be issued within two working days,
2, Permit cards will be sent by retum mail after a review is completed. PERMITS ARE NOT
Vr1LID UNT'IL YO�J RECEIVE A PERMIT. WORK A1UST N07'BEGLY UNTLL THE
PERMTI'CARD LS pOSTED ON THE.TOB SITE.
3. Mechanica]Desi�ms—Complete calculacians,details and specifications are ret�uired for each
heating,ventilation,humidification-dehumidifieation,and air conditioning installation including
heat loss/heat gain calcularion,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
obtai�ed.
5. Atl work must be done in accordance with the Uniform Mechanical Code/State Building Code
requsrements.
6. Al] work must be inspected(rough-in and final). Cal1(952)2�9-460Q.
(24-48 hour notice reqaired)
7. House i�eating Test itecord must be submitted before final.
TYPE OF PERMIT '
Check AlI That A Iv '
❑X Residential ❑Commercia!(Approval Required) [BaekflowDevice: []AVB ❑PVBJ
�New ❑Addirional ❑Repairs ❑ Replace
Job Site/Owner Information:
Site Address: 1750 Shadywood Ro�d C') �f��� ��,����
�—'
�«mE,.. Gretchen S. Shaw Mailing Address: 1750 Shadywood Rd
City: ��y�a� Z,p: 55391
Home Phone: Alternate Phone:
� Contractor Information:
Contractor:Twin City Fireplace &Stone C�ontact Person: Beth Ayers
6521 Cecilia Circ�e MB682977
Address: State Bond#:
City: Edina �lp:55439 Expiration Date: 07/30/18
952.777.4125 952.941.2685
Phflne: Alternate Phone:
❑x Insurance—Current:
1
,Aug 30 a 7 08:15a Twin City Fireplace 9529422093 p.2
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Note: AlE Geothermal Systems will now reqaire a S te Plan&Review by our Bu�lding O�cial.
IS THIS GEOTHERMAL? ❑Yes �No
HEATING SYSTEMS
Quantity_
141ake:
Ntodei:
Fuel:
Elue Size:
Input$Ti)s:
Output BTUs:
CPM:
COOLi1VC SYSTEMS
Quantity:
Make: '
Model:
Tons:
H.Power
FIREPLACES
� Gas Factory Firepiace Brand IVame: ��rqUIS
❑ Wood Burning Fireplace
❑ wooa sco�e �oae�No.: Grand Infinite LPnear Multi-Sided
❑ Wood Stove with Flue/Masonry Fireplace
VE�ITILATI�N
❑ No. Kitchen E�thaast duct recircutatin�; cfm
❑ No. Bath Exhaust(must have du t outside) �
❑ No. �ther Fans: I.ocations ��
�
FUEL STORA�GE {Mrrst be approved by Frn MarshaCl ij roposing io abandoa tQn1F ix place.)
❑ Insta,llation ❑ Remaval
Fuel Oil: � gallons ❑ Underground ❑Inside []Outside
LP Gas: gallons
Other:
GA5 LINE ON�.Y i
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❑ Ontdoor Grill ❑ Other/L.ist What�&W here:
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P�KMI'T PEE C CULATT�NS >
1. CONTL2ACT PRICE *is t 25%of contract price with a(Minimum Fee of 550.00)
$6,695.q0 ,;.o12s g 83.69
(convact price) (mioimom SS0.00)
2. STA.TE StiRCf-iARGE $6,695.�� 3.35
x.0005 5
(contr�t Ixicea
3. POSTAGE 8c�iA1VDLING(Only on Mail-In Applicadons) 3 2.04
89.04
4. ';I'OTAL PERMIT FEE(.Add Lines 1-3 Above) $ �
■ * CONTRACT PRTCE or JOB C�ST means the actual or estimated do[lar amount charged for the
permittad work including materia3s,labor,profit,and other fixed costs. It is the amount to be charged
to the cuStonner for the work done. if any material,eq�#ipmerrt,labor or installations are fi�ished by the
owner, �enant or any other party, the reasonable market value of such items must be added to the
estimated cost or contract pri ce for permit fee purposes, In the eveM that there is a dispute on the amount
of the job cost, the City inay request the submis�ion of a signed copy of�e actual contract.
MECIHANICAL PERMIT APPLI ATION.A.GR£EI1�NT:
The undersi�ned hereby applies to the City for iss�e of a Mechanica] Peemit, agrees to do all
work in shict accordance with the ordinances of th City and the regulations of the State of
Minnesota,and certifies tbat all statements made on thi,s application are compiete,true and correct
Applicant's Signature: � Date: 08/17/17
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��,��—���� � DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE (� SCHEDULED �l �
PERMIT NO�A��1 �`^�q�� COMPLETED
ADDRESS � �I 5� ShQ�`j (�aX� �`,
OWNER TELEPHONE NO.�L%�31-Q v��3
CONTRACTOR ��� n �� ����-� ��'y
'' DESCRIPTION ��� ��
4�j ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
�Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FIN ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER IREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
41 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATIONlREMOVAL
_
v ❑ DEMO-SITE ❑ SEPTIC INSTALL
Z OWNERICONTMCTOR TO MEET YW:_YES_NO
� COMMENTS:
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W '�WORKSATISFACTORY.PROCEED ❑PROJECT COMPLEfE
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� O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE CONERIN(3 PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WFLL REfURN
❑STOP OROER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. (952) 249-4600
OwnerlContractor on site:
Inspector:
White CopyAnspecM�'s File Gnary CopylSiM Notice
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DATE TIME
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CITY OF ORONO cnLLED IN � �
INSPECTION NOTICE SCHEDULED
PERMITNO. 0l7—DI�� COMPLEfED �� I
ADDRESS
OWNER —�, TEL PHONE NO.���— �✓��
CONTRACTOR �� /� �
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� DESCRIPTION � � ��
4~j ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/QRADING/FILLING
O ❑ FOUNDATION DRAIN TILE ❑ PLUMBING FINAL ❑ TREE R�MOVAL
Z ❑ LATHE ❑ MECHANICAL RI ❑ SITE INSpECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED VMALLS
� ❑ iNSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLP�INT
� FINAL ❑ WATER HOOK-UP ❑ FOLLOV�UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDPI'fION/REMOVAL
_
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNERICONTAACTOR TO MEET YDU:_YE5_NO
y COMMENTS:
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� O WORKSATISFACTORIF PROCEffD ROJECT COMPLE�E
W ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICAT�OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPO RY
V BEFORE COVERING PERMA ENT
❑CORRECT UNSAFE CONDITION WRHIN HOURS. O PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. (g52 249-4600
OwnerlContraotor on site:
Inspector: �-'
White Copyllnspecb�'s Ffle Canary CopyfSke N�tke