HomeMy WebLinkAbout2016-01185 - gas fireplace ,. �� ' CITY OF OR NO
2750 KELLEY PA WAY * 2 0 1 6 - 0 1 1 8 S *
DATE ISSUED: 09/23/2016
ORONO,MN 55 56-
(952)249-4600 FAX: (9 2)249-4616
ADDRESS : �130SHEVLINDR
PIN : b3-117-23-34-0022
LEGAL DESC : ATVEBBER HILLS
: LOT 005 BLOCK 003
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIREPLACE-GAS
VALUATION : S 2,500.00
NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION
ADDITIONAUALT. 1 GAS FIREPL�CE INSERT(VALOR)
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APPLICANT MECHA ICAL 50.00
STATE S RCHARGE MECH(VALUATION) 1.25
WALTER MECHANICAL,INC. ; MAIL-IN EE 2.00
1013 E.CLIFF ROAD#101
BURNSVILLE,MN 55337 TOTAL 53.25
(952)895-1992 Payment(�)
Minnesota State License#:mech-IVIB003448 CHECK 006128 53.25
OWNER !
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HENNINGSEN,CHRIS&SYDNE
2130 SHEVLIN DR
WAYZATA,MN 55391-
AGREEMENT AND SW RN STATEMENT
The work for which this permit is issued sl�all be performed according to
[he approved plans and specifications,appwicable Ciry approvals,and the
State Building Code. This permit is for only the work described and does
not grant permission for additional or relat¢d work which requires separate
pertnits. All provisions of laws and ordinances governing this type of work I
shall be compied with whether or not specified herein.This permit will i
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 aU required inspections aze
requested in conformance wi[h the State Bpilding Code.This permit may be A�
revoked at any time for due cause. � �Ul
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Applicant Permitee Signature Date Issued B Sign ure Date
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' FOR CITY SE ONLY
City of Orono Gy (�
�-O�O P.O.Box 66 Date Received: / '�3 /Permit# �? —� / ��
2750 Kelley Parkway f�
Crystal Bay,MN 55323 Approved By: �/ Amount$:
Phone(952)249-4600 Fax(952)249-4616
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�qkFSH���." CITY OF ORONO—MECHANICAL PERMIT
(All Commercial permits must be approved by the Building Ofticial or Inspector and/or Fire Marshall)
GENERAL INFORMATION
L 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 Desi�—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,eyuipment 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 fmal). Call(952)249-4600.
(24-48 hour notice required)
7. House Heating Test Record must be submitted before final.
TYPE OF PERMIT
(Check All That A 1 )
�Residential ❑Commerciai(Approval Required) [Backflow Device: ❑AVB ❑ PVB]
❑ New �Additional r�,,��. ❑Repairs ❑ Replace
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Job Site/Owner Information:
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Site Address: � � �(� - )t"�C= �/ �� / I '1�7 (�`Q J
�/" i ' "_� ," ) /�?/,�� 1� � I�^ .�1�' ! r_, ,' .... % - �!
Owner�,f l {� )�s 9`�[/CJ/�(, �Iailing Address: �G���/'%� �,{1� ,:J�f.�_�
City: Zip:
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Home Phone:`3V��' f �S ' � Alternate Phone:
Contractor Information:
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Contractor: ��,� ��;Y � ��(�� ;��.1� �,(�.�l��tact Person: �. ( (.i���� (r�-�i ��
�(,> ���. (�����' �� �lol VY1 �o� ��- �
Address: / �- State Bond#: �t �
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City: ��i�" ��� vi � Zip�'���Expiration Date: `��
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Phone: �� ��"����J ` ��������_ Alternate Phone: ��l .) �7- ,i���� "� ��� ��
❑ Insurance—Current: �
1
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� ' MECHANICAL SYSTEMS BEING INSTALLED
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 Firepla ���'�1 �L�'r ����� Brand Name: �� ��,� G�
Wood Burnin Fire�ce .�
❑ g P � �. FJ
❑ Wood Stove Model No.:
❑ Wood Stove with Flue/Masonry
VENTILATION
❑ No. Kitchen Exhaust duct recirculating cfin
❑ No. Bath E�chaust(must have duct outside) cfm
❑ No. Other Fans: Locations cfin
FUEL STORAGE (Must be approved by Fire Marshall ifproposing 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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PERMIT FEE CALCULATIONS
1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00)
�r�.�, (� `y, ��J
� ✓ �,
��`Y/U V x .0125 $ —�— �
(contract price) (minimu $50.00) �'
2. STATE SURCHARGE r�; �' '� ���
.'�� ,V x.0005 $ I ' �� "
(wntract price)
3. POSTAGE& HANDLING(Only on Mail-In Applications) $ 2.00
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4. TOTAL PERMIT FEE(Add Lines 1-3 Above) �
■ * CONTRACT PR10E or JOB COST means the actual or estimated dollar amount charged far 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.
MECHANICAL PERMIT APPLICATION AGREEMENT
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 mad�on this p,�lication are complete,true and correct.
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Applicant's Signature: � �`` V" l Date: �� / ��/�
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-- DATE ME "
CITY OF ORONO cnLLED IN �� ��
INSPECTION N�j T�ICE SCHEDULED �- -��
PERMIT NO. ��'`�f�G�`� COMPLETED
ADDRESS ��✓��
�NNER � �TELEPHO O. ��� 7� •
CONTRACTOR
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� DESCRIPTION �� �
41 ❑ FOOTING ❑ D MO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ P MBING RI ❑ EXCAV/GRADIN /FILLINO
Q ❑ FOUNDATION WATERPROOF ❑ P MBING FINAL ❑ TREE REMOV
Z ❑ RADON SLAB ❑ M CHANICAL RI ❑ SITE INSPECTI
Q ❑ FRAMING ❑ M CHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑W�OD BURNER/FIREPLACE ❑ COMPLAINT
� INAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W AS BUILT-SURVEY ❑ SBYNER HOOK-UP ❑ FOUNDATIOWR�MOVAL
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v ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OMIN6UCOf�RRACTOR TO MEET YOU:_;YES_NO
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� ❑YMORK SATISFACTORY:PROCEED �FiOJECT COMPLETE
W ❑CORRECT YMORK�PROCEED �ISSUE CERTIFIC/1TE OF NCY
OO ❑OORRECTVMORI(,CALL FOR REINSPEC710N TEMPOFiARY
V BEFORE COVERINO PERMANENT
❑OORRECT UNSAFE COP1D1710N WITHIN HOl1RS• ❑pHpTO TAKEN
INSPECTOR WILL RETURN
O STOP ORDER POSTED.CALL INSPECTOR �pTATIOH ISSUED
D INSPECTIOM REQUIRED.CALL TO ARRA�1(iE ACCESS.
Call tor the next�spectidn 24 hours�edvance. (952) 249- 600
tractor on site: �'
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DA TIME
��� CITY OF ORONO CALLED IN
INSPECTI�I�NO CF�l�5 scHEouLED '
PERMR N�� � � COMPLETED
ADDRESS .3C� v�cs,�•
01NNER r� TELEPHONE NO� �3 "�5�2?
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� DESCRIPTION 5
ly ❑ FOOTING ❑ DEMO-FINAL SEPTIC FINAL
Q ❑ POURED WAIL ❑ PLUMBING RI EXCAWORADIN(i/FIWNO
�f ❑ FOUNDATION WATBRPROOF ❑ PLUMBING FINAL TREE REMOVAL
Z0 RADON SLAB ❑ MECHANICAL RI SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL RATED WALLS
� ❑ INSULATION ❑WOOD BURNER/FIREPLACE COMPLAINT
� ❑ FINAL ❑ WATER HOOK-UP FOLLOW-UP
41 ❑AS BUILT-SURVEY ❑ SEWER HOOK-UP FOUNDATIOWREMOVAL
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v ❑ DEMO-SfTE ❑ SEPTIC INSTALL
g O�N611COKTRACTOp T�MEET YOU:_YES_NO
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� B��� PERMANENT
❑OORRECTUNSA CON01710N WRHIN HOURS. p pHpT TAKEN
INSPEC'fM L RETURN
❑qTA ISSUED
O STOP ORDER .CALL INSPECTOR
❑INSPECTION RED.CALL TO ARRANf3E ACCE33.
c•aN tor ne�ct tnspsctia+2�t hours In adv (952) 249-4600
on site:
�nspector: �
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