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Home My WebLink About2015-01534 - gas fireplace CITY OF ORONO * 2 0 1 5 — 0 1 5 3 4 * -, 2750 KELLEY PARKWAY DATE ISSUED: 12/07/2015 � ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1432 SHORELINE DR PIN : 11-117-23-22-0014 LEGAL DESC : LJNPLATTED 11 117 23 : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 2,200.00 NOTE: NEW GAS F[REPLACE(HEAT&GLO) APPLICANT MECHANICAL 50.00 STATE SURCHARGE MECH(VALUATION) 1.10 SJ FISHER CONSTRUCTION MAIL-IN FEE 2.00 70 FLORENCE DR TONKA BAY,MN 55331- TOTAL 53.10 (612)221-5509 Payment(s) Minnesota State License#:mech-BC626515 CREDIT CARD 6600 53.10 OW1vER JOHNSON, MATTHEW& SUSANNE 1432 SHORELINE DR WAYZATA, MN 55391- 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 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 �,y� revoked at any time for due cause. �!� � � �" % �1 �.s�- ��_.�_ �Z i � � I ��; � ',��-(-� �� C_J ��\ / / Applicant Permitee Signatu e ` Date Issued By Signatur� Date Dec 04 15 01:03p SJ Fisher Construction 9524742108 p.1 , FOR C1T'Y CJSE ONLY O City of Orono �- �O P.O.Box 66 Date RCceived: l 7 '��ern�it�l �_�� '� � i /�j 3y 2750 Kelley Parkway '�j r � Crystal Bay.MN 55323 Approved By: �✓, Amount$:� Phone{952)249-4600 F�x(952)249-3616 i�.� ,�I � � �.�'�FS H��'4� CITY OF ORONO-1VIECHAI�ICAL PERMIT (All Commercial pe�i[s must be approved by the fiuilding Ot7icial or Inspe.etor ancUor Fire Mx�h�ill) GENERAL INFORMATION 1. You may apply for mechanical permits by mail or in person at the City offices. Applications will be reviewed and a permit wiil be issued within two working days. ?. Pettnit cards K�iIl be sent by return mail af�er a review is completed_ PERNllT5 ARE NOT VALiD UNTI[.YOU RECEIVE A PERMIT. W�RK MUST NdT BEGIN tiNTIL TI-IE �ERh1CT CARD IS POS'FED�I�TNE JOS SITE. 3. 1Vlechanical Desi�ns—Complete calculations,details and specifications are required for each heating,ventilation,humidification-dehumidiFication,and air conditioning installation including heat loss/heat gain calculation,design temperatures,equipment ratings and identification as to t}�pe,manufacturer and model. Data shall be presented on form provided, 4. When any new construction or remodeling is involved,a separate building permit must be obtained_ 5. All work must be done in accordance with the Uniform Mechanical Code/State$uilding Code requirements. 6. All work must be inspected(rough-in and final). Call(952)249-4600. (24-48 hour no#ice required) 7. House Neating Test Record must be submitted before final. TYPE OF PERMIT Check All That A 1 �]Residential ❑Commerciai(Approval Requrred) .[��,�Ne�� ❑Additional ❑Repairs ❑Replace '� Job Site/Owner Information: Site Addzess: l � � �L S�'��-'� '��' �� Owner: �'�� `-��''�''��`� ��` Mailing Address: ��'�` City.. ��' ��? J��'C-�- /��f`.�`t Zip. �� Home Phane: Alternate Phone: C�ntractor Information: I Contractor: � �`-�� ''�'�� Contac#Person: ��`�2--� � � Address: �% �'�-�z��'� G``' f �tate Bond#: 5C, �G 2- � � I � City: ��Z��'� ��`�Zip:��31 Expiration Date: � � -�j`" 1� Phone: �'�� - Z2 l - �� Alternate Phane: ❑ Insurance-Currcnt: �G-�--�-'� ��. �2 � �(t � 1 Dec 0415 01:04p SJ Fisher Construction 9524742108 p.2 � ,i�ECiiA��CAL, SXST.�IVSS BEING]NS'�ALL�D..:;: Note:All Geothermal Systems wiIl now require a Site Plan&Review by our Building Official. IS THIS GEOTHERMAL? ❑ Yes ❑No HEATING SYSTEMS Quantiiy. Make: Model: Fuel: Flue Size; Input BT'CTs: Output BT�.Ts: CFM: COOI.ING SYSTEIVIS Quantity: Make: Model: Tons: H.Power FIREPLACES � Gas Factary Fireplace Brand Name: �:`t°� ' ' ' �1� �� ❑ Wood Burning Fireplace �� ❑ Wood Stove Model No.: ❑ Wood Stove with Flue i Masonry VENT�LA7IOlY ❑ No. Kicchen Eachaust duct recirculating cfrn ❑ No. Bath Exhaust(must have duct outside) cfin ❑ No. Other Pans: Locatior�s cfm FUEL SI'ORAGE (M�st be ap�proved by Fire Maixhall if proposing to abandon tank in�lace.) ❑ Installation ❑ Removal �uel Oil: gallons ❑ Underground ❑Inside ❑Ouxside LP Gas: gallons Other: GAS L1NE ONLY ❑ Outdoor Grill ❑ Other/List`Nhat&Where: 2 Dec 04 15 01:04p SJ Fisher Construction 9524742108 p.3 � �'ERMIT FEE C�.LCULATION{S) ' ` BASED nFF-2Q02 STATE'S'T`t�TUE : : ❑ Yes,this section applies The replacement of a Residentia] fixture or appliance that r►�eets all three of the following requuements; 1. Does not require modification to electrical or gas service. 2. Has a totaE cost of$500.00 or less;excludine the cost of the fixtwe or appliance:and 3. Is improved,installed or replaced by the homeowner or licensed contractor_ Skip next section,ifthis appiies; Cost ofPermit $ ISAO State Surcharge $ 1.00 Mail-In�'ee(If Applicable) $ 2.00 Tot�l Permit Fee $ PERMIT FE�CALGULATI(1N S -JOBS (7VER$SQO.Oa If above does not apply;follow guidelines beiow: 1. CQNTRACT PRICE *is L25%of contract pri�e witJ�a(Minimum Fee of�50.00) �,� r� '�� x.(}]25� (contractprice) {minimum$StI.OU) 2. STATE SURCHARGE x,0005 $ (conaact price) 3. POSTAGE&H�M7LTNG(Only on Mail-In Applications) $ 2.00 4. '�OTAL PERMIT rEE(Add Lines i-3 Above) $ ■ '" CONTRACT PRICE or JOB C4ST mcans t}te actual or estimated dollaz an�ount charged for the pennitted�vork including materials,labor,profit,and other fixed costs. It is the amount to be charged to the customer for the work done. If any matenal, equipment, labor or installations are furnished by the owner, tenant or any ofher parfy,the reasonable market value of such items must be added to the estimated eost or contract price for pernait fee purpuses. In the event that there is a dispute on the arnount of the job cost, the City rnay request the submission o�'a signed copy of the actual contract _ �vfECHANICAL PERIt�T APPLICATiON AGREEIv�NT The undersi�ned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all wark in strict accordance with the ordinances of Ehe 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: �"Z - � —�� 3 �� DATE TIME � CITY OF ORONO ,�. � �3� CALLED IN INSPECTION NOTICE SCHEDULED � `�3 �'� �c' .��-' PERMIT NO. ��'�=�� L��COMPLETED ADDRESS �,'� 3� J�r�c��-�-.� �� ,L�.`. � 6 L OWNER r��-�-t ��`�-'n-'�TELEPHONE NO. � CONTRACTOR •-� � � 1 ��=iL- ��c��; � � DESCRIPTION ��c-� �_ � ��-� - ��I -' S � c�'�� ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERlCONTRACTOR TO MEEf 1IiDU:_YES_NO v�, COMMENTS: - - �� W � � � O �. � O � W � Q � 2 W � W � � d W RK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � RRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hou n advance. � 5 -Q6�� OwnerlContractor on site: Inspector: White Copyllnspector's Fils Canary CopylSite Notke DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTI�E r (� SCHEDULED PERMIT NO.Q�OL�1 '0« � / COMPLEfED � � � ADDRESS ��3�Z S�rcl.•ts�- O�� fl1NNER TELEPHONE NO. CONTRACTOR s 'T �`'�� "�� '� �� DESCRIPTION �S ' r ty ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT � �IN� ❑ WATER HOOK-UP FOLLOW-UP �❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ F NDATION/REMOVAL _ � ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OMINERlCOI�ITRACTOR TO MEET Y�U:_YES_NO � COMMENTS: ��r`^,t ��I�c/ �c� l� � C.e.l� �or � Q t�uG �� S.d�c.��.R j 0 o� , ° �`l�s ,Dc�.�.-� � �..ca l� (.c�� 1�� Q ,Oa��-� � ��5 ^vD��f 6�'l 2 rh � a�S ' LF� "_ � � 3 � O VMORKSATISFACTORY`.PROCEED /�OJECT COMPLETE � ❑CORRECT WORK 3 PROCEED r�ISS E CEFiTIFlCATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CONERIN(i PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHpTO TAKEN INSPECTOR WILL RETIJRN ❑STOP ORDER POSTED.CALL INSPECTOR ��TATION ISSUED O INSPECTION REQUIRED_CALL 70 ARRANGE ACCESS. CaN for the next inspection 24 hours in sdvance. (952) 249-4600 OwnerlCoMractor on site: w �/1S�ACtOr: /t�/ Whits CuPYMapacM�"a FII� C�nary CopylSib Notice