HomeMy WebLinkAbout2018-00136 - gas fireplace ' ' � CITY OF ORONO
2750 KELLEY PARKWAY * 2 0 1 8 - 0 0 1 3 6 *
DATE ISSUED: 02/08/2018
ORONO,MN 55356-
(952)249-4600 FAX: (952)249-4616
ADDRESS : 2090 SHORELINE DR
PIN : 15-117-23-23-0001
LEGAL DESC : UNPLATTED 15 117 23
: LOT 000 BLOCK 000
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIREPLACE-GAS
VALUATION : $ 3,500.00
NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION.
1 GEORGIAN 36°WOOD FIREPLACE
1 TOWN&COUNTRY FAS FIREPLACE
APPLICANT MECHANICAL 50.00
STATE SURCHARGE MECH(VALUATION) 1.75
TWIN CITY FIREPLACE STONE CO INC TOTAL 51.75
6521 CECILIA CIR
EDINA,MN 55439- Payment(s)
(952)777-4125 c�DiT cax� ss2o si.�s
Minnesota State License#:mech-MB682977
OWNER
HEAD,MARTHA
1616 W.22ND STREET
MINNEAPOLIS,MN 55405-
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 dces
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�-� `� � � S � 1
Applicant Permitee ignatu e Date Issued By Signa Date
Feb 0818 02:43p Twin City Fireplace 9529422093 p.2
FOR CITY USE ONLY
�O A TO City of Orono
�y P.O.Box 6E Date Received: Permit¥
2?56 Kelley Parkway
Crystal Bay,b1N 55323 Appc�oved By: Amount$�
Phone(952)249-4600 Pax(952)249-4616
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��kESH�A�` CITY OF 4RON0—MECHA1�iCAL PERMIT
(A�!Comrnercial permits must be approved by the Bu�7d'a�g Official or(nspector and/or Fire Marshall)
GENERAI,II�FORMATIO�Y
]. Yau may apply for mechanical permits by mail or in person at the City off'ices. Applications will
be reviewed and a permit wiI]be issued within two working days.
2. Permit cards will be sent by return mail after a review is complet�. PERMII'S ARE NOT
V.�LID UNTIL YOLF RECEfVE A PERMIT. WQRK MUST n0'E'BEGiN U1�iTiL TfiE
PERMiT CARD IS POSTED ON THE JOB SITE.
3. Mechanical Desians—Complete calculafions,details and specifications are required for each
heating,ventilation,hurnidification-dehumidification,and air conditioning installation including
heat loss/heat�ain calculatio�,design temperatures,equipment ratings and identification as to
type,manufacturer and model. Data shall be presented on form pmvided.
4. VI'hen any new construction or remodeling is involved,a separate buiiding permit must be
obtained.
5. All work must be done in accordance with ihe Uniform Mechanicai Code/State Building Code
requirements.
6. All work must be inspacted(rough-in and final). Call(952)249-4600.
(2d-48 hour notice requirec�)
7. House Heating Test Record must be submitted before final.
TYPE OF PERMTT
(Check All That A 1
�Residential ❑Commercial(A}�proval Required) [Backf3ow Device:❑A�B ❑PVB�
❑ ��ew ❑Additional ❑Repairs ❑Replace
Job Site/Owner�nformation:
Site Address: 2090 Shoreline Drive
Owner: Ma�tha Head Mailin�Address: 2090 Shoreline DriVe
Ciry: Ornn� Zip: 55391
Home Phone: Alternate Phone:
Contractor Information:
Contractor: Twin City �ireplace &Ston�ontact Person: _Brenna Kelly-Starkebaum
Address: 6521 Cecelia Circle State Bond#:
C��y: Edina Zip:55439 Expiration Date:
Phone: 952-941-2�85 Alternate Phone:
❑ Insurance—Current:
1
Feb 0818 02:43p Twin City Fireplace 9529422093 p.3
` MECHAMGAL S'YSTEMS�ETNG INSTAL�,ED
�Tote: All Geothermal Systems wi16 now reyuire a Site Plan&Review by our Building Qt�"icial.
IS THIS GEOTHERMAL? ❑Yes ❑No
HEATINC SYSTEMS
Quantity:
l��Iake:
A4odel:
Fuel:
Flue Size:
Input B1'[Js:
Output B'TUs:
CFM:
C40LING SYSTEMS
Quantiry:
A9ake:
Model:
Tons:
H.Power
F[REPLACES
� Gas Factory Fireplace B�and Name: Wood- Georqian 36" -IHPGA 36
Q Wood Burning Fireplace Gas-Town & Country -TC30D2
Wood Stc�ve Model No.:
❑ Wood Stove with Plue/Masonry
V�3VTILAT[OlY
❑ No. Kitchen Exhaust duct recircu€aEing cfm
❑ No. Bath Exhaust(must 6ave duct o�tside) cfm
❑ No. Other Fans: Locations cfin
FUEI.STORAGE (Mt�st be approved by F'ue Marskall�jproposing ta abundon tank in place.j
❑ Installation ❑ Removal
Fuel Oil: �allons ❑ Underground ❑ Inside ❑Ouiside
LP Gas: gallons
Other.
GAS LINE ONLY
[] Outdoor Grill ❑ Other I List What&VJhere:
�
Feb 0818 02:43p Twin City Fireplace 9529422093 p.4
PERMIT FEE GALCULATIO�IS �
1. CONTRAG`l'PR1C� *is l.25%of contract price with a(1�IiBiroum Fee of SSQ.00)
3,5Q0.00 x.0125 S 50.00
(convact price) (mmi�um$SU.00)
2. STATE SURCAARGE 3,rjOO.00 'I.00
x.0005 S
(contract pnce)
3. POSTAGE&NANDLING{Only on A4ai1-In Applications} $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) S �3.0�
■ * CONTRACT P12ICE or ]OB 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. Ifany maEerial,equipment,labor or installatians are furnished by the
owner, tenant or any other parry, the reasonable mar[cet value of such items musE be added to the
estimated cost or contract price for pernut fee pvrposes. In the event that there is a dispate oa the amount
of the job cost, the City may request the submission of a si��ed copy of the acYual contracY.
MECHANICAL PERMIT�PPLICATIO�T A�'xREE':�fENT
The undersigned hereby applies to the City for issaa.nce of a Mechanical Permit agrees to do all
work in strict accordance with the ordinances of he Ci and the regulations of d�e State of
Minnesota,and t all s e ents � o t ap�li�ation are complete,true and correct.
� -- ._��_; �� _ 1
, �-
Applicant's ' . Date:
3
/ �
DATE TIME
P�CITY OF ORONO CALLED IN � �
INSPECTION 110_T !�' r+.SCHEDULED
PERMIT NO.a��� �pCOM LETED �_
ADDRESS aO /'
OWNER TEL HONE NO. ��� �S�
CONTRACTOR W�� � �
, �� DESCRIPTION ��
4~j ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTiC FINAL
� ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION DRAIN TILE ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ LATHE �,MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLA�NT
¢ ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
i ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 O'WNERICONTRACTOR TO MEET YOU:_YES_NO
h COMMENTS:
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W O WORKSATISFACTORY:PROCEED ❑PRWECTC�MPLEfE
� ❑ RRECT NfORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
0 ��T WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOYERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. O PHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR O CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-4600
OwnerfContractor on site•
Inspector: l � ��
White Copyllnspector'a Fils Canary CopylShe Notiee