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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 a > 2 � F � ��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: � H�ad b�.•K,.�� �.r�• - ln•�• - 1/�,�t,.� � - - ' • o Y' ��.�Gc� - � - � � a ✓'a�•n :ID• C�.� ` �- _ � � �n o � � � W � Q � yLt- �ar/1 �' ` � � - a n,�� �� � l:!�. - ,/8,�..� Z Wroa� - (� �'�.►•� �= ,�°• c��s� .� �S�G4/G � ew�, *��- ' /.�� o .r �e � a Co�" ��t-� Ga •� e i <•�s�O 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