HomeMy WebLinkAbout2017-01056 - gas fireplace � w
CITY OF ORONO * 2 0 1 7 — 0 1 0 5 6 *
2750 KELLEY PARKWAY DATE ISSUED: 09/06/2017
ORONO,MN 55356-
(952)249-4600 FAX: (952) 249-4616
ADDRESS : 2450 SIXTH AVE N
PIN : 28-118-23-41-0003
LEGAL DESC : WILLOW RUN
: LOT 002 BLOCK 001
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)MENDOTA GAS FIREPLACE
APPLICANT MECHANICAL 50.00
STATE SURCHARGE MECH(VALUATION) 1.75
TWIN CITY FIREPLACE STONE CO INC MqIL-IN FEE 2.00
6521 CECILIA CIR
EDINA,MN 55439- TOTAL 53.75
(952)777-4125 Payment(s)
Minnesota State License#:mech-MB682977 CREDIT CARD 5715 53.75
OWNER
TAYLOR,JEFFREY
2450 SIXTH AVE N
LONG LAKE,MN 55356-
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
permiu. 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.
t � � l �Y l
Applicant Permitee Signature Date Issued B� gnature Date
Sep 01 17 08:48a Twin City Fireplace 9529422093 p.1
�
FQR IT1c'USE ONi.Y
a Ci of Orono
� �O P.O.Box b6 Date R c ved/ Peitnit# �i�� �D�
/ 2750 Kelley Parkway �7 �
� Crystal Ba}�,MN 55323 Approved By: Amount$: -���/
Phone(952)249-4600 Fax(952)249-4616
�y� ;
`qkESHo�`�" ciTY oF oxoNo-n�cxArrrc�L P���T
(Alt Commerei�il permits musi be app:oved by the Building O�cial or Inspector ancL'or Fire Marshall j
� GENERAL INFORMATION
1. You may apply for rnechanical permits by mail or in person at Yhe City offices. Applications wil�
be reviewed and a permit will be issued within two wor4cing days_
2. Perrnit cards will be sent by return mail after a review is completed. PER��IITS ARE NOT
VALID UNTIL YOCJ RECEIVE A PERMIT. WORK MUST n QT BEGI�'UNT(L TFIE
PERMIT CARD iS P�STED ON TFdE JOB S1TE.
�, Mechanical Desisns—Complete calculations,details and specifications are required for each
heating,venti�ation,humidification-dehumidificat�on,and air conditioning instaltation including
heat loss/heat gain calculatiory design temperatures,equipment ratings and identification as to
rype,manufacturer a��d model. Data shall be presented on fonn provided.
4_ When any new consiruction or remodelin�is involved,a separate building permit must be
obtained.
5. .All work must be done in accordance with the Uniform I�4echanical CodeiState Building Code
requiremeats.
6. A31 work must be inspected(rough-in and fina]). Call(952j 249-�600.
(24-48 hour noticc required)
7. House Heating Tes�E�ecord musi be submicted before final.
TYPE OF PERMIT
Check All That A 1 �
�Residential ❑Commercial(.4pproval Required) [Backflow Device: ❑AVB ❑PV'B]
Q New ❑Additional ❑Repairs ❑Replace
' Job Site f Owner Information:
2450 Sixth Ave N
Site Address:
Jeff Tayfor 2450 Sixth Ave N
Owner: Mailing Address:
��h,: Long Lake Z�p. 55356
763.350.3414
Home Phone: Alternate Phone:
Contractor Information:
Contractor:Twin City Fireplace&Stone C�ontact Person: �eth Ayers
Address: 6521 Cecilia Circle State Bond#: �8682977
Edina ��439 07/30l18
City: Zip: Expiration Date:
Pho��: 952.777.4125 Alternate Phone:
,�x� Insurance—Current:
1
Sep 01 17 08:48a Twin City Fireplace 9529422093 p.2
MECHANTCAL �YST'E1kIS BEING INSTALL,ED:
�Tote:Atl Geothermal Systems�vill now require a Site Plan&Review by our Building Official.
IS THIS GEOTEIERMAL" ❑Yes ❑No
HEATING SYSTEMS
Quantiry:
Make:
Model:
Fuei:
Flue Size:
Input BT[;s:
Output BTUs:
CFM:
COOLINC SYSTENIS
Quantity:
Make:
Model:
Tons:
H.Power
FIREPLACES
[y� Gas Factory Fireplace �ra„a r�,e: Mendota
a Wood Burning Fireplace FV34 Gas Fire lace
Wood Stove Model No.: p
❑ Woal Stove with Flue!Masonry
'4'ENTILATION
❑ No. Kitchen Exhaust duct recirculating cfm
[] No. Bath Exhaust(musc have duct outside} cfm
❑ No. Other Fans: Locations cfm
FUE1,STORAGE (Must be approved by F�re Marshalf ifproposing ta abandon tank in pface.)
❑ Installation �,] Remova!
Fue(Oi I: gallons ❑ Underground ❑Inside ❑Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Gril l ❑ Other/List What&Where:
2
, Sep 01 17 08:48a Twin City Fireplace 9529422093 p.3
; P�RNIIT FEE GALCULATIONS '
1. CONTRACT PRICE *is 1.25%of contract price with a(Yiiuimum Fee of 550.00)
$3,5�0.00 x.0125� 50.00
(contr8ct priccl (rninimum 550.(}0)
2. STATE SURCi3ARGE �3,500.00 1.75
x.0005 $
(contract price)
3. POSTAGE& FEANDLING(Only on hiail-In Agplications) $ 2.U0
53.75
4. TOTAC.PERhi1T FES(Add Lines 1-3 Above) 3
■ " CONTRACT PR10E or JOB COST means the actuaf or estimated dollar arnount charged for the
permitted work including materials,labor,profit,and other fixed costs. It is the amount to be chazged
to the customer for the work done. lf any material,equipment,]abor 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 cvpy of the actual contrac�.
NIECHANICAL PERMIT ARPLICATION AGREEIVIENT
The vn�ersigned hereby applies to the CiTy for issuance of a Mechanical Permit agrees to do all
.�+ork in strict accordance with the ordinances of the 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: d9/01/17
3
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DATE TIME Y
CITY OF ORONO CALLED IN
INSPECTIO OTICE SCHEDULED
PERMIT NO — 1� COMPLETED � O
ADDRESS �_�.Sa SC��Q,`�o �
OWNER TELEPHONE NO. ��2- �� Z �
CONTRACTOR �"��� G�
� DESCRIPTION �� — 4��
4~j ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
2 ❑ RADON SLAB MECHANICAL RI ❑ SITE INSPECTION
Q �AMING 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
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� ❑ DEMO-SITE ❑ SEPTIC INSTALL
? OWNERICONTRACTOR TO MEET YW:_YES_NO
� COMMENTS:
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O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP OROEN POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
cen ro�tne ' sPect�on 2a t�o •n advance. (952) 249-4600
OvmerlContra on e:
Inspector:
WMts CopyAnspecto�'a Flle C�nary CopylSiM NWics
\�/\ DATE TIIiAE
CITY OF ORONO CALLED IN
INSPECTION NO�E SCHEDULED � ��
PERMR NO.�d!i-oa Q�S MPLETED
���ays� �;��-G� �N
pMINER TELEPHONE N ���^°�I- �83I
CONTRACTOR �
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� DESCRIPTION
W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAVIGRADIN(3/FILLINO
O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z 0 RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
� ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑COMPLAINT
� ,]�FINAL ❑ WATER HOOK-UP � FOLLOW-UP
W ❑AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATIOWREMOVAL
Z
r ❑ DEMO-SITE ❑ SEPTIC INSTALL
Z O�WN�RACTOR TO MEEf roU:_Y88_NO
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� ❑WORK SATiSFACTORIf:PROCEED /�PBQIECT COMPLETE
��ECT WOFYC a PROCEED ❑ISSUE CERTIFICATE OF OOCUPNNCY
o O OORRECT WOFiK.CALL FOR REINSPECTION T�APORARY
�j BEFORE OONERINO PERMANB�IT
❑COqqECTUN3AFECOPIDRIONWITHIN FIOURS- ppHpTOTAKEN
INSPECTOR YVILL RETIJRN
❑STOP ORDER POSTED.CALL INSPECTOR O CITATION 18SUED
O IMSPEC110N RECUIRED.CALL TO ARRAN(iE ACCESS.
caa br u�e next�specaon 24 no�rs�n�►�oe. (952) 249-4600
on site:
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YIIhIH l�p�Ans�et�s FlM ��ry���
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CITY OF ORONO CALLED IN / �������
INSPECTION NO ICE J!�CHEDULED /1,C.���
PERMIT NO. 7 ��� '- c0 P ETED _
ADDRESS ��� `���-_-�� /� t '�--
OWNER �EP,190NE I�O. �s�'—�� /2�
CONTRACTO `� �� �
� DESCRIPTION 1 � 1 CG�G� �
ll� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ 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 ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
Z OWNERICONTFiACTOR TO MEET YOU:_YES_NO
� COMMENTS: �:'r� �1� c� �' �s��ll�� Gti �
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� ❑WORK SATISFACTORY:PROCEED �B�PROJECT COMPLEfE
� ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ PHOTOTAKEN
INSPECTOR WFLL RETURN
❑STOP OROER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-46�0
OwnerlContractor on site:
Inspector��5 �'lJ �
White Copyllnspector's File Canary CopylSite Notice