HomeMy WebLinkAbout2017-01613 - gas fireplace " CITY OF ORONO * 2 0 1 7 - 0 1 6 1 3
2750 KELLEY PARKWAY DATE ISSUED: 12/08/2017
ORONO,MN 55356-
952)249-4600 FAX: (952)249-4616
ADDRESS : 3745 TOGO RD
PIN : 17-117-23-31-0046
LEGAL DESC : TOWNSITE OF LANGDON PARK
LOT 009 BLOCK 010
PERMIT TYPE MECHANICAL
PROPERTY TYPE RESIDENTIAL
CONSTRUCTION TYPE : FIREPLACE-GAS
VALUATION : $ 7,391.00
NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION.
INSTALL GAS FIREPLACE AND 2 GASLINES
APPLICANT MECHANICAL 92.39
FIRESIDE HEARTH&HOME STATE SURCHARGE MECH(VALUATION) 3.70
2700 FAIRVIEW AVE MAIL-IN FEE 2.00
ROSEVILLE,MN 55113 TOTAL 98.09
(651)633-2561 Payment(s)
Minnesota State License#:mech-20512060 CREDIT CARD 4616 98.09
OWNER
SCHATZ,DEBORAH L
3745 TOGO RD
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
rev d at any time for due cause.
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A lic t errnitee Sigfiature Dath Iss&eftT3y ature Date
12-08-' 17 10:48 FROM- T-262 P0001/0004 F-667
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OR X USE QNLY
City of Orn
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1,/` P.O.Box 66 Date Rebeived I peimit N ����
2750 Kelley Parkway
Crystal Bay,MN 55323 Approyed By 4.Lii It$
Phone(952)249-4600 Fax(952)249-4616
�� CITY'OF ORON�O—MECHANICAL PERMIT
RES H O (All Commercial permits must be approved by the Building ott"icial or Inspector and/or Fire Marshall)
`GENERAL WFORMATI!
1. 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 3013 SITE.
3- Mechanical Designs—Complete calculations,details and specifications are required for each
heating,ventilation,humidification-delulmidification,and air conditioning installation including
heat loss/heat gain calculation,design temperatures,equipment 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 fugal). Call(952)249-4600.
(24-48 hour notice required)
7- House Heating Test Record must be submitted before final.
(Check All Tl iat A 'Jy).
Residential ❑Commercial(Approval Required)
❑New Additional ❑Repairs ❑Replace
Job`:Sate/.O�ylael�Zir�oi mati�on`
Site Address: V" ef(JO KA
Owner: iJt:LCCA,� Mailing Address:
City: / zip:
Home phone: IU � Aitemate Phone:
Ga4gactor reformation
Address: 2700 Fairview Ave N State Bond#:BC662656, M 8662572, PC662571
City: Roseville, MN zfp..55113 Expiration Date:
Phone: 651-633-2561 Alternate Phone:Leah#651-638-3312
❑ Insurance—CUITerlt:
1
12-08-'17 10:48 FROM- T-262 P0002/0004 F-667
I
Note: All Geothermal Systems will now require a Site Flan&Review by our Building Official.
IS THIS GEOTHERMAL? ❑Yes ❑No
HEATING SYSTEMS
Quantity:
Make:
Model:
Fuel:
Flue Size:
Input BTC)s:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H.Power I
FIREPLACE$ �W[ �� �(I�ILp`dLI..L II)Ae-
[� Gas Factory Fireplace Brand Name: Ff
Wood Burning Fireplace
'Wr�S 0T _�.PI
Wood Stove Model No.: J
❑ Wood Stove with Flue/Masonry
VENTILATION
❑ No. Kitchen Exhaust duct recirculating ofm
❑ No. Bath Exhaust(must have duct outside) efm
❑ No. Other Fans: Locations ofm
FUEL STORAGE (Ahist be approver!by Fire Marshall ifproposing to abandonr tank l»place,)
❑ Installation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill ❑ Other/List What&Where:
2
12-08—'17 10:48 FROM— T-262 P0003/0004 F-667
❑ Yes,this section applies
The replacement of a Residential fixture or abnliance that meets all three of the following requirements:
1. Does not require modification to electrical or gas service.
2. Has a total cost of$500.00 or less;excluding the cost of the fixture or appliance:and
3. Is improved,installed or replaced by the homeowner or licensed contractor.
Skip next section,if this applies; Cost of permit $ 15.00
State Surcharge $ 5.00
Mail-In Fee(If Applicable) $ 2.00
Total permit fee S
If above does not apply;follow guidelines below:
1. CONTRACT PRICE u is 1.25%of contract price with a(Minimum Fee of$500.000)
f O x.0125$ '"j'
(contract price) (n aimum$50.00)
2. STATE SURCHARGE '�
X.0005 $_
(convect price)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $
■ CONTRACT PRICE or JOB 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. 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.
work 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 Signatu. Date:
3
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NQTI E SCHEDULED -1 - -
PERMIT NO.CI Q 2—01<o COMPLETED
ADDRESS -3
OWNER TELEPHONE NO.
CONTRACTOR 45 1
DESCRIPTION �• �'
W ❑ 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
v
El DEMO-SITE ❑ SEPTIC INSTALL
Z OWNERICONTRACTOR TO MEET YOU:_YES_NO
ti COMMENTS:
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W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p PHOTO TAKEN
INSPECTOR WILL RETURN
CITATION ISSUED
•STOP ORDER POSTED-CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on site:
Inspector. /4-- iL
Copymnspectoes File Canary Copy/Site Notice
�ny/aONO CALLED IN D T TIME
INSPECTION N IC SCHEDULED —1 1 LZou
PERMIT NO. " �� COMP t,C
ADDRESS 87g/
OWNER —TV E � N .�'�,3
CONTRACTOR
DESCRIPTION �r
W ❑ FOOTING ❑ DE -FINAL ❑ SEPTIC FINAL
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❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
C ❑ 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
❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
�I ❑ DEMO-SITE ❑ SEPTIC INSTALL
Z OWNERICONTRACTOR TO MEET YOU:_YES_NO
COMMENTS: ohe A,;, r ,o 4T 17 7»r
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V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Ownerr.ontractor on site:
Inspector: 4 o Ih x
white CopyAnspectoes Fib Canary Copy/She Notice
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DAT TIME V/
CITY OF ORONO CALLED IN
INSPECTION NOWESCHEDULED '
PERMIT NO. ` LETED
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ADDRESS % _
OWNER ONE NO.�� j Z
CONTRACTOR 5�
DESCRIPTION
W ❑ FOOTING ❑ DEMO-FINIL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
C ❑ FOUNDATION DRAIN TILE ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ LATHE ❑ MECHANICAL RI ❑ SITE INSPECTION
_ ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
INAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
v [I DEMO-SITE ❑ SEPTIC INSTALL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
c� COMMENTS:
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W ❑CORRECT WORK 3 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
OwnerlContractor on site:
Inspector. z&
White Copyllnspector's File Canary CopyMe Notice