HomeMy WebLinkAbout2016-00217 - gas fireplace CITY OF ORONO * 2016 - 00217 *
2750 KELLEY PARKWAY DATE ISSUED: 03/04/2016
ORONO,MN 55356-
(952)249-4600 FAX: (952) 249-4616
ADDRESS 1025 TONKAWA RD
PIN 08-117-23-24-0003
LEGAL DESC CARLWOOD
: LOT 002 BLOCK 001
PERMIT TYPE MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIREPLACE-GAS
VALUATION : $ 5,000.00
NOTE: (2)MENDOTA FIREPLACES
APPLICANT MECHANICAL 62.50
STATE SURCHARGE MECH(VALUATION) 2.50
TWIN CITY FIREPLACE STONE CO INC MAIL-IN FEE 2.00
6521 CECILIA CIR TOTAL 67.00
EDINA,MN 55439-
(952)941-2685 Payment(s)
Minnesota State License#:mech-MB682977 CREDIT CARD 0657 67.00
OWNER
ANDRDA MESSINA,HUGH NEESON&
1025 TONKAWA RD
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
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
revoked at any time for due cause. e
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Applicant Permitee Signature Date Issue y Signature Date
Mar 03 16 01:25p Twin City Fireplace 9529422093 p.1
C USE ONLY
O�T City of Orono / �,
i VO P.O.Box 66 Date R�� i Permit ii�&
2750 Kelley Parkway
Crystal Bay,MN 55323 Approved By: Amount S:
Pk—(952)249-4600 Fax(952)249-4616
ESHo1C.O CITY OF ORONO—MECHANICAL PERMIT
(All Commercial permits roust be approved by the Building Official or Inspector and/or Fire Marshali)
GENERAL INFORMATION
I. You nMy 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 JOB SITE
3. Mechanical DesiM—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
type,manufacturer and model. Data shall be presented on form provided
4. Wbeu any new construction or remodeling is involved,a separate building permit must be
obtained.
5. All work must be done in accordance with tare Uniform Mechanical Code/State Building Code
requirements.
6. All work must be inspected(rough-in and final). Call(952)249-4600.
(24-08 hour notice required)
7. House Heating Test Record must be submitted before final.
TYPE OF PERMIT
Check All ThatApply)
Z Residential ❑Commercial(Approval Requires (Backflow Device:❑AVB ❑PVB)
❑New E]Additional ❑Repairs ❑Replace
Job Site/Owner Information:
Site Address: 6 O -5 [ ��
Owner: /l Mailing Address:
City: Q .� Zip:
- ��x: fvis�:o�' 952 (t0-7 CPt 2-1
Home Phone: _ - RI,L Alternate Phone:
Contractor Information:
Contractor: {y�`f ICI t r!6-Contact Person: J-1 f S�,t/4LI�f(f4,--
Address:
(0:1-62 �rG t l ll-(, 61 i��C�State Bond t
City: CG I ry-t..- Zip:c5VW/Expiration Date: 60) it,
Phone: �ljZ-- 1 �j Alternate Phone: Z
Insurance—Current:
Mar 0416 12:04p Twin City Fireplace 9529422093 p.1
11
l
MECHANICAL SYSTEMS BEING INSTALLED
Note:All Geothermal Systems will now require a Site Plan&Review by our Building Official.
IS THIS GEOTHERMAL? ❑Yes `No
HEATING SYSTEMS '
Quantity: a
Make: eI{ /l i
Model:
Fuel:
Flue Size:
{
InputBTUs: � til
A
1
Output BTUs: ✓ �J �i J J
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H.Power
FIREPLACES
!3Q Gas Factory Fireplace Brand Name: �'L'.� '✓r?U�•
❑ Wood Burning Fireplace i
❑ Wood Stove Mode]No.: �.
J t:{ ✓`
❑ Wood Stove with Flue/Masonry
VENTILATION
❑ No. Kitchen Exhaust duct recirculating cfm
❑ No. Bath Exhaust(must have duct outside) cfm
❑ No. Other Fans: Locations r c6n
FUEL STORAGE (Must be approved by Fine Marshall if proposing to abandon tank it places)
❑ Installation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill ❑ Other!List What&Where:
2
Mar 03 16 01:25p Twin City Fireplace 9529422093 p.2
PERMIT FEE CALCULATIONS
L CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.000))
r?0GAVI - 00 X.0125$ I �lJ
(contract price) (MMMU®550.00)
2. STATE SURCHARGE
X.0005.0005 $
(conhaet 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 an the amount
of the job cost, the City may request the submission of a signed copy of the actual contract.
MECHANICAL-PERNUT APPLICATION AGREEMENT
The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all
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 Signature: Date:---l "
3
TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED - -
PERMIT NOLO/(0:000-11 C0MPkQD
ADDRESS v
OWNER TELEP ONE NO.
CONTRACTOR
DESCRIPTION
W ❑ FOOTING ❑ DMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
❑ 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
❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
h COMMENTS:
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ul®RECTWORK&
KSATISFACTORII`.PROCEED ❑PROJECT COMPLETE
W PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
OO ❑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.
C pection 24 hours in advance. (952) 249-4600
OWnrector on
Inspector:
White Copyllnspectoes File Canary Copy/Site Notice