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Home My WebLink About2017 - 01412 - gas fireplace 111111I ii iiiiiiiiiiiiiiiii CITY OF ORONO * 20 1 7 - 0 1 4 1 2 2750 KELLEY PARKWAY DATE ISSUED: 10/31/2017 ORONO,MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2607 WEST LAFAYETTE RD PIN : 21-117-23-21-0010 LEGAL DESC : REG.LAND SURVEY NO. 1468 : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 5,213.00 NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. HHT GAS INSERT AND GASLINE MODEL COSMO-I 35 APPLICANT MECHANICAL 65.16 FIRESIDE HEARTH&HOME STATE SURCHARGE MECH(VALUATION) 2.61 2700 FAIRVIEW AVE MAIL-IN FEE 2.00 ROSEVILLE,MN 55113 TOTAL 69.77 (651)633-2561 Payment(s) Minnesota State License#:mech-20512060 CREDIT CARD 4616 69.77 OWNER COON,M PRIDE&S 2607 WEST LAFAYETTE RD EXCELSIOR,MN 55331 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. ��t� ) / / l/ /7 Applicant Permitee�ignature Date Issued By S gnature Date i 10-31-'17 10:29 FROM- T-064 P0001/0004 F-449 g 5LI311Z-- FOR ITY USE ONLY City of Orono I� i / 11 o/-- Dl0029 W PO. Da e i Permit 2750 Kelley ParkwayCrystal Bay,MN 55323 Approved By: Amount$: Phone(952)249-4600 lax(952)249-4616 CITY OF ORONO-MECHANICAL PERMIT (All Commercial permits must be approved by the Building Official or Inspector and/or lire Marshall) GENERAL INFORMATION 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 JOB SITE, 3. Mechanical Designs—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. 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 final). Call(952)249-4600. (24-48 hour notice required) 7. House Heating Test Record must be submitted before final. TYPE OF PERMIT (Check All That Apply) AgalifiD ❑ ai cii A mi 10-31—'17 10:29 FROM— T-064 P0002/0004 F-449 . . • '•MECHANICAL SYSTEMS•BEING.INSTALLEI7 .. . '• .. Note:All Geothermal Systems will now require a Site Plan&Review by our Building Official. IS THIS GEOTHERMAL? ❑Yes ❑No HEATING SYSTEMS Quantity: Make: Model: Fuel: Flue Size: Input BTUs: Output BTUs: CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H.Power WO EWES) hoc -, rcF A Co00. h5 � � Mme, , �.. i � i17 M777 s .,t [ VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfm ❑ No. Bath Exhaust(must have duct outside) cfm ❑ No. Other Fans: Locations cfm FUEL STORAGE (Must be approved by Fire Marshall if proposing to abandon tank in place.) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside LP Gas: _ gallons Other: GAS LINE ONLY ❑ Outdoor Grill ❑ Other/List What&Where: 2 ,10-31—'17 10:29 FROM— T-064 P0003/0004 F-449 PE tN1IT FEE CALCULATION(S) EASED,OI?; -2002 STATE STATUE ❑ Yes,this section applies Inc.replacement of a Residential fixture or appliance that meets air 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 $ PERMIT FEE CALCULATION(S),_:JOBS OVER$500.00 If above does not apply;follow guidelines below: 1. CONTRACT PRICE *is 1.25%ofcontractjrice with a(Minimum Fee of$50.00) 5-/D3 V tcz's�Eff ce)) )) 2. STATE SURCHARGE j2-\3 u 3. POSTAGE&HANDLING(Only on Mail-In Applications) 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) 610 S =Mg) • * CONTRACT PRICE or JOE 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. MECHANICAL PERMIT 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 ' r ^.7,.�,, 3' Applicant's Signature: . O.At�;, 16 /-/7 3 DATE TIME CITY OF ORONO CALLED IN INSPECTION IC _ l �sc�E.. ED / r i1 PERMIT N � / / �+ --ED ADDRESS / !N -/-1/ _ o',5-/--- 73g3� OWNERT ' ONE NO. CONTRACTOR DESCRIPTION \ a' %'`l -��%�' /C- '91 lU ❑ FOOTING ❑ DEMO-Fl L 0 SEPTIC FINAL Q ❑ POURED WALL 0 PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION DRAIN TILE ❑ PLUMBING FINAL 0 TREE REMOVAL ❑ LATHE ❑ MECHANICAL RI ❑ SITE INSPECTION Q 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS is ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT 0 FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP ❑ FOUNDATION/REMOVAL ❑ DEMO-SITE 0 SEPTIC INSTALL Q OWN ERICONTRACTOR TO MEET YOU:_YES_NO col• COMMENTS: - � � Ere-S a Nvw 1 -1:'/'¢ ti� i» St-A /led op �r y» u•, �-fc► a/'e S ,s''?E c S o• f✓ 55 D W cc Q 2 W LU CC Lu \WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE ❑•CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY OO 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY Q 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 Owner/Contractor on site: Inspector:=G G S.O N Y\ White Copy/Inspector's File Canary Copy/Site Notice