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Home My WebLink About2015 - 00235 - gas fireplace CITY OF ORONO 11111 I1I III 1111111 II II II II I III I I III I * 20 1 5 - 00235 * 2750 KELLEY PARKWAY DATE ISSUED: 02/25/2015 ORONO,MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1085 WILDHURST TR PIN : 07-117-23-24-0029 LEGAL DESC : TONKAVIEW GARDENS : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 400.00 NOTE: (2)GAS FIREPLACES APPLICANT MECHANICAL 50.00 STATE SURCHARGE MECH(VALUATION) 0.20 KINGDOM BUILDERS 9099 30TH ST SW TOTAL 50.20 HOWARD LAKE,MN 55349- Payment(s) (612)272-4901 CREDIT CARD 5938 50.20 Minnesota State License#: BUIL-234129 OWNER JURLAND, STEVEN 1085 WILDHURST TR MOUND, MN 55364- 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 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 t - State Building Code.This permit may be revoked at an- ' : for d au 111 1 z /t — rc—r(..—) c:71N Applicant Pe te- Sig ature te Issu-: By Signature Date FOR CITY USE ONLY City of Orono 1 V Date Received: Permit O # 27.50.P.O. Kelley 66 Parkway Crystal Bay,MN 55323 Approved By: Amount$: Phone(952)249-4600 Fax(952)249-4616 1.F �kESH0��0 CITY OF ORONO-MECHANICAL PERMIT (All Commercial permits must be approved by the Building Official or Inspector and/or Fire 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) Residential ❑ Commercial(Approval Required) ❑ New ❑Additional ❑ Repairs Replace Job Site/Owner Information: Site Address: /0 95--- £c/l1 //)/2,S7 —72411._ Owner: 72411— Owner: 577 vL J14V %U Mailing Address: S-2. I / 1371.ST City: Lvvvr 's-7bn.i Zip: S-5431 Home Phone: 9-5-2- L'S-3--/234)3 Alternate Phone: Contractor Information: Contractor: ,�.c,�,.,� 3vu..6 Contact Person: �1_ ' LA\I . .n') Address: °jOet`1 3C7 . S`' State Bond#: City: 1- 'O Zip:c5M+1 Expiration Date: t.�rtL� Phone: to t-z-2"lZ -44101 Alternate Phone: n Insurance-Current: 1 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: Make: Model: Fuel: Flue Size: Input BTUs: Output BTUs: CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H. Power FIREPLACES Gas Factory Fireplace L2 Brand Name: { -i -GL0 Wood Burning Fireplace ❑ Wood Stove Model No.: CDC / -s Q ❑ Wood Stove with Flue I Masonry to„.46-4_ uQPF a. 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 • PERMIT FEE CALCULATION(S) BASED OFF-2002 STATE STATUE ❑ Yes,this section applies The replacement of a Residential fixture or appliance 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 $ PERMIT FEE CALCULATION(S)-JOBS OVER$500.00 If above does not apply; follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) 4erlDO x.0125 $ (contract price) (minimum$50.00) 2. STATE SURCHARGE A-0v x.0005 $ 2 (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ c;ar ■ * 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. 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. 0 Applicant's Signature: Date: Z1Z5 f c 3 ADATE TIME V CITY OF ORONO CALLED IN INSPECTION NOTICEG. SCHEDULED 'MPS.— . '(w PERMIT NO. �-Ul5' /�'-7 COMPLETED ADDRESS 0 6 W I CI h w1 r� OWNER TELEPHQI E�NO. (...p /;:2 -(97,9- .90/ CONTRACTOR 3.-. DESCRIPTION Fi re p 0 a- /4-- W ❑ FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL 14. ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING " 0 FOUNDATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL Z ❑ RADON SLAB 0 MECHANICAL RI 0 SITE INSPECTION Q 0 FRAMING 0 MECHANICAL FINAL 0 PROGRESS • ❑ INSULATION 0 WOOD BURNER/FIREPLACE ❑ COMPLAINT Q 0 FINAL 0 WATER HOOK-UP 0 FOLLOW-UP ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 HARD COVER REMOVAL v ❑ DEMO-SITE 0 �EPTIC INSTALL 0 FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU: , YES_NO 2 COMMEN W - M.L. 1�'. �. Yc.44-bi3 - Q. o - CC 0 cc o L i . `".P - - vete&Ks - OK W Q 0/04 ea,w_'.f - d/_. Wlic- _ V'e wig t -(h tett Mks - cit,wieta7, �/ mance 1.1e60rslls,/ /1,1/64In 41 Al aRKSATISFACTORY:PROCEED CIPROJECT COMPLETE CC W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY C.1 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. 9/'.— White Copyllnspector's File Canary CopylSite Notice AZ — ----/ AT TIME CITY OF ORONO cALLED IN a INSPECTION NOTICE CHEDULED a- 7-45 /0:�v PERMIT NO. 5"Q'b OM/PL ADDRESS /Q ELJ a llQ/l/, JyttAd.t-- 0.--- ,--- OWNER ' TEL �,.1 E NO.IF��-A 7 96/ CONTRACTOR I��%�I/' /VA • AD& _ >, DESCRIPTION ,... e�� R—./0 FOOTING ❑ DE -FINAL 0 SEPTIC FINAL Q ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF El PLUMBING FINAL 0 TREE REMOVAL ❑ RADON SLAB 0 MECHANICAL RI 0 SITE INSPECTION Q 0 FRAMING 0 MECHANICAL FINAL 0 PROGRESS 1._ ❑ INSULATION 0 WOOD BURNER/FIREPLACE ❑ COMPLAINT Q 0 FINAL 0 WATER HOOK-UP 0 FOLLOW-UP W ❑ AS BUILT-SURVEY 1:1 SEWER HOOK-UP El HARD COVER REMOVAL ,1,..14 ❑ DEMO-SITE El SEPTIC INSTALL 0 FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO c�.) COMMENTS: I 7)L____ Q.CC o I// /j , --- - cc / O Lu / Q ,.-.---jii• : .'1.1....„+"5601.4.44 hp)? W z W ,,J d W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ,CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY CI ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ElSTOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (9 /. 49-4600 Owner/Contractor on site: /j/4' Inspector. ,if, Al/' White Copy/Inspector's File Canary Copy/Site Notice