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HomeMy WebLinkAbout2017 - 01608 - gas fireplace CITY OF ORONO * 2 a it I7 I a 1 6 0 e 2750 KELLEY PARKWAY DATE ISSUED: 12108/2017 ORONO,MN 55356- (952)249-4600 FAX: (952)249-4616 ADDRESS : 4550 WOLVERTON PL PIN : 31-118-23-31-0013 LEGAL DESC : FOXFYRE ESTATES : LOT MB BLOCK MB PERMIT TYPE : MECHANICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 1,500.00 NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. GAS FACTORY FIREPLACE NAPOLEON MODEL B42NTRE APPLICANT MECHANICAL 50.00 STATE SURCHARGE MECH(VALUATION) 0.75 TWIN CITY FIREPLACE STONE CO INC MAIL-IN FEE 2.00 6521 CECILIA CIR EDINA,MN 55439- TOTAL 52.75 (952)777-4125 Payment(s) Minnesota State License#:mech-MB682977 CREDIT CARD 8820 52.75 OWNER JENSEN,KURT&JULIA 4550 WOLVERTON PLACE MAPLE PLAIN,MN 55359- 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. (maAit‘a ��� .� 121 � /7 Applicant Permitee Signature Date Issued Signature Date Dec 0717 03:23p Twin City Fireplace 9529422093 p.1 CI Y USE ONLY' ��W City of Orono_B11(4 P.Oox 66 Date Receive v 8/�7 Penn it# 2750 Kellen Parkway r'2 7S Crystal Bay,MN 55323 Approved By: Amount$: J/1 II Phone(952)249-4600 Fax(952)249-4616 z„. CITY OF ORONO—MECHANICAL PERMIT (til'.Commercial permits must be approved by the Building Official or Inspector andlorFire 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 Q Commercial(Approval Required) [Backflow Device: ❑AVB ❑ PVBI ❑New ❑Additional ❑ Repairs Q Replace Job Site/Owner Information: Site Address: 4550 Wolverton PI Kurt Jensen 4550 Wolverton PI Owner: Mailing Address: Maple Plain 55359City Zip: 414.477.0538 Home Phone: Alternate Phone: Contractor Information: Twin City Fireplace&Stone Co. Beth Ayers Contractor: Contact Person: 6521 Cecilia Circle MB682977 Address: State Bond#: City: Edina Zip: 55439 Expiration Date: 07130/18 Phone: 952.777.4125 Alternate Phone: Insurance—Current: Dec 0717 03:23p Twin City Fireplace 9529422093 p.2 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 Brand Name: Napoleon ❑ Wood Burning Fireplace ❑ Wood Stove Model No.: B42NTRE(22,000 BTUs) ❑ Wood Stove with Flue f Masonry VENTI LATION ❑ 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 ifproposing to abandon tank in place.) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill ❑ Other i List What& Where: 2 Dec 07 17 03:23p Twin City Fireplace 9529422093 p.3 • .•%. PERMIT FEE CALCULATIONS I. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) $1,500.00 50.00 x.0125$ (contact price) (minimum S50.0D) 2, STATE SURCHARGE $1,500.00 0.75 x.0005 $ (contract price) 3. POSTAGE&HANDLING(Only on.Mai]-In Applications) S 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ 52.75 ■ * 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.11 statements made on this application are complete,true and correct. 1 . Applicant's Signature: fa Date: 12/07/17 I 3 A_7-3 aeat--- V DATE TIME CITY OF ORONO CALLED IN INSPECTIONMC, ` SCHEDULED / cA'3'0PERMIT NO.d1�J► / coC 6 COMPLETED ADDRESS '/5 WO/1104D}0 P/aQ OWNER . LEPH+NE NO. 6252-777- 35 CONTRACTOR /t' //l� _ DESCRIPTION /' 14, ❑ FOOTING 0 DEMO-Fl/AL 0 SEPTIC FINAL Q ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING Q ❑ FOUNDATION DRAIN TILE 0 PLUMBING FINAL 0 TREE REMOVAL ❑ LATHE 0 MECHANICAL RI 0 SITE INSPECTION Q 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS 1, ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT Q ❑ FINAL 0 WATER HOOK-UP 0 FOLLOW-UP W ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL ❑ DEMO-SITE 0 SEPTIC INSTALL 2 OWNER/CONTRACTOR TO MEET YOU:_YES_NO to) COMMENTS: cc / Q. iriGrtee, .4„._z‘re.,,etat9 r.e, c:/4- ray/• - o /4 `tPet --/#S Cyn, . W - G dC' s eia7 h,re — cc a DSC e /t' SA , SPe_c S W Z W It W aeliStORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE CCW 0 CORRECT WORK&PROCEED 0 ISSUE CERTIFICATE OF OCCUPANCY O0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT O CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN O STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: Inspector. (Lw�. 75 White Copy/Inspector's File Canary Copy/Site Notice I DATE TIME V CITY OF ORONOCALLED IN INSPECTION rTI SCHEDULED / -c,2/-/7 y'3e) PERMIT NO. QOMPLETED ADDRESS 75-5D OWNER /� TELEPHONE NCO. 442 --Tri CONTRACTOR - r F,. G��� 1U� • DESCRIPTION r -4 W ❑ FOOTING 0 DEMO-FINAL ❑ SEPTIC FINAL • ❑ POURED WALL ❑ PLUMBING RI 0 EXCAV/GRADING/FILLING ❑ FOUNDATION DRAIN TILE 0 PLUMBING FINAL 0 TREE REMOVAL • ❑ LATHE 0 MECHANICAL RI 0 SITE INSPECTION Q 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS • ❑ INSULATION ❑ WOOD BURNER/FIREPLACE 0 COMPLAINT Q 0 FINAL 0 WATER HOOK-UP 0 FOLLOW-UP ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL • ❑ DEMO-SITE ❑ SEPTIC INSTALL • OWNERICONTRACTOR TO MEET YOU:_YES NO LI• COMMENTS: l c` '� f/%i.G )l/a r.G c M pia ft 4 ti. J C ` & 1. CC 47/Ir Ta •moi `r 1 cc0 O: CC 44 0 WORK SATISFACTORY:PROCEED PROJ ECT COM PL ET E • 0 CORRECT WORK 8 PROCEED 0 ISSUE CERTIFICATE OF OCCUPANCY O 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT 0 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. to White Copyllnspector's File Canary Copy/Site Notice