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Home My WebLink About2015-01495 (mechanical- gas to outdoor fireplace) , • CITY OF ORONO * 2 0 1 5 - 0 1 4 9 5 * 2750 KELLEY PARKWAY DATE ISSUED: 1 U20/2015 ORONO, MN 55356- (952) 249-4600 FAX: 952) 249-4616 ADDRESS : 2490 CARMAN ST PIN : 20-117-23-12-0065 LEGAL DESC : LEHMAN LAGOON : LOT 2 BLOCK 1 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : GAS L[NE ONLY VALUATION : $ 1,750.00 NOTE: GASLINE TO OUTDOOR FIREPLACE APPLICANT MECHAN[CAL 50.00 STATE SURCHARGE MECH(VALUATION) 0.88 METRO GAS INSTALLERS TOTAL 50.88 685 141ST LANE NW Payment(s) ANDOVER, MN 55304 CHECK 15793 50.88 (763)754-71 l9 Minnesota State License#: mech-MB003162 OWNER Lakeshore Holdings LLC 153 E LAKE ST 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[his type of work shall be compied with whether or not specified herein.This permit will _�-��C 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. �, / / Applicant Permitee Signature Date Issued By Signature Date - � CITY OF ORONO * 2 0 1 5 - 0 1 4 9 5 * � 2750 KELLEY PARKWAY DATE ISSUED: 1U20/2015 ORONO, MN 55356- 2�� 952 249-4600 FAX: 952 249-4616 ADDRESS : 70 CARMAN ST -�� L�,��-f'�C�i.(;�'(,>� � �JZ��c_, PIN : 20-117-23-12-0066 � LEGAL DESC : LEHMAN LAGOON : LOT 1 BLOCK 1 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : GAS LINE ONLY VALUATION : $ 1,750.00 NOTE: GASLINE TO OUTDOOR FIREPLACE APPLICANT MECHANICAL 50.00 STATE SURCHARGE MECH(VALUATION) 0.88 METRO GAS INSTALLERS 685 141ST LANENW TOTAL 50.88 ANDOVER, MN 55304 Payment(s) CHECK 15793 50.88 (763)754-7119 Minnesota State License#: mech-MB003 2 OWNER JARNES,JEFF&JACQ 2470 CARMAN ST 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 permi[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[he 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 wiffi the State Building Code.This permit may be revoked at any tiyie fo due cause. , 1 � / ��. tl � � !� �y .� �� l� � `� � / � ,� / o � Applicant Permitee Signature Date Issued By Si ture Date r•' , FOR CI1'Y USE ONLY . i �� O� T City of Orono 1 VO P.O.Box 66 Date Received: Permii#� 2750 Kelley Parkway Crystal Bay,MN 55323 Approvsd By: Amount$: Phone(952)249-4600 Fax(952)249-4616 � � `� �.�' CITY OF ORONO—MECHANICAL PERMIT t�kES H�4 (��Commercial permiu 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 Desi ns—Complete calculations,details and specifications aze 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 sball 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 fmal. TYPE OF PERMIT Checl�All That A : 1 _�Residential ❑ Commercial(Approval Required) �New ❑ Additional � , j(�� ❑Repairs ❑Replace �t � Job Site/Owner Information: t g , , , ,,., �,� , ,, �/� Site Addres r �.-` ✓'�✓��^� � +� ,+� l �� :� 1,� � 1 ,� � Owner: /��L� ��U(�.� ''� Mailing Address: �,'��7`,j t�'✓�✓�'G ',� City: � },��7'�'.: Zip: a - ' �' Home Phone: ��f,��,�i' ��%�� Alternate Phone: Contractor Information: �� ► er n• /` ��'� Contractor: � � �ontact P so . / �j�' S-� `,► �(�,/ '. Address: �r�.� � C.� !� .State Bond#: Cl.�f l City: f �•G ��1 ZipJ� � Expiration Date: �/ � Phone: ��J 7' �� Alternate Phone: �/� 4 /u ❑ Insurance—Current: 1 ti MEGHANICAL 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 FIItEPLACES � Gas Factory Fireplace Brand Name: Wood Burning Fireplace ❑ Wood Stove Model No.: ❑ Wood Stove with Flue/Masonry VENTILATION ❑ No. Kitchen E}chaust duct recirculating cfin ❑ No. Bath E�aust(must have duct outside) cfm ❑ No. Other Fans: Locations �� FUEL STORAGE (Must be approved by Fire Marshall if proposing to abandon tank in place.) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Undergound ❑ Inside ❑ Outside LP Gas: gallons Other: GAS LINE ONLY Outdoor Grill Other/List VJhat&Where: �� t." � � � � , 2 ,,� �. � PERMIT FEE CALCULATION{S} BASED OFF -200� 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;excludine the cost of the fixture or appliance:and 3. Is improved, installed or replaced by the homeowner or licensed contractor. Skip neact section, if this applies; Cost of Permit $ 15.00 State Surchazge $ 1.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ PETtA�IT FEE CALC�.TLATIaN S -3t)BS 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$50.00) - _� � ,�� x.0125$ (contract price) (minimum 550.00) 2. STATE SURCHARGE x.0005 $ (contract 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 pernut 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. �=, .. , ` > , .,. -,..';��IEC�2�1IC1�L:P��'�'.AP�'L;I�.A"�'��C�.�?��'�'. ,:,� N,_. � ;�. , �, .. ;,` 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. ' f�A �� ^ ' a licant's Si ature: f l�a� � � �r� � � �rr � � � ��t�: �J 3 � —�c� C,� ✓ D�O� TIME CITY OF ORONO CALLED IN INSPECTION NOTICE �Q�SCHEDULED ll��/s � PERMIT NO. o�(�� 5�� `" COMPLETED ADDRESS �� OWNER TE EPHOr E N . - CONTRACTOR ��[�[�� DESCRIPTION r'�� -� �',,3- 7��`'�, � - l l� ❑ FOOTING ❑ DEMO-FINAL ��I S PTIC INAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP ? ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL J ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICONTFiACTOR TO MEET YOU:_YES_NO c�.� COMMENTS: a S Y e� / � �✓ j - o Dcc��cr�r ,�,.- a,� '' 3d �'C 4.: ,�a s� �f��P,�s s��c� — //-o�`�- - � 0 � W � ^ Q��✓e. ,p,� �n p/4G � - Q � Z / /� ��'� ✓J�� wl��s� � Q o%Y✓�4�lis.��„-�� '�1��, w � � � �BRK SATISFACTORY:PROCEED ❑PROJECT COMPLETE w ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED �NSPECTION REQUIRED.�ALL TO ARRANGE ACCESS. v � Call for the next inspection 24 hours in advance. (g52) 249-4600 OwnerlContra r on�ite: Inspector: ��`"' White Copyllnspector's File Canary CopylSite Notke �`� �� ` r DATE TIME� CITY OF ORONO CALLED IN � � INSPECTION�OTICE SCHEDULED PERMIT NO. c�� 'L��S COMPLETED ADDRESS �� .�.{'t`YY��1 ' OWNER TELEPHONE NO CONTRACTOR � � DESCRIPTION � ��.� � �� -- W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ 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 i ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL v ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICONTRACTOR TO MEET YOU:�YES_NO c�., COMMENTS: � ` � ' �� W a �r- � j , 0 / •3 4Gt �irl Q ��' d4��ad•� C1aS �. ` � �/'� ��2r 1F �S ��d7i 6/��rE�ro•t�G O 1LY� ��.�—��!�'�'r .P� ' ! /!� / ��3�aG�r4d`r W � � / � � � 6� a� e ��-e �e O -� �rcdsc�� Q � d` �i✓! i��- LE J�' 4/�i�Y•� W � w � j a W ❑WORK SATISFACTORY:PROCEED ❑ PROJ ECT COM PLETE � �ARECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED f'�SPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (g52) 249-460� OwnerlContractor on site: Inspector. r'� � %� `� White Copyflnspector's File Canary CopyfSite Notice