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Home My WebLink About2015-01593 - gas fireplace J CITY OF ORONO * Z 0 1 5 - PJ 1 5 9 3 * 2750 KELLEY PARKWAY DATE ISSUED: 12/28/2015 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 745 FERNDALE RD N PIN : 36-118-23-12-0007 LEGAL DESC : JANET ACRES : LOT 001 BLOCK 001 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 3,500.00 NOTE: VERMONT CASTINGS GAS FIREPLACE APPLICANT MECHANICAL 50.00 STATE SURCHARGE MECH(VALUATION) 1.75 PRACTICAL SYSTEMS MAIL-IN FEE 2.00 4342B SHADY OAK RD HOPK[NS,MN 55343 TOTAL 53.75 (952)933-1868 Payment(s) CHECK 8569 53.75 OWIYER FREY, KAREN 745 FERNDALE RD N 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 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 afrer work has commenced. The applicant is responsible for assuring aIl required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. � � � � J�, �,/5 /Y1r1� Applica �Permitee Signature � Date [s ued�B Signature Date � FOR CITY USE ONLY �O A'O City of Orono <y P.O.Box 66 Date Received: Permit r� 27�0 Kcllcy Parkway Crystal Bay,MN 55323 Appr�vcd By: Amount$: Phonc(952)2-19--3600 Fax(952)249-4616 .a �, y �. F � �.�KFS��,� CITY OF ORONO-MECHANICAL PERMIT (.1ll Commcrcial permit,must bc approvcd by thc Building Otticial or Inspcctor and/or Firc Marshall) GENERAL INFORMATION 1. You may apply for mechanical permits by mail or in person at thc City offices. Applications will be reviewed and a permit will be issued within two working days. 2. Pennit cards will be sent by return mail after a review is completed. PERM[TS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Dcsi�—Complete calculations,details aud specifications are required far 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 con�tniction or remodeling is involved, a separate h>>i!ding permit must be obtained. 5. All work must be done in accordance with the Uniform Mechanical Code/State Building Code requireme��ts. 6. All work tnust 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 ❑ Coinmercial(Approval Requued) �New ❑ Additional ❑Repairs ❑ Replace Job Site / Owner information: Site Address: �]�{'S �el�'11.�0�C. � Owner: �1Q,��(1 1'rt�,� Mailing Address: 1�S Fe,rr��12d c�ty: (`�r ono z��: 55 391 Home Phone: (D I�' $�- 3�Z� Alternate Phone: Contractor Infoimation: Contractor: �t@��,}-t�pJ► SUS�PlY1S Contact Person: JCnt»�r(� Q,��,�'� Address: y3y1Q 5h0�� l`�O.1GI�e�tate Bond#: �g (��O City: Zip:�j��3 Expiration Date: � � �(,,,o Phone: q�a�'q�' ��(Dg Alternate Phone: [� Insurance—Current: (�L� 1 ° ` MECHANICAL SYSTEMS BEING`INSTALLED ` Note: All Geothermal Systeins will now require a Site Plan& Review by our Building Ofticial. 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 Naine: VQ.�mOh} C,Q,g}�� ❑ Wood Burning Fireplace ❑ Wood Stove Model No.: 5�(jj�(�,y�� ❑ Wood Stove with Flue/Masonry VENTILATION ❑ Na Kitchen Exhaust duct recirculating cfm ❑ No. Bath Exhaust(must have duct outside) cfm ❑ No. Other Fans: Locations cfm FUEL STORA(GE (Must be appr�oved by Fire Maf�slxall if proposing to abandoia taiik iri p/ace.) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑ Inside ❑ Outside LP Gas: gallons Other: GAS LINE OIVLY ❑ Outdoor Grill ❑ Other/List What&Where: 2 -------- ------- - PERMIT FEE CALCULATION(S) BASED OFF - 2002 STATE STATUE ❑ Ycs, this scctiou applics The replacement of a Residential fixture or a�pliance that meets all tllree of the following requirements: 1. Does not require modification to electrical or gas service. 2. Has a total cost of$500.00 or less; excludin�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 a�plies; Cost of Permit $ 15.00 State Surcharge $ 1.00 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) �7�j� •(�v x .0125 $ �V•Ul� (contract pricc) (minimum�50.00) 2. STATE SURCHARGE 35UD.oc� X .000s � � .`�� (contract pricc) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ �j�•��j ■ * 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. Tt is the atnount to be charged � to the customer for the work doi�e. if any material, equip�i�ent, labor or installations are furnished by the owner, tenant or any other party, the reasonable market value of such items �nust 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 APPLICATI4N AGREEMENT 'x�'�` � '��<>. The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all work i�i 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: �$XVv Date: �� 3 � � �_�J`�' I DATE TIME ; � CITY OF ORONO CALLED IN 1 - �J `•� INSPECTIO O CE/� SCHEDULED — , 3� PERMIT —v /�� COMPLETED ADDRESS . � 7�°�1��. OWNER L HON NO Ia".J?'��GJ CONTRACTOR � � DESCRIPTION — G�'v W ❑ FOOTING ❑ DEMO-FINAL SEPTIC FINAL k Q ❑ POURED WALL ❑ PLUMBING RI EXCAV/GRADING/FILLING y ❑ 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 41 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL. _ J ❑ DEMO-SITE ❑ S TIC INSTALL OW� RACTOR TO MEET YOU:�ES_NO y COMMENTS: o� . a ��n^�e., — ca E� ' C°e w��nu,�i /.•�t� 0 �/vC✓ So<�Ci�.P �6��✓� � � � 41'r ��5� /�01.8��s /� �J' � ,C>S!i W Q S/✓ll.� � . �l- /� ' � � �� W � J W^�.100DFtKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � �CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CARRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pH0T0 TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 2a hours in advance. (g52) 249-4600 OwnerlContractoronsite: �r/r'� Inspector: �--r �`'�" White CopyAnspector's File Canary CopylSite Notice � (/�\ l / ''. 1 ,... \� �� r� �'�:I DATE TIM�� CITY OF ORONO CALLED IN INSPECTION NOTICE „ SCHEDULED £ �E,� �' �� PERMIT NO. ��(�.�^� �� COMPLETED ADDRESS ";L� � � �r',�ic.��;f 2 �� / OWNER TELEPHO�IE NOr�`� l`-3� '��;� CONTRACTOR �� r_ �=-� - �U�f / i DESCRIPTION �1��--�'1 ��-h�-��-�-�-�:.��?fi � ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL / Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING `� O ❑ 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 ❑ S �TIC INSTALL 2 01NNERICONTMCTOR TO MEET YiOU: ` YES_NO �� COMMENTS: ��or�a ,%��( ��11a;� (,�..'i..��. � /�y�G ��'v� � � . 0 �. � 0 � W � Q � 2 W � W � J d W ❑WORKSATISFACTORY:PROCEED ❑ OJECT COMPLEfE � ❑CORRECT NfORK 8 PROCEED ISS CERTIFICATE OF OCCUPANCY W � ❑OORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECONERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR O CITATION ISSUED O INSPECTION RE(]UIRED_CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours� dvance. � 9-46�� OwnerlContractor on site: Inspector: VYhite CopyAnspector's Flk Canary CopylSfte Notiee � �� D TE TIME �CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED --�� PERMIT NO.p?�f�� COMPLETED ADDRESS �� nC�� /� OWNER TELEPHO NO� - —� CONTRACTOR � DESCRIPTION G,��-� � �/�� ❑ FOOTING ❑ DEMO-FINAL �jy� �� ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ��` ❑ EXCAV/GRADING/FILLING O ❑ 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 � ❑ AS BUILT-SURVEY ❑ EWER HOOK-UP ❑ FOUNDATION/REMOVAL J ❑ DEMO-SITE ❑ PTIC INSTALL 2 OWNERICONTRACTOR TO MEET YOU: YES_NO c�.� COMMENTS: � �u✓.� /�1�-s� a � �UJrJG /�'1��'l�G� � olvl.��wsG ' � �Zee� �la�2u iL �✓ C�a��.:� ve.� , o _ � • ,��it.� nv� fi"�✓� rvd��. � �"i H'l 2 I�� •�� •?s asa L`•e•e � Q � 2 W � � !/� �C . _ �`or re,as��,�,� � W ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑PHOTOTAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED �PECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (g52) 249-46�� OwnerfContractor on site: , ....�.;...___-... Inspector. , �� White Copyllnspector's File Canary CopylSfte Notice —_�.,,�..._.._ � � DATE TIME� CITY OF ORONO CALLED IN INSPECTION NOTI E SCHEDULED I ID PERMIT NO. �D�S"��'3 COMPLETED ADDRESS � � � � l--� �_r!n a� L � 2c� l�J• OWNER � TELEPHONE NO.�� -��ZS CONTRACTOR � DESCRIPTION � �-�t� �-10.5 S��F ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ 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 _ J ❑ DEMO-SITE ❑ SEPTIC INSTALL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: I► 1 � ��_' �,�� I � � ��Q-� "I ��'�' � � r��L�Z - (Q-� � �- C� �7 3� � � o _ _ � �GS ,D ro v�� 0 � � /� k.bvK l'd�ol�Ep ,,�1�✓ Q �' 1'11l/rl U �4i��r�s �� ec S � z W � + W ' � /,�/ vt�•� /�� a W� ❑WORKSATISFACTORY:PROCEED �PRAIEC�T COMPLEfE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COYERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 2a hours in advance. (952) 249-4600 OwnerlContractor on site: � Inspector. �--� White Copyllnspector's File Canary CopyfSite Notiee