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Home My WebLink About2014-01396 - gas fireplace ' � CITY OF ORONO * 2 0 1 4 - 0 1 3 9 6 * 2750 KELLEY PARKWAY DATE ISSUED: 12/OS/2014 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2835 CASCO PO[NT RD PIN : 20-117-23-31-0057 LEGAL DESC : SPRING PARK : LOT 114 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 4,500.00 NO"I�E: MENDOTf1 GAS FAC"I�ORY F[RF.PLACE APPLICANT MECHANICAL 56.25 STATE SURCHARGE MECH (VALUATION) 2.25 TWIN CITY FIREPLACE STONE CO INC MAIL-IN FEE 2.00 6521 CECILIA CIR EDINA, MN 55439- TOTAL 60.50 (952)941-2685 Payment(s) Minnesota State License#: mech-MB682977 CHECK 200965 60.50 OWNER IVERSEN, ROSEMARY C 2835 CASCO PT RD WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT The work ibr which this permit is issued shall be performed according to the approved plans and specitications,applicable City approvals,and the State[3uilding Code. �This permit is for only thc work described and does not grant perniission 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 cons[ruc[ion authorized is not commenced within 180 days of the date of issuance,or i}'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 E�uilding Code.This permit may be revoked at am�time for due cause. C/ �' �/ � �e2 /V'� // Applicant Permitee Signature Date Issu By Signature Date FOR CITY USE ONLY /�O A'O City of Orono �y P.O.Box 66 Date Received: Permit k 2750 Kelley Parkway I ` Crystal Bay,MN 55323 Approved By: Amount$: I � � I Phone(952)249-4600 Fax(952)249-4616 �F � � �`' CITY OF ORONO—MECHANICAL PERMIT �'�ESH�� ___ - (All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall) GENERAL INFORMATION I. You may apply for mechanical permits by mail or in person at the City offices. Applications will be reviewed and a permit will be issued within two warking days. 2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID UNT[L YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Desiens—Complete calculations,details and specifications are required for each heating,ventilation,humidification-dehumidification,and air conditioning installation including heat loss/heat gain calculation,design temperatures,equipment ratings and identification as to type,manufacturer and modeL Data shall be presented on form provided. 4. When any new construction or remodeling is involved,a separate building permit must be obtained. �.�- 5. All work must be done in accordance with the Uniform Mechanical Code/State Building Code �r ` '. requirements. �'jv` 6. All work must be inspected(rough-in and final). Cail(952)249-4600. (24-48 hour notice required) 7. House Heating Test Record must be submitted before final. TYPE OF PERMIT (Check All That A 1 dResidential ❑Commercial(Approval Required) ❑New ❑ Additional ❑ Repairs [�Replace Job Site/Owner Information: Site Address: y83FJ CaS� �� ht � • Owner: ��SiC �V�.1�$�►� Mailing Address: Zg3� GGiSCO {�t��h� �G( . City: 'w0�-I ZO[t'G� Zip: rj�3� � Home Phone: Alternate Phone: Contractor Information: Contractor: P�tContact Person: ��lG�I�l'j/(-C �o Y�-�'ph Address: �CJ�-I CCGI (,(Q C i Y• State Bond#: rYIB�S2`��"�' City: vUl,t Viq Zip�.�'J3�}� Expiration Date: �I 3�I�lA Phone: __�{r'J�=�'f�'Z�R��'J Alternate Phone: � c��-"�"��'`��LCj ❑ Insurance—Current: �Y�tV�C�C 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 Brand Name: 1�/lti1/l�� ❑ Wood Burning Fireplace ❑ Wood Stove Model No.: �/�_►_ ❑ Wood Stove with Flue/Masonry VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfin ❑ No. Bath Exhaust(must have duct outside) cfm ❑ No. Other Fans: Locations cfm FU EL 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;excludine 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 $ l 5.00 State Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ PERMIT FEE CALCULAT[ON(S)—JOBS OVER $500.00 If above does not apply;follow guidelines below: 1. CO1�ITRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) �� x.0125 $ �� .�� (contract price) (minimum$50.00) 2. STATE SURCNARGE � � 5�� x.0005 $ �' �FJ (contract price) 3. POSTAGE& HANDLING(Oniy on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ lX�• �'✓� ■ * 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. [t 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. Applicant's Signature: ��/�/l,(� I��T(�� Date: �2 Z 3 �./ �� ATE TIM�� !�—'1 CITY OF ORONO CALLED IN / — INSPECTION NOTICE SCHEDULED / 1�� PERMIT NO.ozol� �[3'�l,C� co PLEfED ADDRESS � OWNER �„ �T LEPH E NO�I ^�- �J �� CONTRACTOR � � DESCRIPTION ! � W ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLI�IG Q ❑ POURED WALL �MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERfCONTRACTOR TO MEEf YOU:_YES_NO � COMMENTS: o� , a �i r,c�eG�----��'✓7� ` li�rll�i ri< ` $G,�'crC'c�e. 0 (�o,�fit o`►�, lii✓' � 2.K�l.2cc�i �/�✓l t� �'Lu/7�{�.... � r✓l�rSo�r � � %c� �rs eo ►�•�/ f1 Q� ��J — 0 � � �G �i N 2 u�i- 7�-.a�c� � �rt 5.��ec�c� 0� Q � � - 7 -io b�, u � _ G,��- W � �s � ��• /b �f� � ��- OJC U ��'s f-trrr�+ �,3 1e r@..�..�, j =-7,�.; ' - - - -- •_ . �e a �/c�r�� ro��o ig 40� � �A/QRKSATISFACTORY:PROCEED f_i P OJE T COMPLETE�� ,, W �O CORRECT WORK 8�PROCEED Ll ISSUE CERTIFICATE OF O CGU�ANCYo� O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORAR��.�� V BEFORE CWERING PERMANENT S'�Gc�/ ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor on site: Inspector. �-- � White Copyllnspector's File Canary CopylSite Notice �V � ,� �� DATE TIME Ge OF ORONO CALLED IN , � INSPECTION N TI E��/�� SCHEDULED PERMIT NO. ` � � COtiIPLETED ADDRESS � � OWNER � � � �' � ��"1'ELEP�1 NE NO.�/�� l�/--� CONTRACTOR � � � DESCRIPTION Sc� ��" '� � ` ��. t~ii ❑ 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 _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL v ❑ DEMO-SITE ❑, PTIC INSTALL 2 �I�ITRACTOR TO MEET Y�U• YES_NO � COMMENTS: i>u)Y�C�t � t��-F- C' Ck��"(� W � j � � O , � O � W � Q � � 1 _ ' w � � a W ❑WORK SATISFACTORY:PROCEED OJECT COMPLEfE � ❑CORRECT WORK 3 PROCEED ❑ I CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECONERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pHOTO TAKEN INSPECTOR WFLL RETURN O STOP ORDEH POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspcction 24 hours in advance. � 9-46�� OwnerlComractor on site: Inspector: WhiM CopyAnapecto�'s File Canary CopylSite Notice