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Home My WebLink About2013-00741 - gas fireplace CITY OF ORONO * z 0 1 3 — 0 0 7 4 1 * 2750 KELLEY PARKWAY �ATE [SSUEn: 07/30/2013 � ORONO, MN 55356- ' (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 139 CHEVY CHASE DR PIN : 36-118-23-41-0025 LEGAL DESC : HILL O'WAY MANOR : LOT 020 BLOCK 001 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 2,000.00 NOTE: 1 VALOR HORIZON GAS FP APPLICANT MECHANICAL 50.00 PRACTICAL SYSTEMS STATE SURCHARGE MECH(VALUATION) 1.00 4342 B SHADY OAK RD HOPKINS, MN 55343 MAIL-IN FEE 2.00 (952)933-1868 TOTAL 53.00 OWNER BELTRAND, BYAN & WENDY 139 CHEVY CHASE DR WAYZATA, MN 55391- ACREEMENT 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 docs not gran[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 specitied 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 construc[ion is suspended for a period of 180 days at any time after�vork has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State[3uilding Code.This permit may be revoked at any time for d�e cause� \�%�'`-ri"�. � � � / Applicant Permitee Signature Date Issued By Si ature ate SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED A %__ FOR CITY USE ONLY City of Orono � � �ON� P.O.Box 66 Date Received: Permit# 2750 Kelley Parkway Crystal Bay,MN 55323 Approved By: Amount$: � � I Phone(952)249-4600 Fax(952)249-4616 '� �,� �, ; �,� � % �q,�.��F{��,��,/ CITY OF ORONO—MECHANICAL PERMIT _v,__� (All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshail) 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 Desiens—Complete calculations,details and specifications are required for each heating,ventilation,humidification-dehumidification,and au 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 pernut 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 A 1 �Residential ❑Commercial(Approval Required) ❑New ❑Additional ❑Repairs ❑Replace Job Site/Owner Information: Site Address: (3�' �'�p�/�/ G{na� � Owner: '��cw��e�� Mailing Address: l��j C(�1��/�LL City: wa��"� Zip: ��`�1 Home Phone: ��L� ��- �S`�� Alternate Phone: Contractor Information: Kline Corp DBA: Practical Systems Contact Person: '(`a.,lar I1ct-E��S 4342B Shady Oak Road Hopkins, MN 55343 State Bond#: 952-933-1868 _ Expiration Date: Phone: Alternate Phone: `�SZ— ��—/b�b� ❑ Insurance—Current: 1 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;excludin¢the cost of the fixture or appliance:and 3. Is improved,installed or replaced by the homeowner or licensed contractor. Sldp next section,if this applies; Cost of Permit $ 15.00 State Swcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ PERMIT FEE CALCULATION(S)—JOBS OVER$�G0.00 � If above does not apply;follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) 2 a�� x.0125$ `-�jc� .O� (contract price) (minimum$50.00) 2. STATE SURCHARGE x.0005 $ (. V � (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ S�' �� ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollaz 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. MECHAIVICAL 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: �� Date: �^Z`S ��3 3 ' 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: \�Q,1�r ❑ Wood Burning Fireplace ❑ Wood Stove Model No.: �Ov��/�/ ❑ Wood Stove with Flue/Masonry VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfin ❑ No. Bath Exhaust(must have duct outside) cfin ❑ No. Other Fans: Locations cfin 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 DATE TIME �/ CITY OF ORONO CALLED IN INSPECTION NOTICE -�/� SCHEDULED PERMIT NO. �D/3 ��/Y! COMPLETED J -�- .l3 ADDRESS��I C�av�. G�� L�' • ,�,3b OWNER TELEPHONE NO. CONTRACTOR /��t� 54-S�e'',�t� � DESCRIPTION —�S �•�• � ❑ FOOTING ❑ PLUMBING FINAL � EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS � ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS �a@.GFNAL 0 SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. �LLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNbATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: a / Q�iM.-� //Dl�tr d-ri•�Q� � �L/ i�/ .( � � , � o �/I�G l d�<c�lG.�. �. o . ^ .,�a.,�y -�v ••- � Ie��sS��GL/ort S 6�.� �i/',c�� W � Q � �D !S/l e `cor►� ` a � �1�4 s� G�l� vra�to c�� i�G� � W jSG�( oe0�1.2 �s �i�llC /Yl,S,T QG��•�. W ❑WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑ TOP ORDER POSTED.CALL INSPECTOR ECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advi ce. (952) 249-4600 OwnerfContractor on site: Inspector. � White Copyllnspector's File Canary CopylSite Notice �/� �� DATE TIME � CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED � Q�� PERMIT NO..��3- oo'>y� COMPLETED ADDRESS �✓�4 �� • � �� OWNER TELEPHONE NO. CONTRACTOR ��ac� � >; DESCRIPTION �� ' h �"�� FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � ❑ 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. �OLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTI INAL ❑ FOUNbATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � a G�-��K �+u�/a�e -- � � O � �r i ��s� �a.t� s.c Z-a 3 -�3 �►-a�C �i•� 0 -,�i�� l��t� /JGrw�.�`t f� ��t�o6�? W � Q � 2 W � W � � � ❑WORK SATISFACTORY:PROCEED �OJECT COMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952� 249-46�� Ownerl ontractor on sit _�_l'a- r-c�v Inspector. � /r�- P� White Copyllnspector's File Canary CopylSite Notice �� DATE TIME / CITY OF O CALLED IN - �� INSPECTION ' E SCHEDULED � l. • PERMIT NO. " �� OMPLETED —�— ADDRESS OWNER ,�y� T PHO E NO. 3 CONTRACTOR / v� S' � DESCRIPTION � � � ❑ FOOTING P M G FINAL EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBI ❑ SEP IC FINAL ❑ FOUNbATION/fiEMOVAL 2 OWNERIC NTRACTOR TO ME U:�YES_NO � COMM � �=� ,�e (� � �� ►.��r�11 � J O � �� ^� O � W � Q � 2 W � W � j d W �WORK SATISFACTORY:PROCEED ❑ PROJECT COMPIEfE � O CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 forthe next inspection 24 hours in advance. (g52) 249-4600 OwnedContractor on_site: Inspector. l�_=7� , _� White Copyllnspector's File Canary CopylSite Notice