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Home My WebLink About2015-00182 - gas fireplace � , , CITY OF ORONO * z 0 1 5 - � 0 1 8 z * 2750 KELLEY PARKWAY DATE ISSUED: 02/12/2015 ORONO, MN 55356- (952 249-4600 FAX: 952 249-4616 ADDRESS : 114 CHEVY CHASE DR PIN : 36-118-23-41-0035 LEGAL DESC : HILL O'WAY MANOR : LOT 001 BLOCK 002 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 1,000.00 NOTE: GAS FACTORY FIREPLACG (2)BATH EXHAUST GASLINE POR FIREPLACE AND DRYER APPL[CANT MECHANICAL 50.00 STATE SURCHARGE MECH(VALUATION) 0.50 SAM HENDRICKSON PLBG&HEATING INC MAIL-IN FEE 2.00 29901 725TH AVE DASSEL, MN 55325- TOTAL 52.50 Minnesota State License#: mech-005006 Payment(s) CREDIT CARD 7507 52.50 OWNER MCLEAN, CHRISTOPHER& ELIZABETH 114 CHEVY CHASE DR WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT '1'he 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 no[grant permission for additional or related work which requires separa[e permi[s. 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 nuli and void ifconstruction authorized is not commenced within 180 days of[he da[e 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. C`7/1-1�!c-t�C�� l�� i�,S Applicant Permitee Signa re Date Iss d By Signature Date M * r Ty � � i'rY'[JSE ONT,Y �� Ci of Orono � �j.ti P O.Box 65 Date (�8d PErnGsft#� V 2750 CCelley Parkway 7� Crystal 6ay,MN�5323 �ppf6yed 8y' Azraaunt$:__�Q�! � Phone(952)249-4600 Fvc(952)249-4616 �� t.�x�s�p�w�' CITY OF ORONO—MECHANTCA�PE�tMYT (All Commercia!perm�ts must be approved by the Building Official or lnspcctor gnd/or Fire Mnrshall) �]��.�►�.��Q�.��O� ]. You may apply for mechanical p�rmits by maii or in person at the Ciiy offices. Applications will be reviewed and a permit will be issued within two working days. 2. Permit cards wilN be sent by return rnail after a review is completed. PERMITS ARE NOT 'VAC,CI�lJNT�..'YQIJ RECEIVE A PERMIT. WORK MUST YOT BEG1N UNTIi�TH 1��,RMYT CArZri 1S POSTED ON THE JOB SITE. 3. M�chanical Designs—Complete eafeulaCions,detxiCs and speeifications are required for each heating,venCilation,humidification-dehumidification,artd air conditioning installation including heat loss/heat gain ealeulation,cCesign temperatures,equiprnent ratings and identification as to rype,manufaaturer and model. bata shall be presented on form provided. 4. When any neW construction or remodeling is involved,a separate building permit must be obtained. 5. Afl work must be done in Accordance with the Uniform Mechanical Code/State Building Code requirements. 6. All work must�e inspected(7ough-in and final). Call(952)249-4600. (24-4$hour notice required) 7. T-Youse Heating Test.Record mus[be submitted before final. _ �'�'�'�O��'E��iT: �11��k A,I17`�at A I . �Residentral ❑Cammercial(,Approval Required) ❑New �AddiCional ❑Repairs ❑Replace .�o�Site l Qwner�rifo"ranatior�: Site Address: � C � �.�� ,r�� O�vner:�GG��-n 1Vlailing Address: ��7 ��y� S'�' ��'� c��y: �,��'�� z;p: �`s�9�_ Home phone: Alternate Phone: Gontractos Inf4x7�1�taOr�; r _ Contractor� � �7 ��Contact Person: ��I �.�v"�� J� �� Address: ��/ /�� State Bond#: �� ° City: ��-^� �ip��piration Date: � l� Phone: �d/�/� Alternate Phone: ��0 / �!!�� ❑ Ynsurance rrent: � 1 g�Z:a6pd 9ti9b6bZZS6ti�ol Zb�ZSZZaZ� H'8d uos��?.�puaH wes:wo,�� 9Z��ti S�aZ-ZZ-B�� ♦ � :`.'..�„ .r .,,.,.,f�r��i`�t��i�..,�',��,(:��:`�:'�'`.r�r'��'��.��'�1`��1'1;�.�i�:. _ .,_ _ Note: All Geothei�nal Systems will i�ow require a Site Pla��d'z Rev€ew by out•Building Official. TS THiS G�pTH�RMAL? ❑Yes �No H�ATYNG S`�STEMS Quantity� ��Ir J/ �� Make: Model: �'uel: Flue Size: Input BTUs� Outpat BTTJs� _ CFM: COOLING SYSTEMS Quantity: ��1` �fr� -_,,,1 Make: Model: � Tons: H.Power �MREPLACES � Gas�'actory'fiireplace Brand Name: Wood Burr�ing Fireplace ❑ Wood Stove Model No.: ❑ Wood Stove with�'iue/Iv(asonry V�tYTILATION [�] No. Kitchen Exhaust duct recirculating cfm ❑ No. � Bath.Exhaust(must have duct outside) cfn, ❑ No, Other Fans: LoCBtions �� FU�L STOI2AGE (�liust be approved by�'ire�farshall if propusireg to abandon tank in pince.) [] Installation ❑ Removal Fuel Oil: gallons ❑ C�nder�round ❑Inside ❑Outside Y,P CYas: gallons OCher. GAS LINE ONLY ❑ Qutdaor Grill ❑ Other/List What&Where:T I ��.��U° �' ��l�� g,Z:a6ed 9ti9b6b�ZS6Z��l ZbZZSZZBZ� H'�d uos��?,�puaH weg:wo,�� 9Z��T S�aZ-tiT-83� � F � _ _ ��1a'I#-#,��Gr.,4.iTt.��.,,rti:1Tn�1,l.,�;�t��17,1�'�'. _ . .,r.; , . � - - _ . .A��„R��.:LR,� ��l�F��11�:�tk-,.�".if��i;li` - �°`� ❑ Yes,this scction appli�s The replacement of a Residential fixture or aaaliance that meets all three of the following requiremencs� 1. Daes nat require modification to electrical or gas service. 2. Has a total co�t of$500.00 or less; x� cludi�the cost of the fixture or appliance:and 3. Ts improved,'rnstalled or replaced by the homeowner or licensed contractor. Skip next section,if this applies; Cost of Pernnit � 15.00 State Surcharge $ 5.00 Mail-In Fee(If Applicable) $� Total Permit Fee $ a- � �:s:,��x•-(�::::.< , �9 _:.... ...__... _. , ..... . . A w! ��r;s�'< �f �;,.,. ,S . y ' '� ', .Ma' � ' r�� ;k . � : �� ...r t�,.2 E1..A`�1,?�`�':��v�,...�.,.T �+ . ' ' """. : . �� • ��.�.:� . . .. �.. � If above does not apply;follow guidelines below: 1. CON RACT PRICE *is 1.25%of contract price with a(Minimum Fee af$50.00) l,da�.� �.0�25� _�o,r� (contrect priCe) (minimum 550.00) 2. STATE SURCHARG� �^ �� x.0005 $ � ' �� (contract pncc) 3. POSTACr$&T�AND�.ING(pnly on Mail-In Applications) $ 2.00 4. TOTAL PERMYT��E(Add Lines 1-3 Above) $ �� * CONTRACT PRICE or JOB CdST means the actual or estimated doll&r amoul�i charged for the permitted work including ntaterials, labor,profit,and other fix�d cosCs. Tt is the amount to be charged Lo the customer for the work done. If any material,equipment, labor or iriStAllations are fumished b� the owner,tenant or any other party, the reasonable market va4ue of suCh items must b�added to the estimated cost or contract priCe for permit fee purposes. Cn the event that there is a dispute on the amount of the job cosc,the City may request the submission of a signed copy of the setual contraet. �--� �-,� W ;:�-�'�""' - �': s� ;ft- -�'�'I��'�f'?�tkt:��+�.?V��i�` - , . , . . . .. . _:.;.�. __ _.�:�_. .�._� The undersigned hereby applies to the City for issuanee of a Mechanical Permit; agrees to do all work in strict accordane� with the ordina�lces of the City and the regulations of the State of Minnesota, and certifies that all staCements made on this application are complete, true and correct. Arrlicant's Signature: Date- �� 3 g,�:a6pd 9Z9b6bZZS6Z��l ZbZZSLZeZ� H'�d uos��t,�puaH weg:wo,�� 9Z��ti StiO�-tiZ-B�� L � � DATE TIME ✓ CITY OF ORONO CALLED IN �� INSPECTION NOTICE �`G y SCHEDULED PERMIT NO.oZL'l S' rl'f COMPLETED � ADDRESS L1� OWNER LEPHONE NO. � CONTRACTO � ��- ~ � DESCRIPTION ��- � 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 INSPECTtON Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL J ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL Z OWNERICONTRACTOFi TO MEET YOU:_YES_NO � COMMENTS: � W a � J O �. � O � W � Q � 2 W � W � j d W O WORK SATISFACTORY:PROCEED ROJECT COMPLETE � ❑ CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. O PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED O INSPECTION REQUIRED.CAIL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (952� 249-460� OwnerfContractor on site: Inspector. White Copyllnspector's File Cenary CopylSfte Notice v 3 � �� E �E CITY OF ORONO CALLED IN INSPECTION OTICE SCHEDULED �� !`"�� PERMIT NO. � �g z COMPLETED. ADDRESS �l � �� i�C�� OWNER TELEPHONE NO. ��a9a��p�� CONTRACTOR �; DESCRIPTION �� '� �� ll� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLU _____,_ NA` ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING �7f�CH7(NfCAtFTftAL ❑ PROGRESS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP � ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL v ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a J � O � � O � W � Q � 2 W � W � � J � a W W K SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � ❑ RRECT WORK 8�PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O COR CT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECO'VERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALI INSPECTOR ❑INSPECTION REOUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. 249-4600 OwnerlContractor on site: Inspector. White Copyllnspector's File Canary C ylSfte Notice