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Home My WebLink About2016-00235 (mechanical-gas fireplace) � � CITY OF ORONO * Z 0 1 6 - 0 0 2 3 5 * 2750 KELLEY PARKWAY DATE ISSUED: 03/14/2016 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 3185 CASCO CIR PIN : 20-117-23-43-0057 LEGAL DESC : SPRING PARK : LOT MB BLOCK MB PERMIT TYPE : MECHANICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 3,000.00 NOTE: GAS FACTORY FIREPLACE-TOWN&COUNTRY,MODEL 42DE APPLICANT MECHANICAL 50.00 STATE SURCHARGE MECH(VALUATION) 1.50 TWIN CITY FIREPLACE STONE CO INC MAIL-IN FEE 2.00 6521 CECILIA CIR EDINA,MN 55439- TOTAL 53.50 (952)941-2685 Payment(s) Minnesota State License#: mech-MB682977 CREDIT CARD 5715 53.50 OWNER YAFFE,HARRY&BELLE 2300 ARCHERS LA MINNETONKA, MN 55305- 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 goveming 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 all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. � � �, / , /� Applicant Per tee Signature Date [ssucd y 'gnature Date Mar 11 16 02:16p Twin City Fireplace 9529422093 p.1 , , C USE ONLY � _'J� �O City of Orono �f / � ��, �^ P.O.Box 6G Date Receivlr �` PermiE i� � /� � �J 2750 Kelley Parkway ' Crystal Bay,MN 55323 Approved By: Arnount$'�►.3Ls5 � � Phone(952)249-4600 Fax(952)249-4676 � � a 1 s ,� ��qKeS Ho��-G` CITY OF OROAiO—MECAANICAL PEIiNIIT (Al(Commcrcial permits mast be approvcd by the Building O#�cial or[nspector and/or Fire[�farshall) GENERAL INFORMATION 1. You may apply for mechanical permits by mail or in person at the Ciry offices. Applications witl be reviewed and a perntit will be issued within two working days, 2. Permit cards wilt be sent by return mail after a review is comgleted. PERMITS ARE NOT VALID LJtYTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL TH� PERMIT CARD IS POST'ED ON THE JOB SITE. 3. Mechanical Desi�ns—Complete�alcu[ations,details and specifications arc required for each heacing,ventitation,humidification-dehumidi�cation,and air conditioning instaliation including heat loss�'heat gai�calculation,design temperatures,e�uipment ratings and identification as to type,manufacturer and modeL Data shall be presented on forn�prov�ded. 4. When any new canstruction�r remodeling is involved,a separate builaing perrnit must be obtained. 5_ Alt work must be dane in accordanee with the Unifonn Mechanical CodelState F3uilding Code rec�uirements_ 6. All work must be inspected(rough-m an�finat). Call(952)249-4600, (24-48 hoar aotice required) 7_ House Heating�'est Record must be su6mitted before final. TYPE OF PE�tMIT Cbeck All That A 1 ( 2esidential ❑CommerciaE(Approval Required) [Backfiow Device: Q AVB ❑PVB] � ❑New ❑Additional ❑Repairs ❑Replace Job Site 1 Owner Infomlario�: Site Address: _3 � � '�J �.�'S�/� �if (/-�'� Owner: 1G-f'-i'� Mailing Addzess: -,�-��1�-e. City: �J� V��. ZiP: S�v�eV�a �1�� Home Phone: Z �p+—C Alteznate Phone: i Contractor Information: ---� CQntrac�or: � ` ' � �.��1�-�ntact Persora: v f�1 ' c��1�E'�j/ Address:�� l ��l �(GC_. �if i�v��State Bond#: N I�P�°�,G_.g� � City: �G�(�'1G'� Zip:�,�GJExpiration Date: � Phone: �J�" ��` �f��j Alternate Phone: "1"">Z "`�'f�'7 l ~�� [� Insurance—Current; 1 Mar 11 16 02:16p Twin City Fireplace 9529422093 p.2 . MECHANICAL SYSTEMS BEING IN5TALLED ti`ote:AlI Geothermal Systems w�ill now require a Site Plan&Review by our Building Official. IS TffiS GEOTHERMAL? ❑ Yes �'�10 HEATIl�IG SYSTEMS Q"�►�'�'� ------�_--- Make: � Model: FueI: --- � Flue S�ze: Input BTIJs: Output BTIJs: CFlbl: COOLiNG SYSTEI4LS Quantiry: Make: Model: Tons: H_Power FIREPLACES ;.J� Gas Factory Fireplace Brand Name: ��/1��L��'��/f ❑ Wood Buming Firepiace �{ f ❑ Wood Stove Model No.: I�� ❑ Wood Stove with Flue/Masonry ! VENTII.ATIOi�t ❑ No. Kitchen F�chaust duct recirc�tating cfm a No. Bath E�chaust(must have duct outside) cfm No. Other Fans: Locarions �� F[JEL STORAGE (Musi be approved by Fire Marshull if proposing to abandon tank in plac�) . [� Installation ❑ RemovaJ Fuel Oil: gatlons ❑ Underground ❑ Inside ❑Outside LP Gas: galloos Other: GAS L.i1tiE ONLY ❑ Outdooc Grill ❑ Other/List Wl�at&Wherc: 2 Mar 11 16 02:16p Twin City Fireplace 9529422093 p.3 �,_- PERMIT FEE CALCULATION� 1. COlYT12ACT PRICE *is 1.25%of contract price with a{Ibiinimum Fee oi$50.00) �D�� O xA125� �jf7 (7� {contract pricc) ( tnm�mum SSOAO} 2. STATE SURCFIARGE �} �/�O�" O C� x A0�5 $ � ` �CJ (contract price) 3. POSTAGE&HANDLING(OnEy on Mael-In Applications) $ 2_00 4. TOTAI,PERMIT FEE(Add Lines i-3 Above) $ `� � " �� • * CONTRAGT PRtCE or JOE3 COST means the actual or estima.ted dollar aruount charged for the permitted�vork including materiafs,labor,profit, and other fixed casts. it is the amount to be charged � to the customer for the work done. If any material,equipment,iabor or installations are fumishad by the owner, tenant or any other party, the reasonable market value of such items must be added to the esriinated cost or contract price for permit fee�urposes. In the event that there is a dispute on the amount of the job cost, the City may reyuest the sabnnission of a signed copy of the actual contract. MECHAL'�tiCAL PERMIT APPLICATION AGREEMENT The undersigned hereby applies to the City for issuance of a Mechanical Pemut, agrees to do all work in strict accordance with the ordinances of the City and the regulations of the State of Minnesota,and ceriifies that alI statements made on ti�is application are complete,true and correct. r Applicant's Sigr�ature: Date_ � G'� �� ' V 3 l �� E TIM� CITY OF ORONO CALLED IN J? �/� INSPECTION N TICE CHEDULED � �G.� PERMIT NO. ��OMPLETED ADDRESS ��C�--S �c.<-1�(% �,(/41�� OWNER EL PHO E NO `z 3�"� CONTRACTOR � '/ � DESCRIPTION /� � llr ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FI ING 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 _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/R OVAL v ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERfCONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: W � a • j � � � � � � O �. � �j i� O � W � Q � - W � � � W . � J d ' W RK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑ RRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 �CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 urs in advance. 249-46�0 OwnerlContractor on site: Ins�tor. ' - White Copyllnspector's File � Canary CopylSfte Notice �� DATE TIME CITY OF ORONO CALLED IN INSPECTION O CE � SCHEDULED � ' ; � PERMIT NO. — �z� COMPLETED � ADDRESS — ��?� CQ��; ��-�Z',L� OWNER TELEPHONE NO. � � Z�� CONTRACTOR �� DESCRIPTION ��''� `�� ly ❑ 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 B EPCJCCE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUI�T-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ v ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICONTFiACTOR TO MEET YOU:_YES_NO y COMMENTS: o� W � � � i2� r" -�'/,rr� � 0 o .� �i I �`- C�C�d�G.7� �Y1 L�9 lJt'o,�/(o � W 2 Q � 2 W � W � � � d W O WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑PHOTOTAKEN INSPECTOR WILL REfURN ❑STOP ORDEH POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952� 249-4600 OwnerlContractor on site:�' � Inspector. `��2- � • White Copyllnspector's File Canary CopylSite Notice