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Home My WebLink About2015-01559 - gas fireplace �, CITY OF ORONO * 2 0 1 S - 0 1 S 5 9 * 2750 KELLEY PARKWAY DATE ISSUED: 12/15/2015 ' ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2470 DUNWOODY AVE P[N : 20-117-23-21-0005 LEGAL DESC : REG. LAND SURVEY NO. 0660 : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL COIYSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 2,000.00 NOTG: NEW PETERSON G�1S F[REPLACE APPLICANT MECHANICAL 50.00 STATE SURCHARGE MECH(VALUATION) 1.00 PRACTICAL SYSTEMS MA[L-[N FEE 2.00 4342B SHADY OAK RD HOPK[NS, MN 55343 TOTAL 53.00 (952)933-1868 Payment(s) CHECK 8563 53.00 OWNER LARSON,PAUL& KATHLEEN 2470 DUNWOODY AVE WAYZATA, MN 55391- AGREEMENT AND SWORIY 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 separa[e 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[ruction 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 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. ' • � � �� -�`v �� - I � S ; �� l�. �. � � i i i Applicant Permitee Signature Date Issued By Signa[ure Date FOR CITY USE ONLY � Cl�Ot OYOIlo �� P.O.Box66 DateReceived��CPermiC# .7.��1�-�='/�5C� 27�0 Kcllcy Parkway Cryslal I3ay,MN 55323 Approved By: _ P�I�' Amount�r'�'�`� Plio�c(952)2�49-4600 Fax(952)249-d616 � � � Z � F � lqkfSN��G CITY OF ORONO—MECHANICAL PERMIT (All Commercial permits must be approvcd by the Building Official or[nspector and/or Firc Marshall) GENERAL INFORMATION l. Yolt 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. Pennit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VAL[D UNT[L YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNT1L THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Desi�—Completc calculations,dctails aud specifications are rcquired for eadi heating, vcntilation,humidification-dehumiditication,and air conditionin; installation includiug 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 obtaincd. 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 subinitted before final. TYPE OF PERMIT (Check All That Appl ) �Residential ❑ Commercial(Approval Requu-ed) �New ❑ Additional ❑ Repairs ❑ Replace Job Site/Owner Information: Site Address: �y`1C� �llr�Wp�-�.c,� ��Q.. Owner: Pat�.� (.(�,�'Sbr� Mailing Address: �y�0 �llnW(�� -- City: --�rVy�v Zip: �S � � Home Phone: (� ��2- �a3 � �bpv Alternate Phone: Contractor Inforniation: Contractor: �fP,t,k� ,�.��i_��__5_�S,L�.S Contact Person: ��nr�� o,�Q�� Address: ��ya B 5�d�,�(�C1 Y '�o� State Bond#: _�'�g D�3��O City: Zip:�s3u� Expiration Date: � I��.Q Phone: �1�Ja-933" �� Alternate Phone: ❑ Insurance—Current: �Q,S 1 � MECHANICAL S�STEM5 BE1NG INSTALLED Note: All Geothermal Systems will now requir�e a Site Plan & Review by our Building Official. IS THIS GEOTHERMAL? ❑ Yes �No HEATING SYSTEMS Quantiry: Make: Model: Fuel: Flue Size: input F3TUs: Output BT'Us: CFM: COOLiNG SYSTEMS Quantity: Make: Model: Tons: H. Power FIREPLACES � Gas Factory Fireplace Brand Name: ��;��50t1 ❑ Wood Burning Fireplace �y� ^2�_�� ❑ Wood Stove Model No.: ❑ Wood Stove with Flue/Masonry VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfm ❑ No. Bath Exhaust(must have duct outside) cfin ❑ No. Other Fans: Locations cfm FUEL STORAGE (Must be upproved by Fire Marsl:all if proposi�ig to abandoi:tank ira pluce.) ❑ 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 s�ction applics Thc replacement of a Residential fixture or appliance that meets all three of thc 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. Ts improved, installed or replaced by the homeowner or licensed contractor. Skip next section, if this applies; Cost of Permit $ 15.00 State Surcharge $ 1.00 Mail-In Fee([f Applicable) $ 2.00 Total Permit Fee $ � PERMI 1 FEE`CALCULATION S —30BS OVER $500.00 �w Tr �.� If above does not apply; follow guidelines below: 1. COIVTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) � a Ul� .00 x .0125 $ `7 C� � t�0 (contract pricc) (minimum$50.00) 2. STATE SURCHARGE �oZU(�C7•l� x .0005 $ I �bQ (contract pricc) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ •J 3� u� ■ * 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. 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 amotmt of the job cost, the City may reyuest the submission of a signed copy of the actual contract. �.`-=,��b " MECHANI��AL 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 Ciry and the regulations of the State of Minnesota, and certifies that all stateinents made on this application are complete, true and correct. Applicant's Signature: �� C, Date: I aZ'I D'� ,rj� 3 � i� �� C�"" ' DATE TIM� CITY OF ORONO CALLED IN INSPECTION NOTICE �-p SCHEDULED PERMIT NO. a.�I G�" i')L r'J" `� � COMPLETED ADDRESS �-�-�� r�(; l,l OWNER TELEPHONE NO. CONTRACTOR �� DESCRIPTION � � �'S+ � S -� � 4� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL � 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 _ ❑ AS -SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL J EM SI ❑ SE IC INSTALL OWNERlCO CTOR TO MEEf YOU:_ _NO c�i, COMMENTS: � , '� � a �'�s � ( C� l�. - -7a.3-- �r )c;<� j � " ,i � - ct,:- G-r,S,�.f c%�'�' O � �G� S.�c'c. /ot-o� � r/� �¢�•i�S S��dc.—i' S�a/�er O � Q C�!c S�6� s C� � �'��4 /�t.� /n. Iy12sO�f.�✓ry 2 r .P - �� So�s . � ��vl�5ti /75�u/� /,J�/ 5pe� �— � � W �IOK�RKSATISFACTORY:PROCEED ❑PROJECTCOMPLEfE � ❑CORRECT W'ORK�PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITION WRHIN HOURS. p pHOTOTAKEN INSPECTOR WFLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR O CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (g52) 249-460� OwnerfContractor on site: Inspector: � �^-' � VYhite Copyllnapector's File Cenary CopylSite Notks CC� ' 1 DATE TIME CITY OF ORONO LE� INSPECTION NOTICE SCHEDULED � _� PERMIT N0.7(��'�� COMPLEfED ADDRESS Z� ��' �� ' c-� OWNER TELEPHONE NO. `�� CONTRACTOR �_f � S�-(57 �; DESCRIPTION / ' /��!� r �`�1�/ �-/� 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 _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL SITE ❑ S TIC INSTALL �p�'�]� � OWNE NTRACTOR TO MEET YOU:�YES_NO �(,��r (�(�I �-� "1�'`"L �� OMM ENTS: � �A.-t� � �' �Z -�Z=��I �'�� W a j �O� !h 5 e r� Ca w�.��cL�G -�}--cB�J�PA�s �� 0 � 0 � W �+ � J��►/rvt•t -} ►dlril�� Q � 2 W � w ¢ J d � ❑WORKSATISFACTORY:PROCEED �' OJECT COMPLEfE � ❑CORRECT WORK&PROCEED C; ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 4 hours in advance. (952) 249-4600 OwnerlContractor on site: �a w� Inspector. i^—� White Copyllnspector's File Canary CopylSfte Notice