HomeMy WebLinkAbout2016-00786 - gas fireplace � � CITY OF ORONO * Z 0 1 6 - 0 PJ 7 8 6 *
2750 KELLEY PARKWAY DATE ISSUED: 07/07/2016
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 4385 CHIPPEWA LA
PIN : 31-118-23-42-0017
LEGAL DESC : LINPLATTED 31 118 23
: LOT 000 BLOCK 000
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIREPLACE-GAS
VALUATION : $ 3,500.00
NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION.
SUPERIOR GAS F[REPLACE
APPLICANT MECHANICAL 50.00
STATE SURCHARGE MECH(VALUATION) 1.75
PRACTICAL SYSTEMS MAIL-IN FEE 2.00
4342B SHADY OAK RD
HOPKINS,MN 55343 TOTAL 53.75
(952)933-1868 Payment(s)
CREDIT CARD 0921 53.75
OWNER
GRADY,THOMAS&MARGARET
4385 CHIPPEWA LA
MAPLE PLAIN, MN 55359-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
Ihe 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 governing 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 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�
Applicant Permitee Signature Date [ssued Signature Date
Jul, 6. 2016 2; 5RP�' P�AC?;CA� SVST�MS �� o, 2178 P, 2
rOR CITY USE ONLY
O Cl�Oe�YO►l0 �
� �O C'.0.gox 66 batc Cteceived; � Pcrmit# �DI�O �7 $
275o Kcllcy Parkway �c
Cryslal Day,MN 55323 Approv�d�y: Amauoc S=S ✓ �
Phone(952)249-46Q0 Pax(952J249-4616
y �
`� �.�' CYT'Y OF ORONO—MECHANYCAI,PERIV�IT
{�kFs Ho�'' (ptl Comn,crcial permits must be approvcd hy chc guilding Of�iciat or inspcclor andlor pirc Marshall)
GrENERAL INk'ORMATYON'
�. You may apply for n�ecl�anical permits by mai!or in person at the City off"ices. Applications will
be reviewed and a pem�it will be issued wi�hin two�x�orking days.
2. Peimit cards wi(I be sent by return mail after�review is completed. PEItM1T5 AT2E NOT
VALID UNTI�,'Y'OCJ 1t�CEIV�A PERMIT. 'VVOTtY�b4UST NOT BEGIN T� TY�m1TE
PER1�iIT CA�YS�OSTED ON THE r0�SY,x�,
3. Mechanical Desi�ns—Complete calculations,details and specifccations are requircd for each
heating,ventilation,hwl�idificatiou-del�w��idification,and air conditionii�g installation including
heat loss/heat gain calculation,design temperatures,cquipment ralings and identification�s to
type,manufacturer and model. Dat�shall be presentcd on form provided.
4. When Any neW construction or remodeling is involr�cd,a separate building pem�it must be
obtained,
5. All work must be done in accordance witli Lhc Uniform Ivicchanical Code/S[ate�3uildi�ig Code
requirements.
6. All work must be inspectcd(rough-in and fin�l). Call(952)249-4600.
(24-48 l�our notice i•equjred)
7. House Heating Test Ttecord must be submitted 6efore final.
TY�'E 0�'pERMIT .
Check All That A I
�Residential �]Commercial(Appro�ral Rcquired) [Baekflow llc�icc: []AVB ❑PVH)
❑New (]Addilional �]Repairs �Replace
Job Site/ Owner Tnformation;
Site Address: ����J CH�P�P,�,�h, �/1
Owner:�Y�Q./'QQ.rP�" �f pG�U , Mailing Address: 4�$5 C..h�„ort��(�/�
c�ry: �le, �Ja.�n z►�: 55�59
�ome Phone: 9�j���b/� y/�p1,� Alternate Pl�one:
Contractor 7nforrnation;
Contractor: C.1�'1GA..r S(1,�I� ContactPerson: ,1 t ���@,�bQ,m
T �-�
Addcess; � [.iUl�� State Bond#; � ,�/
City: j'�D�_ ,Zipf�,3 EXpiration Date: l �/ i�� p
phone: � /g $ Alternate phane;
(] Ynsurance—Cui�•ent: (,��$ �
1
� �� , 6, 2�' 6 2 ;��°��� �?��C��Ca� SYS-�MS �v�. 21i8 P. 3
�
Nate; All Geothermal Systenis r�rill nor�v require a Site T'lan d'c I�eview by our�uilduag Offcial.
IS THIS G�OT�TERMAY,? []'Yes �o
�T�ATTNG SYSTEiVTS
Quanllty'
Make:
Model�
Fuel:
�lue Si2e:
Ynpu[�TC7s:
Ovtput BTCJs:
C�M:
COOT.TN'G S'YST�1�15
Quanticy-
Make:
ModeL•
Tons:
H, Power
FIREPLAC�S
� Gas Factory�ireplace $rand Name: �(��]C„�IOr
❑ �'Vood Buming�ireplace
❑ Waod Stove Madcl No.: '��„ �p�r�,�
❑ Wood Stove with Flue/Masonry
VENTLLATION
Q No. Kitchen Exhaust duct rccirculating cfm
❑ No. Hath�xhaust(must h��ve duc�ouCsidc) cfm
❑ No. Other Fans: Locations cfin
FUEL STOR.AG�E (fl�lust be approverlby 1c�re,4l�rrshaAifproposing to a6a�idon lttrik in pluce.)
❑ Insfallalion ❑ T�emoval
Fuel Oit: gallons ❑ Crndcrground ❑Inside ❑Outside
LP Gas: gallons
Oti�er:
GA51.,YN�ONT,`Y
❑ Outdoor Grill ❑ pthcr/T.ist Wliat&Where:
2
Jul. 6, 2016 2: 58PM PRACTICAL SYSTEMS No, 2178 P, 4
1. C01VT�ACT pRIC� * is 1.25%of contract price with a(Afinimum�ee oeS50.00)
35CaD.o� x.o�zs� S0.o0
(contract pr;cn) (nilnLnum 550.00}
2. STAT�SCJ�CHARG�E
�SaQ•00__x.000s 5 ( � 7 �
(contract priccj �
3. POSTAG�&�TANrb�.TNG(Only ou Mail-Yn Applications) $ 2.00
4. TOTAT.��,�M.TT F��(Add Liy�es 1-3 Abnvc) $ �j( ,� � .
� ` CONTRACT PI�tTC� or J'OB COST means the actual or estimated dollar a►noun[ chaegcd for tl►e
perinitted work including materials,labor, profit, and onc�r Fixed costs. It is the amount to bc charged
to t1�e cuslomer for the vcrork done. if auy material,equipmcnt,labor or iustallations are fumishcd by the
owner, tenant or an� other party, the reasonable market Value of sucl� itetns must be added to lhe
estimated cost or eontraet pricc For pennit Fee purposes. Tn tl�c cvent that there is A dispute on thr amount
of the job cost, the City may request tf�e subinission of a signed copy oF the aeh�a! eontract.
The undersigned Iiereby applies to the City for issuance of a Mechanical T'ermit, agrees to do all
work iu strict accordance with the ordir�ances of the City aud the regulatioits of the State of
Mlnnesota,and certifies that a!1 statements made on tl�is applicatiou are complete, true and coi7-ect.
Applican['s Signature� y�,rLk►��� ��,•�L Dat�:
3
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DATE / TIME �/
CITY OF ORONO CALLED IN l
INSPECTION NOT) E�7� SCHEDULED � — �
PERMIT NO. �` COMPLETED .
ADDRE 3�S Gl/sY�
OWNER L HO NO. �✓�"�7����4�',�
CONTRACTO G � �
� DESCRIPTION � � � � �
ty ❑ 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 BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
v ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNERfCONTRACTOR TO MEET YOU:_YES_NO
v�i COMMENTS:
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W� � RKSATISFACTORY:PROCEED�V""� -��--�-�----- ""L1 PROJECTCOMPLETE
w ❑CORRECT VYORK 3 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WILL REfURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. /
Call for the next inspection 24 ho rs in advance. (g5Z7 24�=4600
OwnerlContractor on site: � =s
Inspector.
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White Copyllnspector's Ffle Canary CopylSite Notice
� � �►1� - /
AT TIME V
CITY OF ORONO CALLED IN � �� _�—
iNSPECTION N����iE �/y�� SCHEDULED � � �_
PERMIT NO. dlJ/� �'(J OMP �.,
ADDRESS �
OWNER ' ELEPH N fl a— �$
i
CONTRACTOR
� DESCRIPTION "`"� �
t� ❑ FOOTING ❑ DEMO-FINAL ❑ PTIC 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
J �FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
v ❑ DEMO-SITE ❑ SEPTIC INSTALL
Q OWNERICONTRACTOR T M ET YiOU:_YES_NO
o � �ec- ��r%� - 7'0��'/6
� COMMENTS: �
� � � � �i✓t�S�c� p-e� SD��S —
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� ❑WORK SATISFACTORY:PROCEED �.E@�IECT COMPLEfE
W ❑CORRECT WORK 6 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT VYORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE C01/ERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pH0T0 TAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call br the next inspection 2a hours in advance. (952) 249-4600
OwnerlContractor on site:
Inspector. ^^-
White Copyllnspector's Flle Canary CopylStte Notke