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Home My WebLink About2015-00120 - gas fireplace , , CITY OF ORONO * z 0 1 5 - 0 0 1 z 0 * 2750 KELLEY PARKWAY DATE ISSUED: OU26/2015 ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 965 EDGEWOOD H[LLS RD PIN : 02-117-23-14-0001 LEGAL DESC : REG. LAND SURVEY NO. 1098 : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 4,150.00 NOTE: HEAT-N-GLO GAS FACTORY FIREPLACE-MODEL#800DC-TPI APPLICANT MECHANICAL 51.88 STATE SURCHARGE MECH(VALUATION) 2.08 FIRESIDE HEARTH& HOME MAIL-IN FEE 2.00 2700 FAIRVIEW AVE ROSEVILLE, MN 55113 TOTAL 55.96 (651)633-2561 Payment(s) Minnesota State License#: mech-20512060 CREDIT CARD 4608 55.96 OWNER BJORK, ROBERT&BETH 965 EDGEWOOD HILLS RD WAYZATA, MN 55391- 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 governing this type of work shall be compied with whether or not specified herein.This permit will expice 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. � / /�Zlo/ �S Applicant Permitee Signature Date ssue y Signature Date 01-23-'15 15:29 FROM- T-391 P0004/0007 F-531 ��I /� �� " '" � 8 CFT SE 4NLY � City of Orono �� P.O.Box 66 �� Aatc itcccivc/ � Permit� �� !�U � � 2750 KCUCy P9rkway Crystal Bay,MN 55323 �� APProved By: �Amaunt$: Phanc(952)249-4600 �ax(9 2 249-4616 a � ti� t,�k�s�i o��.�'� CYTY O�'+ ORONQ—1VIECHANICAI. PERMIT (All CommerCial perrrirts must be approved by the Buildin�Of�cial or inspccmr anci/or Fire Marshalp ��NER��;rnl�a�MaTroN � � � 1. 'You may appty Por mechanical r�ermits by mail or'rn person at the City ofYices. Applications w'rll � be revie�ved and a permit wil#be issued within iwo working days. Z. Permrt.cards will be sent by return mail aRer a rcvicw is completed. PERMITS AR�NOT � 'VAT�IT)UNTCL'YOIJ�tECEIVE A PERMIT. WORK MUST NOT B�ryN TJNTYC,TY�E P��2MIT CATiT?IS POSTED ON THE JOB SITE. 3. Mechanical Desie,ns—Complete calculAtions,details and specifications sre require<I for each heating,ventilation,humidification-dehumidification,and air conditioning installation including � heat Iosslheat gain calculation,design temperatures,equipment ratings and identification as to type,manttfactur�r and model. Data sh�ll be pCesented on form provided. , 4. When any new construction or remodeling is involved,a scparatc building permit must bz obtair�ed. ' 5. Rll work must bc donc in accordance with the Uniform Mechanical Code/State Building Code k f rcquirements. 6. All work must be inspected(rough-in�nd final). Call(952)2�49-�600. (2A-A8 hour nptice required) 7. �ouse Hcating Tesl Record must be submitted before final. __�_.. TY�E O�:PERMIT (Check All That Apply) � esidential [�Commercial(Approval Rcquired) � � � cw ❑Addrtional �Repairs ❑Rcplace � Job Site/Owner Znformation: � 0 � �� <«� � ; 5ite Address: Owner: 4.�(�;�"T w1c�.�T�� }'��'1Viailing Address: , d � City: Zip: ! Horne Phone: ��J��_!� r Alternate Phone: ��-.J`J��jW� /J��g � C l Contractor TnformA#ion: � Contractor: �� `��M��`��tact Pzrson: ��'r �4C'.�I'��'U"�J�J�Z � �d �RESTDE��H-&-N. _. - ----.. Lic BC662656 `�tate Bond#: AC�C�CCSS: -,�nn cnYD\If�1N AV�(��J� {W R05�VILl.E, MN 551.13 City: �,51.6�ip��61 �xpitation Dat�: T�hone: Alternate phane; ❑ Insurance—Current: w_��r� 1 01-23-'15 15:29 FROM- T-391 P0005/0007 F-531 r��j�,4��t:f Ta,y��. i'1�+�,"�1�f��'��,�y�!t�' r ��Iy�1,! � {i ,' �c *,,{ p y-�;�%f-r �,lY.f,4 l'L'Ti'"1`"��" y,�'��,�'�-�.'ii�i�J�. �W � _ .�1.. �i�ta>Gr��n�i? `�. ,tz: �,��7Y�Fi�1�CfU,i!�-Cf�,�`?2�Fi�.�'dti�'�+.�E1;.�4�:'��1�1`�7�T�1A.:S��,«u a �s ,.vt. `l,�*,.,, t � Note: All Geothermal Systems will now require a S'rte 1'lan&Review Uy our Buildir�g�fficial. IS THTS G�OTX��1t1VIAY.? ❑Yes ❑No TiEATXNG SYST�MS � � QuanYiry: �— Make� Model: �ucl: �'lue Size: - input STUs: �„�N �,„ Output BT�1s: �„�.,�,,,�.,, 6 ! CFM: i COULING SYSTEMS QuBntity: . Make: - Mode1; � Toits: � 6 H.power _ � f FIREPLACES � Gas Factory�ireplace Brand Name: �-� IV� d ; [� Wood Burning Fircplace (��,y_ , � � .� � ❑ Wood S#ovc Model No.: ( _X,1�� , ❑ Wood Stove whh�'!ue/Masonry � VENTILATCON ' ❑ No. _ Kitchen�xl�aust duct recirculating �_� cfm ❑ No. �. �ath�xhaust(must havc duct outside) �cfm ; ❑ No. Qthcr FAns: Locations� cfm � _ � FC1��STORAGE (Must be npprover!by Fire MarsfiulC if proposing tv Rb�nrlon trrnk ln p/rrce.) � ._..___------ � -----�---Installation-----..._ Q.__... Remo�val . ... . ... ....... . . _....... ......._ _.. . _ I'uel Oil: _ gallons ❑ Underground ❑Inside ❑Outside LP Gas: ��gallons 4ther: �AS LCNE ONLY i ❑ Outdoor Gri11 ❑ Other/List What& Whcre� ! 1 2 s Q1-23-'15 15:29 FR4M- T-391 P0006/0007 F-531 � � �y>f��`��r��rc i� � 'N<� r 0�''�L�IK ��'�[�� '�,A��4�„Ll��r117 � � � v s( �, 4 � y�• h� �� a y�v 4Y5��, � � �.�9��✓� ��,{{��nI[I�v�7�r� v�y �r(�(� l��I �, t �C+itY�p[l.l�"��fYy t t/ !�� . < �{ \ 1��F', r t�, nJ �)��w�a T�?� � �..fYj'TY��-C�1'�.,.��,V,SJ��+��L7�Y`�.�4/�\44L,e��4�.p{TY�ye'll�n�'1',+:��iti �,l,�t��c1 � F7, ` ';�G.I- l(J _ _ "1 Ci`n � � .�,t � ❑ Yes,this seotion applies The replacement of a Rgsidential fixture or appliance that meots all threc o€the follo�ving requirements: 1, Does noY require mod�fication to electrical or gas service. 2. Has a total cost of$500.00 or less;e c�clud.it��the cost af the fixturc or appliance:and 3. Is improved,installed or replaced by the homcowncr or lieensed contractor. � Skip next section,if this a�plies; Cost of�'ermit $ 15.00 Statc Surcharge $ S.OU Mail-In Fee(If Applicable) �w_��0 ToCal Permit�'ee $ �� r �,�"V.,.m,_...., ; Jr'`.�r>�'S��y �� '� 'L�ET�h�[7�'�'� CA'�.G�'i:J�,f1.'�'T(aN(�).,�7(1$�.�?VE�',��09.00;.',,` ; i i if above does not apply; follow guidelines below: I. COIVTX2ACT PT2TC� � is 1,25%of cantract pricc wiYh a(Minimum Fee of$50.00) �1J x.0125$ � 1 �_� (coniract price) (minimum 530,00) . 2. STATE SURCHARCE 1�. ( �{, Oc�j — l 1 �� x.0005 $ �_ , ,��1� (contract price) ( 3. POSTAGE&HANDLING(Onl�on Mai1-Cn Applications} $ 2.00 € �� 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) 5 �--•� � i ■ '� CONTRACT pRIC� or JOC3 COST moans tha actual or estimated dollar amount charged for the ' peCmitted work including m�terials, labor,proft,and othEr fixed costs. It is the amount to be charged ' 1 to the customer for the work done. If any material,equipment> labor or installations arc furnishcd by ± the owner,te»ant or any other party>thc roasonablc market value of such items must be added ro the CSt1�71atCd COst or contract pricC fOr permit Pee purposcs. In the event that there is a dispute on tlie f amount of the j�b eost,ehe Ciry may request the submission of a si�ned copy of the actual contract. � i � ��,,°t;� ��;�� '",� �_,� �p�(`1 �� D �T ' ��A �`1 � � �j� *�y.Gy��1��.,r �r r , ,;'•�., ; 1 _ �4•�J�M��1��, �. f?'d��.� �� +�+�kr1 1'V i I The undeisigned hcrcby applies to ihe City for issuAnce of a Mech�n'rcal Permit, agrees to do all work in strict accordance with the ordinanees of the Ciry and tEie regulations of the State of MinnesotA, and certifies that all statements made on this appliCation arc complete, truc and conect. Applicant's Si�nature: �ate: ` �J � 3 i I � ��/� �� DATE CITY OF ORONO CALLED IN INSPECTION N TICE SCHEDULED PERMIT NO. cOMPLETED _ ADDRESS ��P S �C�wv�� ' T�(S�-'- OWNER TELEPHONE NO. 7� 3�� CONTRACTOR �/"e / � DESCRIPTION � � � r� ly� ❑ 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 ❑ PROGRESS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP i ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL J ❑ DEMO-SITE ❑ PTIC TALL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:�YES�NO c�n COMMENTS:' �` D� � VGr►t��r� - C `ear4��, - o _�s 1�.�� ..� � ��t- — �o�s� - on, /��zg-�5_ , '� '' �Ds c, o� o�� a' /� - -� W --_ "'�l5�iri� �ils5 �il.az��-✓ � � Q � � 2 W � W � J ��RK SATISFACTOFY:PROCEED ❑ PROJECT COMPLEfE W CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILLREfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CAIL TO ARRANGE ACCESS. Ca11 for the next inspection 2a hours in advance. (952� 249-460� OwnerlContractor on site: � Inspector. �-�' White Copyllnspector's File Canary CopylSfte Notice