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Home My WebLink About2016-00442 - gas fireplace . � CITY OF ORONO * z 0 1 6 - 0 0 4 4 2 * 2750 KELLEY PARKWAY DATE ISSUED: 04/27/2016 ORONO, MN 55356- (952)249-4600 FAX: (952) 249-4616 ADDRESS : 627 FERNDALE RD N PIN : 36-118-23-11-0029 LEGAL DESC : LAURENT ADDN : LOT 000 BLOCK 001 PERMIT TYPE : MECHANICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 9,900.00 NOTE: CONVERTING(3)WOOD BURNING FIREPLACES INTO(3)HEAT-N-GLO GAS INSERTS APPLICANT MECHAMCAL 123.75 STATE SURCHARGE MECH(VALUATION) 4.95 THE FIREPLACE PROFESSIONALS TOTAL 128.70 5297 KAHLER DRIVE NE Payment(s) ALBERTV[LLE,MN 55301 CHECK 5172 128.70 (763)238-9036 Minnesota State License#:mech-MB004932 OWNER JOHNSON,BONNIE 627 FERNDALE RD N 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 [he State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permiu. 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 du�ise. � �% —� �, ,- '' �i'��/� -�'� /c��/ � plicant Permitee Signature Date Issued Signature Date FO CITY USE ONLY % City of Orono � �" / �O�O P.O.Box 66 Date Received:'��ermit#��5v_ �� 2750 Kcllcy Parkway ! Crystal Bay,MN 55323 Approvcd 13y: Amount$: l �"� � �� Phone(952)249-4600 Fax(952)249-4616 ` ti ��J `� � CITY OF ORONO-MECHANICAL PERMIT C�k�S_fi�� (All Commcrcial permits must bc approved by thc Building Oflicial or Inspcctor and/or Firc Marshall) GENERAL INFORMATION L You 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. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical DesiQns—Complete calculations,details and specifications are required for each heating,ventilation,humidification-dehumidification,and air conditioning installation including heat loss/heat gain calculation,desigr►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 obtained. 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 submitted before final. TYPE OF PERMIT (Check All That A pl ) �Residential ❑Commercial(Approval Required) [Backflow Device: ❑AVB ❑PVB] �New ❑ Additional ❑Repairs ❑Replace Job Site/ Owner Information: Site Address: �oc� /�L'/iUG'f}/G !`� � �<D►l� . /��.5.3 5''� Owner: hr,U �C'�vi �� Mailing Address: c�Ty: Occ�o z�p: �5 3 9/ Home Phone: Alternate Phone: Contractor Information: Contractor: � ,�,,,u4�S Contact Person: Jq�v„v I-1�A�v<(.S�xJ Address: _ ,24y ,��h/��,Q/,rJC State Bond#: rn'Q�'( l.3oZ City: r �� Zip:S53D/ Expiration Date: Ol -�S -02�/� Phone: 76.3' �l� 3�-9'03� Alternate Phone: � Insurance-Cunent: O�I-r,?/ `�lU/6 1 MECHANICAL SYSTEMS BEING IN5TALLED Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official. IS THIS GEOTHERMAL? ❑ Yes ❑No HEATING SYSTEMS Quantity: � / Make: /7i�,OT �G�p _��7 9 G/D Model: C -13 SC� t=��0 Fuel: /�• /�.J. Flue Size: „� 3 Input BTUs: ,3�fXX'�_ �.�OOU Output BTUs: CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H.Power FIREPLACES ,� Gas Factory Fireplace Brand Name: �A7` ��0 ❑ Wood Buming Fireplace ❑ Wood Stove Model No.: �.SG�A,(I�C -T3S ❑ Wood Stove with Flue/Masonry VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfin ❑ No. Bath Exhaust(must have duct outside) cfin ❑ No. Other Fans: Locations cfin FUEL STORAGE (Must be approved by Fire Marshal/if proposing to abandon tank in place.) ❑ lnstallation ❑ Removal Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill ❑ Other/List What&Where: 2 PERMIT FEE CALCULATIONS 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) 9�d�. �b x .0125$ ��.3 �� (contract pricc) (miniroum$50.00) 2. STATE SURCHARGE pG l 9ct�. — X.000s $ �/. 9'S� (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ fa d . �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. Tt 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 amount of the job cost, the City may request the submission of a signed copy of the actual contract. MECHANICAL 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 City and the regulations of the State of Minnesota,and certifies that all statements made on this application are complete,true and correct. Applicant's Signature: Date: 7—026—�� 3 �� \/ '�- DATE TIME v CITY OF ORONO CALLED IN �'°Z � �� .�— INSPECTION N TIC SCHEDULED � PERMIT NO. - � �cOMPLEfED ADDRESS �� G� OWNER �TELEEQH E NO. ' �� CONTRACTOR �= ��/�v'� � DESCRIPTION �� ty ❑ FOOTING ❑ D O-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICA�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 _ J ❑ DEMO-SITE SEPTIC INSTALL 2 OWNERICONTRACTOR TO MEET YOU: ES_NO/�� I '-' �� c�.� COMMENTS: c� � a� W � � -i J O ). � O � W � Q � 2 W � W � J W ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY V BEFORECdVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. / Cail for the next inspection 24 h urs in advance. 49-4600 OwnerlContractor on site: Inspector. 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