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Home My WebLink About2016-00383 - gas fireplace � e CITY OF ORONO * 2 0 1 6 — 0 0 3 8 3 * 2750 KELLEY PARKWAY DATE ISSUED: 04/18/2016 ORONO, MN 55356— (952)249-4600 FAX: (952) 249-4616 ADDRESS : 1185 FERNDALE RD W PIN : 02-117-23-43-0025 LEGAL DESC : REG. LAND SURVEY NO. 0397 : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTIOI�T TYPE : FIREPLACE-GAS VALUATION : $ 4,000.00 NOTE: GAS FIREPLACE(MENDOTA FV41) APPLICANT MECHANICAL 50.00 STATE SURCHARGE MECH(VALUATION) 2.00 TWIN CITY FIREPLACE STONE CO INC MAIL-IN FEE 2.00 6521 CECILIA CIR EDINA,MN 55439- TOTAL 54.00 (952)777-4125 Payment(s) Minnesota State License#: mech-MB682977 CHECK 20720 54.00 OWNER WYMAN,JAMES&KATHLYN 1185 FERNDALE RD W 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 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. . � ` L ,��1(��J, � k c� �Ll;�� L��''� '� ��_C ��Sl� �� / � �/ ��D Applicant Permitee Signa ure Date Issued By Signature Date � � FOR CITY USE ONLY /� A TO Ci of Orono ,ry-y / ��<� P:Box 66 Date Received: ��I�Permit# �QI�`�'' �� f 2750 Kelley Parkway (�� + Crystal Bay,MN 55323 Approved By: N' Amount$: ��. Phone(952)249-4600 Fax(952)249-4616 � � y ^ F � �.�' CITY OF ORONO-MECHANICAL PERMIT lqKf S H�� (All Commcrcial permits must bc approved by the Building O�ciai or Inspcctor and/or Fire Marshail) GENERAL INFORMATION l. You may apply for mechanical permits by mail or in person at the City offices. Applications will be reviewed and a pernut 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 Desi�ns—Complete calculations,details and specifications are required for each heating,venrilarion,humidification-dehumidificarion,and air conditioning installation including 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 pennit 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 1 ) �esidential ❑Commercial(Approval Required) [Backflow Device: ❑AVB ❑PVB) �Iew ❑Additional ❑Repairs ❑Replace Job Site/Owner Information: p ,-- Site Address: � � U J ��'��`�� C� Owner. ��'1/�C�� Mailing Address: ��f_' City: Zip: Home Phone: Alternate Phone: Contractor Information: Contractor: ��L �� -�ntact Person: �..� t� � `�c��1� . � Address: �J� I GLG t I iG(� �l v��State Bond#: N I�(��,t.�' 1 � �--- � City: �l-�I b'�`- Zip:�L3�fExpiration Date: Phone: ��JZ`" �� / '� ��Z� Alternate Phone: ��Z. ""1"7 � -'��'�� Insurance-Current: 1 i MECHANICAL SYSTEMS BEING INSTALLED Note: All Geothermal Systems will now require a Site Plan& Review by our Building Official. IS THIS GEOTHERMAL? ❑ Yes ❑No HEATING SYSTEMS Quantity: 1 Make: Model: Fuel: l� Flue Size: input BTUs: " ' � � Output BTUs: CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H.Power FIREPLACES [� Gas Factory Fireplace Brand Name: �C. �"�V�� ❑ Wood Burning Fireplace � � ❑ Wood Stove Model No.: ❑ Wood Stove with Flue/Masonry VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfm ❑ No. Bath Exhaust(must have duct outside) cfm ❑ No. Other Fans: Locations cfin FUEL STORAGE (Must be approved by Fire Marshall if proposing to abandon tank in place.) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑ Inside ❑Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill ❑ Other/List What&Where: 2 r PERMIT FEE CALCULATIONS 1. CONTRACT PWCE * is 1.25%of contract price with a(Minimum Fee of$50.00) �! V V V � V V x .0125 $ �� ' l,� `-' (contract price) (minimum$50.00) 2. STATE SURCHARGE x.0005 $ � ��) (contract pricc) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ �`r " n� ■ * 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 pernvt 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 m de on this application are complete,true and correct. , � � Applicant's Signature: Date: 3 � 5 ��- �i.. T � TIME CITY OF ORONO CALLED IN _��_ b =_-/� INSPECTION DIrOT��E��2 SCHEDULED PERMIT NO.��v J COMPLETED ADDRESS �l S.� �E%�i%!�C-Ge�-- �S-� �%t-/ OWNER �T LEPH E NO. �2�2�-Zy'� CONTRACTOR �� Q--� j DESCRIPTION Q �� — Ci'1��/ ly ❑ FOOTING ❑ DEMO-FI L ❑ 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 41 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNER/CONTiiACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � J O � � O � W � Q � 2 W � W � � � d W RKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � RECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pH0T0 TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. 5 =�6�� OwnerlContractor on site: - �� Inspector. � White Copyllnspector's File Canary CopylSite Notice � , DATE TIME / CITY OF ORONO CALLED IN � INSPECTION NOTICE SCHEDULED PERMIT NO. �!�/b 'G��R3 COMPLETED S=�—�� ADDRESS /�Sb �e�✓I �.4�YLe 12�2 J OWNER TELEPHONE NO. CONTRACTOR � DESCRIPTION �CLS �' �' �/�l�G lV ❑ 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 v INAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ v ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNER/CONTAACTOR TO MEET YOU:_YES_NO v�i COMMENTS: � W C � `� WQ� I�C � rK,�.7��e.�� ,IJe ✓ 5i1cGS ' �. � O � W � Q � 2 W � w j _ �✓wt�L �i�'I el� d W� ❑WORKSATISFACTORY:PROCEED PROJECT COMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL REfURN O CITATION ISSUED ❑STOP ORDEH POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (g52) 249-46�� OwnerlConVactor on site: c Inspector. White Copy spector's File Canary CopylSite Notice