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Home My WebLink About2016-01300 (Fireplace) CITY OF ORONO * Z 0 1 6 - PJ 1 3 0 PJ * 2750 KELLEY PARKWAY DATE ISSUED: 10/13/2016 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1240 ARBOR ST PIN : 10-117-23-31-0099 LEGAL DESC : MAXWELLS ADDN CRYSTAL BAY LAKE : LOT 000 BLOCK 001 PERMIT TYPE : MECHANICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCT[ON TYPE : FIREPLACE-GAS VALUATION : $ 1,245.00 NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. NEW:GAS F[REPLACE(HEAT&GLO) APPLICANT MECHANICAL 50.00 DRUK,TIMOTHY&JULIE STATE SURCHARGE MECH(VALUATION) 0.62 4308 1 15TH STREET SE TOTAL 50.62 DELANO, MN 55328- Payment(s) CRED[T CARD 0179 50.62 OWNER DRUK, TIMOTHY&JULIE 4308 115TH STREET SE DELANO,MN 55328- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,appiicable City approvals,and the State I3uilding Code. This permit is for only the work described and docs not grant permission for additional or related work�vhich 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 l80 days at any time afrer work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Buildin Code.This permit may be 1�,�� revoked at any f for due cause. �rG / � _� ,,- ; �-,�- ,� � `�-��} � � l.�' % (�, Applicant Permitee Signature Date Issued By Signatur Date ti � FOR CI Y US NLY �O A t City of Orono /� � � ?��(p � r,�� <�/� P.O.Box 66 Date Received: Permit# , 2750 Kelley Parkway /� Crystal Bay,MN 55323 Approved By: Amount$;�(.� '� � Phone(952)249-4600 Fax 1952)249-4616 � � � � F � !�'rF5H�4�� CITY OF ORONO —MECHANICAL PERMIT (All Commercial pei7nits nmst be approved by lhe Building Ofticial or Inspector and/or Fire Marshal]) GENERAL INFORMATION 1. 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. Mecha��ical Desi�s—Complete calculations,details and specifications are required for each heating.ventilation,humidification-dehumidification,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 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 fmal). 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 ) Re ' ential ❑ Commercial (Approval Required) [Backflow Device: ❑AVB ❑PVB] New ❑Additional ❑ Repairs ❑ Replace Job Site/ Owner Information: Site Address: I � �1J1 �r � f c Owner: 1 �� Mailing Address: � ��(� �� City: ��r(�� Zip: �� Home Phone: �� sj��/ �(� �� Alternate Phone: L�� Contractor Information: Contractor: Contact Person: Address: State Bond #: City: Zip: Expiration Date: Phone: Alternate Phone: ❑ Insurance—Current: 1 ! J MECHANICAL SYSTEMS BEING INSTALLED Note: All Geothennal Systems will now require a Site Plan & Review by our Building OfficiaL � IS THIS GEOTHERMAL? ❑ Yes ❑ No HEATING SYSTEMS Quantity: Make: Model: Fuel: Flue Size: Input BTUs: Output BTUs: CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H. Power FIREPLACES Gas Factory Fireplace Brand Name: ��"i(,��,(� ❑ Wood Burning Fireplace � , ❑ Wood Stove Model No.: C��l1C� ❑ Wood Stove with Flue/Masonry VENTILATION ❑ Na Kitchen Exhaust duct recirculating cfin ❑ No. Bath Exhaust(must have duct outside) cfin ❑ No. Other Fans: Locations cfm FLJEL 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 , � ` � • PERMIT FEE CALCULATIONS 1. CONTRACT PRICE *is 1.25%of contract price�vith a(Minimum Fee of$50.00) I � �S �U X .o12s $ (contract price) (minimum$50.00) 2. STATE SURCHARGE x .0005 $ (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE (Add Lines 1-3 Above) $ ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the pernlitted work including materials, ]abor,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 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 Perinit, agrees to do all work in strict accardance with the ordinances of the City and the regulations of the State of Minnesota, and certifies that all statements made on t11is application are complete,true and correct. Applicant's Signature: � Date: � (J ' �� 3 �„�� ,��,- �� j'�"� DATE TIME CITY OF ORONO �� CALLED IN /�� INSPECTION NOTICE SCHEDULED PERMIT NO...��(�" �'�13 '�`� COMPLETED ADDRESS � � � �f'1L1� �7` OWNER TELEPHONE NO. CONTRACTOR �— . , � DESCRIPTION "" C L~y ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FI AL � ❑ 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 BUIIT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ r ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNFRICONTNACTOR TO MEET MOU:_YES_NO «� COMMENTS: W , 4 'J— �, �l ti �.-� s %� � v /� / / O '� �-�!i r fi f'9c- C ✓.�v► ✓JJ �`i` � e o[ � '' - j�:,� � �-� � � �� . � U/L � 0 � � - Q �� J�� d �� a W � W QC j W � VORK SATISFACTORY`.PFtOCEED ❑PROJECT COMPIETE � ❑CORRECT YVORK 8 PROCEED O ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COMERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HWRS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 2a hours in advance. (952) 249-4800 OMmerlCon I3r°"�it L . Inspector: VYhits Copyllnspector's FNa Cenary CopyfSlb Hotice � �� TIME � CITY OF ORONO CALLED IN INSPECTION NOTICE scHE�u�En / �-�? -�� PERMIT NO. �� /6-U�� COMPLETED ADDRESS � o�`�v �'uG� '�y'e� OWNER ��"�"1 1 � TELEPHONE NO. CONTRACTOR � DESCRIPTION � "`'""� �� oL c-� 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 41 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNENCOP(TRACTOR TO MEET l^OU:_YES_NO y COMMENTS: � � j " i .„ c_Z� J S S �' OO / , � " � 11 �C. ti ` G-f�• c �-C. C� � " G nn, ✓� .• �-� ( "� r!G W � Q � �' � � -�i�L`� � W � � J � KSATISFACTORY:PROCEED ❑PRWECTCOMPLETE � ❑ RRECT VMORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUWINCY � ❑CORRECT NfORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERINQ PERMANENT ❑CORHECTUNSAFECONDITIONWRHIN HWRS. p pHpTOTAKEN INSPECTOR WFLL RETURN O STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REWIRED.CALLTO ARRANGE ACCESS. Ca8 for the next inspection 24 hours in advance. (952) 249-4600 OwnedContractor on ite: Inspector: �c��, wi,�a covrn�ave��ors Fn. Gnary CopyfSih Notics