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Home My WebLink About2015-01321 - gas fireplace * . CITY OF ORONO * 2 0 1 5 - 0 1 3 2 1 * 2750 KELLEY PARKWAY DATE ISSUED: 10/12/2015 ORONO,MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 825 HLTNT FARM RD PIN : 30-118-23-44-0003 LEGAL DESC : HUNTINGTON FARM : LOT 001 BLOCK 002 PERMIT TYPE : MECHAMCAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 4,761.00 NOTE: HEAT N GLO FIREPLACE APPLICANT MECHANICAL 59.52 STATE SURCHARGE MECH(VALUATIOI� 2.38 THE FIREPLACE GUYS MAIL-IN FEE 2.00 680 HALE AVE N SUITE 110 TOTAL 63.90 OAKDALE,MN 5512& Payment(s) (612)326-1919 CHECK 13073 63.90 Minnesota State License#:mech-MB643168 OWNER KRASSIN,JABIN 825 HLTNT FARM RD LONG LAKE,MN 55356- 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 pertnit is for only the work described and dces 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 appticant 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 lJl.l( O�C/�/° • ��...��D� / / � Applicant Permitee Signature Date Issued By Signat e Dhte � � b ��q�% �� ,� }`s �"`;� �•'Y�� ,�«� � ,� �ya•. �c ,,�� a "i'(/ �3�.� ��s +�� w � �t"- i J �� City of Orono �� ti� 1 � �. `� z u '� � P.O.Box 66 �.` � a'�f�� 2750 Kelley Parkway �� '� �" m�. :� " �E�`�r�'� � � �� Crystal Bay,MN 55323 ��```: � Phone(952)249-4600 Fa�c(952)249-4616 ��; <��'� -�, '��• "��'� '�� 'S ,,�` . _� . `� ��,�' CITY OF ORONO—MECHANICAL PERMIT t��BS H�► (All Commercial pemuts must be approved by the Building Official or Inspector and/or Fire Mazshall) +�� ' c��d'� � � � '' s��,..�� e. �� '�_.��a. .,�$� .'�?�p�o r^� ��„��. .�..P�,< 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. Mechanical Desig�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(9S2)249-4600. (24-48 hour notice required) 7. House Heating Test Record must be submitted before final. rn �,, � � � :.y�y� :,�..� �r t° �'� v � � �t`� � �� . �� . � �� `� „��. �£�� '.I�d� � � 3� x�� "..s ; �. :� ,„�i % -� �..ry $ �y�.. � Fu 1 .an�-: . .�". ,M a ��' 75�i. t t . .«ai � tf*=:.�.. �Residential ❑ Commercial(Approval Required) �•New ❑Additional ❑ Repairs ❑Replace / ` ��)�1��.�`'��4Ii1'�fl�l. '°��} .�' ,�y Site Address: g� �—�taYl�''S �G�r1'l 120, Owner:-�.b�Y� ��SS i iYl Mailing Address: 8� N�,�.�'1-I'S �uYIM R�� City: C71�01'�O Zip: ��o Home Phone: J� -' Z�o(��--�� Alternate Phone: Contractor Informatao�i: Contractor: Tht, �j YeD1 aC� �ua.�S Contact Person: ,�r')qt� ��-e.{{rLQ-I� Address: Cc�� 1�-!� State Bond#: P-��o`�'3��8 Sux�e,�I t� City: C�C�q,�fi Zip:S`�J12-� Expiration Date: /d�ZO�1(0 Phone: (�,i Z:3Z��1`� �9 Alternate Phone: � ❑ Insurance—Current: ��t'-� `f'o , 1 �per�-y �- cas�,�J�y ,� ' Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official. IS THIS GEOTHERMAL? ❑Yes �No HEATING SYSTEMS Quantity: � Make: Model: 1.�S Fuel: 6� G, C�,S Flue Size: 31, Input BTUs: Output BT'LTs: ��; �O� , CFM: COOLING SYSTEMS Quantiry. Make: Model: Tons: H.Power FIItEPLACES � Gas Factory Fireplace Brand Name: I�--��5-4- ,'�J C�1 b ❑ Wood Buming Fireplace , ❑ Wood Stove Model No.: CUS�'Yl0 ��S ❑ 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 Marshall if proposing to abandon tank in place.) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside LP Gas: gallons Oth.er: GAS LINE ONLY ❑ Outdoor Grill ❑ Other/List What&Where: 2 � , Yes,this section applies T'he replacement of a Residential fixture or ap�liance that meets all three of the following requirements: 1. Does not require modification to electrical or gas service. 2. Has a total cost of$500.00 or less;excludin¢the cost of the fixture or appliance: and 3. Is improved,installed or replaced by the homeowner or licensed contractor. Skip next section,if this applies; Cost of Permit $ 15.00 State Surchazge $ 1.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ If above does not apply;follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) �]"��l.�f x.0125$ �• � (contract price) (minimum$50.00) 2. STATE SURCHARGE �38 x.0005 $ (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ (�9� ■ * 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 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. � 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: ��-f�Pf�J`� 3 � � �� - OATE � TIME CITY OF ORONO CALLED IN �O/ �/S INSPECTION NoOT�CF. D/i��/ SCHEDULED .� /S ,//,'4� PERMIT NO. �� /""� COMPLEfED ADDRESS �� `�c�7 72�%'�li( /�P OWNER T EPHONE O. 'z-3� -� �Z �7 CONTRACTOR � � � DESCRIPTION � �� W ❑ FOOTING ❑ DEMO-F�I L ❑ SEPTI 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 ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL 2 ❑ DEMO-SITE ❑ SEPTIC INSTALL r� � CTOR TO MEET YOU:�YES_NO c�., COMMENTS: � � W � � J O �• i�,� � O � W � Q � � � ' � � 1 J � a' O W �IVORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE � ;�O RRECT W'ORK 3 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTiON TEMPORARY V BEFORECONERING PERMANENT ❑CORHECT UNSAFE CONDITION WRHIN HOURS. O PHOTO TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. /' Call for the next inspection 24 hours i� 249-46�� OwnerlContractor on site: Inspector: White Copyllnspector's File ` Canary CopylSfte Notke