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Home My WebLink About2014-00031 - gas fireplace "�" " CITY OF ORONO 2750 KELLEY PARKWAY * Z 0 1 4 - 0 0 0 3 1 * DATE ISSUED: OU10/2014 � ORONO, MN 55356- 952 249-4600 FAX: (952 249-4616 ADDRESS : 3486 IVY PL PIN : 20-117-23-42-0031 LEGAL DESC : SPRING PARK : LOT 007 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 4,000.00 NOTE: (2)VALOR FACTORY GAS FIREPLACES- (1)MODEL#G4 780JN (1)G3.5 700 IN APPLICANT MECHANICAL 50.00 STATE SURCHARGE MECH(VALUATION) 2.00 PRACTICAL SYSTEMS MAIL-IN FEE 2.00 4342B SHADY OAK RD HOPKINS,MN 55343 TOTAL 54.00 (952)933-1868 Payment(s) CREDIT CARD 0961 54.00 OWNER OWEN,DAVID&KAY 3486 IVY PL 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 Ciry 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 sepazate 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 aze requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. / -/ A'-L � � � � �� /�, Applican Permite ignature te Issued y Signature Date 9529331�69 22:23:08 01-09-2014 2/4 � r TOR ITY SE 1HLY City of Orono � 3� ��NO P.O.[3ox 66 Datc Received: ermit R a�l — 2750 Kellcy Park�vay ��jt� Crystal Bay,MN 553?3 Approved By: Amount$:--,�—f-_,- Phonc(952)249-4600 fpx(952)249-4616 Y ^ `� �,�� CITY OF ORONO—MECHANICAL PERMIT {��F�V� (A!I Commercial pertnils must be approved by the T3uilding Off"�cial or Inspector and/or Fire Marshall) GENERAL INFORMATION t. You may apply for mechanical permits by mail or in person at the City offices. Applications will he reviewed and a permit will be issued within two working days. 2. Permit cards will be sent by return mail after a review is completcd. PERMITS ARE NOT VAT.TD UNTIL YOU RECEIVE A PERMIT. WOI2It MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOS SITE. 3. Mechanical Desiens—Complete calcuiations,details and specifications are required for each heating,ventilation,humidification-dehumidification,and air conditioning installation including heat losslheat gain calculation,design temperatures,equipment ratings and identification as to type,manufacturer and model. Data shali 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 Bniiding Code requirements. G. All work must be inspected(rough-in and final). Call(952)249-4600. (24-08 hour norice reqaired) 7. House Heating Test Record must be submitted before final. TYPE OF PERMIT Check All That A 1 Q Ttesidential ❑Commercial(Approva!Required) i ❑Ne�v �Additional ❑Repairs ❑Replace Job Site/Owner Information: Site Address: 3y�?� Z vLr �l�C Owner: ��U�. C-��-i.�e�n Mailing Address: J`�C'l� l�Pr City: 1-�c-x.,� Z..�.t-�. Zip; �.5 3�?� Home Phone: �'��-5 c"�I-�� I vi� Alternate Phone: Contractor Information: f' (tr f ContrdCtol': PR�►CT�CI►L SYSTEMS Contact PelSon_ ' c�C�.c t-{-�1.�1,G-4i LC.. �43A2B SHADY OAK RD HOPKTNS,MN 55343 Address: State Bond#: F`V�3�>��"3`>1 L� City: Zip: Expiration Date: ��/'��I`� Phone: G1 S�-i 3.3-r G•�� Alternate Phone: ❑ Tnsurance—Current: �l 7 r�u l c��+ 'S � r�.n-�1D 1 G�j -cf�c��7CX� 9529331869 22:23:25 01-09-2014 3/4 . . � MECHAIVICAL'SYSTEMS BEING;iNSTALLED ` ' Note:AII Geothermal Systems will now require a Site Plan&Review by our Building Official. IS THIS GEOTHERMAL? ❑Yes �No HEATING SYSTEMS Quar�tity: Matce: Model: Fuel: Flue Size: Input BTUs: Output BTUs: CFM: COOLIIVG SYSTEMS Quantity: Make: Model: Tons: H.Power FIREPLACES (� Gas Factory Fireplace �� Brand Name: v � 1 C> � ❑ Wood Burning FirepJace ❑ Wood Stove Model No.: �1 ) C�i t 7 Z'UJ� ❑ Wood Stove with Flue/Masonry �i ) (� 3�� 7��U 1 I� VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfm ❑ No. Bath Exhaust(must have duct outside) cfm ❑ No. Other Fans: Locations cfm FUEL STORAGE (Mr�st be approved by Fire Morshall if proposi�rg to abandon ta�rk i�r plac�) ❑ Installation ❑ Removal Fuel Oil: gailons ❑ Underground ❑Tnside ❑Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor GriU ❑ Other/List What&Where: 2 9529331869 22:23:36 01-09-2014 4/4 . . �► PERMIT FEE CALCULATION(S} ;' i BASED OFF-2002 STATE.STAT.UE` ❑ Yes,tt�is section applies The replacement of a Residential fixture or analiance that meets al!three of the foilowing requirements: I. Does not require modification to electrical or gas service. 2. Has a total cost of$500.00 or less; xc udin the cost of the fixture or appliance:and 3. Is improved,instaiied or replaced by the homeowner or(icensed contractor. Skip next sectioa,if this applies; Cost of Permit $ 1 . p State Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Perrait Fee $ ' PERIVIIT FEE CAI.GULATI4N S -JbBS OVER$500:00 > ' ` If above does not apply;follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) �f�'�'�' X.oi2s$ 5�>,��' (contract price) (mioimum$50.00) 2. STATE SURCHARGE ��'L' x.0005 $ ;�. v U (comracl price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ �7�'�• d U ■ * COMRACT PRICE or JOB COST means the actual or estimated doIlar amount charged for the permitted work including materials,labor,profit,and other fixed cosEs. It is the amount to be charged to the customer for the work done. If any material,equipment,labor or installations are fumished by the owner,tenant or any other party,the reasonable market vatue 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. MECHA1vICAL• PERNIIT APPLIGATION 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 aze complete, true and correct. . . � �., , L! . ' Applicant's Signature�:�� _�.- 1.:,.._— Daie: 1 ��I 3 dl/' D TE TIME " CITY OF ORONO CALLED IN �'" INSPECTION OTI E �D�� SCHEDULED - -/ G—T=�t� PERMIT NO COMPLEfED ADDRESS �� -1 t''� OWNER TELEPHONE NO.�o�Z S� ! Z�� CONTRACTOR � � � DESCRIPTION ��h� � Fr � � O FOOTING ❑ PLUMBING FINAL p EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS O ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP ? ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 01AfNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � 'a � r j h S-��1 a 'G� S ��h t :��`✓ 7`?4 �- G� o � �tol�� o� S�hCI j �`�7"�`--�— � ' n. ��.e✓ j ��✓D�'i'c� � a�'v k�� O � W l'�_Y-r 7�-� CGnk-��1` D�l,� �j �Y �� D! C�a-�C � Q � w �,,��d/ ��jg K ��/,�' i,� `��vi.� �✓�fl'u�'t I..h�oU � j a W ❑WORKSATISFACTORIF PROCEED ❑PROJECT COMPLETE � ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY O �CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECONERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WlLL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTEO.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-46�� OwnerlContractor on site: 111$�CtOf: -� r y�� White CopyAnspector's File Canary CopyfSke Notice C�D D�9T TIME "" CITY OF ORONO CALLED IN �'L INSPECTION NOTI E /� SCHEDULED - � PERMIT NO.�1 `OC/O��COMPLETED ADDRESS�� V N X, OWNER TEL PHONE NO.�P�Z-S�� ZI�� CONTRACTOR � DESCRIPTION �`�-� �� CY�.�-EJ l.� � ❑ FOOTING O PLUMBING FINAL ❑ EXCAV/GRADING/FIWNG � ❑ POURED WALL ❑ MECHANICAL RI � LAKESHORFJWEfLANDS Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION �W69B�FIREP E ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP � ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE 0 SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/HEMOVAL 2 OWNERlCONTRACTOR TO MEET Y�OU:_YES_NO � COMMENTS:�,�KG� Dil %`�3`l� ct�,,�0''� a ' � �'/�Ss�r� �'ar �� tvy Sit��l �a��`ky � o ,G/rsSu'� u.�j0� � �c ° ' Q� �rr CD�keC� W � Q / 2 _ • �-P✓wce� j�vr �G� � W � � J � ❑WORKSATISFACTORY:PROCEED �PROJECTCOMPLETE � ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY � ❑CARRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pH0T0 TAKEN INSPECTOR NfFLL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cau for the next inspection 24 hours in advance. (g52) 249-4600 OwnerfContractor on site: Ins�ctor: �e� �'�. White Copylinapector'a File Canary CopylSite Notice