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Home My WebLink About2016-01087 (gas fireplace) I , � CITY OF ORONO * 2 0 1 s - 0 1 0 e 7 * , � , 2750 KELLEY PARKWAY DATE ISSUED: 09/07/2016 , ORONO,MN 55356- I _ (952)249-4600 FAX: (952)249-4616 ADDRESS : 525 KE$NE AVE PIN : 02-117-23-31-0027 LEGAL DESC : MINNE�'ONKA BLUFFS : LOT OOp BLOCK O15 PERMIT TYPE : MECHAFNICAL PROPERTY TYPE : RESID�ITIAL I CONSTRUCTION TYPE : FIREPL�ACE-GAS VALUATION : $ 1,OOO.pO NOTE: ALL TESTING REPORTS SHALL B�ON SITE AT FINAL INSPECTION. I NEW GAS FIREPLACE(SUPERIOR) APPLICANT � MECHANICAL 50.00 STATE SURCHARGE MECH(VALUATION) 0.50 I HAGEN FIREPLACE SOLUTIONS TOTAL 50.50 I 435 FAIRVIEW AVE N Payment(s) iJNIT 2 CHECK 2584 50.50 ST PAUL,MN 55104- (612)839-7595 ! Minnesota State License#:mech-MB680�260 I OWNER FORD,CHRISTOPHER&MELISSA , 525 KEENE AVE , I WAYZATA,MN 55391- � � AGREEMENT AND SWORN S ATEMENT The work for which this permit is issued shall bep�rFormed according to the approved plans and specifications,applicable�ity approvals,and the State Building Code. This permit is for only the rk described and dces not grant permission for additional or related wor which requ'ves separate permits. All provisions of laws and ordinances go erning this type of work shall be com ied with whether or not specified he ein.This permit will I p expire and become null and void if construction a thorized is not commenced within 180 days of the date of issuan e,or if construction is suspended for a period of I80 days at any time a�r work has commenced. The applicant is responsible for assuring all requ� d inspections aze requested in conformance with the State Building',Code.This permit may be „.^ I revoked at any time for due cause. i I�J (� � T �� jVz.�_'.--._. I C� `7 1lv t��CP-�-, � �.c��'�� / �l �� lo Applicant Permitee Signature at Issued By Signature Date , � . 1 FOR CITY USE ONLY � ,�OA T Ci of Orono I � -n � � �� =y P.Box 66 Date Received: ��Permit# ��'� 01 � �750 Kelley Parkway �V Crystal Bay,MN 55323 Approved By: �Amouot$: � � Phone(952)249-4600 Fan(952)249-4616 a � y�. : �-�k�$F�o��.�' CITY OF ORONO—MECHANICAL PERMIT (All Commercial permits must be approved by the Building O�cial or Inspector and/or Fire Marshall) GENER.AL 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. Mechanical Desiens—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 pemut must be obtained. 5. All work must be done in accordance with the Uniform Mechanica]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 [�Residential ❑Commercial(Approvai Required) �New ❑Additional ❑Repairs ❑Replace Job Site/Owner Information: Site Address: �v�=� �j�G��'1 C Owner: Mailing Address: City: Zip: Home Phone: Altemate Phone: Contractor Information: Contractor: ��t��Szn ��znlczc� �Jvl v��, �ontact Person: }J��J� Address: � �?�� -��v�� -� State Bond#: ��n.� ?��' :�1✓� City: ��. ��-J� Zip:J�J i�I Expiration Date: �% /1�,-;c� � ;�,��,� Phone: � ��-�?G'7��% Alternate Phone: ❑ Insurance—Current: 1 � I F r� - y "� /�. yy;;,, (�� *�((�!1�K.�'�'�'��7(�� .. ..(� I .. �,'_�st• .. y ��.�%t�lya . ... ,1'+�Yi, ,,►{,F+++a++4!�+4�!+s��+ .�..�_ '. ...y'�., � Note:All GeothermaPSystems will now require a Site Plan&Review by our Building Official. j IS TffiS GEOTHERIVIAL? ❑Yes ❑No HEATING SYSTEMS Quantity: ; Make: �i Model: I FueL• � Flue Size: � Input BTUs: ' i Output BTUs: � CFM: COOLING SYSTEMS Quantity: Make: Model: ' I Tons: � H.Power � FIREPLACES I � � Gas,Factory Fireplace Brand Name: J t��2r t�� ❑ Wood Bumin Fir lace g eP ❑ Wobd Stove Model No.: ❑ Wobd Stove with Flue/Masonry VENTILATION � ❑ No., Kitchen Exhaust duct recirculating cfin � ❑ No, Bath Exhaust(must have duct outside) cfm ❑ No: Other Fans: Locations cfm FUEL STORAGE (Must be approved by Fire Marshall if proposing to abandon tank in plac�) I ❑ Ins�allation ❑ Removal Fu I 1 Oil: gallons ❑ Underground ❑Inside ❑Outside I LP�Gas: gallons Otf►er: GAS LINE ONLY ' ❑ Outdoor Grill ❑ Other/List What&Where: j � 2 ' I � „„ ;�=;, ` , � „`� ":�1 �'�;„.P,ERMIT;�FEE CALCULATION(S) � ��= .� ,,;, ��° �' '� " � 'rt w °`�BASED OFF -2002 STATE STATUE�*" `�" ��'�''�''"�"' �`"�� .,�u:� , ,�� w,ge,,��.� >-:. ❑ Yes,this section applies The replacement of a Residential fixture or appliance 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;excludine 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 Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ � f ,��"'��P„ER1�II,��'F:EEwCALCiJL-"ATION S �"=}JOBS:OVER�$SQOi,QQ If above does not apply;follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) 1 �� ,; �_�Q� x.0125$ (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 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, ]abor or installations are fumished 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. °" "�""' :�`1VIECHAI�ICAI;:PERIVlIT APPI;ICATION'AGREEMENT N"rF 'W^ 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: �-1��'"`v Date: � ( � 3 � � (� DATE TIME � CITY OF ORONO cnLLED IN �6 INSPECTION�T�E D�Og.�sCHEDULED — � /d= � PERMIT NO. �CO P ED ADDRESS OWNER ELEPHONE NO.��a-�3g �--� CONTRACTOR � DESCRIPTION � �� ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLIN(3 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 Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP 41 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ v ❑ DEMO-SITE ❑ SEPTIC INSTALL ? OMINERICOKTRACTOR TO MEET YOU:_YES_NO � COMMENT'� 4 c f'� � �.x_�.�,� -- - a� /< ov�.�•��,,. -.r�.� ►►G►- /!�0 �. � ° mo�� W � Q � � W � J �/ � j�WORK SATISFACTORY:PRO('.EED � ❑_PROJECT COMPLETE W �❑�OORRECT VMORK 3 PROCEED ❑ISSUE CEFiTIFICATE OF OCaJP11NCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEAAPOfiARY V BEFORECdVERINO PERMANENT ❑CORFiECT UNSAFE CONDITION WffHIN H�1�• ❑p►�pTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �GTATION ISSUED O INSPECTION REWIRED.CALL TO ARRAN(3E ACCESS. Caq forthe next inspection 24 hours in advanoe. (952� 249-4600 Owne site: inspect . Whin CcDYMapectors FII� c.n�ry CoprlSiM Notia % V CITY OF ORONO cnLLED IN � l �ME �,> pv INSPECTION NOT�CE SCHEDULED / PERMIT NO. �� -G� �� /COMPLETED ADDRESS � �i S f`l-e�✓L� C C'�/`e-�, OWNER LEPHONE NO.� CONTRACTOR� �- �J� �� ' /�'L- � DESCRIPTION 0� �- �� y ❑ 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 W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ � ❑ DEMO-SITE ❑ SEPTIC INSTALL ? OMINEAICOKTRACTOR TO MEET Y�U:_YES_NO y COMMENTS: � ` � �..'' � G �i�,� ">�.� - o � �`� ' ,, � �• , G��i� �-Z. . G�, "� l� �-- � � ��. � W � Q � � W � � �/ � ❑WORK SATISFACTORY:PROCEED �I PROJECT COMPLETE W ❑CORRECT WORK 8 PROCEED ✓O�ISSUE CERTIFlCATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COMERIN(3 PERMANENT ❑CORRECTUNSAFECONOITIONWRHIN HOURS. p pHpTOTAKEN INSPECTOR WILL RETURN O STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED �INSPECTION REWIRED.CALL TO ARRANGE ACCESS. Call for the next inspectfon 24 hours in advance. (952) 249-4600 pMmerlContractor on site• Inspecta: �� WMfe CopyAnspector'a Fil� C�nary CopylSif�Noda