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Home My WebLink About2014-01236 - gas fireplace . ' CITY OF ORONO * 2 0 1 4 - 0 1 2 3 6 * 2750 KELLEY PARKWAY DATE ISSUED: 10/23/2014 ORONO,MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2605 KELLY AVE PIN : 20-117-23-14-0022 LEGAL DESC : TOWNSITE OF LANGDON PARK : LOT 005 BLOCK 005 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 10,000.00 NOTE: (2)HEAT N GLO FIREPLACES ROUGH-IN VENTING ONLY FOR A FUTURE FIREPLACE APPLICANT MECHANICAL 125.00 STATE SURCHARGE MECH(VALUATION) 5.00 GLOWING HEARTH AND HOME MAIL-IN FEE 2.00 100 ELDORADO DRIVE TOTAL 132.00 JORDAN, MN 55352 (952)495-2927 Payment(s) CHECK 19761 132.00 OWNER WINE, SCOTT&JILL 2587 KELLY AVE EXCELSIOR,MN 55331- AGREEMENT AND SWORN STATEMENT The work for which this permi[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 rype of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction au[horized 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[he State Building Code.This permit may be revoked at any time for due cause. � /D�a� � Applicant Permitee Signature Date Issue y Signature Dat� / / . � F�R C�SE ONLY �``ti City of Orono �� +-�� P.O.Box 66 Date Received �� Pcrmit# �� 2750 Kcllcy Parkway 4 { Crystal Bay,MN 55323 Approved By: Amoum$: f�a.. 1 Phone(952)249-4600 Fax(952)249-4616 y � �„ ;� ��. . ,��,c j` CITY OF ORONO—MECHANICAL PERMIT �'�.,�.._�/`� (All Commercial perniits must bc approved by the Building Official or Inspector and/or Fire Marshall) GENERAL INFORMATION l. 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 U1�TIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Designs—Complete calculations,details and specifications are required for each heating,ve��tilation,humidification-dPhumidification,and air conditioning installatiou including heat loss/heat gain calculation,design temperatw•es,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. Al)work must be done in accardance 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 ) � � �]Residential ❑Commercial(Approval Required) �� New ❑ Additional ❑Repairs ❑Replace ob Site/Owner Information: � Site Address: � Owne��41r� ',y�..,��Yls Mailing Address: �p ( i 1'ln rl� 1'1 ��" City: 7'�� Zip: C-��'� Home Phone:�s� �_!��'` I �Q� Alternate Phone: Contractor Information: Contractor: � c��J�act Person: � � Address: l �,_.){�tate Bond#: ��(�C<'�� /� Ciry: � Z;p;��xpirzti�n D�te; c�- 1�P ��O Phone: ��L(��--� �(f� Alternate Phone: Insurance—Current: !� r (L '' �I�� 1 I ' t ` MECHANICAL.SYSTEMS BEING CNSTALLED Note: All Geothermal Systems will now require a Site Plan & Rcvicw by our Building Official. IS THIS GEOTHERMAL? ❑ Yes [�No HEATING SYSTEMS Quantity: Make: Model: Fuel: Flue Size: [nput BTUs: Output BTUs: CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H.Power FIREPLACES ,� Gas Factory Fireplace Brand Name: e�- �� Wood Burning Fireplace �� •—�')� � � � ❑ Wood Stove Model No.: � ��L�I.I.��— ❑ Wood S ove with Flue/Masonry VENTTLATiON 1 Wl� � �' J �� i 1'� V'�-Y 1�T`n�� C�� bC�_ S�r�. 1�cs� � � ��--�.�..r� -� ❑ No. Kitchen Ex aust duct recirculating efm ❑ No. Bath Exhaust(must have duct outside) cfm ❑ No. Other Fans: Locations cfm FUEL STORAGE (Must be approved by Fire Marshall if propasing to abandon tank in place.) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑ Inside ❑Outside LP Gas: gallons Other: GAS LINE ONLY ��,,r �'��S (5'1'�,�S v l.J � ❑ Outdoor Grill ❑ Other/List What&Where: 2 . – -- --_ _. ___—___ ___ PERMIT�'LC CAC,CULATION{S). ' � � �� __ � � � BAS�D �fiP -2002 STATE STATUE� � � ❑ 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; excluding 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 Applicabie) $ 2.00 Total Fer��it Fee $ .as�,�;s.��=�` : � � �'"��. , ��.�.� � If above does not apply;follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) D c . � X .o�zs� � �:S,�C� (contract price) (minimum$50.00) 2. STATE SURCHARGE I'� � � /� V' x.0005 $ � "•�U' ( ontract price) 3. POSTAGE&HANDLiNG(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ I J� �� ■ * CON"fRACT PRICE or JOB COS'l means the actual or estimated dollar amount chargea 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 pw-poses. In the event that there is a dispute on tl�e amount of the job cost, the City may request the submission of a signed copy of the actual contract. "" .��,:.� Ca W ;f�� '':''.,�� ,�' �.a�.'.� "t" 'Fk.c*�+�.9a>�'��, 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 Ciry 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: �� i r I 3 DATE TI E � CITY OF ORONO CALLED IN � INSPECTION OTICE SCHEDULED PERMIT NO. 6 � COMPLETED �f� ADDRESS �6�5 /rC��> �ve • OWNER TELEPHONE NO. CONTRACTOR ��'" ,�'� f��' �� "'�� DESCRIPTION ��c,s ��'' � • �� 4~j ❑ 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 ❑ PROGRESS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT J AL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL v ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL 2 OWNERICONTAACTOR TO MEET YOU:_YES_NO y COMMENTS: � � j �� l� �1^ti `�� l'� , O 7%�� h/ /�l�C �l� ' s � �O " W aC ' Q r 2 /�S/rr!�� a�lO.Q � W � � J W ❑WORKSATISFACTORY:PROCEED ,�'�$QJECT COMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ : �SUE CEHTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOMERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. O PHOTO TAKEN INSPECTOR WIIL RETURN ❑STOP OR�ER POSTED.CALL INSPECTOR ❑CITATION ISSUED O INSPECTION REQUIRED.CAIL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (g52) 249-460� _--_ Owne ctor on site: � Inspector: � WhiM CopyAnspsctor's Ffle Canary CopylSke Notiee Y �� DAT TIME � CITY OF ORONO CALLED IN � 2��`� �. -- INSPECTION NOTICE SCHEDULED v 2�, �_ PERMIT NO. cOMPLETED ADDRESS 2 ��S `1�%�``i �� OWNER TELEPHONE NO.C�� -Z�� 3 CONTRACTOR l�r�^�� t�'� � DESCRIPTION ��-'P�-�� —��¢�� tt� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL � HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNbATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � CGMMENTS: � ' W � � C � � O � � O � � W � Q � 2 W � W � j GW ORK SATISFACTORY:PROCEED ❑ PROJECT COMPIETE � RRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECWERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hou in advance. (952� 9-4600 OwnerfContractor on site: � Inspector. White Copyllnspector's File Canary CopylSite Notice ��+ � �� p� DATE TIM£ CITY O ��[� CALLEDIN �''�� INSPECTION O ICE ��`�T SCHEDULED w � � PERMIT NO. OMPLETED ADDRESS OWNER TE EPHONE NO. a' �� CONTRACTOR � DESCRIPTION � '� � � ❑ FOOTING ❑ UMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWEfLANDS v3 ❑ FRAMING O MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � 0 FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J O DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP � ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OMfNERICOMRACTOR TO MEET YOU:_YES_NO , H COMMENTS: /I e � �0. 1.�, ,C•L. � y"I�•y '{ii+1e � � Yc r�'b.ri.S - (,1r.: �-Js,�o� -O[ i�.. L� • G�i..S� - j .�N ' �r t � .D Fi��l ov� c � �O — � •,D�n.��.ta s 5�� De-'� ° � V�r�i w i �r Claw.c�f��► o� !-",�� oa N�I.L . - Ol� � , , Q <� �J�4� �i�S �i K G 1E�'��P NC frt�/c i� .�c r F.� ��- ZGrc,r� r�►c. N�1�L ,,— � � JlBG� G/� s��G��w �I'�i� �'u w s 1/ti �/"•G'�n�sst � � Se�il JO�rjG �in �tc�C O� � .�jt t�d� �y� �'l•[, � � W ❑WORK SATISFACTORY:PROCEED ❑PROJECT COMPLEfE � f�CORRECT V1fORK 8.PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CdVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pH0T0 TAKEN INSPECTOR Wlll REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. C inspection 24 hours in advance. (g52) 249-4600 O rlContractor on ' �� ` Inspector: `'"� White Copyllnspector's Flle Canary CopyfSke Notice � � DATE TIME �/ � � I CITY OF ORONO � � CALLED IN INSPECTION NOTICE SCHEDULED �T�� PERMIT NO. i'��.-'%�— /Z connP��e� ADDRESS — ^ � � OWNER TELEPHONE NO.�� 1 �-��7" CONTRACTOR � � �; DESCRIPTION �' `�� P � � ❑ FOOTING NG F�4� ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL n MFrHANIcn� a� � ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE O SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP Q PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTI FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:�YES_NO � COMMENTS: � W C � � O �. � O r � W � Q � 2 W � W � J W ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � ORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECdVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WIIL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 ho rs in advan . 5 ) 249-46�� OwnerlContractor on site: ^ Inspector. White Copyllnspector's File Canary CopylSite Notice