HomeMy WebLinkAbout2016-00346 - gas fireplace CITY OF ORONO * 2 0 1 6 — 0 0 3 4 6 *
' 2750 KELLEY PARKWAY DATE ISSUED: 04/07/2016
` ORONO,MN 55356-
(952)249-4600 FAX: (952)249-4616
ADDRESS : 515 KOKESH FARM RD
PIN : 31-118-23-14-0009
LEGAL DESC : KOKESH FARMS
: LOT 001 BLOCK 001
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIREPLACE-GAS
VALUATION : $ 7,000.00
NOTE: ADDITIONAL:WOOD BURNING FIREPLACE(GEORGIAN)WITH GAS LOGSET INSET IN THE WOOD FIREPLACE(EIKIOR
ULTIMATE 30)
APPLICANT MECHANICAL 87.50
STATE SURCHARGE MECH(VALUATION) 3.50
TWIN CITY FIREPLACE STONE CO INC TOTAL 91.00
6521 CECILIA CIR Payment(s)
EDINA,MN 55439- CREDIT CARD 0657
(952)777-4125 91.00
Minnesota State License#:mech-MB682977
OWNER
LITECKY,MARK&ANITA
515 KOKESH FARM RD
MAPLE PLAIN,MN 55359-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed acwrding to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit 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.l'his 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 are
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
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Applicant Permitee gnature Date Issued y Signature Date
Apr 0616 01:20p Twin City Fireplace 9529422093 p.1
, FOIi ClTY II5E ONLY
��� P.Bax OCO�O Dale[Leceived: `t'I I jL Pernnit# o I � ��((
o (,� � � ��
2750 Kelley Pazkway —�. . pmounY S- � 1
; Crystal Bey>MN 55323 APP�v�d gY� —�-- ---+-f-=—
� Phone(952)249-4600 Fax(952)2d9�16i6
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2F��KFSH���G, CITY OF ORONO—MECHANICAL PERMIT
(Atl Commen;ial petmils must be apprnved by thc Buiidiag Official or Inspccwr aud/ar Firc Marshall)
GENERAL INF4RMATION
I. You may apply for mechanica!permits by mail or in person at the City o�ices. Applications will
be reviewed and a perntit will be issued within hvo working days.
2. Pemtit cards will be sent by return mail affier a revie�vv is aompieted. PE�t1VllTS AItE NOT
VALID UNTII,YOL RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTII..TI�
PERMIT CARD IS POSTED ON THE aOB SITE.
3. Mechanical.l�esig�—Complete calculations,detai7s and specifications are r�quired for each
heating,ventila�ion,bumidification-ciehumidification,and air conditioning iastallation including
heat lossJheat gain calculation,design temperahues,equipment ratings and ide�stification as to
type,manuf.acturer and modeL Data shalI be presented on form provided.
4. WE►en any new construction or remodeling is involved,a separate building perrnit must be
obtaiued.
� S. Alt work must be dane in accordance wich the Uniform Mechanical Code/State Building Code
requirements. �
6. All work must be inspected(rough-in and finat). Call(952)249-4600.
(24-48 honr notice required)
7. House Heating Test Rexord must be submitted before fina3. .
TYPE OF PERMIT
Check All That A 1
L Residemial ❑Commercial(Approval Reqaired) [$ackflow Device: 0 AVB ❑PVB]
❑New �dditional ❑Repairs ❑Replace
.Tob Site/Owner information:
Site Address: ���'7 �t�-���� 't�l�� �"�'`��
Owner:����-� Mailing Address: �������-'
�
City: Zip:
�Iome Phone: Alternate Phone:
ContracCar Information:
� � ��� Sc-l�e�
Contractor: � ' •�ti�,.�'1��G-�►tact Persoa: '
Address:�'J�2 � G'eG� ��G(.�Gl i/Ga�:-�5tate Bond#: ����
City: �Gt t�.'IGtr Zip:���xpiration Date: �
Phone: ��,Z"' ���� ��Z� Alternate Phone: `�`�J�- "'�� � _`��J
(� Insurance-Ctirrent: _���.
1
Apr 0616 01:21 p Twin City Fireplace 9529422093 p.2
� MECH�4NICAL SYSTEMS BEING INSTAL.LED.
Note:All Geothetmal Syste�will now require a Site Plan&Review by our Building Official.
IS TffiS GEOTRERMAL? ❑Yes �'1VO
�`j�Q��'�aT� '�Ms .
Quanary:
Make:
�
r
Model:
�- � � ' ���� ;�' �
Fuel: `> '� ��z_.L��� • �' �
� 1�����' 1� ���.
Fiue Size: �
I�put BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quanti#y: .
Make:
Modei:
Tons:
H.Fower
F�EPLACES
� Gas Factory Fueplace Brand Name: � �,�� �'���
� Wood Burning Fireplace `/�{��� .
❑ wood Stove Model No_: �`<<
[] Wood Stove with Plue!Masonry
VE�"I'IL�TTOPi
❑ No. Kitchen Exhaust duct recirculating cfin
❑ No. Bath E�chaust(m�st have duct outside) �
❑ No. Other Fans: Locations ��
FUEL STORAGE (Mtrat be approved by Fire Marshali if proposing ro abandon tar�k in ptace)
. ❑ Instailation ❑ Removal
Fue[Otl: gallons ❑ i]ndergtound ❑lnside ❑Outside
LP Gas: gallons
�ther.
GAS LINE ONLY
❑ Outdoor Grill ❑ Other!List VVhat&Where:
2
Apr 06 16 01:21 p Twin City Fireplace 9529422093 p.3
�
PERNIlT FEE C.AI.CULA'ITONS
1. CONTRAGT PRICE # is i.2�%of cantract price with a(Minimnm Fee of 550.0(1)
� C'���G- �� x.0125$ 7� i ' ��J
(contrac[price) (minimam S50.U0)
2. STATE SURCHARGE
��i.��>>��D X.�05 S 3 ��"�`��
��on����� �
3_ POSTAGE&Hr�NDF.ING(Only on Mail-Tn Applicarions} $ ~2_OQ"
4. TOT.�►L PER11R1T FL�E(Add Lines 1-3 Above) � ` ��
■ '� CONTRAGT FRICE or JOB COST means the acival or estimated dollar amounk charged for the
permitted worlc irtcluding materials,labor,profii,and other fixed costs. Ii is the amount to be charged
" to the eustomer for the work done. If any materia.l,equipmen��abor or installations are fumished by the
owner, tenant or any ot3�er party, the reasonable market value of such items must be added ta the
estimated cost or oontract price for permit fee purposes. In the event that there is a dispute on the aruount
of the lob cost, the City may request the submission of a signed capy of the actual contract.
MECHANICAL PERMI.T AFP�.ICATION 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 ci�e City and t�e regularions of the State of
Minnesota,and certifies that all statements made on this appiicatian are complete,true and correct.
Applicant's Signature: Date: I�C.(i� ' 1[f�
3
DATE TIME �%.
CITY OF ORONO CAILED IN �
INSPECTION NOTICE SCHEDULED
PERMR NO. a�b-�3� COMPLETED �'�3�
ADDRESS �lS �,(��'� ?�rwc.. I�c�-
OMINER TELEP ONE NO. C�r�S
CONTRACTOR � .�, o�- 8a'- ad
� DEBCRIPTION G4s .CQ a •�- l�.iC�/t'1 r6c��rtsr r:� .1':�G
W 0 FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q Q POURED WALL ❑ PLUMBING RI ❑ EXCAVMaRADIN(3IFILLINO
O � FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑TREE REMOVAL
Z � RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
� ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� O �NSULATION ❑ WOOD BURNER/FIREPLACE ❑COMPLAINT
v ❑ WATER HOOK-UP ❑ FOLLOW-UP
_ ❑AS BUILT-SURVEY ❑ SEWER HOOK-UP � FOUNDATIOWREMOVAL
r ❑ DEMO-SITE ❑ SEPTIC INSTALL
? O�N6YOONTRA�CT�OR TO MEET Ybll:_1fE8_NO , -
� COMMEN7'� ��o�A � {�iwt. ��ts�0 • �� G��%y -�.le
4 l�G'S �I�C Cn �� �'4�'�r-t� rn-a��
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� O Wi0RK3ATISFACTORY:PROCEED �OJBCT OOMPLETE
W ❑OORRECT WOFNC a PROCEED O ISSUE CERTIFlCATE OF OOCUPANCY
o O 00�T WiORK,GALL FOR REINSPECTION TB�PORARY
�C1 ����� PERMAN@IT
❑QpfiFiECT UNSAFE OONDITION WITHIN HOURS. O PHOTO TAKEN
INSPECTOR WILL RETURN
O STOP ORDER POSTED.CAI.L INSPECTOR ❑qTAT10N 18S1�D
❑INSPECTION REQUIRED.G1LL TO ARRAN(iE ACCESS.
c.N w�n��ext�ao�u no��M�►�,os. (952) 249-4600
o�site:
InsPec�or:��—
WMb���5 FlN Gmry f�ib Notic�
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� � `Y
TIM�`
CITY OF ORONO cnLLED IN �
INSPECTION � � SCHEDULED
PERMIT NO. �'� CO PLETED �
ADDRESS
OWNER � ELEP O E NO. � a��
CONTRACTOR � y
� DESCRIPTION
t~N ❑ FOOTING ❑ DE -FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECT�ON
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
� ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
i ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNERICONTRACTOR TO MEET Y�OU:_YES_NO
� COMMENTS:
� j��ns ��P.Q�Q ,� l� r� .�
�b�
� �6 4/�ar..� C/ .r�pS �or �i�D �.�Sr.�,G. .�..
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W ❑WOFiKSATiSFACTORY:P EED ❑PROJECT COMPLETE
W �RRECT YYORK 8 PROCEED ����p�� ❑ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION ��—/�—I��TEMPORARY
V BEFORECONERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR NfFLI RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED_CALL TO ARRANGE ACCESS. .
Cail for the next inspection 2a hours in advance. (g52) 249-4600
On�merlContractor on site:
Inspector_�� - - - -
White Copyllnspectors Flle Canary CopylSite NoNce
� ��-Q- �`"� .�
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DATE TIME� t��
CITY OF ORONO LLED IN
INSPECTION NOTICE SCHEDULED .3
PERMIT NO. �j-D�(n- OD3� COMPLETED
ADDRESS SL S (L O IC�S�'1 ���vn �,I
OWNER TELEPHONE NO. � �Z 3 Z$-Z��.3
CONTRACTOR � r� t Yl /'F`U ��
� DESCRIPTION �i r`e(-] ��CQ� �f�--a--
tN ❑ FOOTING ❑ DEMO-FINAI ❑ 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
� ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
_ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
v ❑ DEMO-SITE ❑ SE TIC 1 S ALL
OOWNERICONTRACTOR TO M�:�fEB�Np
� COMMENTS:
� VGrl��•i s - d K ' /7a� �rk rov�'�f.f�s �<�nt.-
� �
� - �'r�.�r���' �?df G�s-�s,o!�� fil•5 -���r e.
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W� ❑WORKSATISFACTOFttF PROCEED ❑PROJECT COMPLETE
W O CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECTINORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECdVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pHOTO TAKEN
INSPECTOR WILL RETURN
❑�rSTOP ORDER POSTED.CALL INSPECTOR O CITATION ISSUED
�I INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
� �
Ca��ror the next inspection 2�t hours in advance. (952) 249-4600
OwnerlContractor on�ite:
inspector:�la�v —
White CopyMnapecMrs File Cenary CopylSite Noties