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Home My WebLink About2015-00167 - gas firepladce •�" CITY OF ORONO * Z 0 1 5 - 0 0 1 6 7 * � 2750 KELLEY PARKWAY DATE ISSUED: 02/09/2015 ORONO,MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 560 KOKESH FARM RD pI� : 31-118-23-11-0012 LEGAL DESC : KOKESH FARMS : LOT 003 BLOCK 001 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATI01�1 : $ 2,500.00 NOTE: PETERSON GAS FIREPLACE / APPLICANT MECHANICAL 50.00 STATE SURCHARGE MECH(VALUATION) 1.25 PRACTICAL SYSTEMS MAIL-IN FEE 2.00 4342B SHADY OAK RD TOTAL 53Z5 HOPKINS,MN 55343 (952)933-1868 Payment(s) CREDIT CARD 5815 53.25 OWNER SISKA,BRIAN&NANCY 560 KOKESH FARM RD MAPLE PLAIN,MN 55359 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 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 goveming 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 are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. n,� IGIi �- L C��Y�C�-1�1 �� R � Applicant Permitee Sig ature Date Issued By Signature Date 95293318�j9 15:10:18 02-05-2015 2/4 • FOR CITY USE ONLY �O A rO City of Orono <y P.O.Box 66 Datc Rcccived: Permit# 2750 Keltey Padnvay Crystal Bay,MN 55323 Appro��ed By: Amount S: Phone(952)249-4600 Fax(952)?49-4616 a a �y � `� �.� CITY OF ORONO—MECHANICAL PERMIT lq�fSHOR' (All Commcrcial permils must bc approvcd by the Duilding Offici�l or Inspcctor and/or Fire MatshaU) GENER.AL INFORMATION 1. You may apply for mechanical permits by mail or in person at the City o�ces. Apptications will be reviewed and a permit will be issued within two working days. 2. Permit cards wi11 be sent by return mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK M�JS'T NOT BEGIIV UNTIL THE PERMIT CARD IS POSTED ON THE JOB SIT�. 3. Mechanical Desiens—Complete calculations,details and specifications are required for each heating,ventilation,humidification-dehumidification,and air conditioning installation including heat lossJheat gain calculation,design temperatures,equipment ratings and identification as to type,manufacturer and model. l�ata shall be presented on form provided. 4. When any new construction or remodefing is involved,a separate building permit must be obtained. 5. All work must be done in accordance with the Uniform Mechanicat Code/State Buiiding Code requirements. G. All work must be inspected(rough-in and final). Call(952)249-4600. (24-48 hour notiee required) 7. House Heating T'est Record must be submitted before final. TYPE OF FERMIT Check AIl That A 1 [�Residential ❑Commercial(Approval Requirec!) ❑New ❑Additional [�Repairs ❑Iteplace Job Site/Owner Information: Site Address: S(v(� 1C(1KFS�1 F'A(LM (ZCZAD Owner.P�R1AN�NAt�.y 51SKA Mailing Address: �ob IGpKF�1-k FARM (vOAD ciry: Mf�PI.E PLAIt�I zip: 55359 Home Phone: (952��.3�'-93q 1 Alternate Phone: Contractor information: Contractor: �T�('At��IST�.Ms Contact Person: 5k1Ai2�A('n�lR�kp Address: �-4��-12��1-LA,j� Q�K T2p State Bond#: City: NOPk-1 1� Zip:� 3 Expiration Date: Phone: F152�933' �(pa Altemate Phone: t�1oN� ❑ Insurance—C�urent: 1 952933186� 15:10:35 02-05-2015 3/4 . 1VIECHANICAL SYSTEMS BEING INSTALLED Note:All Geothermal Systems will now require a Site Plan&Review by our Building 4fficial. IS THI3 GEOTHERMAL? ❑Yes [�No AEATING SYSTEMS Quantity: Make: ModeL• Fuel: Flue Size: Tnput BTUs: Ouiput BTUs: CFM: COOLING SYSTEMS Qaantity: Make: ModeL• Tons: H.Power FIREPLACES [� Gas Factory Fireplace Brand Name: T�RS�p1`_ ❑ Wood Burning Fireplace ❑ Wood Stove Modei No.: Gytj�3��1 ❑ Wood Stove with Flue/Masonry VENTILA'fIO1V ❑ No. Kitchen Exhaust duct recirculating cfm ❑ No. Bath Exhaust(must have duct outside) cfm ❑ No. Other Fans: Locations cfm FUEL STORAGE (Mirst be approved by Fire Marshall if proposing to abm:dorr tu��k i►r place.) ❑ Installation ❑ Removal Fuel Oil: galions ❑ Underground ❑Tnside ❑Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill ❑ Other/List What&Where: 2 9529331869 15:10:47 02-05-2015 4/4 ' � PERMIT�EE CAI:CULATIQN(S) .: BASED OFF:-2002 STATE STATUE` � ❑ Yes,this section appties The replacement of a Re.cidential fixture or appliance tliat meets all three of the following requirements: 1. s not require modification to electrical or gas service. 2. Has a ot t c s of$500.00 or]ess;excludine the cost of the fixture or appliance:and 3. ]s improved,installed or replaced by the homeowner or licensed contractor. Skip next section,if this applies; Cost of Permit $ I5.00 State Surcharge $ 5•00 Mail-In Fee(If Applicable) $ 2.00 Total Pcrmit Fee $ PERiVlIT';EEE CALCULA:TION S —rOBS OV:.ER$500.04 > If above does not apply;follow guidelines below: I. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) 2,50�.C1� x.oi2s$ 50.00 (ttmlruct pricc) (minimum 550.00) 2. STATESURCHARGE �t VD 2,�JQ7.(� x.4005 $ I• 25 (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ �•Z�J • * CONTRACI' PRICE or JO$ COST means ihe actual or estimated dollar amount charged for the permitted work including materials,labor,profit,and other fixed costs. It is the amount ro be charged to the customer for the work done. tf any material,equipment,labor or installations aze 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 reyuest the submission of a signed copy of the actual contract. MECHArTIGAL PERMiT`APPLIGATTON AGREEMEI�T 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 tttat all statements made on this application are complete, true and correct. Applicant's Signature: �.r'C�� Date: ��05�20�$� 3 v DATE TIME ��CITY OF ORONO LED IN INSPECTION NOTICE SCHEDULED �,�� /�� PERMIT NO. ��J"r �I(07 COMPLEfED ADDRESS _�I n�� Q1�� KG 1 OWNER TELEPH NO. aa� � I CONTRACTOR � ' _ � DESCRIPTION ��...�L � W ❑ 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 ❑ PROGRESS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL J ❑ DEMO-SITE ❑ IC INSTALL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR O MEET YOU: YES_NO c�., COMMENTS: or . a �i.S /og G.�,.n e•� �n erc��s�i� � �y� � O --�."�.��II�'u G r �. � — �'Loy�,t�vi 5 /Je✓ %NQ.�Iu-r��t��-CS .S�GS � O -rf4S /�d G �,✓ �i e s� �t o%Oi�c� �_ W , Q S�,s� ��rc e � �3 -�� - Z " ��_C ✓ �b.w� " / S./vcr -r.rnl�Oe✓� � �d� �/�.v - j ��.�/4t'i�e G�Aio✓ 'fl4�✓i�. ��iGu,r M'te��L G��G,�� a da6 �� `� J�G rl�b✓t�b%�S /w � !v��cb — W ❑ RKSATI FACT R . D ❑ PROJECTCOMPL�TE W �CORRECT WORK&PROCEED , �'a'g�bK ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION RE�UIRED_CALL TO ARRANGE ACCESS. all forthe next inspection 24 hours in advance. (952) 249-4600 Ownerl tractor on site: �G w � Inspector. r--- White Copylinspector's File Canary CopylSite Notice � DATE TIME � CITY OF ORONO ALLED IN � INSPECTION NOTFC scHe�u�eo PERMIT NO. (b� COMPLETED ADDRESS O OWNER �� s�s��'�" TEL PHO NO�� ' 133�g� CONTRACTOR 5 , . � DESCRIPTION ' �a 4� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING y ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAM�NG ❑ MECHANICAL FINAL ❑ PROGRESS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WA R HOOK-UP ❑ FOLLOW-UP �4 ❑ AS BUILT-SURVEY ❑ ER HOOK-UP ❑ HARD COVER REMOVAL v ❑ DEMO-SITE ❑ PTIC INSTALL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU: YES_NO �� COMMENTS: W � j � ��1 f!?��s�� l/�. �'Xi�i�� ylY6S• � �. - ��r �,�o.,� ��.�,��,�� — 0 W aC Q � 2 /1Y!/�.fA•�'i �KG�iB� W � W � J � ❑WORKSATISFACTORY:PROCEED OJECT COMPLETE W ❑CORRECT WORK 8 PROCEED ��CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK�LL FOR REINSPECTION TEMPORARY V BEFORECONERING PERMANENT ❑CORRECT UNSAFE CONDITION WRHIN HOURS. p pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR O CITATION ISSUED ❑INSPECTION REW IRED.CALL TO ARRANGE ACCESS. a11 for the next inspection 24 hours in advance. (952) 249-4600 ctor on site: ��+ Ins ��"� White CopyAnspector's File Canary CopylSite Notics