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Home My WebLink About2015-01093 - gas fireplace � CITY OF ORONO * Z 0 1 5 — 0 1 0 9 3 * • 2750 KELLEY PARKWAY DATE ISSUED: 08/27/2015 ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 2850 LITTLE ORCHARD WAY PIN : 09-117-23-21-0007 LEGAL DESC : LITTLE ORCHARD : LOT 001 BLOCK 001 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 1,000.00 NOTE: GAS LOG IN MASONRY FIREPLACE GAS PIPING TO GAS LOG APPLICANT MECHANICAL 50.00 STATE SURCHARGE MECH(VALUATION) 0.50 MASTER HEATING&COOLING LLC TOTAL 50.50 4963 70TH AVENUE Payment(s) LORETTO,MN 55357 CHECK 7133 50.50 (763)498-7883 OWNER SWENSON,JAY 2850 LITTLE ORCHARD WAY 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 separate permiu. 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 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 confortnance with the State Building Code.This permit may be revoked at any time for due cause. �.-27- 8�,a7,/5 App�cant Permitee ignature Date Issued ignature Date ,/. C �orn.Y . � • City of Orono �O� P.O.Box 66 Date Receiv : �7�� P+�rmii� — Q� � 2750 Kelley Parkway ,�-A Crystal Bay,IvIN 55323 Approved By: Amount$: J� 5 Phone(952)249-4600 Fax(952)249-4616 �F �� l9k£SH.�R�G CITY OF ORONO—MECHANICAL PERMIT (All Commercial permits must be approved by the Building Official or Inspector and/or Fire MarshalQ GENERAL 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 retum 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 Desi�ns—Complete calculations,details and specifications are required for each heating,ventilation,humidification-dehumidificarion,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 permit must be obtained. 5. All work must be done in accordance with the Uniform Mechanical Code/State Building Code requirements. 6. All work must be inspected(rough-in and fmal). Call(952)249-4600. (24-48 hour notice required) 7. House Heating Test Record must be submitted before final. TYPE OF PEI�MIT Cl�eck All`That 1 �Residential ❑Commercial(Approval Required) ❑ New ❑Additional ❑Repairs ❑Replace 7ob Sifie/Own tion: Site Address: � L�� Q rc�i� wQ� Owner�AX SWen�Sa� Mailing Address: City: ��0 Zip: Home Phone: Alternate Phone: Conlractor Inforrnation: I , ��e. � , / Contractor: �0.5�-r�e�T`h �l� ontact Person: r`V C� v Q� rl e.� Address: 4��3 7 0�'^/}�� State Bond#: M�043( 2 S Ciry: Lo r�.�� Zip:�� Expiration Date: Phone: �i2 2�-7��S'9�"' Alternate Phone: 7�' �-�"1�S�`7� �S-� ❑ Insurance—Current: 1 •�• � ,a; s c � r�£' � � ,s �'" �. . A «� _ � �s,� � 2 "� .,. •_" ' i..F � �.¢;, r � Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official. IS THIS GEOTHERMAL? ❑ Yes ❑No HEATING SYSTEMS Quantity: Make: Model: Fuel: Flue Size: Input BTLJs: Output BTUs: CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H.Power FIREPLACES ❑ Gas Factory Fireplace Brand Name: ❑ Wood Burning Fireplace ❑ Wood Stove Model No.: ❑ Wood Stove with Flue/Masonry VENTIL�ATION�S r05 I F� Mc.�sor►��r��'C.��t�C2. ❑ No. Kitchen Exhaust duct recirculating cfin ❑ No. Bath Exhaust(must have duct outside) cfm ❑ No. Other Fans: Locations cfin FUEL STORAGE (Must be approved by Fire Marshall if proposing to abandon tank in plac�) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill �, Other/List What&Where:�S 1_�P��S �O �� 2 y � . • . - m� ��r * h�� + ' ,� � � '�� ,� . .�"h�r� i � a� a ��€� � r�a. �� 7�� r '� � r#a� �Z ..rN ,�q q,F.� �E"� a�� 4��.�3�§"��?�� "' i! � 'El,�} - , � .. 'w��+� .. e .- ��'! ��:� .�..L�'"� .Na ,. s,., �.,,a ,...z,...�. ._wz, . `. .. ..�..,.., , ;,.,.F .,; .; , � t -� �`°� '� v;�'�S , ..,� ..._.. ...,,. .. _ _ �.,,, . .,,.. __ . �..,,;f�; '�.0� ... . .n.. . .,..o.. �. ,, s,� : ❑ 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 $ 1.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ S.� `� k P � �,''. � -cv., �� aL.��; �s.� If above does not apply;follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) ��C�C�O °`s X.oi2s$ SD (contract price) (minimum$50.00) 2. STATE SURCHARGE OOO x.0005 $ �� (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ --�A�� 4. TOTAL PERMTT FEE(Add Lines 1-3 Above) $ �� O� ■ * 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, 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 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. ; ; �.. �. F , , ��p ,. � ��. �y.�,"� �,: �� 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: �� Date: �^ ��" �� 3 i / � � �-f� `,/�/ g �� TIME CITY OF ORONO cnLLED IN INSPECTION NOTICE �Gj�SCHEDULED F�S "� �� PERMR NO.�Ol S O��LJ �pMPLETED ADDRESS as� �- OWNER TELEPHONE NO. �� 73��'�' CONTRACTOR r � DESCRIPTION � ~ �r� ty ❑ FOOTING ❑ DEMO-FI AL ❑ SEPTIC FINAL � ❑ POURED WALL ❑ PLUMBING ❑ EXCAV/C,RADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLU ING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ HANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ v ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO h COMMENTS: � 4 � 0 � � � 0 W �C Q � � W CC , C � W ❑WORKSATISFACTORY`.PROCEED COMPLETE � ❑CORRECT WORK 3 PROCEED E CERTIFlCATE OF OCCUPANCY W O O CORRECT YIFDRK,CALL FOR REINSPECTION TEMPORARY V BEFORE CdVERING PERMANENT ❑CORRECT UNSAFE CONDITION WRHIN HOURS. p pHpTO TAKEN INSPECTOR WlLL RETURN ❑STOP OROER POSTED.CAII INSPECTOR �pTATION ISSUED ❑INSPECTION REOUIRED.CALL TO ARRANGE ACCESS. Cafl for the next inspection 24 taurs in advance. (95 -4600 OwrrerlCo�ttractor on site: Inspector: Whits CopyMnapector's FlN Cansry Copyl3iN Nodee