The URL can be used to link to this page

Home My WebLink About2017-00528 - gas fireplace CITY OF ORONO * 2 0 1 7 - 0 0 5 z 8 * 2750 KELLEY PARKWAY DATE ISSUED: OS/19/2017 ORONO, MN 55356- (952)249-4600 FAX: (952) 249-4616 ADDRESS : 725 LAKEVIEW PKWY PIN : 06-117-23-34-0008 LEGAL DESC : LAKEVIEW OF ORONO : LOT 20 BLOCK 1 PERMIT TYPE : MECHANICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 8,300.00 NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. (3)GAS FIREPLACES-SET AND VENT GASLINE BY OTHERS APPLICANT . MECHANICAL 103.75 GLOWING HEARTH AND HOME STATE SURCHARGE MECH(VALUATION) 4.15 100 ELDORADO DRIVE MAIL-IN FEE 2.00 JORDAN, MN 55352 TOTAL 109.90 (952)495-2927 Payment(s) Minnesota State License#: mech-MB005786 CHECK 25037 109.90 OW1vER RUSIN,GRANT&AMANDA 15508 60TH AVE N PLYMOUTH,MN 55446- 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 governing 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 wi[hin 180 days of the date of issuance,or if construc[ion 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. ` � � � ��7 �5 � /1� /7 Applicant Permitee Signature Date Issued By ature Date �`jr��•�� F CIT USEONLY City of Orono Q�7— �� ON P.O.Box 66 (�,g(��- Date Receiv�f ��Permit#� 0 2750 Kelley Pazkwa� � �,A E��`� ,q v Crystal Bay,MN 55 Approved By: 'Amount$: �� /• Phone(952)249-4600 Fax(952 24 - ��, �' f�pF_ .� �� t�k�.s�o��.�' CITY OF ORONO—MECHANICAL PERMIT (All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall) GENERAL XI�TFQRMATION 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 caiculation,design temperatures,equipment ratir►gs 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 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 �Q Residential ❑Commercial(Approval Required) [Backflow Device: ❑ AVB ❑PVB] �� New ❑Additional ❑Repairs ❑Replace Job'Site I Owner"Information: - 1� � Site Address: � Owne��1�,V�S�Y�i`�S Mailing Address: �� C�i�'l4p�C.-/�� c�ty: }��,n�, z�p: �53�f� �eu�e Phone:��' "�T�� Alternate Phone: Contractor Information: Contractor:C� i/l �"/�N�Contact Person: �' /(C C��-.S Address: �(,� (� State Bond#: m� s y�� City: JOV(, � Zi�S352'Expiration Date: ��G' � t3 Phone: � --� � Alternate Phone: Insurance—Current: �� ZZ— — D�Z�//`� � 1 � - � �. r _ � ,� � � � t „ : , � � . �:� , � . Y � � � ��, � � �. � .� � . . . � _. ��. ..� 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 BTiJs: Output BTUs: CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H.Power FIREPLACES �� V V `^ � � Gas Factory Fireplac�� Brand Name:��1� a !7 �T�` 'r�� ❑ Wood Burning FireplaZ� ` ❑ Wood Stove Model No.: Sl�� ❑ Wood Stove with Flue/Masonry �� \�, „(`�, d7�`r� VENTILATION ��j3�� ❑ Na Kitchen Exhaust duct recirculating cfm ❑ No. Bath Exhaust(must have duct outside) cfin ❑ No. Other Fans: Locations cfm FUEL STORAGE (Must be approved by Fire Marshall if proposing to abandon tank in place.) ❑ Installation ❑ Removal Fuel OiL• gallons ❑ Underground ❑Inside ❑Outside LP Gas: gallons Other: ____ _ — /� GAS LINE ONLY ��4��5 �T��`� " � ❑ Outdoor Grill ❑ Other/List What&Where: 2 p , �_� _. 7: ��..�� x.� : .�� ...� .z; ,,,� �.� �, � . �. , �i, _� �..,, ,�_ �� .�_ .� �..v. _ � :Y: .. � a _. . �. .�. .. �>.. — . . n�R� �� 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) � �3�r (Jc/ x.0125 $ ��r �� (contract price) (minimum$50.00) 2. STATE SURCHARGE r�—� �I r S ��r VV x.0005 $ � � (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL FERMIT FE�(Add Lines 1-3 Ab��e) $ �v ■ * 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. - =. =�� ._�� _ ,.� �o�� < � ��.� 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: � 7 � / 3 on� nMe CITY OF ORONO CALLED IN IN$PECTION TICE SCHEDULED PERMR NO. � '� coM o -L- �7 ADDRESS � 1�iGC� OMINER TELEPHONE NO. CONTRACTOR �//��ws+ �e�.✓��1 d-�� DESCRIPTION 3 �f� � Q �� y ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL � ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAVK'aRADINGIFILLINO Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION � ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑WOOD BURNER/FIREPLACE ❑COMPLAINT � ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL Z r ❑ DEMO-SITE ❑ SEPTIC INSTALL Z O�WNERICOKTRACTOR T�O MEET YOU:_I/E8_NO � COMMENT� �G - VeNb,�� -�l�•�.�5 - a� � _.L. - � veN��S , c'l�r4•�-�s - d� � �� Seti t �� /��i� -� ��'� .�crr�-�- o , � .� � P. c�4s�s � � !��$ �L�I�S � �Op/�t✓ '� (J�1 ��drS' � 2 � � �6jr✓�c�i -+�-6� ��hfir�l4Q. j �/�'/•`�4 �n 5� � �G'� �.O S W O WORK SATISFACTORY:PFiOCEED ❑PFiOJECT COMPLETE ��ECT YMORK 3 PROCEED ❑ISSUE CERTIFlCATE OF OCa1PY1NCY 0 ❑CORRECT YMORK,CALL FOR REINSPECTION TEMPORARY V BEFORECdVERINO PEAMANBJT �OORRECTUNSAFECONDITIONWITHIN HOURS• ❑pHpTOTAKEN INSPECTOR WIIL RE7LRN ❑8TOP ORDER P08TED.CALL INSPECTOR O qTATION ISSUED O IN8PECTION REOUIRED.G1LL TO ARRANCiE ACCESS. caN ior n�e next trrepection 2rt nou�s�n.dvanoa. (952) 249-4600 on sNe: . � YI1hIM OoP�AnaP�ela's FlM Gn�ry Oop�f�NoMe�