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Home My WebLink About2016-01374 - gas fireplace � i " CITY OF ORONO * Z 0 1 6 — 0 1 3 7 4 * 2750 KELLEY PARKWAY DATE ISSUED: 10/28/2016 ORONO,MN 55356- (952)249-4600 FAX: (952) 249-4616 ADDRESS : 1830 SHORELINE DR PIN : 10-117-23-42-0002 LEGAL DESC : AUDITOR'S SUBD.NO.356 : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 9,000.00 NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. (2)NAPOLEON GAS FIREPLACES (1)WOOD ORACLE FIREPLACE APPLICANT MECHANICAL 112.50 STATE SURCHARGE MECH(VALUATION) 4.50 TWIN CITY FIREPLACE STONE CO INC NIAIL-IN FEE 2.00 6521 CECILIA CIR EDINA,MN 55439- TOTAL 119.00 (952)777-4125 Payment(s) Minnesota State License#:mech-MB682977 CHECK 21444 119.00 OWNER TUFAA&NEDIYO SADO,TASHITTA 1224 CEDAR POINTE DR N MINNETONKA,MN 55305- 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 dces not grant permission for additional or related work which requires separate permits. All provisions of Iaws and ordinances goveming this type of work shall be compied with whether or not specified herein.This permit will exp've 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. �w�.�.ee r� �r' � D , ,�� Applicant Permitee Signature Date Issued y ignature Date , City of Orono RECEIVE � SE°�." �O� P.O.Box 66 Date R�ei4 Permit `�� 2750 Kelley Parkway ��B�,�553� ��T 2 8�01 A��8,,: ��t$: Phone(952)249-4600 Fax( 5 )249-4616 ti � � F L� `�KES HO�� CITY O NO—MECHANICAL PERMIT (All Commercial pertnits must be approved by the Building Official or Inspector and/or Fire Marshall) GENERAL INFORMATION l. You may apply for mechanical permits by mail or in petson 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 Desi�ns—Complete calculations,details and specifications are required for each heating,ventilation,humidification-dehumidificadon,and air condi6oning 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 pmvided. 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 reqaired) 7. House Heating Test Record must be submitted before final. _ TYPE OF PERMIT Check All That A 1 [�'Residential ❑Commercial(Approval Required) [Backflow Device:❑AVB ❑PVB] [�New ❑Additional ❑Repairs ❑Replace Job Site/Owner Information: Site Address: _�� :�U/1:2� � Owner�__1.�'1 UV� ��G ) Mailing Address: �� City: Zip: Home Phone: Alternate Phone: Contractor Informa.tion: � ��l �C�'e�� Contractor: � � ��-�ontact Person: Address: �'J� 2 ( �G 4 t lG� (ii i�G��State Bond#: N I�� City: �G��6'1�'c_.- Zip:�ui�Expira.tion Date: � Phone: �'lj�." �' —`�ZS Alternate Phone: �2. ""1`�T � -'��J � Insurance—Cturent: 1 ME��IGt�S�'STE�S BEI��C"s iN�'FALLED Note:All Geothermal Systems will now require a Site Plan&.Review by our Building Official. IS THIS GEOTHERMAL? ❑Yes ❑No REATING SYSTEMS Qnantiry: Make: Model: Euel: Flue Size: Input BTCTs: Output BTUs: CFM: MS ��S > > �� `� ��. M�e: I b� ��— Model: �vy�N��Vt�✓ �"�45�sd �/1,7 �� 1n� �i1�vY I'1�j(/' �_ce—,r� Tons: H.Power FIREPLACES .� Gas Factory Fireplace Brand Name: ,�� Wood Buming Fireplace ❑ Wood Stove Model No.: ❑ Wood Stove with Flue/Masonry VENTILATION • ❑ No. Kitchen Exhaust duct recirculating cfm ❑ No. Bath Exhaust(must have duct outside) cfrn ❑ No. Other Fans: Loc�tions - cfm FUEL STORAGE (Mrist be appmvtd by Fire MarshaQ ijproposing to abandon tank!n plac�) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill ❑ Other/List What&Where: 2 P�R�tT F��C�LCC�TIQ�T{�}: ��D��.,�2��S"�A�;.,. ❑ Yes,this section applies The replacement of a Residential fixture or appliance that meets all three of the following tequirements: 1. Does not require modification to electrical or gas service. 2. Has a tal 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 Swcharge $ 5.00 Mail-In Fee(If Applicable) $^ 2.00 Total Permit Fee $ FER�IIT FEE CALGUU�t�'TI(�N � .:-J�}&S-��:'�50�?�U <. . If above dces not apply;follow guidelines below: � ,�� 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimam Fee of$50.00) fr,�`� � 0��• l� U X.oi2s� � � 2'�� (contrad price) (minimam 550.00) �� , 2. STATE SURCHARGE �n�o. ou X.o�s $ � ��o (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) S 1, � G� v � • * CONTRAC'f 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 fiunished 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 tt►e 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. MECHA1�tI�AL PE�L1VCi'I`t�FF�.I��lTifl�1�f`.�i�EArt�' . The undersigned hereby applies to the City for issuance of a Mechanical Pennit, 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 a11 statements made on this application are complete, true and corre�t. � ApplicanYs Signature: Date: 1, � �O 3 � � DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE HEDULED - �J PERMR NO. � COMPLEfED � , ADDRESS � OWNER TELEPH O. "� �g CONTRACTOR .�,--- S � DESCRIPTION � , � �«��L�— LN ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL � ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLIN(3 O ❑ 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 W ❑ AS BUILT-SUHVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ v ❑ DEMO-SITE ❑ PTIC INSTALL 2 OWNERICOUfTMCTOR TO M�YOU: YES_NO h COMMENTS: 4 � � ��. � � ��'� ,G�. o �n.� � �� -e _ �. - � -�'" �/" L, o _ a -.�• ' ve�v��i ��aH�S—Q� Q / � v �i �• �•C�s.r � Td ^ Z5�� s4s /•K�- Oe-rr��r�i6n c , � /Mt �/er1�C.Q�`ir�� 4 � �i� � tif� � 6�s /��c q.� �� fQ�R� � 3Di',o.s� , v� W ❑WORK SATISFACTORY`.PROCEED ❑PROJECT COMPLETE � ?�.�RRECT WORK 3 PROCEED ❑ISSUE CEATIFICATE OF OCCUPANCY O `C]CORRECT W'ORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CWERINQ PERMANENT ❑WFiRECTUNSAFECONDlT10NWITHIN HOURS. p pF{pTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REW IRED.CALL TO ARRANGE ACCESS. Call for the next inspectfon 24 hours in advanoe. (g52) 249-4600 OwnerlContractor on site: Inspector: �-/ �^�' VYhits CopyAnspector's FIN C�nary CoprISM�Noties �� (�.� DATE TIME �TY OF ORONO CALLED IN � INSPECTION NOTICE ��CHEDULED '�`-� Z '- �/� �,� PERMIT NO. �r�� (f>��3'T�OMPLETED ADDRESS 1 .�SY �J�> ,� %i`"e l%/'l� �Y�-, OWNER TELEPHONE NO. �'�2`� �2�'�'y CONTRACTOR ��L�, �� ! �� DESCRIPTION ��`� � �� `S� � �'�p � l�`ii ❑ FOOTING ❑ DEMO-FINA�� /L� SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING R T ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL�'l, .ry��❑ TREE REMOVAL 2 ❑ RADON SLAB ❑ MECHANICAL RI �'��"" ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP 41 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL Z J ❑ DEMO-SITE ❑ SEPTIC INSTALL Z OWNERICONTMCTOR TO MEET 1I�U: YES_NO � COMMENTS: W � ��;►�.,/ nk r./6�e o r� w,` � i��-�..,.f� � �nl�- a/�8 0 � 0 � W � Q � 2 W � W � � J � RK SATISFACTORY:PROCEED PROJECT COMPLEfE W ❑CORRECT W'ORK 3 PROCEED ISSUE CERTIFICATE OF OCCUPANCY O ❑CARRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECONERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-46�� OwnerlContractor on site: Inspector: �"��' White CopyAnspector's File Cenary CopyfSfte Notke