HomeMy WebLinkAbout2017-00251 - gas fireplace CITY OF ORONO
2 � 2750 KELLEY PARKWAY * � 0 1 7 - 0 0 z 5 1 *
DATE ISSUED: 03/17/2017
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 : $ 5,094.00
NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION.
(1)GAS FACTORY FIREPLACE-MENDOTA-MODEL FV41 DECOR
APPLICANT MECHANICAL 63.68
TWIN CITY FIREPLACE CO. STATE SURCHARGE MECH(VALUATION) 2.55
6916 WASHBURN AVE. S. MAIL-IN FEE 2.00
MINNEAPOLIS, MN 55423- TOTAL 68.23
(612)282-2684 Payment(s)
CHECK 21898 68.23
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 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
permits. All provisions of Iaws 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.
�-e! � � � C7 �l �
Applicant Permitee Signature Date Issued By ignature Date
4 �tE�EIVED OR ITYUSEONLY
� � City of Orono ��/�,
O P.O.Box 66 M� � Y� � ��� Date ReceiveH:l`�' � Permit# � Z�J
/ � 2750 Kelley Parkway �� � ' �
Crystal Bay,MN 55323 Approved By: Amount$:
Phone(952)249-460Q.��paE�(9,5212.5�R..-4fi1b.O
�, ,, �.t i i VF VKVN
ti �
F �
`�kESHv��G CITY OF ORONO—MECHANICAL PERMIT
`_ (All Commercial permits must be approvcd by thc Building Official or Inspector and/or Fire Marshall)
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 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-dehumidification,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 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 I )
�Residential_ ❑Commercial(Approval Required) [Backflow Device: �AVB ❑PVB]
ew ❑ Additional ❑Repairs ❑Replace
Job Site/Owner Information:
Site Address: 1830 Shoreline Dr
Owner: Michael Sundet Mailing Address: 1830 Shoreline Dr
City: Orono Z;p: 55391
Home Phone: 612-345-1729 Alternate Phone:
Contractor Information:
Contractor: Twin City Fireplace Contact Person: Ken Kokaisel
Address: 6521 Cecilia Cir State Bond#: BC669119
City: Edina Zip: 55439 Expiration Date:
Phone: 952-777-4125 Alternate Phone:
0 Insurance—Current:
1
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 BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H.Power
FIREPLACES
� Gas Factory Fireplace Brana rrame: Mendota
❑ Wood Burning Fireplace FV41 Decor
❑ Wood Stove Model No.:
❑ Wood Stove with Flue/Masonry
VENTILATION
❑ No. Kitchen Exhaust duct recirculating cfm
❑ No. Bath Exhaust(must have duct outside) cfm
❑ No. Other Fans: Locations cfin
FUEL STORAGE (Must be approved by Fire MarshaU if proposing to a6andon tank in plac�)
❑ Installation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill ❑ Other/List What&Where:
2
, , ,
1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of 550.00)
5094.00 X.oi2s$ 63.68
(conuact price) (mioimum SS0.011)
2. STATESURCHARGE
5094.00 x.000s $ 2.55
(conh�act pi;ce> �
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ 68.23
■ x CONTRACT PRICE or JOB COST means the actual or esrimated 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 mazket value of such items must be added to the
estimated cost or contract price for pertnit 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.
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.
ApplicanYs Signature: �����.°/a.�� Date: 3/14/17
3
J� �
DA E TIME
CITY OF ORONO CALLED IN c3�a�
INSPECTION NOTICE SCHEDULED ��l�7 /a ; BZ�
PERMIT NO. �i7-bo a 5� OMPLETED ^ �
ADDRESS � g �d �L�
OWNER T EPH E NO. S�-ZI(o - lJ
CONTRACTO � �J
�
� DESCRIPTION
ly ❑ FOOTING ❑ DEMO-FIN ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING I ❑ EXCAV/GRADING/FILLING
�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
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNERICOKTRACTOR TO MEET YOU:_YES_NO
h COMMENTS:
W
� GG�S �•/�' a h. �vo�c� �j/'c� —
�
�
O �
� Ye�ct«rs . �'/e4�ad1��s - l��
° — �-rriv /��1e — :�'s ��sl�`� — ,�rUv��
W
Q �l.L,f �/�'L c L?�0�� � �i� �
�
2 ^
� ` O/'�` � ��t��rLc��.
� is'l�5 �- Ii1 S�-r l/ r���e� c
j -'
d
W��lQ9lLSATJSFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑CORRECT VYORK S PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WFLL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail forthe next inspection 2a hours in advance. (952) 249-4600
OMrnerlContractor on site:
Inspector: /!n�
White CopyAnspector's File Canary CopylSite Notiee
� C � r
'�� DATE TIME
CITY OF ORONO CALLED IN r��y��i-�
INSPECTION NOTICE scHe�u�E�
PERMIT NO.;� '� � ����L�� COMPLEfED
ADDRESS � ����> •�j'l.e,`�YZ'_�l I'�C /��2.
OWNER TELEPHONE NO. (��� L�='��'��
CONTRACTOR �� � � �� � ��
� DESCRIPTION � �� ��-`'� � ��1�"�
ty ❑ FOOTING ❑ DEMO-FINAL �� � EPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
O ❑ FOUNDATION WATERPROOF 0 PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNERlFIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
�4 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
J ❑ DEMO-SITE ❑ EPTIC INSTALL
2 ONfNERICONTiUCTOR TO MEEi YOU: ES_NO
y COMMENTS:
� ,
� ��n�cv/ � C��� o��� nr d'P��,v.�r�,`�
o .,4� �-o IG-O l c�0�
�.
�
0
�
W
�
Q
�
2
W
�
W
�
J
W WORKSATISFACTORY:PROCEED PROJECT COMPLEfE
O
� CORRECT VYORK d�PROCEED ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECONERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL REfURN
❑CITATION ISSUED
O STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-46�0
OwnerlContractor on site:
Inspector. �?"r,� � "
White Copyllnspector's File Canary CopylSite Notke