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Home My WebLink About2016-00283 - gas fireplace � • CITY OF ORONO * Z 0 1 6 - 0 0 2 8 3 * 2750 KELLEY PARKWAY DATE ISSUED: 03/28/2016 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 10 MYRTLEWOOD RD PIN : 36-118-23-33-0009 LEGAL DESC : MYRTLEWOOD : LOT 001 BLOCK 001 PERMIT TYPE : MECHANICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 2,000.00 NOTE: SUPERIOR GAS FIREPLACE APPLICANT MECHANICAL 50.00 STATE SURCHARGE MECH(VALUATION) 1.00 HAGEN FIREPLACE SOLUTIONS TOTAL 51.00 435 FAIRVIEW AVE N CJNIT 2 Payment(s) ST PAUL, MN 55104- CHECK 2463 51.00 (612)839-7595 Miru�esota State License#:mech-MB680260 OWNER Chamberlain Capital LLC 11578 CHAMBERLAIN CT EDEN PRAIRIE,MN 55344- 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 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 Sta[e Building Code.This permit may be revoked at any time for due cause. � '�,��'-�s�-- 3��'� � -�c �� i� �i f� D � App icant Permitee Signature Date Issued B Signature Date , w � -� 1 FOR CITY USE ONLY - ,�O A'O City of Orono �y P.O.Box 66 Date Received: Pecmit# 2750 Kelley Pazkway Crystal Bay,MN 55323 Approved By: Amount S: �� Phone(952)249-4600 Fax(952)249-4616 y`��q ,��.�1 CITY OF ORONO—MECHANICAL PERMIT ��S�� (All Commacial pamits must be approved by the 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. Appiications will be reviewed and a permit will be issued within two working days. 2. Permit cazds 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 aze required for each heating,venrilation,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 CodelState Building Code requirements. 6. All work must be inspected(rough-in and final). Call(952)249-4600. (24-48 hour notice requiied) 7. House Heating Test Record must be submitted before final. TYPE OF PERNIIT Check All That A 1 (�Residential ❑Commercial(Approval Required) [�New ❑Additional ❑Repairs ❑Replace Job Site/Owner Information: � %� �'�� l,`C�.� Site Address. � i Owner: l��-�� '��`� Mailing Address: City: Zip: Home Phone: Altemate Phone: Contractor Information: � �n ,�Z�lcx:t 701� �za Contractor: /`��t%�, � � Contact Person: �ei,t�� Address: � :�� v�e� ��z� State Bond#: �►'�� Ip�G ��o�% City: �, ��-J� Zip:.S�1� Expiration Date: `� /�y � �U�J�;i� Phone: � �a'��✓'�'7''75�,% Altemate Phone: ❑ Insurance—G�rrent: 1 �t .. � l �.�. � '��S��S�$EIl�G�II�TS� .� .._., . 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 BTLTs: CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H.Power FIREPLACES � Gas Factory Fireplace Brand Name: J t�n c.l'��t- ❑ Wood Buming Fireplace C' ❑ Wood Stove Model No.: ��5 7� ❑ Wood Stove with Flue/Masonry � p� l� VENTILATION ❑ 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 ifproposing 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: �� 2 , � �" °„� , "'�� "' "' ",; : ��PERIVIIT�'�FEE`'CALCT7L'ATION(S)_,., � ; ��, .�.�_�...,uW� _ � " � �' `" ,' ' °�BASED OFF--2002 STATE STATUE.` -� � f4 , � rb:. ❑ Yes,this section applies The replacement of a Residential fixture or appliance that meets all three of the following requirements: l. 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 $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ � �',�'�P„ERM1VIIrT�F.EE;�CAL;Ci7L�ATION S �::�JOBS'OVER�$�5p0�.Q0 �... If above does not apply;follow guidelines below: 1. CONTRACT PRICE *is 125%of contract price with a(Minimum Fee of$50.00) c� U 6-t) x .0125$ (c tract price) (minimum$50.00) 2. STATE SURCHARGE x.0005 $ (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ • * 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 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 request the submission of a signed copy of the actual contract. �'-�� ,.� �,NlEG '.'k: CAL'�PERIVIITuAPPI�ICATION�AGREEIVIE .r 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: �I�e��n � Date: � U O 3 �, V �� DATE TIME CITY OF ORONO CALLED IN INSPECTIO NOTIC � - � ,. scHe�u�Eo � � U� �. PERMIT NO \ Z �'- � COMPLEfED ADDRESS ��..►�:� �a�� i-�C-� . OWNER �/ TELEPHONE NO.��--��3� ^�S � CONTRACTOR � ��`� �—��C�P__ ' � ��, ^ <- �( �� DESCRIPTION `" '�-�� -�'�-�_£ 1 (�_I" "\ �--iC;?�-IG�G� ` ly ❑ 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 ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP �4 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERlCONTRACTOR TO MEEf YOU:_YES_NO y COMMENTS: � i/'6rlt cns , C��s — � o �` �' � l�t� �i•�- �i�s� `lc�l�Pi.,;c��3T� . � �v<�ZC� — 3 `o�`/l� O � W /� Q /// p/y��,�.0 ,� �.�¢/� �o�v o � 2 r' � �' G� 5 c •F �� fo✓�t�•��' �1-- � SG>�t/ s4�s /��'!� .d,e r!�L` r4� eo� - , j ¢.S� -o k • �o✓ r�e f�! d � � e es Gea . W ❑WORKSATIS ORY:PROCEED ❑ PROJECT COMPLEfE �� T VYORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pHOTO TAKEN INSPECTOR WFLL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-460� OwnerlCorttractor on site: Inspector. r�-- ite Copyllnspector's File Canary CopylSite Notice � �; � DATE TIME CITY OF ORONO cnLLED IN � �� INSPECTION TI SCHEDULED PERMIT NO. ��COMPLETED ADDRESS � C� �i e r"�I e �� Z� OWNER TELEP ONE N�� -g`3�- 7��J'S CONTRACTOR C�Ll'eh �rr��lace � DESCRIPTION �i rP,��a.-�_ �it2_ � tV ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL � ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAI 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 ❑ TIC INSTALL Z OWNERfCONTRACTOR TO MEET Y�OU:�YES_NO y COMMENTS: ¢ � j � 0 � 0 � W � Q � W � W � J O W ❑ K SATISFACTORY:PROCEED ❑PRW ECT COMPLETE � O ECT WORK 3 PF�CEED ❑ISSUE CERTIFICATE OF OCCUPANCY W O O(�RRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECdVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p p f{pT0 TAKEN INSPECTOR YVILL RETURN � ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION 1SSUED O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 rs in a ( 52) 249-4600 OwnerlContractor on site• Inspector: Whits Copyllnspecto�'s File Canary ylSite Notiee