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Home My WebLink About2014-00851 - gas fireplace ' ' ' CITY OF ORONO * Z QJ 1 4 - 0 0 B 5 1 * 2750 KELLEY PARKWAY DATE ISSUED: 08/07/2014 ORONO, MN 55356- (952) 249-4600 FAX: 952) 249-4616 ADDRESS : 20 MYRTLEWOOD RD PIN : 36-118-23-33-0010 LEGAL DESC : MYRTLEWOOD : LOT 002 BLOCK 001 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 2,500.00 NOTE: KOZY JACKSON 911 GAS FP APPLICANT MECHANICAL 50.00 STATE SURCHARGE MECH(VALUATION) 1.25 PRACTICAL SYSTEMS MAIL-IN FEE 2.00 4342B SHADY OAK RD HOPKINS,MN 55343 TOTAL 53.25 (952)933-1868 Payment(s) CREDIT CARD 0961 53.25 OWNER BOVEE,PETER 20 MYRTLEWOOD RD 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 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 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 wi[h the State Building Code.This permit may be revoked at any time for due cause. � / / Applicant Permitee Signature Date Issued By S' ature Date 9529331869 13:56:44 OS-06-2014 2/7 . • �it I7'Y USE ONLY �O A,O City of Orono +y P.O.Box 66 Datc Rccciv Pcrmit# 2750 Kellcy Parkway Crysta113ay,MN 55323 Approved By: Amount S: Phone(952)249-4600 Fa�:(952)249-4616 .i > �Y � � � �'��esrio�'`` CITY OF ORONO—M.ECHANICAL PERMIT (All Commcrcial pertnits must be approvcd by thc BuiWing 011icial or Inspcctor andlor Fire Macshall) 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 wiUtin two working days. 2. Permit cards will be sent by retum mail after a review is completed. PERMITS ARE NOT VALiD UI�TTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PF,RMIT CARD IS POSTED ON THE JOB S1TE. 3. Mechanical Desians—Complete catculations,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 invoived,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. (Z4-48 hour notice required) 7. House Heating Test Record must be submitted before final. TYPE OF PERMIT Check All That A 1 ! �Residential ❑Commercial(Approval Required) ❑Ne�v Q Additional ❑Repairs ❑Replace Job Site/Owner Information: Site Address: ?S 1�i;t-I r°�isa;�� 1�� Owner: V�r'i ry-� �U'1��i T.��r�r Mailing Address: ]1� ��fi-�r,��.t;�:�,� (�.i� City: L��'c,,�i'> Zip: '-�,'.-� :>��1 ( Home Phone: �)`�1•��-�- 1`�1�� Alternate Phone: Contractor Tnfom�ation: Contractor: ��,i .��r�� 1 `� ;�.�r,�Yl`� Contact Person: �C f".�V �� I � � � Address: ��FZr'-> ."�YI:sC:��i (�^,1( _�(C� State Bond#: lV�I�� IJ'>�=�I U � Ciry: I-�tj,�K.��, Zip:�-;�,L��;y 1Expiration Date: _I�,j"�l l i'-� Phone: ��.`�? �¢%1-'>� I��r>�; Alternate Phone: ❑ Tnsurance—Curreni: 1 9529331869 13 57 01 08-06-2014 3/7 ' MECHAIVICAL SI'STEIVIS-BEING.I .N. STALLED < " '. Note:All Geothennal Systems will now require a Site Plan&Review by our Building Official. i 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 FIrtEPLACES / 0 Gas Factory Fireplace Brand Name: Y��2�..\ ❑ Wood Burning Fireplace ' ❑ �Vood Stove Model No.: ��,�;�,;�e,il �y( I ❑ Woad Stove with Flue/Masonry VENTILATION ❑ No. Kitchen Exhaust duct recirculating efm ❑ No. Bath Exhaust(must have duct outside) cfm ❑ No. Other Fans: Locations cfm FUEL STORAGE (Mr�st be approved by Fire Marslral!if proposing to abandvu tank in place.) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill ❑ Other/List What&Where: 2 9529331869 13:57:13 08-06-2014 4/7 PERMIT FEE CALCULATION(S) l,•BASED OFF-2002 STATE STATtTE ; • ❑ Yes,this section applies The replacement of a Residential fixture or aaaliance that meets all three of the following requirements: 1. Does not require modifccation to electrical or gas service. 2. Has a total cost of�500.00 or less;excludina the cost of the fixture or appliance:and 3. Is improved,instalied or replaced by the homeowner or licensed contractor. Skip next section,if tliis applies; Cost of Permit $ 15.00 State Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ P.ERMIT FEE CALCULATION S --JOBS'OVER I$SQ0:00 If above does not apply;follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) �l`�l,U.l):� x.0125$ %>1 .2,..7 (contmct price) �(minimum$90.00) 2. STATE SURCEIARGE _ �`�l,t>.Ul.i x.0005 $ f.Z 5 (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FGE(Add Lines 1-3 Above) $ ,�� .Z`"J • * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted�vork including materiais,labor,profit,and other fixed costs. It is the amount to be charged to the customer for the work done. If any material,equipment, tabor or installations are fumished by the owner, tenant or any other party,the reasonable market value of such items must be added to the esKimated cost or contract price for permit fee purposes. In the event that there is a dispute on the amount of tlie job cost, the City may request the submission of a signed copy of the actual contract. Iv1ECHAIJICAL PERIVIIT APPLTCATION;AGREEMENT 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: ' )�( ;�,�h) �d:��/ Date: ,�/(.y�� 3 i DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO.�Dly�!.'�'��S/ COMPLETED - �' ��7'�yADDRESS �_�{�r�/cr.��ad� /?�- OWNER r � . TELEPHONE NO. CONTRACTOR �� -��`-S�If' � DESCRIPTION �GS ��.-�,c lL ❑ 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 ❑ PROGRESS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT �/'�jpIAL ❑ WATER HOOK-UP , �$'FOLLOW-UP �� AS BUILT-SURVEY ❑ SEWER HOOK-UP �� HARD COVER REMOVAL v ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL 2 OWNERlCONTRACTOR TO MEET YOU:_YES_NO h COMMENTS: a� � /�crw�-T. L1o/��e✓ �. /� � GE// �✓ , G� J►!Kr L f�l��oiY�?e•1 •� � , ��r �� - � y-��- o,� o _ ��l _ W Q /�6 d A� I�� ez - 2 �r�� << o�o.� �.�., �<� w � S'G/!td��/�� i ��/�/� �/?G��o�Ir G'91� j �.tJ��4 ��i �1Q��.S d W ❑VYORK SATISFACTOR�PROCEED ❑ PRW ECT COMPLETE � ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECONERING PERMANENT ❑(�RRECT UNSAFE CONDITiON WITHIN HOURS. ❑pHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOFi �CITATION ISSUED SPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca�l for the next inspection 24 hours in advance. (952) 249-4600 OwneHContraator on site: Inspector: Q� �- 7� White CopyMnspector's Flle Canary CopylSMe Notks 1�-� �_ �✓ 9�ATE TIME CITY OF ORONO cnLLED IN INSPECTION NOTICE SCHEDULED �'__�_-,�1� •� � PERMfT NO. �g�OMPLEfED ADDRESS �0 OWNER TE HO �E NO.�✓�'�73'�37 CONTRACTOR � � � DESCRIPTION � ❑ FOOTING � PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL � MECHANICAL RI ❑ LAKESHOHFJWEfLANDS y O FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q O RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE � SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 ,�ONTRACTOR TO MEET YOU:�YES_NO y COMMENTS: � W 4 j / O a� O � W dC Q � � / W � � � J W RKSATISFACTORY:PROCEED 0 PROJECTCOMPLEfE � ❑ RRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY V BEFORECONERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pH0T0 TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALI INSPECTOR �CITATION ISSUED �INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in ance. �9 -46�� OwnedContractor on site: Inspector: White CopyAnspector's File Canary CopylSite Notice �� DAT TIM E CITY OF ORONO CALLED IN =L2�� •� INSPECTION N E � SCHEDULED � PERMIT NO. � �� co PLETED ADDRESS � OWNER TE EPHONE NO. - - CONTRACTOR✓ � DESCRIPTION �� 'C��"C� � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVEfLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION O WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT r ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP � ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERICONTtiACTOR TO MEET YOU:_YES_NO c�.� COMMENTS: � W C � J O �. � O � W � Q � 2 W � W � j GW ❑WORKSATISFACTORY:PROCEED ROJECT COMPLEfE � ❑CORRECT WORK 8 PROCEED UE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in a ance. (952� 24 -46�0 OwnerlContractor on site: � Inspector. White Copyllnspector's File nary CopylSite Notice