HomeMy WebLinkAbout2017-00777 - gas fireplace � ` CITYOFORONO * 2017 - a0 � 77 *
2750 KELLEY PARKWAY DATE ISSUED: 07/07/2017
ORONO, MN 55356-
(952)249-4600 FAX: (952)249-4616
ADDRESS : 2650 KELLY AVE
PIN : 20-117-23-14-0005
LEGAL DESC : APPLE HILL
: LOT 007 BLOCK 001
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIREPLACE-GAS
VALUATION : $ 1,600.00
NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION.
GAS LOG SET INSTALLATION-NATURAL GAS
APPLICANT MECHANICAL 50.00
STATE SURCHARGE MECH(VALUATION) 0.80
TWIN CITY FIREPLACE STONE CO INC MAIL-IN FEE 2.00
6521 CECILIA CIR
EDINA,MN 55439- TOTAL 52.80
(952)777-4125 Payment(s)
Minnesota State License#:mech-MB682977 CREDIT CARD 5715 52.80
OWNER
STEINMEYER,CHELSEA&DEVON �
2650 KELLY AVE
EXCELSIOR,MN 55331-
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 sepazate
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 l80 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.
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Applicant Permitee Signature Date Issued By ature Date
Jul 06 1711:27a Twin City Fireplace 9529422093 p.1
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USE ONLY 1�1�.o.^,(•_9 �
�OA rO City of Orono ,t�.�
<y P.O.Box 66 Date Iteoei �� Pcrmit# ��? l/lJ���
2750 Kelley Pazkwa�� �
( Crysial Bay,MN 55323 Approved By: Amount 5:�
Pho�(952)2d9-0600 Fax(952)249-4616
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F
`�kesxoa�'G CITY OF OROATO—MECHANICAL PERMIT
(Al1 Commercial permits must be approved by the Building OEticial or lnspector and�or Fire Marshall}
GENER4L INFORMATI�N
1. You may apply for mechanical permits by mail or in pe�son at the City offices, Apptications will
be reviewed and a pemvt will be issued wrthin hvo working days.
2. Pertnit cards will be seni by retutxt mail after a review is completed. PERMITS ARE NOT
VALID UNTIL YOU RECEIVE A PERM fT. WORK L�iUST NOT BEGIN UNTIL THE
PERMIT C.4RD IS POSTED ON THE JOB STTE.
3. Mechanical Desians—Complzte calculations,details and specifications are required for each
heating,ventilation,hwttidification-dehumidification,and air conditioning installation including
heat loss/heat gain calculasidn,design temperatures,equipmeirt ratings and id�tification as to
type;manufacturer and madel. Data shall be presented on form pro�rided.
4. When any new construction or remodeling is invotved,a separate building permit m¢st be
obtained.
5. AU work must be done in accordance with the Uniform Mechsnical CodelState Building Code
requiremenu.
6. All work must be inspected(rough-in and final). Call(952)249-4600.
(24-4$bo�r notice required)
7. House Heating Test Record must be submitted befvre final.
TYPE OF PERMIT
Check All T�at A 1
�Residential ❑Commacial(Ap}�roval Required) [Backflow Device:0 AVB ❑PVB]
❑Nex� ❑Additional ❑Repai�s �Replace
Job Site/ Owner Information:
Site Address: 26�0 Kelly Avenue, Orono
Owner.Chelsea Steinmeyer Mailing Address: 2�� KeEly Ave.
���: Excelsior Z� 55331
P'
FIome Phone: Alternate�hone:
Contractor Information:
Contractor:Twin Ci Fireplace & Stone C�ontact Person: Beth Ayers
Address: 6521 Cecilia Circle State Bond#: ��8297�
C��,: Edina ZlP: 55439 Expiration Date: 07�30/1$
Phone: 952.777.4125 �- Alternate Phone: �
[�i Insurartce—Current:
1
Jul 06 1711:28a Twin City Fireplace 9529422093 p.2
�-IA7.vTCA�SYSTE1�+iS�BE�NG INST�:TjLLED.` ° .
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Note:A91 Geothermal Systems will now require a Site Plan&Review by our Building 4fficial.
IS'TAIS GEOTHERMAL? ❑Yes [�No
HEATING SYSTEM,.S
Quantity:
Make:
Model:
FueL•
Flue Size:
Input BTUs:
Output BTUs:
CFl�1:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H.Power
F[REPLACES
❑ Gas Factory Fireplace Brand Name:
❑ Wood Buming Fireplace
❑ Wood Stove Model No.:
❑ Wood Stove with Flue/Masonry
V�NTR,ATION
❑ No_ Kitchen Exhaust duct recirculating cfin
❑ No. Bath Bxhaust(must have duct outside} cfm
❑ No. Other Fans: Locations cfm
FUEL STORAGE (Must be apprnved by Fire Marshall rf proposing to abQndou tank is place}
❑ Installation ❑ �temoval
Fuel�il: gallo�s ❑ Ur�'ground ❑Inside ❑Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill �X Other/List wnac&whe�e: Gas log set instal�ation, Nat. Gas '
2
Jul 06 1711:28a Twin City Fireplace 9529422093 p.3
•PEitNI�T:�EE:CAGCULATION& ' '
1. CONfRACT PRICE "is 125%of contract price with a(�Iinimam Fce of 550.00)
��,600.aa ,;.0�25 s sa.00
(conuact price) (miniuoma 550.00)
2. STATESURCRARGE $1,600.00 0.80
x.0005 S
' lcontract price)
3_ POSTAGE&HANDLING(pnly on Maif-Irc Applications) $ 2.00
4. TOTAE.PER1�iTT FEE(Add Lines 1-3 Above) $ �0�8�
■ * CONTRACT PRICE or]OB CoST means the actual or estimated dolEar amount charged for the
permiued work including materials, labor,profit,an�other fixed costs. It is the arnount to be charged
to the customer for the work done. If any material,equipment,labor or instatlations are fumished by the
owner, tenant or any other party, tEie reasonable market value of such items must be added to the
estimated cost or contract price for permit fee purpose5. ]n the event that ther�is a dispute on the amount
of the job cost, the City may request the submission of a signed copy of the actual cantract.
MECHA�iI�AL`P�RM�T.A:PPL-ICATIQ?�1 A�REr�ENT
The undersigned hereby applies to the City for issuance of a Mechanical Pernut, agrees to do alt
work in strict accordance with the ordinances of the City and the regulations of the Staie of
Minnesota,and certifies that a11 statements made on this application are complete,true and correct
�,.
y � p�: 07/06/17
Applicant's Signature: -�,.,�u_; '�Lj.,,�'•'
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� �-�___ � DAT TIME
CITY OF ORONO CALLED IN ��� 7
INSPECTION N ICE /�7 SCHEDULED � -/ % �� �J�—
PERMIT NO. G � `"� " ��COMPLETED �'�— /� �
ADDRESS ��J� ' /� V`��
OWNER T EPHO NO. J�' ��
CONTRACTOR ' ✓1 v / r
� DESCRIPTION ` � ���
41 ❑ FOOTING ❑ DEMO-FIN ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ 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
Z
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNERICOI�ITFiACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W ❑WORKSATISFACTORY:PROCEED ❑PROJECT COMPLEfE
� ❑CORRECT NfORK 3 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECaMERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
O INSPECTION REWIRED.CALL TO ARRANGE ACCESS.
Ca11 for the next inspection 2a hours in advance. (g52) 249-46��
OwnerlCon ctor n site:
Inspector: � �
Whits CopyAnspector's File Cen�ry CopylSfte Notice
,�� DATE TIME �
CITY OF ORONO c,�►LLED IN $ ' �7 ���y-
INSPECTION OTICE scHEnuLED ' —1� _�1=1L—
PERMIT NO. `�7 COMPLETED
ADDRESS o�L�S(� �I� ��I
OWNER TE PHO E NO. ��7-1���
CONfRACTOR � � �
� DESCRIPTION � `��
ty ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ 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
`� 'H FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
4Q1 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
? OWNEAICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
� �,�%'a� 1�tic,e ��� s�/'-� 1 ! r
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W
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Q
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� �WORKSATISFACTORY:PROCEED �PROJECT COMPLEfE
� ❑CORRECT WORK 3 PiiOCEED ❑ISSUE CERTIFlCATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COMERINf3 PERMANENT
❑CORRECTUNSAFECONDITIONWRHIN HWRS. ❑pHOTOTAKEN
INSPECTOR WILL RETURN
❑GTATION ISSUED
O STOP ORDER POSTED.CALL INSPECTOR
�INSPECTION REUUIRED.CALL TO ARRANGE ACCESS.
cen ro�a��xt�i«,za no„�i��a�. (952) 249-4600
OMmedContractor on ske:
Inspector:
CopyAnspectoPs FlN C�nary CopfrBib Notiw