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Home My WebLink About2016-01229 - gas fireplace CITY OF ORONO * 2 0 1 6 — 0 1 2 2 9 * � ' 2750 KELLEY PARKWAY DATE ISSUED: 09/29/2016 ORONO,MN 55356- (952)249-4600 FAX: (952)249-4616 ADDRESS : 580 NORTH ARM DR PIN : 06-117-23-42-0005 LEGAL DESC : VICTORIA ESTATES : LOT 006 BLOCK 001 PERMIT TYPE : MECHANICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 2,500.00 NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. PETERSON GAS LOG INSERT APPLICANT MECHANICAL 50.00 STATE SURCHARGE MECH(VALUATION) 1.25 WALTER MECHANICAL,INC. MAIL-IN FEE 2.00 1013 E.CLIFF ROAD#101 BURNSVILLE,MN 55337 TOTAL 53.25 (952)895-1992 Payment(s) Minnesota State License#:mech-MB003448 CHECK 006141 53.25 OW1�1ER JOHNSON,BRYCE&PAULA 580 NORTH ARM DR MOLTND,MN 55364- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be perfortned 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 permiu. 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 State Building Code.This permit may be revoked at any time for due cause. � C��,p -e � 1� ,��,llo Applicant Permitee Signature Date Issued By ature Date -R RECEIVED FOR C Y USE ONLY t „ �O A r City of Orono � � �/��/— � � � � <yO P.O.Box 66 Date Re Permit# v 4�— 2750 Kelley Parkway SEP 2 9 2016 '� Crystal Bay,MN 55323 Approved By: Amount$:�� '" Phone(952)249-4600 FaY(952)249-4616 yF ; CITY OF ORONO �qKfs H o�� CITY OF ORONO-MECHANICAL PERMIT (All Commercial permits must be approved by the Building Official or Inspector and/or Fire Matshal►) 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 RECENE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Designs—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 1 �Residential ❑ Commercial(Approval Required) [Backflow Device: ❑ AVB ❑ PVB] I ❑ New ❑Additional ❑ Repairs ❑Replace Job Site/Owner Information: Site Address: �� (�jY��Y \ -�� Owner: � � ��' � �� MailingAddress: ��. �<� ��%� City: Zip: Home Phone"IC'� ��l �� Alternate Phone: Contractor Information: Contractar:�(!�1��T1/Y � �C�,1�� -n��on�Person: Nl�' j'1 �i�l� � � �l� �` ,��C �iG 1 n� � Address: State Bond#: 1 Y t 6 V� ��'� � � � � . ��,�,�� City: � � �ip• � ✓ �E piration Date: r <l i -7 / Phone: �1�� .) `��L� `� Alternate Phone: �� ` J / f` �'l� ❑ Insurance-Current: � `� L� l 1�� 1 � MECHANICAL SYSTEMS BEING INSTALLED � � � Note: All Geothermal Systems will now require a Site Plan& Review by our Building Official. IS THIS GEOTHERMAL? ❑ Yes [�o HEATING SYSTEMS QuantiTy: Make: Model: Fuel: Flue Size: Input BTUs: Output BTUs: CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H. Power FIREPLACES � � Gas Factory Fireplac '�J�/}�> Brand Name: �(�, � �, `-'� ❑ Wood Burning Firepla �� ,� � ❑ Wood Stove Model No.: -� ❑ Wood Stove with Flue/Masonry VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfm ❑ No. Bath E�chaust(must have duct outside) cfin ❑ No. Other Fans: Locations cfin FUEL STORAGE (Must be approved by Fire Marshall if proposing to abandon 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 � < r � PERMIT FEE CALCULATIONS 1. CONTRACT PRICE * is 125%of contract price with a(Minimum Fee of$50.00) ��.;�(,)�t ' � � �; � X .o�2s $ ,� . (contract price) (minimm� $50.00) 2. STATE SURCHARGE � � � �� x.0005 $ �< `� contract price) 3. POSTAGE& HANDLING (Only on Mail-In Applications) $ 2.00 _ .� �i � �. 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 furnished 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. MECHANICAL PERMIT APPLICATION 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 o,� the City and the regulations of the State of Minnesota,and certifies that all sta�etn�nts made¢n this a�pli�ation are complete,true and correct. / ?," / ,; ., ' �' � � ApplicanYs Signature: �� .�� ,� Date: '' � 3 )✓� DATE TIM6✓ CITY OF ORONO cnLLED IN INSP �n^Ci r SCHEDULED � �• 3� pEpMR�``� �`�� COMPL ED ADDRE�SS � OWNER TELEPH E NO. � �— CONTRA�oR C 0 � . � DESCRIPTION � — �' ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL � ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLINO 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 W ❑AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATIOWREMOVAL _ r ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OMINBU�RACfOR TO MEET YOU:_1/E8_NO y COMMENT� � Gccs /a� i�S��t /��a e, � s�s� o � s �. P - dG ,+�,o�r- c l�.,,,�.� ,o ro u�,�e� -- '' — �r, r ��s� s �,1.�'s �4 ao,os` � ° S,nc � l�- 7 ' /� Q [ /J I��4t`-6 Gd�QCv �4�jiK`, T'ra/.�- 4'�� Ot�i�.' {�l.��L.S _ z � � � OK � ��-�4� � � W ❑WORK SA ACTORY:PROCEED ❑PROJECT COMPLETE � WORIC 6 PROCEED O ISSUE CERTIFICATE OF OCCUPIINC� p ❑CORRECT WORK CALL FOR REINSPECTION TEMPORARY V BEFORE CaVERINO PERMANENT ❑CpqqECT UNgAFE ppNDIT10N WfTHIN HOURS. O PHOTO TAKEN INSPECTOR WIL.L RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑aTATION ISSUED ❑INSPECTION REOUIRED.CALL TO ARRAN(3E ACCESS. caM ror tne next�spection 2a nours�n adnanoe. (952) 249-4600 a�wnerlConirsctor on site: Inspector: �� -- '�"� WMN Cop�rAnspector's FlI� C�n�ry Cop�d81N NWks