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Home My WebLink About2016-01373 - gas fireplace � . � CITY OF ORONO * 2 0 1 6 — fd 1 3 7 3 * 2750 KELLEY PARKWAY DATE ISSUED: 10/28/2016 ORONO,MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 3188 NORTH SHORE DR PIN : 09-117-23-32-0011 LEGAL DESC : CRYSTAL BAY PARK : LOT 000 BLOCK 004 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. GAS FIREPLACE SET AND VENT ONLY---GAS BY OTHERS APPLICANT MECHANICAL 50.00 STATE SURCHARGE MECH(VALUATION) 1.25 WALTER MECHANICAL,INC. MAIL-IN FEE 2.00 517 WEST TRAVELERS TRAIL BURNSVILLE,MN 55337 TOTAL 53.25 (952)895-1992 Payment(s) Minnesota State License#:mech-MB003448 CHECK 006191 53.25 OWNER RUCINSKI,MICHEAL&HOLLY 3188 NORTH SHORE DR WAYZATA,MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this pertnit 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 dces not grant permission for additionai or related work which requires sepazate 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 suthorized 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 aze requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. � --0"'�—� Applicant Permitee Signature Date Issued B ignature Date F , ; G�� ' FOR U5E ONLY / �O A TO City of Orono / ' ! 1 y P.O.Box 66 Date Recei Pernut# ��-� 2750 Kelley Parkway Crys[al Bay,MN 55323A�`� ��i� Approved By: Amount S: Phone(952)249-4600 �� (9 ) 4 d .a a, y � �1 `� �.�'� CI'Plt'�1��'—MECHANICAL PERMIT `9KF5 H�� l Commercial ( petmits must be approved by the Building Officia!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 PERMTI'. 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 sha11 be presented on form provided. 4. When any new consiruc6on 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:0 AVB ❑PVB) ❑ New ;�]Additional `� ❑Repairs ❑Replace Job Site/Owner Information: Site Address: � � � � I�dl `�'�'1 �"'`�`(�L. �`i1�� Owner:`� \L'` C�l� �� '� Mailing Address: ��-r�l� (�S ;.S� City: Zip: Home Phone:l0`�- ��v�% � G'`-�S� Alternate Phone: Contractar Information: Contractor�i U/�,�� (i {'� I C�Contact Person: ��(C�� 1 V`��1.�,/ \n ' � l / Address: �' �� V v � � �'�,V e�-Q/YS �,�.State Bond#: /� ��U � �t" '� �,� � �-�, l� � 1 � v /� City: ��✓�, 1� Zi�:k��xpiration Date: 0 � � �� n / Phone: �S � % C� ��__I �l C1 � Altemate Phone: �`� S '��7`� " � �' l`l ❑ Insurance—Current: � ' 1 a. � .. _ _ .. .. .._ r �. ,.. � y .;, �- . -, . �,�� : . -' �'' <�;r,t.� ' ' - ��J��`�� ' � � � �,. . �.,e;�� .�.t , Note:All Geothermal Systems will now require a Site Plan&Review by our Building Qfficial. IS THIS GEOTHERMAL? ❑Yes ❑No HEATING SYSTEMS � Q�mY� Make: Model: Fuel: Flue Size: Input BTUs: Output BTCJs: CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H.Power FIREPLACES � ($ Gas Factory Fireplace Brand Name: `�� ❑ Wood Buming Fireplace � � ❑ Wood Stove Model No.: ❑ Wood Stove with Flue/Masomy VENTILATION ❑ No. Kitchen Eachaust duct recirculating cfm ❑ No. Bath Exhaust(must have duct outside) cfn► ❑ No. Other Fans: Locations cfin FUEL STORAGE (Must be approved by Fire Marshall if proposing to obandon tank in plac�) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill ❑ Other/List What 8t Where: 2 � � . . PERMIT FEE CALCULATIONS 1. CONTRACT PWCE *is 1.25%of contract price with a(Minimum Fee of$50.00) -�(�, ,--. `.�/ � � -- x.0125$ C� ` �� (conuact price) (mioimu 50.00) 2. STATE SURCHARGE � / �� ' � x.0005 $ � ` � (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 � / 4. TOTAL PERMI'I'FEE(Add Lines 1-3 Above) $ � �� ✓� ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollaz amount charged for the permitted work including materials,labor,profit,and other fi�ced 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 of the City and the regulations of the State of Minnesota,and certifies that all s�ements made'on this a�plication are complete,true and correct. ' % � ��,, ; ` , ; . �' Applicant's Signature: '' �� - �" ;%�� Date: �U �� C 3 � �--� C � �-"� DATE TIME � CITY OF ORONO cnLLED IN _____�— INSPECTION NOTICE �CHEDULED ��r ��'� PERMIT NO. ��C'I �D`L'��I--GZOMPLETED A D D R E S S T� I ��c� � E C��l��lr� �� OWNER TELEPHONE NO. �� -1�G� CONTRACTOR 1� ti�.=� �.� F'� ��'� � %� , r � DESCRIPTION r ��'� -� ty ❑ FOOTING ❑ DEMO-FINAL�/ � ❑ SEPTIC FI L Q ❑ POURED WALL ❑ PLUMBING RI✓�� ❑ EXCAV/GRADING/FILLINO �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 _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL v ❑ DEMO-SITE ❑ SEPTIC INSTALL ? OMfNERICOKiRACTOR TO MEET YOU:_YES_NO � COMMENT'�� n,i � i .r.��C`'s�� ✓�S� k �� 4 � �,��` C_..�-1A-�- �i � "(�4 f/l�S �� j o �- .. � �as /�� P� �-�vl��s�le s — iAe r s�ecS -- 0 Qytib� � CU r+�,p/��. ._ � , z � � �� .�;�l.� � � � ❑VMORK SATISFACTORY:PFiOCEED �JECT COMIPLEfE � ❑OORRECT WORK b PROCEED D ISSUE CERTIFIC/1TE OF OC(xJP11NCY O ❑CORRECT WORK,CALL FOR REINSPECTIdN TEMPORARY V BEFORE CdVERINO PERMANENT ❑CORRECT UNSAFE OONDITION WffHIN H��- ❑prypTO TAKEN INSPECTOR WILL RETURN O STOP ORDER POSTED.CALL INSPECTOR �GTATION ISSUED O INSPECTION REWIRED.CALL TO ARRAN(3E ACCESS. Catl forthe next inspectfon 24 hours in edvance. (952) 249-4600 OMrt�IContractor on site: Inspecta: �, � � wn��.covrn�.p.oeor.Fia C�nary CoprlSib Nofle� DATE TIME v CITY OF ORONO CALLED IN �� INSPECTION NOTICE h/ SCHEDULED /� PERMIT NO��J/f� COMPLEfED ADDRESS �� v • ��'�- OWNER T LEPHONE NO. - CONTRACTOR ��— � DESCRIPTION � � �� ty ❑ 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 41 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ SEPTIC INSTALL Z OMfNENCOKTRACTOR TO MEEi YiOU:_YES_NO y COMMENT'S: � . �Y�`"I,'yL��/._' . "� �( !J� • ' „J � � 0 ' •� � y� 4 ) '-y` `� (y � f� � � r� •y ~ ` � �0 .,� :k_',_�,. • .r•-Z- W OC Q (`/� 1 . y ` {["l j •' 6' i� f �� ' / /� V �'`J �/� ��.` W � ' � I � s � � �' �.�,,��L , �t� W - / �_�/► /� / �J � r' "V -.. ,:C�✓'�'N �..% � r 1.J � L� � / J W ❑WORK SATiSFACTORY:PF�CEED ❑ ECT COMPLETE ��CORRECT VMORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUWINCY � ❑OORRECT WORK,CALL FOR REINSPECTION TEhAPORARY V BEFORE CONERINO PERMANENT O CORRECT UNSAFE CONDITION WRHIN HOURS- ❑ pHpTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �GTATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 2a hours in advance. (952) 249-4600 OwnerlContractor on site: Inspecta: � �'d �. Whi»CopYAnsPsctor's Fils C�nary CoprlSlf�Noties