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Home My WebLink About2014-01368 - gas fireplace ! ` CITY OF ORONO * Z 0 1 4 - 0 1 3 6 B * 2750 KELLEY PARKWAY DATE ISSUED: 1 U25/2014 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 3825 NORTH SHORE DR PIN : 17-117-23-22-0046 LEGAL DESC : SHERRI LAKEVIEW ESTATES : LOT 004 BLOCK 001 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 2,500.00 NOTE: MONTIGO GAS FACTORY FIREPLACE APPLICANT MECHANICAL 50.00 STATE SURCHARGE MECH(VALUATION) 1.25 TWIN CITY FIREPLACE STONE CO INC MpIL-IN FEE 2.00 6521 CECILIA CIR EDINA,MN 55439- TOTAL 53.25 (952)941-2685 Payment(s) Minnesota State License#:mech-MB682977 CHECK 200926 53.25 OWNER LANDSOUCE 3845 NORTH SHORE DR MOLJND, MN 55364- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable Ciry 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 with the State Building Code.This permit may be revoked at any time for due cause. // / d 5//J�-- Applicant Permitee Signatur Date Issue By Signature Date t �OAT CityofOroi�ECEIVED ��CTtY S oNLYsz � <yO P.O.Box 66 Date Receiv�/ it# l�� J`�� 2750 Kelley Park��/ �j ' �� Crystal Bay,MN �'3 � ° � �, Approved By: Amount�: �-�� Phone(952)249-4600 F�(952)249-4616 y � CITY OF ORONO ��q'�ESH��.G CITY OF ORONO—MECHANICAL PERMIT (All Commercial permits must be approved by the Building�cial 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 witl 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 Desiens—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. (2448 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) ❑New ❑Additional ❑Repairs ❑Replace Job Site/Owner Information: Site Address: ��Z� N OY� SI/�JOY,G �V . Owner: Mailing Address: City: Zip: Home Phone: Alternate Phone: Contra,ctor Information: Contractor: 'rW\Yl Cl'('1�1�'1 r.Ga�GIGC Contact Person: M aG�-tM�,i�. �f�wrv�-t�v� Address: �FJ2� �(�t�,1.�A �� State Bond#: M'�J�'��"�- City: l Vt Zip�7�� Expiration Date: �"�� l Phone: �tJ2"� �'2�$�J Alternate Phone: ��2��` �'�� ❑ Insurance—Current: �'.0 i h,�rGt I/�C� 1 Note: All Geothermal Systems will now require a Site Plan&Review by our Building Officiai. IS THIS GEOTHERMAL? ❑Yes ❑No HEATING SYSTEMS Quantity: Make: Model: Fuel: Flue Size: Input BTUs: Output BTUs: CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H.Power FIREPLACES � Gas Factory Fireplace Brand Name: 1vt b Vl'�l dl O ❑ Wood Burning Fireplace ❑ Wood Stove ModelNo.: �L?J$p�N�'Z ❑ Wood Stove with Flue/Masonry VENTILATION ❑ No. Kitchen E�chaust duct recirculating cfin ❑ No. Bath E�chaust(must have duct outside) cfm ❑ No. Other Fans: Locations cfin FUEL STORAGE (Must be approved by Fire MarshaU if proposing to abandon tank in p[ac�) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill ❑ Other/List What&Where: 2 ❑ Yes,this section applies The replacement of a Residential fixture or appliance that meets all three of the following requirements: 1. Does not require modification to electrical or gas service. 2. Has a total cost of$500.00 or less;excludin¢the cost of the fixture or appliance:and 3. Is improved,installed or replaced by the homeowner or licensed contractor. Skip ne�ct section,if this applies; Cost of Permit $ 15.00 State Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ :�:, If above does not apply;follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) �� x.0125$ �'l� •� (contract price) ►mum 550.0 ) 2. STATE SURCHARGE Z��O x.0005 $ ( • �� (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ �/�.Z� ■ * 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. 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: IV I�/(Jprl�t�,ZQ�I'1 Date: � � � 3 �� DATE TIME � CITY OF ORONO CALLED IN —�—�� INSPECTION N T C _�3��lscHEDULED " ��..�� PERMIT NO. � IS COMPLET ADDRESS . 3�� v ' ' ��-' � OWNER ELE ON NO. . CONTRACTOR � DESCRIPTION � `� �S� '� 4� ❑ 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 Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP 41 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL J ❑ DEM ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL 2 OW RICONTRACTOR T EET YOU:�YES_NO ti COMMENTS: � W C j O �, � O � � W � Q � 2 � � � � J W RKSATISFAC ED ❑PROJECTCOMPLETE � RRECT WORK 8 PROCEED O ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK�LL FOR REINSPECTION TEMPORARY V BEFORECdVERING PERMANENT ❑CORRECT UNSAFE CONDITION WRHIN HOURS. ❑pHOTO TAKEN INSPECTOR YVILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call br the next inspection 24 urs in advance 49-46�� Owne�ICorrtractor on site: Inspector: White Copyllnspector's File Canary CopylSite Notiee � `, DATE TIME V CITY OF ORONO b l �`CALLED IN �,�_ INSPECTION NOTICE '�' �-SCHEDULED � � PERMIT NO.�� COMPLETED ADDRESS � � ZS ��( • S`1Qi"� �D� • OWNER TELEPHONE N .�� 710`��S CONTRACTOR �� -- � DESCRIPTION ��- ` � 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 Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL J ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: G�Q�GQ ��{s �LL�r�Crc�A� —f��1��5�� r �� s S � /C O�i Sd ' � � �l� ('v�t�i'4G�%o✓ 6�l Sl�� — o . , , � — !.�/a T�cm � .��l //.'/S � ° G�l/ �- ��1.� i��.,,, W � Q � 2 W � W � � J d W ❑WORKSATISFACTORY:PROCEED ❑PROJECT COMPLEfE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFOREC01/ERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CA�L INSPECTOR �CITATION ISSUED PECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor on site: Inspector. ��o White Copyllnspector's File Canary CopylSite Notice �'� � DATE TIME� CITY OF ORONO ✓ CALLED IN INSPECTION N� I SCHEDULED ��I� �y.1i1— PERMIT NO.o�� -� COMPLETED �` - ADDRESS � /►' I �� OWNER TELEPH NE N07 � � � / CONTRACTOR � DESCRIPTION � 4� ❑ FOOTING ❑ DEM 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 Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL v ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL � OWNERfCONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a J � O �. � � o � � W , � � Q _ � 2 W � W � J d W ❑WORKSA ACTORY:PROCEED ❑PROJECTCOMPLEfE � ❑COR T WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY O RRECT WORK,CALL FOR REINSPECTION TEMPORARY V B RECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 urs in advance. (g5 249- �� OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopyiSite Notice �� DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTIC SCHEDULED 6 � _.��..,r�� PERMIT NO. � - � g COMPLETED ADDRESS �� Z� ` �� OWNER TELEPHONE NO. CONTRACTOR ��n �� DESCRIPTIO c� �`'� Q_�� ` �/��r ` ' �� 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 v �FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP i ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL J ❑ DEMO-SITE ❑ S PTIC INSTALL 2 OWNERICONTRACTOR T • YES_NO y COMMENTS: ��,�_� <<�/YIQ �"//� Q1J a � � � J ��q �y� O q r �G g� PO K Q �ifJ�`�I �'<BG� �iZl� � � s�� 1= /G��— 0 � Q WO�'K �.vos�� *,G_l��aL�P — � 2 Y � ��/ur'6vG T•�'C�L r� W � j W ❑WORKSATISFACTORY:PROCEED �JECT COMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ ISS E CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORE CWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WFLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 2a hours in advance. (952) 249-46�� OwnerlContractor on site: Inspector. ` � White Copyflnspector's File Canary CopylSfte Notice