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Home My WebLink About2015-00017 - gas fireplace _. CITY OF ORONO * z 0 1 5 — 0 0 0 1 7 * t 2750 KELLEY PARKWAY DATE ISSUED: OU06/2015 ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 4315 NORTH SHORE DR PIN : 07-117-23-43-0028 LEGAL DESC : SAGA HILL REVISED : LOT 000 BLOCK 018 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATIOIY : $ 6,000.00 NOTE: "I'OWN&COUNTRY TC36 AND TC42 FIREPLACES APPLICANT MECHANICAL 75.00 STATE SURCHARGE MECH(VALUATION) 3.00 TWIN CITY FIREPLACE STONE CO INC MISC FEE 2.00 6521 CECILIA CIR EDINA, MN 55439- TOTAL 80.00 (952)941-2685 Payment(s) Minnesota State License#: mech-MB682977 CHECK 201069 80.00 OWNER CLEVELAND, BRADLEY&PAT 4520 JUNEAU LANE N PLYMOUTH,MN 55446- 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 inspec[ions are requested in conformance with[he Sta[e Building Code.This permit may be ) � 6_l revoked at any time for due cause. ({ '" , � _ ��/�___ _ � � /✓`� ��-�---�---� C`�l'`�- i ,; t'"! � � �, � � c;� — — � Applicant Permitee Signature ate Issued By Signature Date ,, � �on crrx trsE oM.Y QO City of Ornno P.O.Bon 66 Date Received: ,�Panait# r � 2750 Kelley Parkway c�aay,MN 55323 Approved By: Amount$: Pho�(952)249-4600 Fax(952)249-4616 y`�tq �.�� CITY OF ORONO--MECHANICAL PERNIIT '�'fSH�� All Commercial ePP b5' � InsPector ) ( pennits must be roved the Build' Official or and/or Fire Marshall G�x�,nvFa��oN 1. You may apply for mechanical permits by mail or in person at the City offic�. Applications will be reviewed and a permit will be issue,ci 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 PERMIT. WORK MIJ5T NOT BEG1N UNTIL THE PERNIIT CARD LS POSTED ON THE JOB SITE. 3. Mechaaic�i I7esisas—Comglete c�lculations,details and s�ifications are required for each heating,ventilation,humidification-dehumidific�tion,and air conditionin�installation includin� heat loss/heat gain calculation,design temperattu�es,equipment catittgs and identification as to type,manufa�cduer and model. Data shall be presented on form provid�l. 4. When any new construction or remodeling is involved,a separate buildin�pernut must be obtained. 5. AIl work must t�done in accordance wiffi the Uniform Mechanical Code/StaLe Building Code requirements. 6. All work must be ins�(rough-in and final). Call(952)249-4G00. (24-05 honr notice r�nired) 7. House Heating Test Record must he submitted before final. TYAE OF PERMIT Check All That A 1 �Residential ❑Commercial(Approval Requir�) ❑New �Additiona! ❑Repairs ❑Replace Job Site/Owner Information: Site Address: �?J� � N or-t�h SlrteYe �Y'• Owner: Mailing Address: 4�1CJ � .�,��. City: (�Y�O VL b Zip: Home Phone: Alternate Phone: Contractor Infarmation: Contractor: 'r�ty� (',M1,1�i Y'�1Q1C2 Contact Person: �dGv�ilG �Y�l7�V� Address: 1Q�J'1/l C,�,C:IUA (,:IY'• State Bond#: IV�"E�lrC�32°I.�-�- City: �1� Zip.��Expiration Date: �-(30�l Co Phone: a 52'��-2�8 S Alternate Phone: �l�2�'�--��2�J ❑ Insurance-Current: I h-�� l V�sc�t,Y�.UI t.� 1 � MEGHANXCAL SYSTEMS BE1NG INSTALLED Note:All Geothermal Systems will now require a Site Plan&Review by our Building Official. IS TffiS GEOTHERMAL? ❑Yes ❑No � HEATING SYSTEMS QuantitY. Make: Model: Fuel: Flue Size: Input BTUs: Output BTIJs: CFM: COOLING SYSTEMS Quantity. Make: Model: Tons: H.Power F�REPLACES �j 2 Gas Factory Fireptace Brand Name: �p W�� C,O 1A Vt'�Y�,/ [� Wood Buming Fireplace - 1 ❑ Wood Stove Model No.: TG?��Q 0.Kd TCi�'Z ❑ W�d Stove with Flue/Masonry VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfin ❑ No. Batli Exhaust(must have duct autside) c&n ❑ No. Other Fans: Loc,ations cfin �LJEL STORAGE (Mu�be a�proved by F7re MarshaQ jproposing to abandon tank in plac�) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Under$round ❑inside ❑Outside LP Gas: gallons Other: GAS LIIVE ONLY ❑ ()utdoor Grill ❑ Other/List What 8c Where: 2 . ` PERMIT FEE CALCULATIQN(S) BASED OFF-2002 STATE STATUE ❑ Yes,this section applies The replacement of a Residenrial fixture or ap,�ance that meets all three of the following requirements: 1. Dces not requiee modification to eleetric�l or gas service. 2. Has a�of$500.�or less;elccluding the cost of the fixture or appliance:and 3. Ls improved,insta(led or replaced by the homeowner or licettsed contxactor. Skip next section,if this appli�; Cost of Permit $ 1 S.QO State Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit F� $ PERMIT�EE CALCULATIt�N S -JOB5 OVER$500.04 If above does not apply;follow guidelin�below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimam F�of$50.00) �l�� x.0125$ �"�•O�j (contract price) (miaimam$50.�) 2. STATE SURCHARGE ��,��0 x.0�5 $ 3•O� (comract Pr►ce) 3. POSTAGE&HANDLIAiG(Qnly on Mail-In Applic�tions) $ 2.00 4. TOTAL PERNIIT FEE(Add Lines 1-3 Above) $ �.�� • * CONTRACT PRICE or JOB COST means the actual or estimated dollaz amount char�ed for the pemutted work including materials,labor,profit,and other fixed costs. It is the amoum to be charg� to the customer for the work done. If any material, equipment,labor or installations are fumished by the owner,tenant or any o�►er party,the r�sonable market value of such items must be added to the estimated cost or contract price for permit f�purposes. In the evem that there is a dispute on the amount of the job cost,the City may request the submission of a signed copy of the actuat contract. MECHANICAL PERMIT APPLICATION AGREEMENT The undersigned hereby applies to the City for issuance of a Mechanical Permit, agees 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 coire,ct ApplicanYs Signature: �''�/(� y'��„ Date: �� Gj� � � —�„— 3 �� _` !► �� DRTE TIME � CITY OF ORONO CALLED IN � �/� �— INSPECTION NOTIC / SCHEDULED _/ / �l�— PERMIT NO. �U��'` COMPLETED ADDRESS l OWNER TELEPH NE NO. CONTRACTOR � � � � DESCRIPTION /� �� Yy��3�- ��a � � ly ❑ FOOTING ❑ PLUMBING FINAL i � ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL �—MECHANICAL RI ❑ LAKESHORE/WETLANDS � Q ❑ FRAMING ��fECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION �O WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL � ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO � COM{I�ENTS: � �� l.� �,� �• � J 0 �. � o �' W � - Q � ` W � � � � � � � d W ❑WORKSATISFACTORY:PROCEED OJECTCOMPLEfE � ❑ CORRECT WORK 8 PROCEED Cl I UE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑ CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. � . - 6�� OwnerlContractor on site: Inspector. ` White Copyllnspector's File Canary CopylSite Notice