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HomeMy WebLinkAbout2017-01587 - gas fireplace CITY OF ORONO I* z I I I II I0 11' I e III 2750 KELLEY PARKWAY DATE ISSUED: 12/01/2017 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 4105 HIGHWOOD RD PIN : 07-117-23-44-0014 LEGAL DESC : HIGHWOOD LAKE MTKA : LOT 016 BLOCK 000 PERMIT TYPE : MECHANICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 2,746.00 NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. NAPOLEAN GAS FIREPLACE APPLICANT MECHANICAL 50.00 STATE SURCHARGE MECH(VALUATION) 1.37 METRO HOMES INSULATION TOTAL 51.37 5861 QUEENS AVE NE Payment(s) ELK RIVER,MN 55330- CREDIT CARD 6426 51.37 (763)441-2313 Minnesota State License#:mech-MB722551 OWNER PETERSON,JASON 4105 HIGHWOOD RD MOUND,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 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 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. `e.---Y-nadae gO kt Co Applicant Permitee Signature Date Issued By!ignature Date From:Metro Home Insulation & Water 763 441 6618 12/01/2017 14 09 #114 P.002/006 �O A r City of Orono / WPQ.Box 66 Date:14 -iyed OI t Pennrt tt . 0 i ` ,/ 2750 Kelley Parkway Crystal Bay,MN 55323 Apprc edBy Amount$ Phone(952)249.4600 Fax(952)249-4616 '_ o1-r► CITY OF ORONO—MECHANICAL PERMIT (All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall) GEnMI.,IN.I~ORMATION 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 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 OFPERMIT ;> i :`k(Check All That Apply) '. ❑Residential ❑Commercial(Approval Required) [Backflow Device: E AVB 0 PVB] 0 New ❑Additional ❑Repairs 0 Replace Job Site J iOlgr IncorniatOp Site Address: 4 I d 5 f ii 9!k ut)ood &a t_- Owner: -Betz ..-T)Ga Iot 47--- Mailing Address: ZOO Cres 1--vi -t,„0 Ate, City: -- City: L.ia,-, La_ -- _ Zip: ,S 535 ( Home Phone: bl2 - 22-1- 2C1bS Alternate Phone: Contractor:Information : Contractor: I'`1t✓` +1D t. I V15l.t-fafic,Contact Person: `y rim,'n ' M u vtcry-1 Address: 5S 1J 1 C k t t.z . s Ay,---- It-State Bond#: M16-722-55 I City: Kit,c v- Zip: 55 -5()Expiration Date: 3/11-1-12 018 Phone: `7,b3- 41 • 23 f3 Alternate Phone: [Xi Insurance--Current: 1 From:Metro Home Insulation & Water 763 441 6618 12/01/2017 14:10 #114 P.003/006 Ogffrt gEs 2 f x._ Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official. IS THIS GEOTHERMAL? ❑ Yes E No HEATING SYSTEMS Quantity: Make: Model: Fuel: Flue Size: Input BTUs: Output BTUs: CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H.Power FIREPLACES ,4 Gas Factory Fireplace Brand Name: Na Pok.o in Wood Burning Fireplace ❑ Wood Stove Model No.: A E c r i c.i T.,IL; _. ❑ Wood Stove with Flue/Masonry VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfm ❑ No. Bath Exhaust(must have duct outside) cfm ❑ No. Other Fans: Locations cfm FUEL STORAGE (Must be approved by Fire Marshall ifproposing 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 From:Metro Home Insulation & Water 763 441 6618 12/01/2017 14:11 #114 P.004/006 �.. ym'weJ„ �S�'x,.x.G r� � � ray®5r.�m �q 'n�pjr e :"Ci�K,r 43 k .r•" �` � y a _. ._ —.: ,,.e`_..oaur4=s - a�'� e_9 ta6� @ Y;�r�t�`6.Y'�i,,�l<5K�' 7�•`ti:.�r �^ +•Yr t -. 4 ,��.;.! .. ... .,.«a, _,., .., ._.,,.- ..-.� _ ..., �-».r'r� 5•s.� `e^mac ,,. �. I. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) 74 a°C)21-14( r( b'. x.0]25$ 5000 (contract price) (minimum S50.00) 2. STATE SURCHARGE ‹:77'46.°t) x.0005 $ I .3-7 (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2,00 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. •m ,. v l`:41 y ) 1`'�?.-::106;-4 .4.0,4,?. s r - :ice c` - :..� t. 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 .- . this application are complete,true and correct. Applicant's Signature: % Date: a II/ 17 3 ,- 1 Sti . V TIME CITY OF ORONO CALLED IN z'8i ATE 7 INSPECTION�Q�T,IC SCHEDULED /2_- I I - 11 y . 00 PERMIT NO.�() DI / COMPLETED ADDRESS I_ MS 74itAt000d fid_ OWNER v TELEP ONE 7 3_ ` - a3 CONTRACTOR Whaw"/ • DESCRIPTIONIllINA .� '�'" AX---1 + W ❑ FOOTING 0 DEMO L EPTIC FINAL Q ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING O 0 FOUNDATION DRAIN TILE 0 PLUMBING FINAL El TREE REMOVAL ❑ LATHE 0 MECHANICAL RI ❑ SITE INSPECTION Q 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS T ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT Q 0 FINAL 0 WATER HOOK-UP 0 FOLLOW-UP IL Z ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL v ❑ DEMO-SITE 0 SEPTIC INSTALL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO vv, COMMENTS: • I . V' 1 41 c:c C /e1,f4• r_cs - 04— % L, . L.. V'e v►Lbi's - o,t 0 c Pl"avaJ c ¢s h•;-e..-5 -4 a '' .€.5 ° 6 F-ihc44, fv¢ tet1 cbr L .L, ft, A- ez, 45e. Lu 2 Q 2 W z W cc d W 0 WORK SATISFACTORY:PROCEED 0 PROJECT COMPLETE CCW 0 CORRECT WORK&PROCEED 0 ISSUE CERTIFICATE OF OCCUPANCY O 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY u BEFORE COVERING PERMANENT 0 CORRECT UNSAFE CONDITION WITHIN HOURS. p PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED t„t[JSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: rInspecto /M"- t White Copyllnspector's File Canary Copy/Site Notice v7,1 ✓ TE TIME CITY OF ORONO CALLED IN 3 - 15 I7 INSPECTION N TIC SCHEDULED JO PERMIT NO. pjDI,-/a1' I COMPLETED ADDRESS 7`d 5I.t9 0-0 t AI OWNER _/fir/ T EP •NE NO, 3� /" 23/3 CONTRACTO- A ' k W L l/S / IL 4. .14 DESCRIPTION -_ ce.i �.J(�' l _-e W ❑ FOOTING 0 DEMO-FlIOL 0 SEPTIC FINAL Q ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING C ❑ FOUNDATION DRAIN TILE 0 PLUMBING FINAL 0 TREE REMOVAL Z ❑ LATHE 0 MECHANICAL RI 0 SITE INSPECTION Q 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT v INAL 0 WATER HOOK-UP 0 FOLLOW-UP Z 0 AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL . ❑ DEMO-SITE 0 SEPTIC INSTALL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO Co COMMENTS: cc144 cl. F;e;/S.4S 44,89.51G, " ,e-&-- Cedes. — cc 0 6 yroa d® r-. P. doe.- dge 're- c:.-7G ccW CC Q W • W cc CI IQ 0 WORK SATISFACTORY:PROCEED ❑PROJECT COMPLETE CC W 0 CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY OO 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. 0 PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED SPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OwneirlContractor on site: Inspector. (9 I lri White Copy/Inspector's File Canary CopylSIte Notice DATE TIME 1 CITY OF ORONO CALLED IN INSPECTION T.6 ` 5S7 SCHEDULED ! -10 15 3; 1 PERMIT NO. (7 / / / CO LETS' , q ADDRESS L 05 / ahiz �J / OWNER � y EPHONE NO �W4 4'3 CONTRACTOR / v / — C Y DESCRIPTION4f id142-a-)����i�` W ❑ FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL Q ❑ POURED WALL , 0 PLUMBING RI 0 EXCAV/GRADING/FILLING C ❑ FOUNDATION DRAIN TILE 0 PLUMBING FINAL 0 TREE REMOVAL ❑ LATHE 0 MECHANICAL RI 0 SITE INSPECTION Q 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS 1, ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT Q ❑ FINAL 0 WATER HOOK-UP 0 FOLLOW-UP gm ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL v ❑ DEMO-SITE 0 SEPTIC INSTALL 2 OWNER/CONTRACTOR TO MEET YOU:_YES_NO 2 COMMENTS: 1)r .1/I,pf aCA,S Gm r+PAd-ire cc LIJ Cites w " o.4°. S4 yr o- tr4R 1 beS o Si-a/lad 7.,r -it hr? sf lee ort W /II-of/7060Vart Gard ..(7,..4.•., 4...4-, Q XS el co/M 0140kg-4 4 r- £7 Jev74G k Z4'7b141 W cc a W 0 WORK SATISFACTORY:PROCEED 0 PROJECT COMPLETE 'CORRECT WORK&PROCEED 0 ISSUE CERTIFICATE OF OCCUPANCY O 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. 0 PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OwnerlCo retractor on site: Inspector: -'r White Copyllnspector's File Canary CopylSite Notice