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HomeMy WebLinkAbout2015-00704 - gas fireplace 111111111111111111111111111 M CITY OF ORONO * 2 0 1 5 - 0 0 7 0 4 * 2750 KELLEY PARKWAY DATE ISSUED: 06/03/2015 ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS 2490 OLD BEACH RD PIN 21-117-23-22-0005 LEGAL DESC SHORE HILLS LOT 004 BLOCK 000 PERMIT TYPE MECHANICAL(>$500) PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE FIREPLACE-GAS VALUATION $ 27,000.00 NOTE: 4 GAS FIREPLACES AND 1 WOOD BURNING APPLICANT MECHANICAL 337.50 TWIN CITY FIREPLACE STONE CO INC STATE SURCHARGE MECH(VALUATION) 13.50 6521 CECILIA CIR Payment(s) TOTAL 351.00 EDINA,MN 55439- (952)941-2685 CHECK 201510 351.00 Minnesota State License#:mech-MB682977 OWNER MCINTEE, SHAWN&JACQUELINE 2490 OLD BEACH RD WAYZATA,MN 55391- 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. ll '6 e4�� Applicant Permitee Signa re Date Issued Signature L L_ Date r , FOR CITY USE ONLY �l City of Orono , ! P.O.Box 66 Date Received: L1 Permit#ZWM5-c a1w{ 2750 Kelley Parkway Crystal Bay,MN 55323 Approved By:4CAmount$: 35 Phone(952)249-4600 Fax(952)249-4616 FIgkESHO��G CITY OF ORONO—MECHANICAL PERMIT (All Commercial permits must be approved by the Building Official 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 PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Desi —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 Apply) `[Residential ❑Commercial(Approval Required) ❑ New [�Additional ❑Repairs ❑ Replace Job Site/Owner Information: Site Address: 2A 0 0 ( d Be_aClam, R:OaCd Owner: S1)aw v) 4Jac�e I&a-nt"ailing Address: 2+010 0 l c� PY GtC In City: _ 0 V- O VN O Zip: Home Phone: Alternate Phone: Contractor Information: Contractor: I W t V1 C�11'U t Vr�I�xCe 41 Contact Person: I V aC JZ-6y Lt e oy-KJ O V'i. StM 06 Co. Address: UCS ,P � :i�r , State Bond#: M'B U P 2_q_T__7_ City: f,�y1O\ Zip: MN Expiration Date: 30 ( Iv T Phone: °152"��(-2Lo Alternate Phone: 952-A9j-� -_j12-5 E Insurance—Current: I MECHANICAL SYSTEMS BE1NO INSTALLED Note:All Geothermal Systems will now require a Site Plan&Review by our Building Official. IS THIS GEOTHERMAL? ❑Yes ❑No Quantity: Make: MUY "A-a Ma,�&Dty( MApAdjprm N�a Y-!q V 1 S Apo��4r1 Model: 'Py-�k Lo WWJ 0 0 Fuel: N(71 C-1 Flue Size: Input BTUs: Output BTUs: CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H.Power FIREPLACES Gas Factory Fireplace X`C Brand Name: C tot L�b'N e, Wood Burling Fireplace ❑ Wood Stove Model No.: ❑ Wood Stove with Flue/Masonry VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfin ❑ No. Bath Exhaust(must have duct outside) cfin ❑ No. Other Fans: Locations cfin FUEL STORAGE (Must be approved by Fare 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 PETE GLCULATION(S) B EI)OFP'. STATE STATUE ❑ 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;excluding the cost of the fixture or appliance:and 3. Is improved,installed or replaced by the homeowner or licensed contractor. Skip next section,if this applies; Cost of Permit $ 15.00 State Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ PERMIT FEE CALCLI�ATTQ�JOBS OVER$500.00 If above does not apply;follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) Z�i1D0Q x.0125$ 33-+-;27 (contract price) (minimum$50.00) 2. STATE SURCHARGE yt 10 0 O x.0005 $ 1 ) , V50 (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 'oo--- 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ 10 rb 1 ■ * 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. MECHAIyIAL PERMIT.APPLICATIONRGREEMENT 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: Y Date: U :I- 3 1 l� A / v �r DATE TIME (J CITY OF ORONO CALLED IN VV INSPECTION NOTICE �����SCHEDULED PERMIT NO. �,7C l5 "C-Y�7(_`l 60MPLETED ADDRESS 2.L4 9 C) e4-c� - OWNER TELEPHONE MO. Cr l2- 2-9 -2--1 CONTRACTOR F-1 rpl)L DESCRIPTION 1 r-e ' �S W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL WQ ❑ 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 ❑ EWER HOOK-UP ❑ HARD COVER REMOVAL v ❑ DEMO-SITE ❑ EPTIC INSTALL ❑ FOUNDATION/REMOVAL OWNERICONTRACTO`OMEET YOU: YES_NO COMMENTS: CC W Q. J O o� O W rc Q 2 W Z W W WORK SATISFACTORY:PROCEED L] PROJECT COMPLETE W cc C RECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p PHOTO TAKEN INSPECTOR WILL RETURN ElSTOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 ho rs in advance. 249-4600 Owner/Contractor on site: Inspector. White Copylinspector's File Canary CopylSite Notice � v DATE TIME CITY OF ORONO CALLED IN -- INSPECTION NOTICE � / SCHEDULED PERMIT NO. ?�(,�JX-71)!j COMPLETED � ADDRESS Z-`7-Q lJ d C D'] � OWNER TELEPHON&NO. C 5121LP 5DZ?, CONTRACTOR I 1!�) 0LI(I= DESCRIPTION W ❑ 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/FIREPLA E ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL vW ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL OWNER/CONTRACTOR TO MEET YOU:k-YES—NO COMMENTS: Po rC'i2 �7 cc W a �Q V ew�e z - avmp aC '-� � 1�/d{ .��`►^c�bloc�«s Cl2uv�e�rcey � � �d'o vri d e ,d i c: �-y re s © -6 Q O SQC Im ACn /`+s'A, C4 cc Z) d W ❑WORK SATISFACTORY.PROCEED ❑ PROJECT COMPLETE Cr W CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY [3&RRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p 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 OwnerlContrac n site: Inspector White Copyllnspector's Flle Canary CopylSite Notice DATE TIME CITY OF ORONO IN ---� INSPECTION NOTICE . SCHEDULED PERMIT NO. 2�/ -C'0 COMPLETED ADDRESS (" OWNER TELEPHONE NO. 91`.KO-5M q CONTRACTOR ( l,� ! I'1 C i U FP lv�DESCRIPTION l�'7c�S p7p W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING 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 r d0-SITE ❑ E IC INSTALL OWN�ONTRACTOR TO MEET YOU., ES_NO 4" COMMENTS: a /1rr�S /� SriL - S�•�/fir ��ca�� �r�yf •t�a�c ,(��'tL✓terc N1-L- -� �a sQL.. 0 cc W Q i W z W J d � ,C NORK SATISFACTORY:PROCEED El PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY Q ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY a BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: Inspector. White Copy/Inspector's File Canary Copy1Site Notice DATE TIME CITY OF ORONO CALLED IN I T- INSPECTION NOTICE _ SCHEDULED ` ` PERMIT NO. 2!�J 5_0C) 7C;�� COMPLETED ADDRESS C l �� �--�_,l�i OWNER TELEPHONE NO. CONTRACTOR eh 41,1- Teff f DESCRIPTION ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING ❑ 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 2 OWNER/CONTRACTOR TO MEET YOU:_YES_NO / u) COMMENTS:_—*! L%Gd. UZt W W Z) O O k W cc Q 2 W z W Qc J d W ❑WORK SATISFACTORY:PROCEEDPROJECT COMPLETE ccW ❑ CORRECT WORK&PROCEED Fl ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY d0 BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ElSTOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (95 249-4600 Owner/Contractor on site: Inspector. White Copy/Inspector's File Canary Copy/Site Notice