The URL can be used to link to this page

Home My WebLink About2014-00316 - gas fireplace ' � , CITY OF ORONO * z 0 1 4 - 0 0 3 1 6 * � 2750 KELLEY PARKWAY DATE ISSUED: 04/17/2014 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1065 FERNDALE RD W PIN : 02-117-23-43-0021 LEGAL DESC : REG. LAND SURVEY NO. 1372 : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 3,000.00 NOTE: 1 MENDOTA FV41 GAS FP APPLICANT MECHANICAL 50.00 STATE SURCHARGE MECH(VALUATION) 1.50 TWIN CITY FIREPLACE CO. MAIL-IN FEE 2.00 6916 WASHBURN AVE. S. TOTAL 53.50 MINNEAPOLIS,MN 55423- (612)282-2684 Payment(s) CHECK 200349 53.50 OWNER DETOR,ELIZABETH&LUCAS 1065 FERNDALE RD W 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 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 aze requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. �� / / Applicant Permitee Signature Date Issued By Si ture Date � FQR CTTY USE ONLY ,�OA TO City of Orono �y P.O.Box 66 Date Received: Permit# 2750 Kelley Parkway Crysta!Bay,MN 55323 Approved By: Amoimt$: Phone(952)249-4600 Fa�c(952)249-4616 y �" � CqkFSH��(cG CITY OF ORONO—MECHANICAL PERMIT (All Commercial permits must be approved by the Building�cial or Inspector and/or Fve Marshall) GENERAL INFORMATION 1. You may appty for mechanical permits by mail or in person at the City offices. Applications will be reviewed and a permit will be issued within two working days. 2. Permit cards will be sent by retum mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMTT CARD IS POSTED ON THE JOB STTE. 3. Mechanical Designs—Complete calculations,details and specifications are required for each heating,ventilation,humidification-dehumidification,and air conditioning installation including heat loss/heat gain calculation,design temperatures,equipment ratings and identification as to type,manufacturer and model. Data shall be presented on form provided. 4. When any new construction or remodeling is involved,a separate building permit must be obtained. 5. All work must be done in accordance with the Uniform Mechanical Code/State Building Code requirements. 6. All work must be inspected(rough-in and final). Call(952)249-4600. (24-48 hour notice required) 7. House Heating Test Record must be submitted before final. TYPE OF PERMIT Check All That A 1 (�Residential ❑Commercial(Approval Required) ❑New [�Additional ❑Repairs ❑Reptace Job Site/Owner Information: Site Address: I d Ul � �.Y t/�CJI Gl I t �C� . � . Owner: ��U {� Mailing Address: � �(�5 -�e�Nd a 1 e �-�{.w� c�ri: v�la�.��a� z�p: ��°11 Home Phone: Alternate Phone: Contractor Inforrnation: Contractor: �TW 1 Y1�ii�-{�► Y.Q.�.'JI GtCL Contact Person: �(�C�,�v(.� Address: l.Q�j 21 LC Gl�,tGt C.i i'. State Bond#: n/1(-3 v�7��}-� City: �G�t 1/1 G� Zip:�3�Expiration Date: � 3 � �4 Phone: �GJZ"9�� '2(�$ � Alternate Phone: [� Insurance—Current: t ��OO Y�t'hA � V�S I,�YGt In.Gt ' W�p2o4�3a2- � . � Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official. 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: �_L�(�,p'�( ❑ Wood Burning Fireplace ❑ Wood Stove Model No.: �V�' ' ❑ Wood Stove with Flue/Masonry VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfin ❑ No. Bath E�chaust(must have duct outside) cfm ❑ No. Other Fans: Locations cfin FUEL STORAGE (Must be approved by�re Marshall ijproposing to abandon tank in plac�) ❑ 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 T'he replacement of a Residential fixture or appliance that meets all three of the following requirements: 1. Dces not require modification to electrical or gas service. 2. Has a total cost of$500.00 or less;excludin¢the cost of the fi�cture or appliance:and 3. Is improved,installed or replaced by the homeowner or licensed coatractor. Skip neact section,if this applies; Cost of Permit $ 15.00 State Surchazge S 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 $5t1.00 '>��ti� x.0125$ ��.�'� (contract price) (minimnm 550.00) 2. STATE SURCHARGE 2 �l� OOO x.0005 $ I • �� (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMTT FEE(Add Lines 1-3 Above) S ��• "J�' ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollaz 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: _I V l�'r,��/1�71�1it�7`�(/l Date: � GJ 3 / � �[ DeTEy TIME J CITY OF ORONO CALLED IN T `� INSPECTION NOTI SCHEDULED � � PERMIT NO. � ��O COMPLETED ADDRESS 1 blvS �e r n e�c.G¢_ I�l LC,� OWNER TELEPHONE NO.��Z 3Z8 Z�I/3 CONTRACTOR + ��►� �� DESCRIPTION r F ��`'' � ❑ FOOTiNG ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FIWNG Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWEfLANDS V3 ❑ FRAMING � MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION O WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNbATION/REMOVAL 2 OWNERICONTRACTOR TO MEET Y�OU:_YES_NO v�i COMMENTS: W a ve��f . � �,��-�.��5 - �� j � � � o /�'I�r�fCe S v�e c�s /�K e, t�N��.�. � � � tc s �4 lec� — 0 � — Q �4�oatd�d� �¢f /�.i e �, : �e� w��.� Z _ GG S I<d t Co MAIiG'fP �' � W � � J O W ❑UVORK SATISFACTORY:PROCEED O PROJ ECT COM PLETE � �CORRECT WORK 3 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY � O CORRECTVYORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pH0T0 TAKEN INSPECTOR WFLL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca�i forthe next inspection 24 hours in advance. (g52) 249-4600 OwnerfContractor on s�te: Inspector: White Copyllnspector's File Canary CopylSite Notice DATE TIME CITY OF ORONO CALLED IN ��— INSPECTION N TICE SCHEDULED c3-/ 7 Gfo I aZ1 PERMIT NO. 640 Go LETED p ADDRESS /D12� qhs 0 OWNER LEP NE NO. CONTRACTOR >; DESCRIPTION c 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 ElWOOD BURNER/FIREPLACE ❑ COMPLAINT Q E] FINAL El WATER HOOK-UP ElFOLLOW-UP _ ❑ AS BUILT-SURVEY ElSEWER HOOK-UP ElFOUNDATION/REMOVAL v ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO COMMENTS: W j --„� O O W cc Q 2 W z W j d J W ❑WORK SATISFACTORY:PROCEED P JECT COMPLETE W ❑CORRECT WORK&PROCEED SUE CERTIFICATE OF OCCUPANCY ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ 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. (952Y,,249-4600 Owner/Contractor on site: Inspector. White Copy/Inspector's File Canary CopylSite Notice