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Home My WebLink About2015-00438 - gas fireplace ' CITY OF ORONO * Z 0 1 5 - 0 0 4 3 8 * 2750 KELLEY PARKWAY DATE ISSUED: 04/20/2015 ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 930 PARTENWOOD RD PIN : OS-117-23-21-0007 LEGAL DESC : PARTENWOOD : LOT 003 BLOCK 001 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 9,733.00 NOTE: 1NSTALLING(2)GAS FIREPLACES-GASLINE BY OTHER CONTRACTOR. APPLICANT MECHANICAL 121.66 STATE SURCHARGE MECH(VALUATION) 4.87 STATEWIDE GAS SERVICES MAIL-IN FEE 2.00 201 WEST MAIN WACONIA,MN 55387- TOTAL 128.53 (952)442-3473 Payment(s) CHECK 128.53 128.53 OWNER MOORE, KIRK&PAM 27475 MAPLE RIDGE LANE SHOREWOOD, MN 55331- 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 cequires sepazate 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. % � �� t_a-�� _ t�li(,�✓� , � _ - .�� Applicant Permitee Signature __ Date Issued By Signature Date 04/15/2015 16:34 FAX 9524422451 sgs �002 , � , , ��C TY USE UNLY City af Orouo � � � � P.0 �ox 66 Dste R,eceivo�� Parmit�� z�SU Knlley Parkway Crystal Ray,MN 55323 Appro�ed gy Amount$: Phone(9S�)za�-a600 FRx(952)249-4616 .� '�'�" G' �. C1TY OF ORONO-MECHANICAL PER.MiT !1 k�s H�� (Al]Co�nmercinl permlis�tlust he approved by the Bui�d�ng UfTiciul or fnspectnr and/or!�ire Marshall) GENERAL 1NFORMATION 1. You may apply for inechanieal permits by mai]or in person at the City offiees. Applications will be roviewed and a permit will be issued within two working days. 2. Permit cards will be sent by return mail after a review is completed. PBRMITS ARE NO'i' VALID UNTIL YOU RECFNE A PERMLT. RK MUST ' . .IN ' E PERNLI �ARI>TS POST D UN '�'�IE JOB SITF., 3. Meehanical Designs—Complete calculations,details and speeifieations ore required for eaeh heatin�,vtntilation,humidifieation-dehumidification,atld alf GOX�ditionin�lttStAllailOn includin� htat loss/heat gain calculatirn�,design temperatures,equipmcnt ratings and identification as to type,manufacturer and model. Data shal!be presentcd on form provided. 4. When any new construct;on or remodeling is involved,a separate building permit must bc obtained. 5. All work must be done in accordance with the Uniform Mcchanical Code/Statc Building Code rcqulrements. 6. All work must be inspected(rough-in and itnal). Call(952)249-4600, (24-48 hour notice required) �. House Heating Test Record must be submitted before final. TYPB O�'PERMIT Check All'That A 1 es'dential ❑ Commerciul(Approval Required) �W ❑Additional �]Repairs ❑Replace Job Site/Owr�er Information: Site Address: _, � �'�' ��'� ��, Owner: ��''��' Mailing Address: �-�1 ��2��t�.a��.x� /a�' City: � ' ` _ .7.ip: �,j��J�Q Home Phone: Alternate Phone: Contractor Information: Contractor: S't�z�c.�„�cL� (��_�,r w i:� Contact Person: 1�'I,�� /��o�l� Address: c��l C.�• �1 r��' StAte F�On�#: I��U�J �J�� ._ .��-...�.C�� (;�ry; �c.�f��U�-��-. Zip:� Expiration Date: Phone: ��" �i�� AIternate Phone: �.��-y� `�`�`� � lnsurance—Current: �� ] 04/15/2015 16:a4 FAg 9524422451 sgs �OOa ;.;:.:.<>:i::-:::::;::::< ;.: ; ..;:::::.:..;I►�IE�I�A1++�AL S'Y�- . BT�Cr �`A�:�ED;;. :. ::..::. :.. : ::. ::.:::;, : Note:Al!Geothcrmal Systems will now require a Site & Revi by our Buildin�Ufficial. [S THIS GE07'HERMA,�.? ❑Yes .�No H�ATING SY$TEMS Quailtity: __. � - Make: -. Model: ... - FueL' . . . _.... � Flue Size: _... . -- lnput BTUs: ,� � Output BTUs: ,.— CFM: .. COULIPIG SYSTEMS Quantity� ....__ ._... Make: _._. ^ � Model: _. .— Tons: _.., H.Power _...— FIREPLACE$ � Gas Factory Fireplace "' v, 9rand Name: �F,��l-� ��f' + [] Wood Burning Nireplace � Wpod Stove Model No.: "LY!-�'C,a� � (] Woc�d Stove with Fluo/Masonry YEN1'�LATION [� No. ____ Kitchen Exhaust duct rccireuisting cfm ❑ No. klath Ezhaus[(tnust have duct outside) �cfm ❑ No. � Other Fans: Locations �� FUEL STOBAS�&(Must be approved by Nlre Mprshall(jproposlftg to abandon tartk l�plac�) ❑ lnstallation ❑ Removal Fuel Oil: gallons ❑ Underground ❑Insidc ❑Outside Lp Gas: �gallons Othar: �,jtj�E ONLY ❑ Ovtdoor Grill � Other/List What&Where: ,,_ __— 2 I •� T� � PERMIT FEE CALCULATION(S) BASED OFF - 2002 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;excludin�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([f Applicable) $ 2.00 Total Permit Fee $ PERMIT FEE CALCULATION S -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) �/ r , CS y�� x.0125 $ �i,G.�� ? (contract price) (minimum�50.00) 2. STATE SURCHARGE � x.0005 $ �4'_ (r�(..F (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 r�f 3 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 L �'L 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. MECHANICAL PERMIT APPLICATION AGREEMENT The undersigned hereby applies to the City for issuance of a Mechanical Per►nit, 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. ,r Applicant's Signatu�e:' - - c' Date: � �v�t�`5 3 04/15/2015 16:a4 FAX 9524422451 sgs �004 FERMI'f FEE C�..G'G�'LA'iZC��T(�) BA��0�1��2 STA1'fi ST ' Q Yes,this section applies '�he replacement af a Ros'dential fixture or apyliance that mcets all threa ofthe following requirements: I. �n�rcquire madification to cicctrical or gas scrvice. 2. 1•las a al co of$560.Q0 or less;�ill�the cost of the fixture or appliance:and 3. ls improved,installed or replaced by the homeowner or licensed contractor. Skip next section,if this applies; Cost of Permit $ �;5,00 Stato Surchsrge � 5�44 Mail-ln I�'ee(lf Applicable) $ 2.U0 Tofa��'ermit Fee S __ ��Mh�,�*'T�Y.��V�L1�� W,�Y�W�Q.I�� If above does i�ot apply;follow buidelincs bClow: 1. CON'i'C2ACT_ R� * �s 1.25%of contract pricc with a(Minimum Fee of S,S0.00} b t x,0125$��. ��i? _ (cuntract pricc) (minimum 5�1�U0) 2, 5TATESURCHARGE � __. x.0005 $��- CP� (conlrucl pYice) �� 3. Y�STAGE&HANF�LING(Only on Mail-In Applications) $ ?•�� 4. TOTAL P�RMIT FEE(Add I.ines 1-3 Above) S " � ��• i�t� ._ • "' CONTRACT PRICE or JOB CU5'I' means ihe actual or estimated dollar amount charged for the permilted wark ineluding materials,labor,profit,and other flxed costs. lt is thc�mount to Uc charged to the customer for the work done. lf a�ay material,equi�ment, labor ur installations are furnished by tha owner,tenant or any other party,the raasonable markct value of such items must be addcd to the estimated cost or contract price for permit fee purposcs, In the event that there is a disputc on the amount o�'the jab cost, the City may roquest the submission of a signed copy of the actual contract. " ��'i�AL F�1�1�TIT A�'PLICA`IIC]�I AY�3F.E�MEI�T `; The undersigned hereby applies to the Cit� for issuance of a Meahanical Pennit, agrees to do all worlc in strict aeeordanee with the ordinances of the City and the regulations uf the State of Minnesota, and certifies that all statcments made on this application are complete, true and correct. - -- Applicant'S Signatu• . _ Date: �/U`-�'� __ 3 C(� DATE TIMEV `�CITY OF ORONO CALLED IN INSPECTION NOTICE scHE�u�Eo � PERMIT NO. cOMPLEfED ADDRESS�� 'n��"�d �� OWNER TELEPHONE NO. ��" ��a�7-3 CONTRACTOR "��- �P � ��i - � � DESCRIPTION �� w ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL � � TREE REMOVAL y ❑ FOUNDATION WATERPROOF PLUMBIN FIfyA�� SITE INSPECTION Z ❑ RADON SLAB PROGRESS Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY WER HOOK-UP ❑ HARD COVER REMOVAL _ ❑ DEMO-SITE EPTIC INSTALL ❑ FOUNDATION/REMOVAL J � OWNERICONTRACTOR TO MEET YOU:� YES_NO � � COMMENTS:_ /� t�, �-l-r'� '� f;t� � � W a � � � O >. � O � � ,.. _ _ ��_ i C 'C � � DATE TIME , / CITY OF ORONO CALLED IN �v INSPECTIO�N(O'')(TICE SCHEDULE�� PERMIT NO:�"�`� � � �� COMPLETED ADDRESS '3 � '�� TELEP JdE NO.g�a � U � ��7 OWNER ��t (.� fi� (�l�l Qr�. �C � CONTRACTOR � DESCRIPTION �� r/�� I W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING y ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING �l�ECHANICAL FINAL ❑ PROGRESS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT ❑ WATER HOOK-UP ❑ FOLLOW-UP Q ❑ FINAL HARD COVER REMOVAL W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL J ❑ DEMO-SITE ❑�PTIC INSTALL ❑ 2 OWNERICONTFiACTUR TO MEET YOU: YES_NO � COMMENTS: ' � �'lc,T rc�� I'.p. ° � � O P.ri�to � !� rK�� ICG� /1? O / � r � O � • , � ��r re��" G't Gl .�� ✓'� � �S��c�� Q � 2 W � W � j ❑ PROJECT COMPLEfE � ❑WORK SATISFACTORY:PROCEED O ISSUE CERTIFICATE OF OCCUPANCY W ❑CORRECT WORK&PROCEED OO ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WFLL REfURN ❑CITATION ISSUED ❑S OP ORDER POSTED.CALL INSPECTOR INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cal1 for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor on site: �'r��'�`' inspector. .n..�..�tnr�s File Canary CopylSfte Notice CITY OF ORONO CALLED IN DATE TIME INSPECTION N TI �. SCHEDULED PERMR NO. � �� c Ereo ADDRESS g3� �" s�1L� OWNER TE EPHO E NO. i CONTRACTOR � DESCRIPTION � �v � � 4� ❑ FOOTING ❑ DEMO-FINAL SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING y ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT e ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP i ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL � ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET 11�U:_YES_NO � COMMENTS: W 4 � , O � O W � Q � 2 � W � � W ❑VIFORK SATISFACTORY:PROCEED W ECT COM PLEf E � ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W O O CORRECT NfORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOYERINC, PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑p�.{OTO TAKEN �NSPECTOR WILL REfURN ❑STOPORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 forthe next inspection 24 hours in advaru:e. (952) 249-4600 -_ ' __a_....w�ifo•