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Home My WebLink About2015-01592 - gas fireplace � 4 CITY OF ORONO * 2 0 1 5 — 0 1 5 9 2 * 2750 KELLEY PARKWAY DATE ISSUED: 12/28/2015 ORONO,MN 55356- (952)249-4600 FAX: 952)249-4616 ADDRESS : 2730 PHEASANT RD PIN : 21-117-23-23-0057 LEGAL DESC : PHEASANT LAWN/2 : LOT MB BLOCK MB PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 1,608.47 NOTE: KOZY HEAT GAS FIREPLACE APPLICANT MECHANICAL 50.00 GLOWING HEARTH AND HOME STATE SURCHARGE MECH(VALUATION) 0.80 100 ELDORADO DRIVE MAIL-IN FEE 2.00 JORDAN,MN 55352 TOTAL 52.80 (952)495-2927 Payment(s) CHECK 22249 52.80 OWNER COTTER,JEFF&PEGGY 2730 PHEASANT RD. EXCELSIOR,MN 55331- r ,. AGREEMENT AND SWORN STATEMENT The work for which this pertnit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Buildin�Code. This permit is for only the work described and dces 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 are requested in conformance with the State Building Code.This pertnit may be revoked at any time for due cause. �Gil.t.�f�� ` /oZ/ oZ� /J`' Applicant Permitee Signature ' Date Issued Signature Date FOR CITY U3E Q1YL`Y �j � Q O A' City of Orono ��,,,� `S / �` i yr.y P.O.Box 66 Aatc Rt�ivCd:�� '�it#� W 2750 Kelley Parkway ' �r Crystal Bay,MN 55323 Approved By: Amount$; ��* Phone(952)249-4600 Fax(952)249-4616 y`�l� �.�~� CITY OF ORONO-MECHANICAL PERMIT k�SH�� (All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall) GENE INFQRMATI4N ` l. 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 Desiens—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). Cal'.(952)249-4600. (24-48 hour notice required) 7. House Heating Test Record must be submitted before final. �'; TYPE 4�FERMiT � Gheck All That� 1 �Residential ❑Commercial(Approval Required) ❑Ne.w ❑Additional ❑Repairs ❑Replace Job Site/ wner'Information; Site Address: ��O 1'l L 0��. � Owner: l r t�G Mailing Address: I�� 1 (l D�'`�D� I"t(,h�dl c,ri: . �l��i z�p: � J� � �- Home Phone: 1"J��"I �► �j�'7 Alternate Phone: Contracto nformation: , Contractor:G� l 1"1Cl�l ��ntact Person: a l U��1/L Address: �d0 �� ' State Bond#: � 0 '✓ j � City: ��r QV I Zip��xpiration Date: �' �lS[—"�(� Phone: -1:X/�- �-1� �� Alternate Phone: � Insurance-Current: �,0• o�o� �� Q. ��(� 1 Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official. IS THIS GEOTHERMAL? ❑Yes ❑No H�ATING SYSTEMS Quantity: Make: Model: FueL• Flue Size: Input BTCJs: Output BTLJs: CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H.Power FIREPLACES � Gas Factory Fireplace Brand Name: � '�'� ❑ Wood Burning Fireplace � ❑ Wood Stove Model No.: • ❑ Wood Stove with Flue/Masonry VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfm ❑ No. Bath Eachaust(must have duct outside) cfm ❑ No. Other Fans: Locations cfm FUEL STORAGE (Must be approved by Fi�e 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 ❑ 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;excludine 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 $ 1.00 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 pr�ce with a(Minimum Fee of$50.00) � �oU.'1 1 x.0125 $ ✓�- � (contract price) (minimum 550.00) 2. STATE SURCHARGE � �J /� � "` D�. �� x.0005 $ ' v (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ��`V 'V ■ * 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. The undersigned hereby applies to �he 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. ApplicanYs Signatur : Date: I �•�I� l 3 �� — D E�� TI CITY OF ORONO CALLED IN INSPECTION NQT10E��/��SCHEDULED `'"S —�� ., �y' 3 D PERMIT NO. �U� _ MPLETED ADDRESS d / � � OWNER ` T LEPHON NO. - ��8�-3�' CONTRACTOR . � DESCRIPTION - t~N ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING v; ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB �'M6CHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP i ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL J ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO c�.� COMMENTS: � � �r�,�,.� �� — Dk � ' o - I/'er�{' tK� ' D� � CaNt✓u�a✓ SC4�es fd.z � �60 �' Yl Cr� 7�s v�.�i 7�e✓rn.rr�C�o� Nt`l.� ,�Jc � YY(!�1/e.P �' W � Q � " �iv ' ` — z p�s /i�(ti � 7�i�•t 7� � �+�t e. � — ro v, c a, i K.e 4, .%� �c i`— � � j �Vl�S IL /V) `J�4�� 06✓ If'��llt �,(�(,� ✓�s�_ _4�j.y�RSATISFACTORY:PROCEED ❑PROJECT COMPLETE sr � � O RK�PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W 0 O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERIN(3 PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. O PHOTO TAKEN INSPECTOR WFLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 br the next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor on site: Inspector:�.i�,� White Copyllnapector's File Canary CopylSite Notiee i �� /�� ` ,' ` DATE TIM� CITY OF ORONO CALLED IN � INSPECTION NOTICE SCHEDULED �b PERMIT NO. � cOMPLEfED , ADDRESS Z�1 .3Z� T ��LC�-� CA-�''�t l�� OWNER TELEPHO E NO.1J�� `� c�9�� CONTRACTOR 7� �' I�]� � DESCRIPTION = - i'/'- c`� Y— i/�IGt_/ t� ❑ FOOTING ❑ DEMO-FINAL� /^��i SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RIT � � ❑ EXCAV/GRADING/FILLING Q ❑ 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 J ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNER►CONTRACTOR TO MEET YOU:_YES_NO ` ° COMMENTS: �C G�,c-�� G�CY--�-Q� / f'� W � � C (�S`e-- �,�-t a13 � J O / � V�f �irl�— 4'� ��SL�.�.� � /�'��' ��stG ° yfo� a��t 3 -l5'-� -- � c.�4S D� W ` � Q � F� —Ql� bu��'K L'a.^��QL'�� _ W � � / � /O�/r.t-�i ��l� � W ❑WORK SATISFACTORY:PROCEED OJ ECT COMPLETE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V 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. Ca11 for t inspection 24 hours in advance. (g52) 249-46�� Owner tractor on ' e: ,�� Inspector. ��^- �— White Copyllnspector's File Canary CopylSite Notice