HomeMy WebLinkAbout2011-00183 - gas fireplace CIT� OF ORONO PERMIT NO.: 2011-00183
� � 2750 KELLEY PARKWAY
ORONO, MN 55356- �AT� �ssuE�: 03/3U2011
952 249-4600 FAX: 952 249-4616
ADDRESS : 2245 SHADYWOOD RD
PIN : 17-117-23-43-0128
LEGAL DESC : WILEYS PARK LAKE MTKA
: LOT 002 BLOCK 002
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIREPLACE-GAS
VALUATION : $ 2,500.00
APPLICAIYT MECHANICAL 50.00
PRACTICAL SYSTEMS STATE SURCHARGE MECH (VALUATION) 5.00
4342 B SHADY OAK RD
HOPKINS, MN 55343 TOTAL 55.00
(952)933-1868
OWNER
CONNORS, PAUL W& KATHLEEN F
2245 SHADYWOOD RD
WAYZATA, MN 55391-
AGREEMENT AND SWORN STATEMENT
"I�he work for which this permit is issued shall be perfomied according to
the approved plans and specitications,applicable City approvals,and the
State F3uilding Code. This permit is for only�he work described and does
not grant permission for additional or rclatcd���ork���hich requires scparatc
permits. All provisions of laws and ordinances govcrning this type of���ork
shall be compicd�vith�rhether or not specitied herein.'1'his permit will
expire and become null and void if construction authorized is not
commenced�a�ithin 180 days of the date of issuance,or if construction is
suspended tor a period of 180 days at any time after work has commenced.
�he applicant is responsihle for assurine all required i�ispectiuns are
requested.�n conformance with the State Building Code.This permit may be
revoked a�any time for_due cause. � _
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Appl���l'er it ignat e Date Issued By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
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t�OK C1TY USL�ONLY
f,,���� City of Orono
P.O.Box 66 bate Reccivai: Pcrmit#
���' �` 2750 Kclley Pazkway
'E ��� � Crystal Bay,MN 55323 Approvcd By: Amount$:
1���,�'� �� Phone(952)249-4600 Fax(952)249-4616
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CITY OF ORONO—MECHANICAL PERMIT
(All Commercial permits must be approved by the Building Official or Inspcctor and/or Firc Marshall)
GENER.AL 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
VALTD UNTIL YOU RECENE A PERMIT. WORK MUST NOT BEGIN DNTIL THE
PERMIT CARD 15 POSTED ON THE JOB SITE.
3. Mechanical Desi�ns—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.
b. 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 PERMTT
Check Al1 That A 1
0■ Residential ❑Commercial(Approval Required)
0■ New ❑Additional ❑Repairs ❑Replace
Job Site/Owner Information:
2245 SHADYWOOD RD
Site Address:
PAUL CONNORS SAME
Owner: Mailing Address:
Cit : WAYZATA Zi 55391
Y P�
Home Phone: �952)471-8842 Alternate Phone:
Contractor Information:
PRACTICAL SYSTEMS JOANN
Contractor: Contact Person:
4342B SHADY OAK RD 558516
Address: State Bond#:
HOPKINS 55343 09/16/11
City: Zip: Expiration Date:
Phone: �952)933-1868 Alternate Phone:
01/01/12
QX Insurance—Current:
1
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.
MECHAN��A.�.�`��'��I;�.�"3EINGr I��TA�..I.E�
Note:All Geothermal Systems will now require a Site Plan&Review by our Building Official.
IS THIS GEOTHERMAL? ❑Yes ❑■ No
IiEATiNG SYSTEMS
Quantity:
Make:
Model:
Fue1:
Flue Size:
Input BTUs: �
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity: �
Make:
Model:
Tons:
H.Power
FI REPLACES
KOZY HEAT
� Gas Factory Fireplace Brand Name:
❑ Wood Burning Fireplace 911XL-RAD
❑ Wood Stove Model No.:
❑ Wood Stove with Flue/Masonry
VENTTLATION
❑ 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 if proposing to abandon tank in place.)
❑ Installation ❑ Removal
Fuel Oil: gallons ❑ Under�round ❑Inside ❑Outside
LP Gas: gallons
Other:
GAS LINE ONLY
� ❑ Outdoor Grill ❑ Other/List What&Where:
2
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PERMI'fi,i"����.:��.A'1'�C}i�?�S�
BA�EI?{��F'��{�}2 �TA'�`E�TATUE
❑ Yes,this section applies
The replacement of a Residential fixture or appliance that meets all three of the follo���in�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(If Applicable) $ 2.00
Total Permit Fee $
�'�'�RMIT FE�CAL,�C:T�.t�`T�fl � -J4��U�R$�t}(I�4_il.. ;:
If above does not apply;follow guidelines below:
1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum F'ee of$50.00)
2,500.00 x.0125$ 50.00
(contract price) (rtYenimum$50.00)
2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(n•tinimum Fee of 55.00)
2,500.00 x.0005 $5.00
(contract price) (minimum$5.00)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE(.�dd Lines 1-3 Above) $55.00
■ * 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 fumished 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 af the actual contract_
■ **The STATE SURCHARGE is.0005 times the Contract Price or a minimum of 55.00.
I�iECH�I��:,;��R�T Ai'PL�C��'IE�1��.GrR�Ei4��. .::
The undersigned hereby applies to the City for issuance of a Mechanical Pe��riit, 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: Date: 03/Z4/11
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CITY OF ORONO CALLED IN � �
INSPECTION NOTICE /� Q� SCHEDULED oz.'D�
PERMIT NO.��d��� d v�'^� COMPLETED
ADDRESS ��
OWNER _T�LEPHQNE N�. '"a �
CONTRACTOR �� a-G�Z�..�cr
�: DESCRIPTION L°Q/
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� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
� ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPIAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
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� ❑WORK SATISFACTORY:PROCEED �PROJECT COMPLETE
W O CORRECT WORK 8 PROCEED " ❑1SSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING 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
OwnerlContractor on site:
Inspector. �,o s
White CopyMspector's Fiie Canary Copy/Site Notice