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HomeMy WebLinkAbout2010-00057 - gas fireplace w CITY OF ORONO PERMIT NO.: 2oia000s� � : 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 02/04/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 1265 SHORELINE DR PIN : 02-117-23-34-0010 LEGAL DESC : REG. LAND SURVEY NO. 1123 : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 2,000.00 NOTE: GAS FIREPLACE-BRAND-TRAVIS-MODEL#98500201 APPLICANT MECHANICAL 50.00,, PRACTICAL SYSTEMS STATE SURCHARGE MECH(VALUATION) 1.00 4342 B SHADY OAK RD TOTAL 51.00 HOPKINS,MN 55343 (952)933-1868 OWNER MCCABE,ROGER 1265 SHORELINE DR 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 sepazate 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 re uested in con ance with the State Building Code.This permit may be re ed at any ti for d�ca e! , ` p2/ �f / � t� a'� oZ� �,f� A t erm�tee gnat re Date Is ed By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � y � :� . FO C Y E ONLY Cit of Orono /� Jc�7 O$��O P•O Box 66 bate Reccivai: ���Permit# ���r Q / 2750 Kelley Pazkway �'—� 3 t .�:� Crystal Bay,MN 55323 Approved By: Amount$: e�E� 7��a (952)249-4600 ��r� 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 MLJST NOT BEGIN UNTIL THE PERMIT CARD IS 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. 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 0 Residential ❑Commercial(Approval Required) ❑ New Q Additional ❑Repairs ❑Replace Job Site/Owner Infarrnation: ' Site Address: 1265 Shoreline Drive r McCabe 1265 Shoreline Dr Owner: Mailing Address: City: Wayzata, MN Zlp. 55391 Home Phone: Alternate Phone: Contractor Information: Contractor: Practical Systems Contact Person: �oann Address: 4342B Shady Oak Rd State Bond#: 558516 City: Hopkins Zlp: 55343 Expiration Date: 09/10/10 Phone: (g52)933-1868 Alternate Phone: ✓Q Insurance—Current: 01/01/11 1 � , NtE�����.L S'3���'�.:��BE�'NG I��`�L�..ET7� 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: Travis ❑ Wood Burning Fireplace � Wood Stove Model No.: 98500201 ❑ Wood Stove With Flue VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfm ❑ No. Bath Exhaust(must have duct outside) cfm ❑ No. Other Pans: Locations cfm FUEL STORAGE (Must be approved by Fire 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 r • ����1�`�V�t�ti.J�.��V!'I�r��' , �' lJ�tJ�:+���1:' '".��� �1�1.G�1:��1 V;�+ ❑ 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.�0 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 $ .50 Mail-In Fee(If Applicable) $ 2.00 � Total Permit Fee S �'��M'�'�'��.��i���.�'�I�} �' .�{����1�.$S#�� ..:. If above does not apply;follow guidelines below: 1. CONTRACT PRICE �`is 1.25%of contract price with a(Minimum Fee of$50.00) 2,000.00 x.0125$ 50.00 (contract price) (minimum$50.00) 2. STATE SURCHARCE **Add the State Bldg Code Div. Surcharge(Minimum Fee of S.SO) 2,000.00 x .0005 $ �•00 (contract price) (minimum$ .50) 3. POSTAGE&HANDLING(Only on Mail-In Applicarions) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ 51.00 ■ * 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 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 STATE SURCHARG�is.0005 of the Building Department at(952)249-4600 for the price. ' MEGHAN��A,�.�'��1��.�P�.�:A,'TI4�`A.C`rR�EA�i'T' . ` T'he 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: Date: 01/27/10 �8�"�1'�1"� 3 J� � TE TIME V CITY OF ORONO CALLED IN 2� INSPECTION NOTICE SCHEDULED z-' - �� PERMIT NO. �14� ���� COMPLETED ADDRESS «� S � OWNER CONTR.�C�.C�7 �� � %s TELEPHONE NO. f�'1 Gf.l'� Co�Z lo�S ���� � DESCRIPTION �� FP l�-� � �l/"-�S-� � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FR,4MING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE Q ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT Q ❑ DEMO-FINAL � SEPTIC INSTALL. ❑ FOLLOW-UP ? ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O � � O � W � Q � Z W � W � j � �ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑ ORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY 0 ❑ CARRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT O CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pH0T0 TAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the next inspection 24 hours in advance. �952� 249-46QQ OwnerlContractor on site: ^ Inspector. � l o�l �� � � White Copyllnspector's File Canary Copy/Site Notice