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HomeMy WebLinkAbout2008-00176 - gas fireplace e � � CITY OF ORONO PERMIT NO.: 2oos-oo1�6 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: 08/27/2008 952 249-4600 FAX: 952 249-4616 ADDRESS : 2100 SIXTH AVE N PIN : 27-118-23-31-0024 LEGAL DESC : PHILLIPS WOODLAND TERRACE 2ND : LOT 002 BLOCK 001 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 2,000.00 NOTE: INSTALL GAS FACTORY FIREPLACE. APPLICANT MECHANICAL 35.00 PRACTICAL SYSTEMS STATE SURCHARGE MECH(VALUATION) 1.00 4342B SHADY OAK RD TOTAL 36.00 HOPKINS,MN 55343 (952)933-1868 OWNER INC,ORONO WOODLAND 2100 SIXTH AVE N LONG LAKE,MN 55356 AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be perfortned according to the approved plans and specifications,applicable City approvals,and the State Building 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 conswction 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 re ted in conformance with te Building Code.This permit may be r ed at a�y ti e cause ` �i v�zl d � �� / / Ap cant Permitee Signa _ Date Iss By ignature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESC BED OVE. , , . .t t FQR CTT'Y t15E 03YLY �,���� City of Orono P.O.Box 66 Datc Reccived: Perrnit# 2750 Kelley Pazkway � �� Crysral Bay,MN 55323 APprovcd By: Airxsunt$: � (952)249-4600 CITY OF ORONO—MECHANICAL PERMIT (All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall) GE�IERAL IN�'ORMATION 1. You may apply for mechanical permits by mail or in person at the City offices. Applications will be reviewed and a permit will be issued within two working days. 2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECENE A PERMIT. WORK MiJST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical DesiQns—Complete calculations,details and specifications are required for each heating,ventilation,humidification-dehumidification,and air conditioning installation including heat loss/heat gain calculation,design temperatures,equipment ratings and identification as to type,manufacturer and model. Data shall be presented on form provided. 4. When any new construction or remodeling is involved,a separate building permit must be obtained. 5. All work must be done in accordance with the Uniform Mechanical Code/State Building Code requirements. 6. All work must be inspected(rough-in and final). Call(952)249-4600. (24-48 hour notice required) 7. House Heating Test Record must be submitted before final. TYPE OF P��ITT ' Check All`That A 1 ❑� Residential ❑Commercial(Approval Required) ❑New Q Additional ❑Repairs ❑Replace �Job Site/�Ov�mer��I�fc►rrna�it3n. �: Site Address: zloo sixTx avE rr OWrieT: ORONO WOODLANDS Mailing Address: s�tE Clt ORONO Zi 55356 Y� P� Home Phone: (952)a�3-o852 Alternate Phone: Co�trac�c�r inforrnation: Contractor: P�CTICAL SYSTEMS Contact Person: JOANN A(�C1TeSS: 4342B SHADY OAK RD StBtC BOriC��$: 558516 Clt}�: HOPKINS Zlp: 55343 Expiration Date: o9�oi�os Phone: (952)933-1868 Alternate Phone: O1/O1/09 Q✓ Insurance—Current: 1 . , � :<::� . 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 ❑ Wood Buming Fireplace ❑ Wood Stove ❑ Wood Stove With Flue Brand Name: �JESTIC Model No.: 36LDVRRN VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfm ❑ No. Bath Exhaust(must have duct outside) cfm ❑ No. Other Fans: Locations cfrn FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHALL) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside LP Gas: gallons Other: GAS LI1VE 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;excluding 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) $ 1.50 Total Permit Fee $ � If above does not apply;follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$35.00) 2,000.00 x.0125$ 35.00 (contract price) (minimum$35.00) 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50) 2,000.00 x.0005 $ 1.00 (contract price) (minimum$ .50) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50 36.00 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 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 of the actual contract. ■ **The STATE SURCHARGE is.0005 of the Building Department at(952)249-4600 for the price. 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. 08/25/08 Applicant's Signature: Date: ` ����� r _ � _ 3 ��/ D TIME � CITY OF ORONO CALLED IN � INSPECTION OTICE^DD�7 SCHEDULED � 9�� PERMIT NO C MPLETED ADDRESS � OWNE �ITR. TELEPHONE N �c�S��� � � DESCRIPTION � � ❑ FOOTING ❑ MECHANICAL RI ❑ CAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE � ❑ TREE REMOVAL Z ❑ WALL BD. p WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL p SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT v ❑ DEMO-FINAL p SEPTIC INSTALL. ❑ FOLLOW-UP i ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL v ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a o v S� �r�S � t'� Q '' �- � r �� T �� ?7 --4� � 0 � W � Q � Z W � W � � � O W RKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT �CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR W{LL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor site: Inspector. White Copyllnspector's File Canary CopylSite Notice