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Home My WebLink About2012-01076 - gas fireplace � � � CITY OF ORONO * 2 0 1 2 - 0 1 0 7 6 * � 2750 KELLEY PARKWAY DATE ISSUED: 10/24/2012 ORONO, MN 55356- (952)249-4600 FAX: (952)249-4616 ADDRESS : 140 SMITH AVE PIN : 02-117-23-21-0028 LEGAL DESC : ORONO ORCHARDS HIGHLANDS : LOT 003 BLOCK 001 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 2,000.00 NOTE: GAS FIREPLACE LOG PETERSON G45-24-11 APPLICANT MECHANICAL 50.00 PRACTICAL SYSTEMS STATE SURCHARGE MECH(VALUATION) 1.00 4342 B SHADY OAK RD HOPKINS,MN 55343 TOTAL 51.00 (952)933-1868 OWNER HUNT,THOMAS 140 SMITH AVE 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 dces not grant permission for additional or related work which requires 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 aze requested in conformance with the State Building Code.1'his permit may be revo d t any time for due cause. / / / / Appli t Permitee Sign e Date Issued y ature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER HAN DESCRIBE ABOV . � ' FOR CITY USE ONLY pA� City of Orono ¢ `�' P.O.Box 66 Date Received: Permit# � � ' 2750 Kelley Parlcway � r'''• � Crystal Bay,MN 55323 Approved By: Amount$: ''� '� � E�� Phone(952)249-4600 Fa�c(952)249-4616 ��;,�0�4 CITY OF ORONO—MECHANICAL PERMIT (All Commercial pennits 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 pernut 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 aze 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 pernut 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 ■❑Residential ❑Commercial(Approval Required) ❑New ■❑Additional ❑Repairs ❑Replace Job Site/Owner Information: s�teAaa�ess: 140 SMITH AVE oWner:TOM H U NT Mailing Address: SAM E c;�,: WAYZATA Zlp: 55391 Home Phone: �952� 475-2552 Alternate Phone: Contractor Information: PRACTICAL SYSTEMS JOAN N Contractor: Contact Person: 43426 SHADY OAK RD M B003510 Address: State Bond#: HOPKINS 55343 09/17/14 City: Zip: Expiration Date: Phone: (952� 933-1868 Altemate Phone: x❑ Insurance—Current: 9�1�13 1 + . ��,�� '� Note:All Geothermal Systems will now require a Site Plan&Review by our Building Official. IS THIS GEOTHERMAL? ❑Yes 0 No HEATIIVG SYSTEMS Quantity: Make: Model: Fuel: Flue Size: Input BT'Us: Output BTUs: CFM: COOLING SYSTEMS Qaantity: Make: Model: Tons: H.Power PLACES nl� ��+ PETERSON Gas Factory Fireplace Brand Name: ❑ Wood Buming Fireplace G45-24-11 ❑ Wood Stove Model No.: ❑ Wood Stove with Flue/Masonry VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfin ❑ 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 plac�) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill ❑ Othea/List What&Where: 2 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;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 Swcharge $ 5.00 Mail-In Fee(If 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$50.00) 2,0��.�� x.0125$ 5�.0� (conuact price) (minimum$50.00) 2. STATE SURCHARGE 2�000.00 � .00 x.0005 $ (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ■ * CONTRACf PRICE or JOB COST means the actual or estimated dollar amount chazged 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. MECHA1vICAL PERMIT APPLICATION AGREEMENT 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. Applicant's Signature: / Date: �O/�7/�2 Reset Form 3 '� � / � TIME V CITY OF ORONO CA��o M `�� INSPECTION OTI�E SCHEDULED � PERMIT NO. a'' � COMPLETED ADDRESS OWNER TELEP ONE NO. 5z �'!�— � CONTRACTOR � �; DESCRIPTION �Q`S �� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE FEMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE � SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO c�., COMMENTS: � W a � J , O � ht � O � � b� �I� W � Q � � �!.1 �N�� W � W � j �Q W ❑WORK SATISFACTORY:PROCEED '�D"PROJECT COMPLETE � ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WlLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (952) 249-46�� OwnerlContractor on site: Inspector. � �. White Copyllnspector's File Canary CopylSite Notice