HomeMy WebLinkAbout2005-P09485 - gas fireplace ,
'�" PERMIT
CITY OF ORONO Permit Number:
2750 Kelley Parkway- PO Box 66 P09485
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued:
12/15/2005
SITE ADDRESS: 2104 Sugarwood Dr Unit#
Long Lake,MN 55356
P��� 34-118-23-21-0022
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Mechanical Pernuts Permit Sub-type(s): Gas Fireplace
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 35.00 valuation: $ 2,000.00
State Surcharge Fee: $ 1.00
TOTAL FEE: $ 36.00
APPLICANT: Practical Systems OWNER: Fred&Ann Chafoulias Koury
4342B Shady Oak Rd. 2104 Sugarwood Dr
Hopkins,MN 55343 Long Lake,MN 55356
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLICANT PERMIT GNATURE ISSLTED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
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FOR C17'Y USE ONLY
;, �`� City of Orono
���� ���� P.O.Box 66 IJate ReocivEd: Pcnnit#
, 2750 Kellcy Parkway
�� r''�•� ���� Crystal Bay,MI�T 55323 Approved By: Amount$:
;��������'! (952)249-4600
CITY OF ORONO—MECHANICAL PERMIT
(All Commcrcial permiYs must be approved by the Building Official or Inspcctor 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 RF,CEIVF,A PERMIT. WORK MUST 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 Recard must be submitted before final.
TYPE OF PERMIT
(Check All Tl�at A I
�Residential ❑ Commercial(Approval Required)
�
❑New �Additional ❑Repairs ❑ Replace
Job Site/Owner Infonnation:
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Site Address: � 1% '��� ��,1��V �� C-�� �� ���,
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Owner: �� ' � Mailing Address: +����'�-�-
c�ry: /� �' zip: `'-�'�`.�t�,
Home Phone: �`J,�,����� ������ Alternate Phone:
Contractor Information:
Contr��`- Kline Corp. ontact Person:
Addr� �BA: Practical Systems
4342B Shady Oak Road ate Bond#:
Hopkins, MN 55343
City: g52-933-1868 :piration Date:
Phone: Alternate Phone:
❑ Insurance—Current:
1
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MECHANICAL SYSTEMS BEING TNSTALLED'
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 Burning Fireplace
❑ Wood Stove
❑ Wood Stove With Flue
� �r
Brand Name: �� �L7��� Model No.: �7 L���i�.='�_
VENTILATION
❑ No. Kitchen Exhaust duct recirculating cfm
❑ Na _ Bath Exhaust(must have duct outside) cfm
❑ No. Other Fans: Locations _ _ cfm
FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHALL)
❑ Installation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside
LP Gas: gallons
Oth er:
GAS LINE ONLY
❑ Outdoor Grill ❑ Other/List What&Where:
2
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PERIVII'T 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; 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 � .50
Mail-In Fee(If Applicable) $ 1.50
Total Permit Fee $
�'ERMTT�EE CALCULATIQI�T � ;�-;�OBS OV�R$��30.Q4
If abovc does not apply;follow guidelines below:
1. CONTRACT PRICE *is 1.25'%of contract price with a(Minimum Fee of$35.00)
✓�li �
� X.oi2s� ��� • c'rl''
(contract pricc) (mi�imum$35.00)
2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50)
� �
f �I)� x.0005 $ �` U�
(c' tractprice) (minimum$ .50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ���l[/ ���
• * CONTRACT PRICE or JOB COST means the actual or esrimated 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 sib ed copy of the actual contract.
■ ** The STATE SURCHARCE is.0005 of the Building Department at(952)249-4600 for the price.
MECHANI�A,�;���.MIT APPLICATION AGR�EMENT ;
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: ����"��
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Reset Form
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� DATEC TIME 1/
CITY OF ORONO CALLED IN ���J ���
INSPECTION NOT CE � SCHEDULED ���-��� � �x���
PERMIT NO. �� ��� COMPLETED
ADDRESS ��G�l �'(.,(._ycir�t/vo<lr �/z_
OWNER CONTR. �ii �-tl�� S��S �
TELEPHON E NO. �>S �` �T 3� f��'�
� DESCRIPTION � ��
t� 01 FOOTING 11 ECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 ME FINAL 19 LAKESHORE/WETLANDS
�
O 03 INSULATION 24/25 WOOD BURNE IREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE iNSPECTION
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
� 09 PLUMBING RI 23 SEPTIC F1NAL 35 HARD COVER REMOVAL
� BING FiNAL � 36 FOUNDATION/REMOVAL
Z OWN ONTRACTOR TO M�ET YOU:_YES_NO
� COMMENTS:
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W�/�g6�tORK SATISFACTORY:PROCEED Cl PROJECT COMPLETE
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W ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR W4LL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUiRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-4600
OwnerlContractor on site•
Inspector. �.1/ ���
White Copyllnspector's File Canary CopylSite Notice