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Home My WebLink About2010-00692 - gas fireplace � CITY OF ORONO PERMIT NO.: 2010-00692 2750 KELLEY PARKWAY ORONO, MN 55356- �ATE ISsuED: 08/10/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 2105 SUGARWOOD DR PIN : 34-118-23-21-0017 LEGAL DESC : SUGAR WOODS : LOT 003 BLOCK 003 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 1,000.00 NOTE: GAS FACTORY FIREPLACE-TRAVIS APPLICANT MECHANICAL 50.00 PRACTICAL SYSTEMS STATE SURCHARGE MECH(VALUATION) 5.00 4342 B SHADY OAK RD TOTAL 55.00 HOPKINS,MN 55343 (952)933-1868 OWNER SMITH, THOMAS&VIRGINIA 2105 SUGARWOOD DR LONG LAKE, MN 55356- 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 [he State Building Code. This permit is for only the work described and does not grant permission for additional or related work which cequires 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 construction is suspended for a penod of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections aze req�d in conformance with the State Building Code.This permit may be r�oke at any time for se. � � /G " � � � �� / / A plica ermitee Signature Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � � H crrr�us�ov�Y � �j A� ,, City of Orono /,) /, (�L7�i 9a' , ��` `�`O, P.O.Box 66 Datt Recc:ived�I" �!/_ Permit# �O/� il �,,,-, 1� 27�0 Kcllcy P�rkway ��j �`��'„.��a�•�i��% Crystal Bay,MN 55323 APProvcd BY —..___._ Amount$:l/ . �._, z+ � Phone(952)249-4600 Fax(952)249-4616 ��°� CITY OF ORONO—MECHANICAL PERMiT (All Commcrcial permits must hc epprovcd by thc Building Ofticial or Inspcctor�nd/or I�irc Marshall) GENERAL INFORMATION 1. You may apply 1or 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. Pennit cards will be sent by return mail after a review is completed. PERiL4ITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Desi�—Complete calculations,details and specifications are i-e�uired for each heating,ventilation,humidification-dehumidification,and air conditionin�installation including heat loss/heat gain calculation,design temperatures,equipment ratings an�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 pennit must be obtained. 5. All work must be done in aceordance with the Unifonn Mechanical Code.%State Building Code requirements. 6. All work must be inspected(rough-in and final). Call(952)249-46�0. (2a-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: �� Site Address: � � � � S�'-�'c(�'�• �� Owner: Mailing Address: City: ��{'�,�-,t� Zip: �� Home Phone: L-�%� L�/y � ��3 Alternate Phone: Contractor Inforination: Contractor: Contact Person: Addres Kline Corp. e Bond #: DBA: Practical Systems City: 4342B Shady Oak Road iration Date: Hopkins, MN 55343 952-933-1868 Phone: ti��ernate Phone: ❑ Insurance—Current: _ _ 1 � - I�CHAI��AI:S'��'�"E�I�BE�i�r I�S'�`A�,I;ET? Note:All Geothermal Systems will now require a Site Plan&Review by our Building Official. IS THIS GEOTHERMAL? ❑Yes ❑No HEATTNG 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: �,�M!`�(A Wood Burning Fireplace Wood Stove Model No.: Wood Stove With Flue VENTILATION No. Kitchen Exhaust duct recirculating cfm No. Bath Exhaust(must have duct outside) cfm No. Other Fans: Locarions cfm FUEL STORAGE (Must be approved by Fire Marshal!if proposing to abando�x tunk in place.) � Installation � Removal Fuel OiL- _gallons ❑ Underground ❑Inside ❑Outside LP Gas: _,..gallons Other: GAS L1NE ONLY � Outdoor Grill � Other/List What&Where: 2 t , PERNiJT FEE CALCULATION{S) BASED OFF -2002 STATE STATUE � Yes,this section applies The replacement of a Residential fixtum or appliance that meets all three of the follu�x ing requirements: 1. Does not require modi tication to elecYrical or gas service. 2. Has a total cost of$50(1.00 or less;excludin�the cost of the fixture or appliance:and 3. Is improved, installed or replaced by the hameowner or]icensed contractor. Skip next section,if this applies; Cost of Permit $ 15.00 State Surcharbe $ 5.00 Mail-In Fee Qf Applicable) $ 2.00 Total Permit Fee � PERMIT FEE��'ALCULATION(S)�-JOBS (JVER$S�U.00 � �� If above does not apply;follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price wit a(Minimum F'ee of$50.00) �v� x.0 I 25$ ontract price) (minimum$�0.00) 2. STATE SURCHARCE **Add the State Bldg Code Div. Surcharge(!�tinimum Fec of$5.00) x.0005 $____. � (contract pricc) (minimum$5.00) 3. POSTAGE&HANDLING (Only on Mail-In Applications) $ 2.00 4. TOTA1.PERMIT FEE(Add Lines 1-3 Above) $ ■ * CONTRACT PRICB or JOL3 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 install�tions are furnished by the owner, tenant or any other E�arty, 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 sibned copy of the actual contract. ■ **The STATE SURCHARGE is.�005 times the Contract Price or a minimum of�5.00. MECHANICAL�ERMIT APPLICATION AGREEIvi CNT The undersigned hereby applies to the City for issuance of a Mechanical Perrnit, agrees to do all work in strict accordance with the ordinances of the City and the regulations of the State of Minnesota, and certities that all statements made on this application ai�-e complete, true and correct. Applicant's Signature: Date: _ �� Reset Form 3 � �A�� TIME V CITY OF ORONO , CALLED IN INSPECTION OTICE Q SCHEDULED � � PERMIT NO. 4 �'�� / COMPLETED ADDRESS 4�� Z�%LlJYJ7'�t dLKJ OWNER TEL PHONE NO. ��Z Z4D ��f'� CONTRACTOR ►� � DESCRIPTION /�- �� ❑ FOOTING ❑ PLUMBING FINAL � EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SIAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO c�., COMMENTS: � W C � � O � � O � W � Q � Z W � W � � � or�ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W RRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED O INSPECTfON REQUtRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-46�� OwnerlContractor on site: Inspector. White Copylinspector's File Canary CopylSite Notice