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HomeMy WebLinkAbout2012-01142 - gas fireplace CITY OF ORONO * 2 0 1 2 - 0 1 1 4 2 2750 KELLEY PARKWAY DATE ISSUED: 11/08/2012 ORONO,MN 55356- (952)249-4600 FAX: (952) 249-4616 ADDRESS 2575 THOROUGHBRED LA PIN 04-117-23-I1-0021 LEGAL DESC OLD CRYSTAL BAY ROAD 2ND ADDN LOT 004 BLOCK 002 PERMIT TYPE MECHANICAL(>$500) PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE FIREPLACE-GAS VALUATION $ 2,500.00 NOTE: (1)TRAVIS GAS FACTORY FIREPLACE-MODEL NO.98500242 APPLICANT MECHANICAL 50.00 PRACTICAL SYSTEMS STATE SURCHARGE MECH(VALUATION) 1.25 4342 B SHADY OAK RD HOPKINS,MN 55343 TOTAL 51.25 (952)933-1868 OWNER SAPLETAL, STEVEN&STACY 2575 THOROUGHBRED LA 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 the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate 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 are requested in conformance with the State Building Cod . Is ermit may be revoked at any time for due cause. / /l / l 4kPrfCatil Penyiitee Signatur Date lssu6Qy Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. Q0%Sw City of Orono /� FOR ITUSE ONLY P.O.Box 66 Date Receive /7/ —Permit#�1.2— 2750 Kelley ParkwayCrystal Bay,MN 55323 Approved By: Amount$: !.Phone(952)249-4600 Fax(952)249-4616 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 MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Desiens—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. (2448 hour notice required) 7. House Heating Test Record must be submitted before final. TYPE OF PERMIT Check All That Apply) 0 Residential ❑Commercial(Approval Required) ❑New Additional ❑Repairs ❑Replace Job Site/Owner Information: Site Address: 2575 THOROUGHBRED LANE Owner:STEVE SAPLETAL Mailing Address: SAME City: LONG LAKE Zip: 55356 Home Phone: Alternate Phone: (612) 708-3369 Contractor Information: PRACTICAL SYSTEMS JOAN N Contractor: Contact Person: Address: 4342B SHADY OAK RD State Bond#: M B003510 HOPKINS 55343 09/17/14 City: Zip: Expiration Date: Phone: (952) 933-1868 Alternate Phone: 0 Insurance—Current: 1/1/13 1 a NOW 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: T RAV I S ❑ Wood Burning Fireplace 98500242 ❑ 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 cfin 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 f PERMIT FEE CALCULATION(S) Oil °�..,1 a �,�xx .,,� 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;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 $ 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$50.00) 2,500.00 x.0125$ 50.00 (contract price) (minimum$50.00) 2. STATE SURCHARGE 2,500.00 1 .00 x.0005 $ (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 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. MECHANICAL 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: 11/02/12 i Reset Form 3 DATE /TIME V CITY NO CALLEDIN INSPECTION NOTICE SCHEDULED PERMIT NO. 61610-r7/ r 4-L- COMPLETED / ADDRESS QA5 7 S � OWNER S+eVt 541,16 Lf LEPHONE NO. &17- 76 Zyfj7p CONTRACTOR DESCRIPTION ❑ FOOTING ❑ PLUMBING FINAL EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O El TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP Z ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL OWNERICONTRACTOR TO MEET YOU:_YES_NO COMMENTS: W cc a J 0 0 W Q � 2 W Z W cc d W ❑WORK SATISFACTORY:PROCEED ❑PROJECT COMPLETE cc W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 44ORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: r r Inspector. White Copy/Inspector's File Canary Copy/Site Notice 7� D!2 TIME CITY OF ORONO VVV___CA�"LLED IN �� INSPECTION E �/ SCHEDULED PERMIT NO. � d/r T 'OMPLETED ADDRESS x575 tet,, OWNER � TELEPH E NO25-2-47 CONTRACTOR � DESCRIPTION e tj ❑ FOOTING ❑ PLUM NG FINAL ❑ EXCAWGRADING/FILLING % ❑ POURED WALL ❑ MECHANICAL RI ElLAKESHORE/WETLANDS Co ❑ FRAMING ❑ MECHANICAL FINAL Q [:1 TREE REMOVAL ❑ 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 OWNERICONTRACTOR TO MEET YOU:_YES_NO COMMENTS: W a W ro W 2 W Z W cc Z3 CI W O WORK SATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY jv WRRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: Inspector. o White Copy/Inspector's File Canary Copy/Site Notice ATE TIME CITY OF ORONO Vt CALLED IN //,?- INSPECTION /,?-INSPECTION fjOTICE SCHEDULED ZZ � PERMIT NO. �/ _ /1 y2 COMPLETED ADDRESS CJ 7 722 Czl Le4'��'�"h�� OWNER TELEPHONE NO. 6-1-2 CONTRACTOR 1 6-aa y sk DESCRIPTIONS ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAWGRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL 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 v ❑ PLUMBING RI ❑ SEP PINAL E-1 FOUNDATION/REMOVAL OWNERICONTRACTOR TO MEET YOU:YES_NO COMMENTS: W cc s0. w Q z W W CC d � - /WORK SATISFACTORY:PROCEED 11PROJECT COMPLETE W ❑\CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY U BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: w Inspector. - White Copyllnspectoes File Canary Copy/Site Notice / DATE TIME V CITY OF ORONO CALLED IN !Z Z& INSPECTION NOTICE SCHEDULED 1.2 -17-/2— !O Bid PERMIT NO. OL21 7 -0Z��Z-COMPLETED / ADDRESS o?S 7S / i(.(>Y' 42411 [ / OWNER TELEPHONE NO. CONTRACTOR j DESCRIPTION ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O El TREE REMOVAL 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 v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL OWNERICONTRACTOR TO MEET YOU:_YES_NO COMMENTS: W Q. cc J O a Cr O W W cc Q 2 W z W CC d WW ❑WORK SATISFACTORY:PROCEED V40JECTCOMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: Inspector. White Copy/Inspector's File Canary Copy/Site Notice