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. /
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4kPrfCatil Penyiitee Signatur Date lssu6Qy Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
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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:
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44ORRECT WORK,CALL FOR REINSPECTION TEMPORARY
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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:
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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
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% ❑ POURED WALL ❑ MECHANICAL RI ElLAKESHORE/WETLANDS
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❑ 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:
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W O WORK SATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
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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:
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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:
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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