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Home My WebLink About2009-00189 - wood fireplace CITY OF ORONO PERMIT NO.: 2009-00189 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: 04/30/2009 (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 4545 WATERTOWN RD PIN : 31-118-23-24-0004 LEGAL DESC : UNPLATTED 31 118 23 : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-WOOD VALUATION : $ 2,000.00 NOTE: WOOD BURNING FIREPLACE 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 BROLL,MR&MRS JEFF 4545 WATERTOWN RD MAPLE PLAIN,MN 55359 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 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 period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are req ested in confo ance with the State Building Code.This permit may be rev ed at any tim for dqe c se. 4 //cc/ A scant Permitee ignature Date Is tkd By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. FOR CITY USE ONLY City of Orono LSC �'a o P.O. ox 66 Date Received:/ o ennit#41)609 /g9 i( 2750 Kelley Parkway ,c�� "t' <= Crystal Bay,MN 55323 Approved By Amount$: 5/ l/(,J (952)249 4600 ` `=ts+xo� 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 ail or in person at the City offices. Applications will be reviewed and a permit will be issued wit in two working days. 2. Permit cards will be sent by return mail afte a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMI, . WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Designs—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 Record must be submitted before fmal. TYPE OF PERMIT (Check All,That Apply) ❑Residential ❑Commercial(Approval required) 0 New El Additional ❑Repairs D Replace Job Site/Owner Information: Site Address: 4545 Watertown Rd Owner: Broil Mailing Address: same Orono 55359 City: Zip: Home Phone: (952)974-2882 Alternate Phone: Contractor Information: Contractor: Practical Systems Contact Person: Joann Address: 4342B Shady Oak Rd State Bond#: 558516 City: Hopkins Zip: 55343 Expiration Date: 09/10/09 Phone: (952)933-1868 Alternate Phone: ElInsurance—Current: 01/01/10 1 MECHANICAL SYSTEMS BEING INSTALLED Note:All Geothermal Systems will now require a Site Plan&Review by our Building Official. IS THIS GEOTHERMAL? ❑Yes El No HEATING SYSTEMS Quantity: Make: Model: Fuel: Flue Size: Input BTUs: Output BTUs: CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H.Power FIREPLACES ElGas Factory Fireplace Brand Name: Lennox Wood Burning Fireplace ❑ Wood Stove Model No.: 15013 ❑ Wood Stove With Flue VENTILATION D No. Kitchen Exhaust duct recirculating cfm ❑ No. Bath Exhaust(must have duct outside) cfm O No. Other Fans: Locations cfm 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 O Outdoor Grill Other/List What&Where: 2 PERMIT FEE CALCULATIION(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;excl ding the cost of the fixture or appliance:and 3. Is improved,installed or replaced by th homeowner or licensed contractor. Skip next section,if this applies; Cost of Permit $ 15.00 State Surcharge $ .50 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$50.00) 2,000.00 x.0125$ 50.00 (contract price) (minimum$50.00) 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50) 2,000.00 x.0005 $ 1.00 (contract price) (minimum$ .50) 3. POSTAGE&HANDLING(Only on Mit-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. • **The STATE SURCHARGE is.0005 of the Building Department at(952)249-4600 for the price. 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. 7--4Applicant's Signature: Date: ti.-g71i Reset Form 3 B2- Se--+ / Sii I( TIME V CITY OF ORONO CALLED IN r I INSPECTION NOTICE , SCHEDULED . // I /C.l i (Th PERMIT NO. cDO09-bO/ COMPLETED ADDRESS 1-1-5Li� V ) -� _ L i1n Ri, OWNER CONTR. • . wCJ ..ic 5 TELEPHONE NO. '- ( a` ` a go .- DESCRIPTION Rr UxJ bkto-ii 4, ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLIN Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLAf , V) ❑ INSULATION ❑ WOOD BURNER/FIREPLACE 1L Q ❑ TREE REMOVAL • ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP Z ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU: YES NO o COMMENTS: cc W C cc 0 cc 0 U. W CC Q W Z W cc j d WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE LICT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ElCORRECT WORK,CALL FOR REINSPECTION TEMPORARY ✓ 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 si e: _ Inspector. - / White Copyllnspector's File Canary Copy/Site Notice