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Home My WebLink About2009-00506 - gas fireplace , • CITY OF ORONO PERMIT NO.: 2009-00506 2750 KELLEY PARKWAY ORONO, MN 55356- �ATE ISSUEn: 08/2U2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 1212 BRIAR ST PIN : 10-117-23-31-0075 LEGAL DESC : MAXWELLS ADDN CRYSTAL BAY LAKE : LOT 000 BLOCK 002 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 2,500.00 NOTE: KOLY HEAT GAS FIREPLACE-MODEL NO.91 1 APPLICANT MECHAN[CAL 50.00 PRACTICAL SYSTEMS STATE SURCHARGE MECH (VALUATION) 1.25 4342 B SHADY OAK RD TOTAL 51.25 HOPKINS, MN 55343 (952)933-1868 OWNER KIEMEN, R&J 1212 BRIAR ST WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shali 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 rela[ed 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 aRer work has commenced. The applicant is responsible for assuring all required inspections are requested in confor ance with the State Building Code.This permit may be revo d at any tim r due�ause.� ' � � � � � �` i Zi i �S' i o2/i D A icant Per tee ' nature Date � sue By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. FOR CIT1'USE OYL�' Cit of Orono �J(� C, " �� P.O �ox 66 Da�te Received:��•21 � Permit# �� / — ��-/�� 4 �< � 2750 Kellcy Parkway a i �� CrystalBay,MNii3?3 ApprovcdBy: Amount$: �� _ ��a�sxo�''$��`� (952)249-4600 - - CITY OF ORONO—MECAANICAL PERMIT (All Commcrcial permits must bc approvcd by thc Building O�ciaJ orinspcctor and/or Firc Martihall) GENERAL INFORMATION 1. You�nay 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. PFRMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGW UNT1L THE PF,RMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Desi;ns—Complete calculations,details and specitications are required for each heating,ventilation,humidification-dehumidification,and air conditioning installation including lleat loss/lieat bain 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 final. TYPE OF PERMIT (Check All That A 1 Q✓ Residential �Coinmercial(Approval Required) � New Q Additional ❑ Repairs ❑Replace Job Site/Owner Inforination: Site Address: 1212 BRIAR STREET Owner: JERI KIEMEN Mailing Address: SAME WAYZATA 55391 City: Zip: Home Phone: �952)475-0810 Alternate Phone: Contractor Information: Contractor: PRACTICAL SYSTEMS Contact Person: JOANN Address: 4342B SHADY OAK RD State Bond#: 558516 HOPKINS 55343 09/01/10 City: Zip: Expiration Date: Phone: (952)933-1868 Alternate Phone: �✓ Insurance—Current: 01/01/10 1 , MECHANTCAL SYSTEMS BEING INSTALLED � � � � � � l�ote: All Geothermal Systems will now rcquire 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 F[REPLACES � Gas Factory Fireplace Brand Name: KOZY HEAT _ Q Wood Burning Fireplace � Wood Stove Model No.: 911 ❑ Wood Stove With Flue VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfm ----- ❑ No. Bath Exhaust(must have duct outside) cfm ❑ No. Other Fans Locations cfm FUEL STORACE (Must be approved by Fire Marshall if proposing to abandon tank in plaee.) � Installation � Removal Fuel OiL gallons ❑ Underground � Inside �Outside LP Gas: __ gallons Other: GAS LINE ONLY ❑ Outdoor Grill � Other/List What&Where: 2 J PERMIT 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: I. Does not require modification to electrical or gas service. 2. Has a total cost of$�00.00 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 Surcharbe $ .50 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ PERMIT FEE CALCULATION S) -J�OBS OVER S500.00 If above does not apply;follow guidelines below: 1. CONTRACT PRICF, * is I.25%of contract price with a(Minimum Fee of$50.00) 2,500.00 X ��5$ 50.00 (contract pricc) (minimum$50.00) 2. STATE SURCHARGE **Add the 5tate Bldg Code Div. Surcharge(Minimum Fee of$.50) 2,500.00 x .0005 S 1.25 (contractprice) (minimum$ .50) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines I-3 Above) $ 5125 ■ * 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 actua] contract. ■ **The STATE SURCHARGE is.0005 of the Building Department at(952)249-4600 for the price. MECHANICAL PERMIT APPLICATTON 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 certities that all statements made on this application are cotnplete, true and correct. � 08/14/09 A}�plican�'s Signaturc: Date: Reset Form 3 \�� CC�� -- ATE TIME � � CITY OF ORONO CALLED IN � � INSPECTION T SCHEDULED PERMIT N . � COMPLETED �_ ADDRESS �� ./`��il/.�/�- �J"� OWNER CONTR. TELEPHONE NO. �6��, - �� ..�i`'��-� � � DESCRIPTION �� ! � �� ❑ FOOTING ❑ MECNA AL RI ❑ EXCAV/GRADING/FILLING ,Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT � ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING Rt ❑ SEPTI FINAL ❑ HARD COVER REMOVAL �6RQG F AL � ❑ FOUNDATION/REMOVAL OWNER/CONT�TOR TO MEET YOU YES_NO �---_--_—_._� � COMMENT : � � a o �• � a � o ` �- TC � -�— l� --._ W Q ��=� ) - c,� 4 t-� �u �� -� � �� ,-�S, �.� =m.� i�� C r� � � GW ❑WORKSATISFACTORY:PROCEED OJECTCOMPLETE � �CORRECT WORK&PROCEED C ISS E CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL RETURN ��CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR G INSPECTIONREOUIRED.CALLTOARRANGEACCESS. Cail for the next inspection 24 hours in advance. (952� 249-46�� OwnerlContractor on site: f 1 Inspector. c White Copyllnspector's File Canary CopylSite Notice