HomeMy WebLinkAbout2009-00711 (mechanical- gas fireplace) CITY OF ORONO PERMIT NO.: 2009-00711
2750 KELLEY PARKWAY
ORONO, MN 55356- DATE ISSUEn: 10/15/2009
952 249-4600 FAX: 952 249-4616
ADDRESS : 3127 CASCO CIR
PIN : 20-117-23-34-0022
LEGAL DESC : COLORADO SPRINGS
: LOT 002 BLOCK 001
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIREPLACE-GAS
VALUATION : $ 6,000.00
NOTE:
GAS FIREPLACF.S-MODEL 36CH(2)864ST&86
APPLICANT
MECHANICAL 75.00
PRACTICAL SYSTEMS STATE SURCHARGE MECH(VALUATION) 3.00
4342 B SHADY OAK RD TOTAL 78.00
HOPKINS, MN 55343
(952)933-1868
OWNER
PETERS,FREDERICK
3127 CASCO CIR
WAYZATA, MN 55391-
AGREEMENT A1vD 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
S[ate 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 compi�d with whether or not specified herein.This permi[will
expire and become null and void if construction authorized is not
commenced within I 80 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
request d in conformance with the State Building Code.This permit may be
revoke at any time�r due eaus ,
i '
�' 1�/ /� �,,�� /�/S/ �
Appli n ermrtee Si ature Date Iss e y Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRBED ABOVE.
NOR ITY USE ONLY
" �j City of Orono �(� /j � ��1�
' ��� ���� P.O.Box(i6 Dats Rccoivcd: ����%Pcrmit n �_ �
'r�<�. _; � � 27�0 Kcllcy Park�vay - 7 (/
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�Yano,�:
CITY OF ORONO—MECHANICAL PERMIT
(All Commcrcial permits must hc approvcd by thc Building Ofticial or fnspcctor anc1�'or Firc Marshall)
GENERAL INFORMATION
I. 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 workinb days.
2. Permit cards will be sent by return mail after a review is completed. PF_RMITS ARG NOT
VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BECIN UNTIL THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Mechanical Desians—Complete calculations,details and specifications are required for each
heating, ventilation,humidification-dehumidification,and air conditioning installation including
heat]oss/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 tinal.
TYPE OF PERMIT
Check All That A. 1 )
❑✓ Residential � Commercial(Approval Required)
❑ New Q✓ Additional ❑ Repairs ❑Replace
Job Site/Owner Inforination:
Site Address: 3127 CASCO CIRCLE
Owner: PETERS Mailing Address: SAME
Cit WAYZATA Zi 55391
Y� P�
Home Phone: Alternate Phone:
Gontractor Information:
Contractor: PRACTICAL SYSTEMS Contact Person: �OANN
Address: 43426 SHADY OAK RD State Bond#: 3510-MB
HO PKI N S 55343 09/17/10
City: Zip: Expiration Date:
Phone: (952)933-1868 Alternate Phone:
✓� Insurance—Current: 01/01/10
1
MECHANICAL SYSTEMS BEING INSTALLED
l�ote: 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:
COOLIIYG SYSTEMS
Quantity:
Make:
Model:
Tons:
H. Power
FIREPLACES
Q Gas Factory Fireplace Brand Name: TRAVIS
❑ Wood Burning Fireplace 36CH (2), 864ST& �
� 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: Locations_ _ cfm
FUEL STORAGE (Must be approved by Fire Marshall ifproposirag to abandon tank in place.)
� Installation � Removal
Fuel Oil: _gallons ❑ Underb ound � Inside � Outside
LP Gas: gallons
Other:
GAS L1NE ONLY
❑ Outdoor Grill � Other/List What&Where:
2
• PERM7T FEE �ALCULATION(S) � ��
BASED OFF - 2002 STATE STATUE
❑ Yes,this section applies
The replacement of a Residential tixture or appliance that meets all three of the following requirements:
1. Does not require modification to electrical or gas service.
2. Has a total cosY of$500.00 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 Surcharge $ .50
Mail-In Fee(If Applicable) $ 2.00
Total Permit Fee $
PERMIT FEE CALCULATION S -JOBS OVER �500.00
If above docs not apply; follow guidelines bclow:
1. CONTRACT PR10E * is 1.25%of contract price with a(Minimum Fee of$50.00)
6,000.00 X ���5� 75.00
(contract pricc) (minimum$50.00)
2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(Minimum Fec of$.50)
6,000.00 X ���5 � 3.00
(contract pricc) (minimum$ .50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) � 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ 78•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 pennit 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 sib ed copy of the actual contract.
■ **The STATE SURCHARGE is .0005 of the Building Department at(952)249-4600 for the price.
MECHANICAL PERMIT APPLICATION AC'rREEMENT � � �
The undersigned hereby applies to the City for issuance ot'a Mechanical Permit, agi-ees to do all
wotk in st��ict 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: 10/12/09
Reset Form � �"
3
DA TIME ✓
CITY OF ORONO CAILED IN ��'�
INSPECTION OTI E 7 � l SCHEDULED � ' 30
PERMIT NO. a -DD COMPLETED
ADDRESS 3�a 7 ��� �JV
OWNER CONTR.�(�7C(-���-�
TELEPHONE NO. S�- � 33 � g�jQ
� DESCRIPTION � � � �� �I C�
� ❑ FOOTING � MECHANICAL RI ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
y ❑ 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
Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
? ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W� 'r RK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑ CORRECT WORK,CALI FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN ❑GTATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� Z49-Q6QQ
Owner/Contractor on site:
Inspector. �v� J� :
White Copyllnspector's File Canary CopylSite Notice
� �` / � ATE TIME �/
CITY OF ORONO CALLED IN / �
INSPECTION OTICE SCHEDULED `I �
PERMIT N —���� COMPLETED
ADDRESS � �7 � ��
OWNER CONTR. �Q� �S
TELEPHONEN0. " — �— 3
� DESCRIPTION G� C� �.'�CJ
� ❑ FOOTING ❑ MEC NICAL RI ❑ EXCAV/GRADING/FILUNG
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE
Q ❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
Q ❑ DEMO-FINAL ❑ SEPTIC INSTAI.L. ❑ FOLLOW-UP
_ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
� ❑ PLUMBING FINA� ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W �WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
� �CORRECT WORK 8 PROCEED � ISSUE CERTIFICATE OF OCCUPANCY
W
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. �952� 249-46QQ
Owner/Contractor on site:
l�°,,�,,,_ �
Inspector. -
White Copyllnspector's File Canary CopylSite Notice