HomeMy WebLinkAbout2009-00487 - gas fireplace ` CITY OF ORONO PERMIT NO.: 2009-00487
2750 KELLEY PARKWAY
� ORONO, MN 55356- DATE issUEn: 08/13/2009
952 249-4600 FAX: 952 249-4616
ADDRESS : 2623 CASCO POINT RD
PIN : 20-117-23-24-0032
LEGAL DESC : SPRING PARK
: LOT 141 BLOCK 000
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIREPLACE-GAS
VALUATION : $ 1,500.00
NOTE: HEAT N GLO SL-SSOTR-E
APPLICANT MECHANICAL 50.00
STATE SURCHARGE MECH(VALUATION) 0.75
CONDOR FIREPLACE& STONE CO. MAIL-IN FEE 1.75
8282 ARTHUR ST NE TOTAL 52.50
SPRING LAKE PARK,MN 55432
(763)786-2341 PAID WITH CHECK# 71242
OWNER
KUBALAK, THOMAS&PATRICIA
2623 CASCO POINT RD
WAYZATA, MN 55391-
AGREEMENT AND SWORIv STATEMENT
The work for which this permit is issued shall be performed
according to: (1)the conditions of this permit; (2)the
approval plans and specifications;(3)the applicable City
approvals,Ordinances and Codes;and(4)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.
This permit will expire and become null and void if
construction authorized is not commenced within 60 days, 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 Code. ��
SEPARATE PERMITS REQUIRED FOR WORK OTHER HAN DESCRIBED ABOVE.
FOR CITY USE ONLY
• �„¢���, City of Orono
�/� ��t P'O.Box 66 Date Received: Permit#
2750 Kelley Parkway
a 1Y'� +����� Crystal Bay,MN 55323 Approved By: Amount$:
� ���`� ����� (952)249-4600
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CITY OF ORONO—MECHANICAL PERMIT
(All Commercial permits must be appro��cd 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 rivo 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 TRE JOB SITE.
3. Mechanical Designs—Complete calculations,details and specifications are required for each
heating,venrilation,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 forn�provided.
4. When any new construction or remodeling is involved,a separate buiiding permit rnusi 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 � Commercial(Approval Required)
❑ New ❑Additional ❑Repairs ❑Replace
Job Site/Owner Information:
Site Address: 2623 Casco Point Road
Owner: Mailing Address:
Cit}�: _ 7_ip:
Home Phone: Alternate Phone:
Contractor Information:
Contractor: Condor Fireplace & Stone Co Contact Person: Colleen Breske
Address: 8282 Arthur St NE State Bond#: RL1545116
Spring Lake Park . 55432 10/31/09
City: Zip. Expiration Date:
Phone: (763)786-2341 Alternate Phone:
✓Q Insurance—Current:
1
� ' �.��� ,;✓ f:s.��.. S�F+�HAI�ICAL SYSTEM��EIN��TAI�LED :':�4 , a '
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 SYSTEM5
Quantity:
Make:
Model:
Tons:
H.Power
FIREPLACES
❑� Gas Factory Fireplace Brand Name: Heat-N-Glo
❑ Wood Burning Fireplace
� Wood Stove Model No.: SL-550TR-E
❑ 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 ifproposing to ubundon 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
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:
1. Does not require modification to electrical or gas service.
2. Has a total cost of$500.00 or less;excludinQ 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 Fce $
�-.=�� �� ' 1'ERMIT��E�CALCULATION(S)-JUBS'UVER$SOO.OU j
If above does not apply; follow guidelines below:
1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of�50.00)
�I��.0125 $ 50.00
(contract price) (minimum$50.00)
2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50)
x.0005 $ 0.50
(contract price) (minimum$ .50)
3. POSTAGE&HANDLING(Only�n Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ 52.50
■ * 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.
,
.ME�HANICAL"'PERMIT APPLICATION AGREEMEN"�',,,; , ;,,
The undersigned hereby applies to the City far 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: �" '� 0
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