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Home My WebLink About2009-00238 - gas fireplace , CITY OF ORONO PERMIT NO.: 2009-oo23s ' 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISS[1ED: OS/26/2009 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 : $ 1,200.00 NOTE: 1 HEAT N GLO GAS FIREPLACE APPLICANT MECHANICAL 50.00 CONDOR FIREPLACE& STONE CO. STATE SURCHARGE MECH (VALUATION) 0.60 8282 ARTHUR ST NE SPRING LAKE PARK, MN 55432 MAIL-IN FEE 2.00 (763)786-2341 TOTAL 52.60 PAID WITH CC# 0816 OWNER KUBALAK, THOMAS& PATRICIA 2623 CASCO POINT RD WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT Thc work for which this permit is issucd shall be performed according to the approved plans and specitications,applicable Ciry approvals,and the State Building Code. This permit is for only the work dcscribed and does not gran[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 5tate Building Code.This permit may be revoked at any time for due cause. �.y��l�c'c`'! �— / / LfiYi'L�� l l Applicant Permitee Signature Date Issued By Si ature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E. FOR CITY USE ONLY ,,¢�� City of Orono O O. P.O.[3ox 66 Date Received: Permit# 2750 Kelley Parkway � �j"`�'t Crystal Bay,MN 55323 Approved By: Amount$: �'�i� ,y:�o�'�� (952)249-4600 ��oa::- CITY OF ORONO—MECHANICAL PERMIT (All Commercial pennits must be approved by the Building Ot�ticial or Inspector and/or Eire 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 BEG[N UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Desi�—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 typc,mar:ufact�rer anc madeL Data shzl!be preser„ed on form provide�. 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 ❑✓ Residential � Commercial(Approval Required) ❑ New ❑Additional ❑ Repairs ❑ Replace Job Site /Owner Information: Site Address: 2623 Casco Point Road Owner: Mailing Address: City: 7ip: Home Phone: Alternate Phone: Contractor Information: Contractor: Condor Fireplace& Stone Contact Person: Colleen Breske Address: 8282 Arthur St NE State Bond #: RLI 545116 City: Spring Lake Park Zlp: 55432 Expiration Date: 10/30/09 Phone: (�63) 786-2341 Alternate Phone: ✓Q Insurance—Current: 10/30/09 1 MECHANICAL SYSTEMS BEING INSTALLED 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: COOL[NG SYSTEMS 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 E�aust(must have duct outside) cfin ❑ 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 ❑ 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;excludine 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([f Applicable) $ 2.00 Total Permit Fec $ 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) 1,200.00 x.0125 $ 15.00 (contract price) (minimum$50.00) 2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(Minimum Fee ofs.50) x .0005 $ 0.50 (contract price) (minimum$ �0) 3. POSTAGE& HANDLING(Only on Mail-[n Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ 17.50 ■ * 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 amotmt 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. � � ,( � � Applicant's Signature: C�l�� Date: " �"— � "�� Reset For 3 C, � � �-�- ✓�- ¢[��/� TIME CITY OF ORONO CALLED IN � � INSPECTION N(��E SCHEDULED � � D o7.'30 PERMIT N0. � ��C�B COMPLETED ADDRESS ��P�.3 C� LO f � ��-- OWNER CONTR. �� TELEPHONE NO.__�^ //!�� ^�� --a3 �� DESCRIPTION � ❑ FOOTING HANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ ECHANICAL 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 Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARO COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O � � O � W � Q � Z W � W � ` WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W � ORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY O ❑CI�RRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pH0T0 TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED �STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Cail forthe next'nspectio 4 hours in advance. (952� 249-46�0 OwnerlContractor on e• e � ,-� Inspector. White Copyllnspector's File Canary Copy/Site Notice � DATE TIME '" CITY OF ORONO CALLED IN � "ZD INSPECTION NO IC SCHEDULED S-ZZ-D /D = � PERMIT N —�oa3g COMPLETED ADDRESS ��3 �{s� �f�' I� OWNER CONTR. C�3G�lJ L. �� TELEPHONE NO. 7�'3 �c�� Z 3�� DESCRIPTION /�� — �� ❑ FOOTING � MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE O ❑ 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: � W 0. � J O � � O � ti � Q � Z W � W � � � a W� �WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CQRRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. �95Z� 249-46QQ OwnerlContractor on site: Inspector. ° ��- ��y White Copyllnspector's File Canary CopylSite Notice