HomeMy WebLinkAbout2010-00189 - gas fireplace CITY OF ORONO PERMIT NO.: 2010-00189
2750 KELLEY PARKWAY
' ORONO, MN 55356- DATE ISsuEu: 04/06/2010
� 952 249-4600 FAX: 952 249-4616
ADDRESS : 2835 CASCO POINT RD
PIN : 20-117-23-31-0057
LEGAL DESC : SPRING PARK
: LOT 114 BLOCK 000
PERMIT TYPE : MECHAN[CAL(> $500)
PROPERTY TYPE : RES[DENT[AL
CONSTRUCTION TYPE : F[REPLACE-GAS
VALUATION : $ 2,800.00
NOTE: GAS FIREPLACF,-'1'RAVIS#98500234&3 ADDITIONAL GAS LINES
APPLICANT
MECHANICAL 50.00
PRACTICAL SYSTEMS STATE SURCHARGE MECH (VALUATION) 1.40
4342 B SHADY OAK RD
HOPKINS, MN 55343 TOTAL 51.40
(952)933-1868
OWNER
IVERSEN, ROSEMARY C •
2835 CASCO PT RD
WAYZATA, MN 55391-
AGREEMENT AND SWORN STATEMENT
'I�he 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 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 ted in conformance with the State Building Code."I'his permit may be 7
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re:o ed at any ' ause. ��
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Ap ' nt Permitee Sig e Date Issued By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
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FOR CI't'Y USE ONLY
, � „>`d � City of Orono
�� � �� P.O.Box(6 Datc Receivcd: Pcrmit# _ _
�.:, ����'� 27�0 Kcllcy Parkway — — -� —
, s, • � � Crystal Bay,MN 55323 Approved By: _ Amouni$:
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CITY OF ORONO—MECHANICAL PERMIT
IAII Commcrcial permits must bc approvcd by thc Building Ofticial or Inspccror emcL'or Firc Marshalt)
GENERAL INFORMATION
I. You may apply for mechanical permits by mail or in person at the City oftices. 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 BEGIN UNTIL THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Mechanical Desi�ns—CompleYe 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 final.
TYPE OF PERMIT
Check All That A 1
Q Residential �Commercial(Approval Required)
❑ New Q Additional ❑ Repairs ❑ Replace
Job Site/Owner Infonnation:
.'�
Sitc Address: 28�'3 CASCO POINT RD
Owner: ROSEMARY IVERSON Mailing Address: SAME
Cit ORONO Zi 55391
Y� P�
Home Phone: �952)471-8787 Alternate Phone:
Contractor Information:
Contractor: PRACTICAL SYSTEMS Contact Person: �OANN
Address: 4342B SHADY OAK RD State Bond#: 558516
HOPKINS 55343 09/10/10
City: Zip: Expiration Date:
Phone: (952)933-1868 Alternate Phone:
Q Insurance—Current: 01/01/11
1
_ � MECHANICAL SYSTEMS BEING INSTALLED
Note: All Geotheimal Systems will now require a Site Plan& Review by our Building OfGcial.
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
FIREPLACES
Q Gas Factory Fireplace Brand Name: TRAVIS
❑ —_ _--__-----
Wood Burning Fireplace
� Wood Stove Model No.: 98500234
❑ 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 if pronosing to abandon tank in place.)
� Installation � Removal
Fuel Oil: gallons ❑ Underground a Inside �Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill � Other/List What&Where: 3 ADDITIONAL GAS LINESd
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 followin;,�requirements:
1. Does not require modification to electrical or gas service.
2. Has a total cost of$500.00 or less;exdudin�the cost of the fixture or appliance:and
3. Is improved,installed or replaced by the homeowner or licensed cantractor.
Skip next section,if this applies; Cost of Permit $ 15.0�
State Surcharge $ .50
Mail-In Fee(If Applicable) $ 2.00
Total Permit Fee $
PERMIT FEE CAI.CULATTON S)-JOBS OVER$SQ0.04
If above does not apply;follow guidelines below:
1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum �'ee of$50.00)
2,800.00 X ��`�� 50.00
--_ _ ---- -
(contract pricc) fminimum$�0.00)
2. STATF,SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fec ot$.50)
2,800.00 x ���5 � 1.40
----------- — —_
(contractpricc) (minimum$ .�0)
3. POSTAGE&HANDLING(Only on Mail-in Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ 51.40
■ * 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 pany, 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 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 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 certifies that all statements made on this application are complete, true and
correct. �
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Applicant's Signature: � " � Date: 04/02/10
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Reset Form -
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D�1TE I I � TIME
� CITY OF ORONO CALLED IN �
INSPECTION NOTICE � SCHEDULED � .��( (
PERMIT NO. -=� t- � ' �` � '-�7 COMPLETED
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ADDRESS •� ,� �' -� C �� ��< �'� I�
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OWNER TELEPHONE NO.��u� ���'�3
CONTRACTOR ��� �C �t �� �� 1 � .� ���\ �YY��
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� DESCRIPTION -� �-7�t -J C � ��_" S .— �i`-. I� C�--�C;S �-f'
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING�
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
Q ❑ TREE REMOVAL f �.�C i S
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION! -
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS ` �� ,�'-
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT ���
v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
? ❑ DEMO-FINAL ❑ SEPTI INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ S T C FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU YES_NO
� COMMENTS:
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Uy'/�Jq�ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
� ❑CORRECT WORK&PROCEED C' ISSUE CERTIFICATE OF OCCUPANCY
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� ❑ 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
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (952� 249-46��
OwnerlContractor on site:
Inspector. � f � ��
White Copy/lnspector's File Canary CopylSite Notice