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Home My WebLink About2009-00872 - gas fireplace . � CITY OF ORONO PERMIT NO.: 20o9-oos�2 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 12/03/2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 139 CHEVY CHASE DR PIN : 36-ll 8-23-41-0025 LEGAL DESC : HILL O'WAY MANOR : LOT 020 BLOCK 001 PERMIT TYPE : MECHAN[CAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 2,000.00 N01'E: GAS FIREPLACE-TRAVID-MODEL NO.98400108 APPLICANT MECHANICAL 50.00 PRACTICAL SYSTEMS STATE SURCHARGE MECH (VALUATION) 1.00 4342 B SHADY OAK RD HOPKINS, MN 55343 TOTAL 51.00 (952)933-1868 OWNER BELTRAND, MR.& MRS. 139 CHEVY CHASE DR WAYZATA, MN 55391 AGREEMENT AND SWORN STATEMENT The work for which this permit is issucd shall be perlormed according to [he approved plans and specitications,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 specitied herein.This permit will expirc and become null and void if construction authorized is not commenced�vithin 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 State Bui�ing Code.This permit may be revoRed at any time for due cause. r � : ---\) �.. � ��...._.�_.r •\ ,� r. ..:-7-.'a..._o`.. .r`'`,`�/ � l�' C, l l A�pplican't�mitee Signature Date ss e y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCR[BED ABOVE. FOR IT USE ONLY O,¢Q�O City of Orono / � �'�� P.O.Box 66 Date Received: � Permit#p��p f— D , 2750 Kelley Parkway I� � :�" � +� Crystal Bay,MN 55323 Approved By: Amount$: C7`� '�+ �' �� k t�o,;. (952)249-4600 ��s.,;... CITY OF ORONO—MECHANICAL PERMIT (All Commercial permits must be approved by the Building OYTcial 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 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 Designs—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 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. Ail 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 0 Residential �Commerciai(Approval Required) Q New ❑Additional ❑Repairs ❑Replace Job Site!Owner Information: Site Address: 139 CHEVY CHASE RD Owner: BRIAN BELTRAND Mailing Address: SAME City: WAYZATA Zip. 55391 Home Phone: �952)475-0583 Alternate Phone: Contractor Information: Contractor: PRACTICAL SYSTEMS Contact Person: �OANN Address: 43426 SHADY OAK RD State Bond#: 558516 C�Ty: HOPKINS Zlp. 55343 Expiration Date: 09/10/10 Phone: (952)933-1868 Alternate Phone: ✓� Insurance—Current: 01/01/10 1 n � �,� v MECHANICAL SYSTEMS BEING INSTALLED Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official. [S 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 ❑� Gas Factory Fireplace Brand Name: TRAVIS ❑ Wood Burning Fireplace � Wood Stove Model No.: 98400108 ❑ Wood Stove With Flue VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfm ❑ No. Bath Exhaust(must have duct outside) cfin ❑ No. Other Fans: Locations cfm FUEL STORAGE (Must be approved by Fire Marshall if proposing to abandon tank in p[ace.) ❑ Installation � Removal Fuel OiL• gallons ❑ Underground a Inside �Outside LP Gas: gallons Other: GAS L1NE 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 Residentiai 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 Surchazge $ .50 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ PERMIT FEE CALCULATION S -JOBS OVER$500.00 If above does not apply;foltow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) 2,000.00 x.0125$ 50.00 (contract price) (minimum$50.00) 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50} 2,000.00 x.0005 $ 1.00 (contract price) (minimum$ .50) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ 51.00 ■ * 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 reasonab(e 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. 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: � �J Date: 11/25/09 � Reset Form - 3 � �� _��" ' DAT - TIME CITY OF ORONO CALLED IN ��} �l bt, INSPECTION NOTICE SCHEDULED �q �� PERMIT NO.�Zq—C=(��'7� COMPLETED ADDRESS � � OWNER �.f'1 -[� e l` O R. � TELEPHONE NO. �S� �� -� D S� �� _ � DESCRIPTION ��=�� 2,/`-�- �r �� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS � ❑ 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 INSTALL. ❑ FOILOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL MBING FINAL �j / ❑ FOUNDATION/REMOVAL OWN C NTRACTOR TO MEEf YOU:JL YES_NO �'1 � COMMENTS: a C r �c� `� �� 'S �.. o � � � " � i � �� r �r � �i-- �� o �� W r� Q r � � 1- /� 1 .rZ1�— J 1`� � z W � W � � d V{IORKSATISFACTORY:PROCEED C� PROJECTCOMPLETE � ❑ RRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITNIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP OROER POSTED.CALL INSPECTOR ❑ INSPECTION REQUiRED.CALI TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor on�ite: Inspector. � l �� White Copyllnspector's File Canary CopylSite Notice D TE TIME CITY OF ORONO CALLED IN G` � � INSPECTION NOTIC SCHEDULED �. PERMIT NO. coMP�ErE� �`' � � �� ADDRESS .�� L%�� ,��JC�c�---=� OWNER � -�ONTR. TELEPHONE NO. -' � ❑ FOOTING ❑ PLUMBING RI ��1 ��D�SITE INSPECTION �FRAMING ❑ PLUMBING FINAL ❑ EXCAV./GRADING/FILLING � ❑ INSULAT�ON ❑ MECHANICAL ❑ LAKESHORE/WETLANDS � ❑ WALL BD. O WATER HOOKUP ❑ LICENSING lV '� ❑ METER SET/TURN ON ❑ COMPLAINT � PAOGRESS ❑ SEWER HOOKUP � FOLLOWUP y ❑ DEMOL. ❑ SEPTIC INSTALL. ❑ SEPTIC FINAL Q ❑ FIRE PREV. ❑ SEPTIC MAINT. ❑ FIREPLACEIWOOD BURNER � C7 WELL TEST PUMP O i COMME TS: � /1'1�� -�""_�i��c � ��c �" - W � ��'v�- J � Z � /`/L.�I-s/1� � u� T1vv✓ � a (r�c� � .�-.-Q � J O � �'/-�� /L S��e %/2oL'� /e�'S.f�4'�T7 0� � ,c3 c�v v�-�:.� i 7�,�i�v' W � Q � z W � W � � � d W � W ORK SATISFACTORY:PROCEED O PHOTO TAKEN � CORRECT WORK&PROCEED � CORRECT WORK CALL FOFi f1EINSPECTION BEFORE COVERING � CORRECT UNSAFE CONDITION WITHIN HOURS.INSPECTOR WII.L RETURN. ❑ STOP ORDER POSTED.CALL INSPECTOR. G INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. call for the next inspection 24 hours in advance. Owner/Contr. n sit I nspecto 473-7357 White/I�spector's File Canary/Site Notice � DATE TI CITY OF ORONO CALLED IN �� '�� INSPECTION NOTICE SCHEDULED l U �� - / •�-�� PERMIT NO. '� �° COMPLETED r o-�o- � 10�� ` �i ADDRESS _ �� .=�C��- (�G � ��- OWNER - - � �; CONTR.�-�:�'.�� TELEPHONE NO. U;'_��- ��y ❑ FOOTING O PIUMBING RI � SITE INSPECTION ❑ FRAMING ❑ PLUMBING FINAL ❑ EXCAV./GRADING/FILLING � ❑ INSULATION O MECHANICAL ❑ LAKESHORE/WETLANDS � WALL BD. ❑ WATER HOOKUP ❑ LICENSING � '�FINA� ❑ METER SET/TURN ON ❑ COMPLAINT e ❑ PROGRESS ❑ SEWER HOOKUP ❑ FOLLOWUP y ❑ DEMOL. ❑ SEPTIC INSTALL. O SEPTIC FINAL Q ❑ FIRE PREV. O SEPTIC MAINT. O FIREPLACE/WOOD BURNER � O ELL TEST PUMP , ❑ = COMMENTS: l �"f.t"v f�',�c-Y, �,�-��.E��-��. �l_ 1� ti �J � �.��-�_- y-, ��c�c-�-cl� . Q W I z T'�?AE p C3��oa�.� r►.�-�pe�� 0 � � a 11-'�t-+,�i C�4>J $�� S��P tir � ��1�5 �- k- O � � O � � ' a S / �7�C�v5� �/'��. fs" �� J Q p n � /' l�"T� �- �d � Q/` ��J C�l Z W � � �//�/+-I /N-�`c�C �7C'�'s� � d W � W �ORK SATISFACTORY:PROCEED ❑ PHOTO TAKEN O Q CORRECT WORK 8 PROCEED U ❑ CORRECT WORK,CALL FOR REINSPECTION BEFORE COVERING � CORRECT UNSAFE CONDITION WITHIN HOURS.INSPECTOR WILL RETURN. � STOP ORDER POSTED.CALL INSPECTOR. � INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. call for the next inspection 24 hours in advance. Owner/Contr. on site I nspecto 473-7357 White/ spector's File Canary/Site Notice