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Home My WebLink About2010-00222 - gas fireplace . • CITY OF ORONO PERMIT NO.: 2010-00222 2750 KELLEY PARKWAY ORONO, MN 55356- DATE �ssUED: 04/14/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 1785 CONCORDIA ST PIN : 17-117-23-22-0016 LEGAL DESC : COFFEES ADDN TO SHADY WOOD LAK : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 6,000.00 NOTE: (2)GAS FACTORY FIREPLACES-BRAND NAME: 2 FPX, 1 MARQU[S MODEL-98�00212&SOLACE APPLICANT MECHANICAL 75.00 PRACTICAL SYSTEMS STATE SURCHARGE MECH (VALUATION) 3.00 4342 B SHADY OAK RD HOPKINS, MN 55343 TOTAL 78.00 (952)933-1868 OWNER DULIN, KEVIN& BARBARA l 785 CONCORDIA ST WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT The 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 scparate 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 aftcr work has commenced. "fhe applicant is responsible for assuring all required inspections are reque�ted in confor ance with the State Building Code.This permit may be revok'd at any time�� r d�k cau e. �` � � � �i ' n `t� � � � � �l-� /� �U Ap ' ermitee gnature Date [ss d By Signature Date SEPARATE PERM[TS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � , FOR CiTY USE ONLY � City of Orono � �� P.O.Box 66 Date Reccivetl: Permit� `�� '�� 2750 Kcllcy Parkway c, �, L��. �' I Crystal Bay,MN 55323 Approvcd By: Antount$: '��,�.:��6,,'" (952)249-4600 �_�°� CITY OF ORONO— MECHANICAL PERMIT (All Commcrcial permits must bc approvc�by thc Building Ofticixl or[ns�cctor aniL'or Firc M11arshxll) 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. ?. Permit cards will be sent by return mail after a review is completed. PERMITS ARF,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� Complete calculations,details and specifications are required for eaeh heating,ventilation,humidification-dehumiditication,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 perniit 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 fina]). 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 0✓ Additional ❑Repairs ❑ Replace Job Site l Owner Infonnation: Site Address: �785 CONCORDIA ST Owner: DULIN Mailing Address: SAME Cit WAYZATA Zi 55391 Y� P� Home Phone: �952)292-7468 Alternate Phone: Contractor Information: Contractor: PRACTICAL SYSTEMS Contact Person: ��ANN Address: 4342B SHADY OAK RD State Bond#: 558516 HO PKI N S 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 Geothermal Systems will now require a Site Plan & Review by oUr Building Ofticial. lS 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 0 Gas Factory Fireplace Brand Name: 2 �pX, 1 MARQUIS ❑ Wood Burning Fireplace B Wood Stove Model No.: 98��0212&SOLAC6 ❑ Vl�'ood Stove With Flue VENTILATION ❑ No. _____ Kitchen Exhaust_ _ duct _recirail�iti�lg cfm ❑ No. Bath Exhaust(must have duct outside) cfm ❑ No. _ _ Other Fans: Locations ___ _ _ ___ ___ _cfm FUEL STORAGE (Must be approred by Fire Marshal!ifproposing to abandon turtk in place.) � Installation � Removal Fuel Oil: gallons ❑ Under�,�round � lnside �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 tixture or appliance that meets all three of the follci�ving requirements: 1. Does not require modification ro eleclrical or gas service. 2. Has a total cost 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 $SU0.00 If above does not apply; follow guidelines below: I. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fcc of$50.00) 6,000.00 x.0125$ ��00 (contract price) (minimum$�0.00) 2. STATE SURCHARGF, ** Add the State Bldg Code Div. Surcharbe(�-tinimum Fee of$.50) 6,000.00 x .0005 $ 3.00 -- -------— ---- —--------- (contract pncc) (minimum$ .�0) 3. POSTAGE&HANDLING (Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines l-3 Above) $ 7$•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 �mount to be charged to the customer for the work done. If any material, equipment, labor or instal(ations are furnished by the owner, tenant or any other party, the reasonable market value of such itenis must be added to the estimated cost or contract price for permit fee purposes. In the event that t}iere is a dispute on the amount of the job cost, the City may request the submission of a sib ed copy ot'the actual contract. • ** The STATE SURCHARGE is.0005 of the Building Department at(952)249-�3(00 for the price. MECHANICAL PERMIT APPLICATION AGREEME�CrTT The undersigned hereby applies to the City far issuance of a Mechanical Pctmit, agrees to do all work in strict accordance with the ordinances of the City and the regul�ti�ons of the State of Minnesota, and certities that all statements made on this application are complete, true and correct. � / 04109/10 Applicant's Signature: Date: �- Reset Form 3 C � �� AT C TIME � CITY OF ORONO " CALLED IN � � � INSPECTION NOTICE SCHEDULED % • �% PERMIT NO. L��C U��"ZCOMPLETED ADDRESS 1 �� r� �`C��C_�'�cJ i c.` ��f` OWNER TELEPHON�NO. {��t�"_�� CONTRACTOR �r<_`� �-� • '� / �f�� DESCRIPTION c_,� l�'7�-� �� "'i�� ^l"� � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ S�C FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU: YES_NO � COMMENTS: � W � � J O � � O � W � Q � Z W � W � � � d � W��d,WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � �, W ❑CORRECT WORK 8 PROCEED G' ISSUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspectiory24 hours in advance. (952� 249-4600 Owner/Contractor on sit�: i, ' ,� : '' Inspector. �- ' White Copyllnspector's File Canary Copy/Site Notice