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Home My WebLink About2011-00219 - gas fireplace ` CITY OF ORONO PERMIT 1v0.: 2011-00219 2750 KELLEY PARKWAY ORONO, MN 55356- �ATE �ssuEn: 04/14/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 415 DEBORAH DR PI N : 31-1 18-23-24-0007 � LEGAL DESC : MCCULLEY FARM : LOT 005 BLOCK 001 PERMIT TYPE : MECHANICAL(>$500) � PROPERTY TYPE : RESIDENTIAL ! CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 800.00 NO'[E: GAS FAC CORY FIREPLACE-PETERSON-MODGL NO.G4�-2-24 APPLICANT MECHANICAL 50.00 PRACTICAL SYSTEMS STATE SURCHARGE MECH (VALUATION) 5.00 4342 B SHADY OAK RD HOPKINS, MN �5343 TOTAL 55.00 (952)933-1868 OWNER SILLERUD, JON& NORA 4l5 DEBORAH DR MAPLE PLA W, MN 55359- AGREEMENT AND SWORN STATEMENT 'I'hc work Ibr which this permit is issucd shall bc perlormcd according to thc approvcd plans�nd s�xci�ications,applicablc City approvals,and thc State[3uilding Code. "�his permit is for only thc work described and docs not grant permission for additional or rclatcd work�vhich rcquires scparate permils. All provisions of la��s and ordinanccs govcrning this rypc of work shall be compied��ith whether or not specitied herein.'I'his permit will expire and become null and void if constniction authorized is not commenced��ithin 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has conunenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be � - e ked at any tin � r due ca _ � Q- i i ��1�' �'��.��. �" � � /� Appl nt ermitee Signature Date Issue ��Signature Date � SEPARATE PERMITS REQUIRED FOR WORK OT R THAN DESCRIBED ABOVE. . � � �,� �� `��/ � 1 FOR '1"fY SE ONLY ` � City of Orono / "�' � �� - �rmit# t � / IO.Box 66 Date Reccivcd: ��' -�� C.� �s_, �� 750 Kclley Park�vay �7�� ` a i' y � (ry,t a l B�y,M N>532 3 A p pro�cd B y: Amount$: t7� �' ' � � �O �'�� y,t�� Phanc(9�2)249-4600 Fax(952)249-4616 <..r,��odi,' CITY OF ORONO—MECHANICAL PERMIT (All Commcrci�l permits mus[hc appruvcd by thc Building Official or Inspector aniL'or Firc Marshall) GENERAL INFORMATION l. You may apply for mechanical permits by mail or in person at the City ofifices. Applications will be reviewed and a pennit will be issued within tevo working days. 2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PF,RMIT. WORK MUST NOT BFCIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Desi�,ms—Complete calculations,details and specifications are requireet for e�ch heatinb,ventilation,humidification-dehumidification,and air conditioning installation includinb 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 inspeeted(rou�h-in and tinal). Call(952)249-4600. (24-48 hour notice required) 7. House Heating Test Record must be submitted before tmal. TYPE OF PERMIT Check All That A 1 ) ❑■ Residential ❑Commercial(Approval Required) ❑ New ❑■ Additional ❑ Repairs ❑ Replace Job Site/Owner Information: 415 Deborah Drive Site Address: Jon Sillerud same Owner: Mailing Address: Maple Plain 55359 City: Zip: Home Phone: Alternate Phone: �612)220-0033 Contractor Information: Practical Systems Joann Contractor: Contact Person: 4342B Shady Oak Rd 558516 Address: State Bond#: Hopkins 55343 09/14/11 City: Zip: Expiration Date: (952)933-1868 Phone: Alternate Phone: 1/1/12 x0 Insurance—Current: 1 MECHANICAL SYSTEMS BEING INSTALLED Note: All Geothermal Sys�ems will now require a Site Plan & Review by our Building Official. IS TH1S GEOTHERMAL? ❑ Yes 0 No HEATING SYSTEMS Quantity: _____--- Make: Model: Fuel: Flue Size: Input BTUs: --- ----------- Output BTUs: CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H. Power FIRF,PLACES � Gas Factory Fireplace Brand Name: Peterson ❑ ------_________- Wood Burning Fireplace G45-2-24 ❑ Wood Stove Model Na: ❑ Wood Stove with Flue/Masonry VENTILATION ❑ No. _ _ Kitchen Exhaust _ duct recirculatin� __ cfm ❑ No. Bath Exhaust(must have duct outside) _cfm ❑ No. Other Fans: Locations cfm FUEL STORAGE (Musr be approi�ed by Fire Marshull iJ'proposing to u6andon tunk in pluce.) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑ Inside ❑Outside LP Gas: _ gallons Other: GAS LINF,ONLY ❑ Outdoor Grill ❑ Other/List What&Where: 2 r PERIVIIT FEE CALCULATION(S) BASt'f� OFF -2002 STATE STATUE ❑ Yes,this section applies The replacement of a Residential tixtur�'or appliance that m�ets all three of the following requirements: I. Does not requfre moditication to electrical 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 eontractor. Skip next section,if this applies, Cost of Permit $ I5.0� State Surcharbe $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ PERMIT FEE Cr�I.CULATION S)-JOBS OVER $500.00 If above does not apply;follow guidclines below: 1. CONTRACT PRICE * is 1.25`%of contract price with a(Minimum Fee of$50.00) 1,800.00 x ��5� 50.00 (contract pricc) (minimum 550.00) 2. STATE SURCHARGF. �*Add the State Bldg Code Div. Surcharge('�iinimum Fcc ot$5.00) 1,800.00 x ��5 �5.00 --- —___ _ _ - ----- (contract pricc) (miniinum$5.00) 3. POSTAGE& HANDUNG (Only on Mail-[n Applications) � 2.00 55.OQ 4. TOTAL PERMIT F'EE(l�dd Lines I-3 Above) $ ■ * CONTRACT PRICE or JOLi C(1ST means the actual or estimated dollar amount charged for the permitted work including materials> labor, profit, and other tixed costs. It is the tiittount to be charged to the customer for the work cl�nL. 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 pricc ti�r permit fee purposes. In the event that there is a disputz on the amount of the job cost, the City may request the submission of a si��ned copy of the actual contract. ■ **The STATE SURCHARGE. is.(1005 times the Contract Price or a minimum of$5.00. MECHANICAL PERMIT APPLICATION AGREEMENT The undersi�ned hereby applies tv lhe City for issuance of a Mechanical Permit, agrees to do al) work in strict accordance with th� ordinances of the City and the regulatiotls of the State of Minnesota, and certities that all statements made on this application are complete, true and correct. Applicant's Signature: �� Date: 04/12/11 Reset Form 3 C� � � DATE TIME v CITY OF ORONO CALLED IN �� INSPECTION N TI��_ ��//�„sCHEDULED !/�:D� PERMIT NO. �� CO LETE ADDRESS � OWNER T LEPHONE NO. ga�7�7 CONTRACTOR � �: DESCRIPTION � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v NG RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWN RACTO TO MEET YOU:�YES_NO � � COMMENTS: �-��(7" ��7 (� �� Y�� UVI -S/� e � � J � � � � '�c � t �� S . o G'fJ �� _ � I W � Q � Z W � W � � � d W� ❑WORK SATISFACTORY:PROCEED C�ROJECT COMPLETE W O CORRECT WORK 8 PROCEED r ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. G PHOTO TAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUtRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952� 249-46�0 OwnerlContractor on site: Inspector. r �, �� White Copyllnspector's File Canary CopylSite Notice