HomeMy WebLinkAbout2009-00044 - gas fireplace CITY OF ORONO PERMIT NO.: 2009-00044
2750 KELLEY PARKWAY
� ORONO, MN 55356- �ATE ISSUED: 02/10/2009
� 952 249-4600 FAX: 952 249-4616
ADDRESS : 475 DEBORAH DR
PIN : 31-118-23-23-0004
LEGAL DESC : MCCULLEY FARM
: LOT 004 BLOCK 001
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTIOI�t TYPE : FIREPLACE-GAS
VALUATION : $ 2,500.00
APPLICANT
PRACTICAL SYSTEMS MECHANICAL 50.00
4342B SHADY OAK RD STATE SURCHARGE MECH(VALUATION) 125
HOPKINS, MN 55343 TOTAL 5125
(952)933-1868
OWNER
SWEETMAN, KATHY
475 DEBORAH DR
MAPLE PLAIN, MN 55359-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is Yor only the work described and does
not grant permission for additional or related work which requires separate
permits. AII 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 State Building Code.This permit may be
revo� any tim due cause. �_ ��, n�
l l � � �� � , ;'—f/f�fCC� l l
cant mitee Signature Date Issued By S gnature Date
SEPARATE PERM[TS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
� FOR CIT'Y USE ONLY
` ;,���; City of Orono
P.O.Box 66 Datc Rcccived: Pcrmit#
��t•,. __ ���" 27�0 Kcllcy Parkway — - —
� f'�i- I Crystal Bay,MN 55323 Approved By: _ Amoimt$: _
' � .:� u��� (952)249-4600
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CITY OF ORONO—MECH,�NICAL PERMIT
(All Commcrcial permits mutit bc approvcd by thc Buildmg Official or Inspcctor and/or Firc Marshall)
GENERAL INFORMATION
1. You may apply for mechanical permits by mai] or in person at the City offices. Applications will
be reviewed and a permit will be issued within tevo �vorking days.
2. Permit cards will be sent by return mail after a re�vicw is completed. PLRMITS ARE NOT
VALID UNT[L YOU RECEIVE A PERMIT. �'1'(�)�2K MUST NOT BEGIN UNTIL TIiE
PERMIT CARD IS POSTED ON THE JOB 41"CE.
3. Mechanical Desi�—Complete calculations, details and specifications are required for each
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 preserrted on forni provided.
4. When any new construction or remodeling is im-olved,a separate building permit must be
obtained.
5. All work must be done in accordance with the Llniform Mechanical Code/State Buildinb Code
requirements.
6. All work must be inspected(rough-in and tinal). L��11(952)249-4600.
(24-48 hour notice required)
7. 1�3ouse Heating Test Record must be submitted before final.
TYPE OF PEIiMIT
(Check All That.��pply)
� Residential �Commercial (Ap�roval Require�l)
�✓ New ❑Additional � Repairs �Replace
Job Site/Owner tnformation: ,
Site Address: 475 DEBORAH DRIVE
Owner: �THY SWEETMAN Mailir�g Address: SAME
MAPLE PLAIN 55359
City: Zip:
Ho�ne Phone: �952)473-1649 Altert�ate Phone:
Contractor Infonnation:
PRACTICAL SYSTEMS JOANN
Contractor: Contact Person:
Address: 4342B SHADY OAK RD State Bond#: 558516
City: HOPKINS Zip:55343 Expirahon Date: 09/16/09
Phone: �952) 933-1868 Alt+�ei�ate Phone:
❑ 01/01/10
Insurance—Current:
1
' MECHANTCAL SYSTEMS BEING INSTALLED
l�ote: All Geothermal Systems will now rcquire a Site Plan& Review by our I3uilding Official.
IS THIS GEOTHERMAI�? ❑ Yes ✓Q No
HEATING SYSTEMS
Quantity:
Make:
Model:
Fuel:
Flue Size:
Input BTUs:
Output BTUs: _
CFM:
COOLING SYSTFMS
Quantity:
Make:
Model:
Tons:
H. Power
FIREPLACES
� Gas Factory Fireplace Brand Name: KOZY HEAT
❑ Wood Burning Fireplace CSK-335-RF
� Wood Stove Model No.:
� Wood Stove With Flue
VENTILATION
❑ No. Kitchen Exhaust duct recirculatinb cfm
- —___ ------ —
� No. �3ath Exhaust(must have dlict outside) cfm
� No. Other Fans: Locations cfm
FUEL STORAGE(MUST BE APPROVED BY FIRE ti�[;ARSHALL) I f proposing to abandon tank
� lnstallation ❑ Removal in place.
Fuel Oil: gallons � Underb ound ❑ Inside ❑Outside
LP Gas: gallons
Other:
GAS LINE ONLY
� Outdoor Grill � Other/Lisi�Vhat&Where:
2
• _
PERMIT FEE CALCf;�T_ATION(S) �
BASED OFF -2002 '��;'��-'�TE STATUE
❑ Yes,this section applies
The replacement of a Residential fixture or appliance that rneets all three of the following requirements:
I. Does not require modification to electrical��r�as service.
2. Has a total cost of�500.00 or less;excludint the cost of the�xture or appliance:and
3. Is improved, installed or replaced by the homeowner or licensed contractor.
Skip next section, if this applies; Co,t of Permit $ 15.00
Statc Surcharge � .50
Mail-[n Fee(If Applicable) $ 1.50
Total Permit Fee $
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$35.00)
2,500.00 x.0125$ 35.00
(contract pn;:c) � (minimum$3�. )
2. STATE SURCHARCE ** Add the State� f31dg Code Div. Surcharge(�tinimum�Fec of$.50) �
/ ��
2,500.00 x .���5 � 1.25 ;' r�
-- (contracl pricc) . ( nimum$ .50) �
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ - 1.50
�.��36.25 � • O�VJ
4. TOTAL PERMIT FEE(Add Lines I-3 Above) ��$ �
■ * CONTRACT PRICE or JOE3 COST means the actual or estimated�dollar amount charged fo
permitted work including inaterials, 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 inarket value of such items inust be added to the
estimated cost or contract price for permit fee pur��o�es. 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 Buildisa�;, Department at(952)249-4600 for the price.
MECHANICAL PERMIT APPLICATION AGREEMENT
The undersigned hereby applies to the City for issu�:in�e 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 certities that all statements made on this application are complete, true and
correct.
r
` �
Applicant's Signature: � �(, __ Date:
,� � ,-��
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Reset Form � 3
DATE TIME V
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED �Dg
PERMIT NO. d�Q'o00S�� COMPLETED
ADDRESS— �7S �Dy��''L ��
OWNER CONTR. (�'/11ZC�7�� �f��
TELEPHONE NO.— � � °� a o� I �O 3 0l—�
^ DESCRIPTION ��^ L� � ^ QS LULC,
� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILL�NG
y ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
O ❑ 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
� ❑ 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:
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� ;�WORK SATISFACTORY:PROCEED �ROJECT COMPLETE
W ❑ CORRECT WORK&PROCEED '� ISSUE CERTIFICATE OF OCCUPANCY
O ❑ CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITtON WITHIN HOURS. ;_ PHOTO TAKEN
�NSPECTOR WILL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
G INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (J52� 249-4600
OwnerlContractor on site:
Inspector. � ' '�
White Copyllnspector's File Canary CopylSite Notice