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Home My WebLink About2009-00600 - gas fireplace CITY OF ORONO PERMIT NO.: 2009-00600 ` 2750 KELLEY PARKWAY ORONO, MN 55356- DATE �SSUED: 09/18/2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 2965 DEER RUN TR PIN : 04-117-23-24-0012 LEGAL DESC : OLD CRYSTAL BAY ROAD ADDN : LOT 005 BLOCK 004 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RES[DENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 2,000.00 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 THOMAS, LINDA 2925 DEER RUN TR LONG LAKE, MN 55356- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable Ciry 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 taws and ordinances governing this type of work shall be compied with whether or not specitied herein.This permit will expire and become null and void if consVuction 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. "rhe applicant is responsible for assuring all required inspections are requested in conforma e with the State Building Code.This permit may be revo d at any time fo due cause. � � (�/ �/�'1� � O (% �� ' � � � " �� 6 � 09 � �� y�E�� App icant Permitee Si ature Date � f �' Issued By Sig ture Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. ,/ , � i�� FOR CITY USE ONLY ��,0 City of Orono � P.O.Box 66 Datc Recc�vcd: -- _.____ Pcrmit� 27�0 Kcll�y Parkway a � ��• � Crystal Bay,MN 55323 A�proved By: Amoimt$:_ .'��, r " ;, p�I� --- % : (952)249-4600 lag�sKow,, CITY OF ORONO—MECHAN[CAL PERMIT (All('ommcrcial permits mu�t hc approvcd by the 13uilding Official or In�pcctor and/or h'irc Marshall) GENERAL INFORMATION l. You may apply for mechanical pennits 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. PERM[TS ARF NOT VAL[D UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PF.RMIT CARD IS POSTED ON THE JOB SITF,. 3. Mechanical Desi�ns—Complete calculations, details and specifications arc required for each heating,ventilation,humidification-dehumiditication,and air conditioninb installation including heat loss/heat gain calculation,design temperatures,equipment ratings and identification as to type,manufact«rer and model. Data shall be presented on form provided. 4. When any new construction or remodelinb is involved,a separate building pennit 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(roubh-in and tuial). Call(952)249-4600. (24-48 hour notice required) 7. House Heatinb Test Record must be submitted before final. TYPE OF PERMIT Check All That A 1 ) Q Residential � Commercial (Approval Required) ❑ New ❑Additional ❑ Repairs �Replace Job SitP/Owner Tnfonnation: � Site Address: 2965 DEER RUN TRAIL Owner: CAROL SWANSON Mailing Address: SAME LONG LAKE 55356 City: Zip: Home Phone: �952)476-9282 Alternate Phone: Contractor Inforination: Gontractor: PRACTICAL SYSTEMS Contact Person: �OANN Address: 4342B SHADY OAK RD State Bond#: 558516 HO PKI N S 55343 09/10/09 Ciry: Zip: Expiration Date: Phone: (952) 933-1868 Alternate Phone: �✓ Insurance—Current: 01/01/10 I MECHANICAL SYSTEMS BEING INSTALLED l�ote: All Geothermal Systems will now require a Site Plan &Review by our Building Ofticial. IS THiS GEOTHERMAL? ❑ Yes ❑✓ No IIEATING SYSTF.MS Quantity: Make: Model: Fuel: Flue Size: Input BTUs: __ ___ _ Output BTUs: CFM: COOI.ING SYSTF,MS Quantity: _ __ _ Make: Model: Tons: H.Power FIRF,PLACF,S � Gas Factory Fireplace Brand Name: MONTIGO � _ _ ___ Wood Burning Fireplace � Wood Stove Model No.: HL38DF-PFN _ ___ _ ❑ 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 STORAGF, (Musl be approved by Fire Marslxall if propnsing to abandon tank in place.) � lnstallation � Removal Fuel Oil: gallons ❑ Underground � Inside �Outside LP Cas: _gallons Other: CAS 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 fixture or appliance that meets all three of the following requirements: I. Does not require moditication to electrical or gas service. 2. Has a total cost oi'�500.00 or le�s;excludin�the cost of the fixture or appliance: and 3. Is i�nproved, installed or replaced by the homcowner ar licensed contractor. Skip next section,if this ap}�lies; Cost of Permit $ 15.00 State Surcharge $ .50 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ �� PERMIT FEE CALCULATION S)-JOBS OVER�500.00 � If above does not ap}�ly;follow guidelines bclow: I. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$_50.00) 2,000.00 X ��5� 50.00 �contract priccl (minimum$�0.00) 2. STATE SURCHARCE **Add the State Bldg Code Div. Surcharge(�Iinimum Fce of$.50) 2,000.00 X ��5 � 1.00 (contractpricc) (minimum$ SO) 3. POSTAGE&HANDLING (Only on Mail-In Applications) � 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ 51.00 ■ * CONTRACT PRICF 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 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 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 applics to the City for issuance of a Mechanical Pennit, agrees to do all work in strict accordance with the ordiilances 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: � Date: 9- . ! . � Reset Form 3 � q DAT TIME CITY OF ORONO CALLED IN �• �� INSPECTION OTI E SCHEDULED �a(�1J � � PERMIT NO.��DD��D COMPLETED ADDRESS a g�s �� -�'t � OWNER��dSC'lJ��`�D�t� CONTR.�/��C� ��'Z� TELEPHONE NO. ��Z 7"7�LJ 7 Z,�Z (p/z7Sf• 27� � DESCRIPTION / �r�/�� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORENVETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL � ❑ WALL BD. Z ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT � ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FO�LOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � O � � O � W � Q � Z W � W � � d � WORKSATISFACTORY:PROCEED f i PROJECT COMPLETE W ❑ ORRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT �CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTIOtV REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-4600 OwnerlContractor on ite: Inspector. White Copyllnspector's File Canary CopylSite Notice