HomeMy WebLinkAbout2008-00456 - fireplace - wood CITY OF ORONO PERMIT NO.: 2008-00456
2750 KELLEY PARKWAY
ORONO, MN 55356- nATE TssUEn: 12/19/2008
952 249-4600 FAX: 952 249-4616
ADDRESS : 745 DICKEY LAKE DR
PIN : 34-118-23-22-0008
LEGAL DESC : RINGERSWOOD
: LOT 004 BLOCK 002
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIREPLACE- WOOD
VALUATION : $ 1,800.00
NOTE:
WOOD[3URNING FIREPLACF,-13RAND NAME: V�RMONT CASTING-MODEL NO: MON"1'YC13
APPLICANT MECHANICAL 35.00
PRACTICAL SYSTEMS STATE SURCHARGE MECH (VALUATION) 0.90
4342B SHADY OAK RD TOTAL 35.90
HOPKINS, MN 55343
(952)933-1868
OWNER
HANTEN, ROBERT& LISA
745 DICKEY LAKE DR
LONG LAKE, MN 55356
AGREEMENT AND SWORN STATEMENT '
Thc 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 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 governing this type of work
shall be compied with whether or not speciYied herein.This permit will
expire and become null and void if construction authoriced 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 responsibic for assuring all required inspections are
requested in conformance with the State[3uilding Code.This permit may be
revok at any ti or due causc.
� / � , I� )� / �c� / /
App icant Permilee Si ature Date Issued 13y Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
FOR CPf1`USE ONL1'
�'� City of Orono
�� � ����� P.O.Box 66 Datc Racciv�_ Permit�
�� ��P� 2750 Kcllcy Park�vay
3 T�, m= �' Crystal Bay,MN SS3�3 APProced By: Amount$:
'����o¢�a�'� (952)249-4600
CITY OF ORONO—ME(::HANICAL PERMIT
(All Commcroial permin must bc approvcd by thc Buildmg O�oial 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 pennit will be issued within ttia-o�vorking days.
2. Per�nit cards will be sent by return mail after a review is completed. PERM[TS ARE NOT
VAL1D UNTIL YOU RECEIVE A P6RMIT. �'1'ORK MUST NOT BF,GIN UNTIL THE
PERMIT CARU IS POSTED ON THE JOB tiITE.
3. Mechanical Desi�ns—Complete calculations,details and specitications are required for each
heatinb,ventilation,humidification-dehumiditicatioii,and air conditioning installation including
heat loss/heat gain calculation,design tzmperatures,equipment ratings and identification as to
type,manufacturer and model. Data shall be presented on tbrm 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 Llniti?rm Mechanical Code/State Buildinb Code
requirements.
6. All work must be inspected(rough-in and finall,. C'tiill(952)249-4600.
(24-48 hour notice required)
7. House Heating Test Record must be submitted before final.
TYPE OF PI:IZMIT
(Check All T11�►.t,�pply)
� Residential ❑ Commercial (Approval Required)
❑ New ❑✓ Additional � Repairs ❑ Replace
Job Site/ Owner Information:
Site Address: �45 DICKEY LAKE DR
Owncr: BOB HANTEN Mailing Address: SAME
Cit LONG LAKE Z� �` 55356
Y� C
Home Phone: �952)476-2076 Alt:e►�nate Phone:
Contractor Information:
Contractor: PRACTICAL SYSTEMS Contact Person: JOANN
Address: 4342B SHADY OAK RD State Bond#: 558516
City: HOPKINS Zip:55343 Expir.�tion Date: 09/16/09
Phone: (952)933-1868 Altcrnate Phone:
❑ Insurance—Current: 01/01/09
1
MECHANICAL SYSTEMS 13EING INSTALLED
Note: All Geothermal Systerns will now require a Sit�;Plan& Review by our Building Ofticial.
IS THIS GEOTHERMAL? ❑ Yes Q No
HEATING SYSTEMS
Quantity:
Make:
Model:
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTF,MS
Quantity:
Makc:
Model:
Tons:
1{. Power
FIREPI.ACES
❑ Gas Factory Fireplace Brand Name: VERMONT CASTING
❑✓ Wood Burning Fireplace MONTPCB
❑ Wood Stove Model No.:
� Wood Stove With Flue
VENTILATION
❑ No. Kitchen F,xhaust duct recirculating __cfm
--_ -- _ ----
� No. _ Bath 6xhlust(must hav�,�duct outside) _ cfm
� No. Other Fans: Locations cfm
FUEL ST'ORAGE(MUST E3G APPROVED BY FIRE NL^.RSHALL) If proposing to abandon tank
Installation in lace.
� ❑ Removal p
Fuel Oil: gallons � Underground ❑ Inside ❑Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill � Other!List�Vhat&Where:
2
PERM�IT FEE CALf_�L�I,ATION(S) �
E3ASED OFF - 2002 `�"I'f�TE STATUE
� Yes,this section applies
The replacement of a Residential fixture or appliance that nleets 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;excludin�7�the cost of the fixture or appliance:and
3. Is improved, installed or replaced by the hume;r.,wner or licensed contractor.
Skip next section,if this applies; Cost of Pennit S 15.00
State Surcharge $ .50
M�il-[r7 Fee(lf Applicable) S I.50
Toral Permit Fee �
PERMIT FEE CALCULATION(S} -JOBS OVER �500.00
If above does not apply;follow guidelines below:
I. CONTRACT PRICE * is I?5'%of conn��ict price with a(Minimum Fee of$35.00)
1,800.00 X ���� S 35.00
(contrict pricc) (minimum$35.00)
2. STATE SURCHARCE ** Add the State Bidg Code Div. Surcharbe(Minimum Fec of$.50)
1,800.00 x ���5 $ 0.90
- - _ —_ _-
(contr.icl��ricc) (minimum$ .50)
3. POSTAGE&HANDLING (Only on Mail-In;�pplications) S I.50
35.90
4. TOTAL PERMIT FEE(Add Lines I-3 Abovei $
• * CONTRACT PRICE or JOB COST means the ach�al or estimated dollar amount charged for the
permitted work iucluding materials, labor,profit, and other fixed costs. It is the amount to be charged
to the customer for the work done. If any material, eq��ipment, labor or installations are furnished by
the owner, tenant or any other party, the reasonable rnarket value of such items must be added to the
estimated cost or contract price for permit fee pui-�rose�s. In the event that there is a dispute on the
amount of the job cost, the City may request the submission o1�a signed copy of the actual contract.
■ **Thc STATE SURCHARGE is.0005 of the E3uilding Department at(952)249-4600 for the price.
MECHANICAL PERMIT APPLIC'ATION AGREEMENT
The �mdersigned hereby applies to the Ciry 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 an this applicalion are complete, true and
correct.
�� { �
Applicant's Signature: � ! ,'�-•� Date: �
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