HomeMy WebLinkAbout2011-00220 - gas fireplace • CITY OF ORONO PERMIT NO.: 2011-00220
, 2750 KELLEY PARKWAY
ORONO, MN 55356- DATE ISSUED: 04/14/2011
952 249-4600 FAX: 952 249-4616
ADDRESS : 1815 FAGERNESS POINT RD
PIN : 17-117-23-22-0033
LEGAL DESC : MAPLEGATE INLET
: LOT 001 BLOCK 001
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIREPLACE-GAS
VALUATION : $ 2,000.00
NOTE: GAS 1=ACTORY PIRGPLACE-VALOR-MODEL;VO. 7391RN
APPLICANT MECHANICAL 50.00
PRACTICAL SYSTEMS STATE SURCHARGE MECH (VALUATION) 5.00
434..B SHADY OAK RD
HOPKINS, MN 55343 TOTAL 55.00
(952)933-1868
OWNER
� MCKEE, MR. & MRS. MELVIN
1815 FAGERNESS PT RD
WAYZATA, MN �5391-
AGRGEMENT AND SWORN STATEMENT
"I'he work for���hich this permit is issued shall be perfonncd accordin��to
the approved plans and specifications,applicable City approvals,and the
State Building Code. 'fhis permit is for only the work described and does
not crant pennissioi�for additional or related work which requires separate
pcnnits. All provisions of laws and ordinances governing this type of work
shall be compicd�vith whether or not specified herein.'fhis pennit will
expire and become null and void if construction authorized is not
commenccd wilhin I 80 days of Uic date of issu�nce,or if construction is
suspended for a period of 180 days at any time alter work has commenced.
'I�he applicant is responsible for assuring all required inspections are
requested in conformance���ith the State L3uilding Code.This permit may be
r �ed at any ti �e�e cause. _
/ / � ;
� � �
Applicanl Permitee Signature Date Issucd, v Signature ate
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
.
�� �O CI"C USE ONLY
. O¢p�O City of Orono /� / "��
p.p.g��(,(, D�tc Recciv d� �Pcrn�it# �V�/ -
;., ', 27>0 Kcllcy Parkway C.J
��� :y�"y� � Cry,tal Bay,MN 55323 Approvcd By: - _ Amount$:��
�C'' � y ��� Phonc(952)249-4600 N'as(952)249-4616
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CITY OF ORONO—MECHANICAL PERMIT
(All Commcrci�l permit,mus[bc appro�ed hy thc Buildin�Otlicial or Inspcctor�ntUor b'irc Marshxll)
GENERAL INFORMATION
I. You may apply Yor mechanical permits by mail or in person at the City oftices. 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_ PGRMITS ARE NOT
VAL[D UNTIL YOU RF,CEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Mechanical Desi�ns—Complete calculations,details and specitications are required for each
heating,ventilation,humidification-dehumidification,and air conditionin�fnsta�lation including
heat loss/heat gain calculation,design temperatures,equipment ratinbs 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 inspected(rough-in and final). 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
Q■ Residential ❑Commercial(Approva] Required)
❑ New Q■ Additional ❑ Repairs ❑ Replace
Job Site/Owner Inforination:
1815 Fagerness Point Rd
Site Address:
James Hyland same
Owner: Mailing Address:
Wayzata 55391
City: Zip:
Home Phone: Alternate Phone: (216)407-9711
Contractor Information:
Practical Systems Joann
Contractor: Contact Person:
4342B Shady Oak Rd 558516
Address: State Bond #:
Hopkins 55343 09/11/11
City: Zip: Expiration Date:
Phone: �g52)933-1868
Alternate Phone:
1/1/12
Q Insurance—Current:
1
R
• MECHANICAL SYSTEMS BEING INSTALLEIB
1�ote: All Geothermal Systems will now require a Site Plan & Review by our Building Ofticiai.
IS 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
Valor
� Gas Factory Fireplace Brand Name:
❑ _ __
Wood Burning Fircplace 7391RN
❑ Wood Stove Model No.:
❑ Wood Stove with Flue/Masonry
VENTILATION
❑ Na Kitchen Gxhaust duct reciroulating _ cfm
— — _- _ _ _ ____
❑ No. Bath Exhaust(must have duct outside) cfm
❑ No. Other Fans: Locations cfm
FUEL STORAGE (Mus7 be rrpproved by Frre Marshall ifproposing to abandon t�u2k in place.)
❑ Installation ❑ Removal
Fuel Oil_ gallons ❑ Underground ❑ lnsicle ❑Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill ❑ Other/Lfst What&Where:
2
PERMTT 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 follcr���ing requirements:
I. Does not require modification to electrical or gas service.
2. Has a total cost of S50(?.00 or less;excludin�the cost of the tixture or ri��pliance:and
3. Is improved, installed or replaced by the homeowner or licensed contra�tur.
Skip next section,if this applies; Cost of Permit $ 15.00
State Surcharge $ 5.00
Mail-In Fee(If Applicable) $ 2.00
Total Permit Fee $
PERMIT FEE CALCULATION S)—JOBS OVER $SQO.OU
If above does not apply;follow;uidelines belo���:
I. CONTRACT PRICE * is 1.25%of contract price with a(Minimum F'ee of$50.00)
2,000.00 X ����� 50.00
(contract pricc) lminimum 550.00)
2. STATE SURCHARCE ** Add the State Bldg Code Div. Surcharge(►tinimum Fcc of$SAO)
2,000.00 x ���5 �5.00
— - ---- --. _ _ _._ — —
(contract pricc) �rt�inimum$5.00)
3. POST�GE&HANDLINC (Only on Mail-In Applications) � 2.00
4. TOTAL PERMIT F'EE(Add Lines I-3 Above) $55:�0
■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar �imo�int charged for the
pennitted work including materials, labor, protit, and other tixed costs. It is the�+mount to be charged
to the customer for the work done. If any material, equipment, labor or install�hons arc furnished by
the owner, tenant or any other party, the reasonable market value of such items nitist be added to the
estimated cost or contraet price for permit fee purposes. In the event that th�,re is a dispute on the
amount of the job cost, the City may request the submission of a signed copy c7f the actual eontract.
■ **The STATE SURCHARGE is.0005 times the Contract Price or a minimum of�5.00.
MECHANICAL PERMIT APPLICATION AGREEM�:NT
The undersigned hereby applies to the City for issuance of a Mechanical Pcrmit, agrees to do all
wot-k in strict accordance with the ordinances of the City and the regulatiorts of the State of
Minnesota, and certiiies that all statements made on this application are complete, true and
correct.
Applicanrs Signature: Date: 04/12/11
Reset Form 3
�v���iQ/� �� (� DATE TIME v
CITY OF ORONO CALLED IN /
INSPECTION NOTICE SCHEDULED � �/(� �� �
PERMIT NO�DI/-DO�•� OMPLETED
ADDRESS �
OWNER ' LEPHONE NO �a - ���7 7
CONTRACTORV � `
>; DESCRIPTION v Q-�
�
� ❑ FOOTING ❑ PLUMBIN FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
� ❑ FRAMING ❑ MECHANICAL FINAL
❑ TREE REMOVAL
Z ❑ INSULATION � WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLA�NT
v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEP IC FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:�ES_NO
� COMMENTS:
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W �iIORK SATISFACTORY:PROCEED CI PROJECT COMPLETE
W ❑CORRECT WORK R PROCEED �!`ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTfON REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� 249-4600
OwnerlContractor on ite•
Inspector. r
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