HomeMy WebLinkAbout2010-00265 - gas fireplace �` .• , CITY OF ORONO PERMIT NO.: 2010-00265
2750 KELLEY PARKWAY
ORONO, MN 55356- �ATE ISSUED: 04/26/2010
952 249-4600 FAX: 952 249-4616
ADDRESS : 2905 FOX ST
PIN : 04-117-23-34-0007
LEGAL DESC : AUDITOR'S SUBD.NO. 230
: LOT 035 BLOCK 000
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIREPLACE-GAS
VALUATION : $ 2,000.00
NOTE: GAS FP&GAS LOG
MARQUIS/PETERSON
�OOD V L><SGG45-24-01
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
FRANCIS, MICHAEL& BERIT
2905 FOX ST
LONG LAKE, MN 55356-
AGREEMENT AND SWORIY STATEMEIVT
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 for only[he 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 wi[h whether or not specitied herein.This permit will
expire and become null and void if construction authorized is not
commenced within l80 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
revoked at any time for due cause.
�C��r���u�,�� y �� ;�� �� � �
App�icant Permitee Signature Date Issued By nature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER HAN DESCRIBED AB
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FOR C17"Y US�ONLY
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�1r.' ' �'�I� 2750 Kcllcy Parkway
� j�" �' Crystal Bay,MN 55323 Approvcd By: _ Amount$:
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CITY OF ORONO—MECHANICAL PERMIT
(All Commcrcial permits must bc approvcd by thc Building OtTici;�l or In�pcctor an�'or Firc Marshall)
GENERAL INFORMATION
1. You may apply for mechanical permits 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. PERMITS ARE NOT
VALID UNTIL YOU RECEIVF.A PFRMIT. WORK MUST NOT BEGIN UNTIL THE
PER�91T CARD IS POSTED ON THE JOB SITE.
3. Mechanical Desi�ns—Complete calculations,details and specifications are required for each
heating,ventilation,humidification-dehumidiYication,and air conditioning installation including
heat loss/heat gain calculation,design temperatures,equipment ratings and identi�cation 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 final.
TYPE OF PERMIT
(Check All That A .1 )
❑✓ Residential �Commercial(Approval Required)
❑ New Q✓ Additional � Repairs ❑Replace
Job Site/Owner Information:
Site Address: 2905 Fox Street
Owner: Francis Mailing Address: same
Long Lake 55356
City: Zip:
Ho�ne Phone: Alternate Phone:
Contractor Information:
Contractor: Practical Systems Contact Person: �oann
Address: 4342B Shady Oak Rd State Bond#: 558516
Hopkins 55343 09/11/10
City: Zip: Expiration Date:
Phone: (952) 933-1868 Alternate Phone:
✓❑ Insurance—Current: 01/01/11
1
/ � .
s
� MECHANICAL SYSTEMS BEING INSTALLED
Note: All Geothermal Systems will now require a Site Plan& Review by our Building Official.
IS THIS GEOTHERMAL? ❑ Yes 0✓ No
HEATINC SYSTEMS
Quantity:
Make:
Model:
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity: ____ _ _
Make:
Model:
Tons:
H. Power
FIREPLACES
� Gas Factory Fireplace d- c*q5 ��C, Brand Name: Marquis / ��,�,���y.,_
1 1
❑ Wood Burning Fireplace J -�
� Wood Stove Model No.: 500DVLMNSC C�S- �'�'�I
_------_ __---
❑ Wood Stove With Flue
VF,NTILATION
❑ No. Kitchen Exhaust duct recirculatinb cfm
❑ No. Bath Exhaust(must have duct outside) cfm
❑ No. Other Fans: Locations __._cfm
FUF,L STORAGE (Mttst be approved by Fire Marshall ifpropnsing to abandon tank in place.)
� Installation � Removal
Fuel OiL _ _ gallons ❑ Underground � Inside �Outside
LP Gas: gallons
_______--
Other:
GAS LINE ONLY
❑ Outdoor Grill � Other/List What&Where:
2
i � �
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:
1. Does not require modification to electrical or gas service.
2. Has a total cost of 5500.00 or less;excludin�the cost of the�xture or appliance:and
3. Is improved, installed or replaced by the homeowner or licensed contractor.
Skip next section,if Yhis applies, 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 apply;follow guidelines below:
1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00)
2,000.00 x ���5� 50.00
(contract priec) (minimum$�0.00)
2. STATE SURCHARGE **Add the State Bldg Code Div. Surchar;e(Minimum Fec of$.50)
2,000.00 x .0005 � 1.00
_ _ -- __ -- —
(contr�ct pricc) (minimum$ .50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines I-3 Above) $ 51.00
■ * CONTRACT PR[CE 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 di�pute 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 applies to the City 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 certities that all statements made on this application are complete, true and
correct.
Applicant's Si�ature: � _ Date: 04/23/10
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Reset Form `-
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�� DATE TIME �
CITY OF ORONO CALLED IN
INSPECTION NOTICE --�CHEDULED /� � �
PERMIT NC��O/O�-Ud��/5 OMPLETED
ADDRESS �
OWNER TELEP ONE NO. — ��U�U
CONTRACTOR
>; DESCRIPTION
�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICALRI ❑ LAKESHORENVETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
O ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
� ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� �WORK SATISFACTORY:PROCEED C� PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED r ISSUE CERTIFICATE OF OCCUPANCY
O ❑CARRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WlLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION REOUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-460�
OwnerlContractor on site:
Inspector. ,�L ��
White Copyllnspector's File Canary CopylSite Notice