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Home My WebLink About2011-01532 - fireplace - gas ^ � CITY OF ORONO PERMIT NO.: 2011-01532 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 12/09/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 3350 FOX ST PIN : OS-117-23-44-0008 LEGAL DESC : FULLERTON ESTATES : LOT 004 BLOCK 001 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 8,000.00 NOTE: (1)GAS FACTORY FIR�PLACE-(2)WOOD BURMNG FIREPLACES APPLICANT MECHANICAL 100.00 PRACTICAL SYSTEMS STATE SURCHARGE MECH(VALUATION) 4.00 4342 B SHADY OAK RD HOPKINS, MN 55343 TOTAL 104.00 (952)933-1868 OWNER BIGOS,NANCY 3350 FOX ST LONG LAKE, MN 55356- AGREEMENT AND SWORN STATEMENT I�he work for which this permit is issued shall be performed according to the approved plans and speciYications,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 pennits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit wili 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 inspectioi�s are requested in con� nnance with the State Buiiding Code.This permit may be rev ked at an me for due cause. � �/ /t �— / � �/ � l Applicant Permitee Signature Date Iss d By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRTBED ABOVE. « � • . FOR TY'USE ONLY O¢p�O City of Orono /� aD`� �� P.O.Box 66 Date Received. � Permit# 2750 Kelley Parkway a � ''• r Crysta]Bay,MN 55323 Approved By: Amount$: d / �t��.:`• �c� Phone(952)249-4600 Fax(952)249-4616 ssxo CITY OF ORONO—MECHANICAL PERMIT (All Commercial pertnits must be approved by the Building Official or Inspector and/or Fire Marshall) GENERAL INFORMATION 1. You may apply for mechanical pernuts 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 RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Desier►s—Complete calculations,details and specifications are required for each heating,ventilation,humidification-dehumidification,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 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 norice required) 7. House Heating Test Record must be submitted before final. TYPE OF PERMIT Check All That A 1 ■❑Residential ❑Commercial(Approval Required) ❑New ■❑Additional ❑Repairs ❑Replace Job Site/Owner Information: s,te Address: 3350 FOX St Owner: Mailing Address: Same city: Long Lake Zlp: 55356 Home Phone: �612� 414-5113 Alternate Phone: Contractor Information: Contractor: Practical Systems Contact Person: `�Oann 4342B Shady Oak Rd 558516 Address: State Bond#: clri: H o p ki n s Zlp:55343 Expiration Date: O9I� 7I�Z Phone: (952� 933-1868 Alternate Phone: Q Insurance—Current: 1�1�12 1 MECHANICAL SYSTEMS BEING INSTALLED Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official. IS THIS GEOTHERMAL? ❑Yes ❑No HEATINC SYSTEMS Quantity: Make: Model: Fuel: Flue Size: Input BTUs: Output BTUs: CFM: COOLING SYSTEMS Quanrity: Make: Model: Tons: H.Power FIREPLACES T&C, Dynamic Designs � Gas Factory Fireplace Brand Name: 0 Wood Burning Fireplace TC36.CE,WCM-48FA,WCM-42JA ❑ Wood Stove Model No.: ❑ Wood Stove with Flue/Masonry VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfin ❑ No. Bath Exhaust(must have duct outside) cfin ❑ No. Other Fans: Locations cfm FUEL STORAGE (Must be approved by Fire Marshall if proposing 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 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 ar gas service. 2. Has a total cost of$500.00 or less;excludine the cost of the fixture or appliance:and 3. Is improved,installed or replaced by the homeowner or licensed contractor. 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$500.00 If above does not apply;follow guidelines below: l. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) 8,000.00 X.0125$ 100.00 (contract price) (minimum$50.00) 2. STATE SURCHARGE 8�000.00 4.00 x.0005 $ (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ 104.00 ■ * CONTRACT PRICE 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. 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 certifies that all statements made on this application are complete, true and correct. A licant's Si nature: �. � � 12/09/11 pp g �, Date: Reset Form � 3 D�� % DATE TIME �� CITY OF ORONO CALLED IN a_ / INSPECTION N-fOTICE /�-j7 SCHEDULED �2-3-/� PERMIT NO.ACDI��!✓J ��OMPLETED ADDRESS �� .i�oS� r OWNER TELEPHONE NO.11��Z ZZ/ ��Z CONTRACTOR CkQ��0 >; DESCRIPTION� ��-�� l �� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREM/ETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ 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 J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a o ;' �F�t�t � -'t C� ,� c� �' . � . r'��+'1� �� ...r � �, � l� ° � c.---u � !�.-.� � �-'C'.l ��--c1 /-� � � (��.:�� Q � � U � � �� S � � � � a W ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE � ❑ CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � �RRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Cail forthe next inspection 24 hours in advance. �95Z� Z49-4600 Owner/Contractor on site: Inspector. �� .y White Copylinspector's File Canary CopylSite Notice DATE TIME " CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED 5 ! lY�� PERMIT NO��- ��$-3 �COMPL ED ADDRESS �3� � OWNER TELEPHONE NO. CONTRACTOR � DESCRIPTION �� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING y � POURED WALL ❑ MECHANICAL RI � LAKESHORFJWETLANDS Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNERIFIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP p PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: a G.S �. �• i!v ,�� t"�i — 2 J O � Gia r!� G�d/✓c��'S Ca vu-a��c 0 � W Q Pe��,.`� �'�•u�� a W � W � J d � ❑WORKSATISFACTORY:PROCEED �PFiOJECT COMPLEfE � ❑CORFECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RE7URN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor on site: � Inspector. � White Copyllnspector's File Canary CopylSfte Notice