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Home My WebLink About2013-00045 - gas fireplace � ' CITY OF ORONO * z 0 1 3 - 0 0 0 4 5 * 2750 KELLEY YARKWAY DATE ISSUEU: OU18/2013 ORONO, MN 55356- (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) PRONERTY TYPE : RESIDENTIAL CONSTRUCTIOI�I TYPE : FIREPLACE-GAS VALUATION : $ 1>500.00 NOTG: GAS FAC"I�ORY �IREPLAC E-PLTERSON-G45-30-1 1 CONTRACTOR IS NOT RUNNING THE GASLING-JUST SETTING THE LOG. ^/W� s%�-`� �'�`'��"�-' APPLICANT MECHANICAL 50.00 PRACTICAL SYSTEMS STATE SURCHARGE MECH (VALUATION) 0.75 4342 B SHADY OAK RD HOPKINS, MN 55343 '1'OTAL 50.75 (952)933-1868 OWNER BIGOS,NANCY 3350 FOX ST LONG LAKE, MN 55356- AGREEMENT AND SWORN STATEMENT The work for�chich this permit is issued shall be per�i>rmed according to the approved plans and specifications,applicable City approvals,and the State Building Code. 'I�his pemiit is for only the work described and does not grant permission lor additional or related work��hich requires separate permits. All provisions of laws and ordinances govcming this typc of�vork shall be compied with whether or not specitied herein.This permit will 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. 'I�he applicant is responsible for assuring all required inspeclions are rcquested in conformance with the State E3uilding Code.This permit may be revoked at an�tim for uc cause. �� c�� _ � � �� 3 / � /�� 3 Applicant Pcrmitee Signature Dale Iss d By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. . , FO CI USE ONLY � City of Orono �/� /f O4 �O P.O.Box 66 Date Receive� Permit#O`'��J �v 2750 Kelley Parlcway � , "'• � Crystal Bay,MN 55323 Approved By: Amount$:� ' � ' `c` Phone(952)249-4600 Fax(952)249-4616 �asx� CITY OF ORONO—MECHANICAL PERMIT (All Commercial permits must be approved by tbe Building Official or Inspector and/or Fire 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 RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Desi�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 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 ❑Additional ❑Repairs �Replace Job Site/Owner Information: Site Address: 335� FOX St Owner: B I g O S Mailing Address: Sa m e ci�: Long Lake Zlp: 55356 Home Phone: Alternate Phone: Contractor Information: Contractor: Practical Systems Contact Person: `�Oann Address: 43426 Shady Oak Rd State Bond#: M B-003�J� O city: HOpkll'1S Zlp:55343 EXplratlon Date: 49/17/14 Phone: �95Z� J33-1 HGH Alternate Phone: Q Insurance—C�xrrent: 2�28�� 3 1 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 HEATING SYSTEMS Quantity: Make: Model: Fuel: Flue Size: Input BTUs: Output BTUs: CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H.Power FIREPLACES � Gas Factory Fireplace Brand Name: P@t@fSOCI ❑ Wood Burning Fireplace G45-30-11 ❑ 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 requ'ue modification to electrical or gas service. 2. Has a total cost of$500.00 or less;excludin�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: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) 1 ,500.00 X.o12s$ 50.00 (contract price) (minimum$50.00) 2. STATE SURCHARGE � ,�jOO.00 x.0005 $ (coutract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ■ * 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. MECHA1vICAL 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. Applicant's Signature: Date: ��/�4/�3 Reset Form � 3 DATE TIME � � / CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED .!- /Y-/�i !� PERMIT NO.��3��5 COMPLEfED ADDRESS � � S� �//�— OWNER TELEPH NE NO. CONTRACTOR � DESCRIPTION °��- � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING y ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREM/ETLANDS Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ 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 v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNERICONTtiACTOFi TO MEET YOU:_YES_NO � COMMEN � � � W a � • J •'4' � V/a ut c O � � -�/<sS •P�G`DSl�/'P /�. �I . � — O � W � �d�'/� .i�A ,P.��s �?S�K/JlGt�c� Q - � z W � W � � a � ❑WORKSATISFACTORY:PROCEED �PROJECT COMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next ins 'on 24 hours in advance. (952) 249-4600 OwnerlCon tor on site: ' Inspector. White Copyflnspector's File Canary CopylSite Notiee