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Home My WebLink About2012-00380 - gas fireplace � '♦ CITY OF ORONO * z 0 1 2 - 0 0 3 B 0 * 2750 KELLEY PARKWAY DATE ISSUED: OS/09/2012 ORONO,MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 259 HOLLANDER RD PIN : 25-118-23-43-0017 LEGAL DESC : HOLLY ACRES : LOT 004 BLOCK 002 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 2,500.00 NOTE: FACTORY GAS FIREPLACE-VALOR-MODEL NO. 530IRN APPLICANT MECHANICAL 50.00 PRACTICAL SYSTEMS STATE SURCHARGE MECH(VALUATION) 1.25 4342 B SHADY OAK RD HOPKINS,MN 55343 TOTAL 51.25 (952)933-1868 OWNER PIERCE, STEVEN&KATHERINE 259 HOLLANDER RD WAYZATA,MN 55391- AGREEMENT AND SWORN STATEMENT 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 the work described and does not grant permission for additional or related work which requires separate permiu. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified 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. 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. "��T.-./�'/�' / / / / Ap ' ant ermitee Signature Date Issue y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. ' r'�' FOR CITY USE ONLY �A� City of Orono �� O4 �`rO P•O.Box 66 Date Received: Permit# ��a"U . 2750 Kelley Parkway � p°''• Crystal Bay,MN 55323 Approved By: Amount$: � �� ''�c�-' Phone(952)249-4600 Fax(952)249-4616 CITY OF ORONO—MECHANICAL PERMIT (All Commercial permits must be approved by the 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: s�te aaaress: 259 Hollander Rd oWner:Steve Pierce Mailing Address: Same ciri: Wayzata Zlp: 55391 Home Phone: �952� 446-5605 Alternate Phone: Contractor Information: Kline Corp.,DBA:Praclical Systems J oa n n Contractor: Contact Person: 43426 Shady Oak Rd 558516 Address: State Bond#: clty: H o p k i n s Zlp:55343 Expiration Date: O9I� 7I� Z Phone: (952� 933-1868 Alternate Phone: Q Insurance—Current: 1�1�13 1 � r� s. � � �,��;, - �'+�� ad''`'fr� �a ry:�'.'�„i�.,�M Note:All Geothermal Systems will now require a Site Plan&Review by our Building Official. IS THIS GEOTHERMAL? ❑Yes �No HEATING SYSTEMS Qnantity. Make: Model: Fuel: Flue Size: Input BTUs: Output BTUs: CFM: COOLING SYSTEMS Qaantity. Make: Model: Tons: H.Power FIREPLACES � Gas Factory Fireplace Brand Name: VaI01' ❑ wood Bwning Fireplace 5301 RN ❑ Wood Stove Model No.: ❑ Wood Stove with Flue/Masonry VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfin ❑ No. Bath Eachaust(must have duct outside) cfm ❑ No. Other Fans: Locations cfrn FUEL STORAGE (Must be approved by Fire Marshall if proposing to abandon tank in plac�) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill ❑ Other/List What&Where: 2 S � v PERMIT FEE CALCULATION(S) BASED OFF -2002 STATE STATUE ❑ Yes,this section applies The replacement of a Residential fixtwe 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$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: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) 2,500.00 X.o12s$ 50.00 (contract price) (minimum$50.00) 2. STATE SURCHARGE 2�500.00 1.25 x.0005 $ (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $51 .25 ■ * 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. MECHAIVICAL 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: � -J Date: O5/OH/�Z Reset Form 3 o"" D E TIME V CITY OF ORONO CALLED IN � INSPECTION NOTICE Q SCHEDULED S-/D-la:. � PERMIT NO. ��DD�O O �MPLETED ADDRESS ��1� 5�� OWNER TELEPHONE NO. R5z 9�3 � �(�� CONTRACTOR �a-� G� � DESCRIPTION �_ �P � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREM/ETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J � DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ WARD COVER REMOVAL � � PLUMBING RI ❑ SEP�TI AL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU(�,YEyq_NO y COMMENTS: �� W a � � �. � o e � � � 1�.� o�}S �.� ��. 0 � � -" C�' �� - J� Q z ��e �� W � W � � d W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � �CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR RE�NSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ppHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Catl for the next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice