HomeMy WebLinkAbout2009-00850 - gas fireplace t
CITY OF ORONO PERMIT NO.: 2009-00850
2750 KELLEY PARKWAY
ORONO, MN 55356- �ATE Iss[7ED: 1U30/2009
952 249-4600 FAX: 952 249-4616
ADDRESS : 2715 PENCE LA
PIN : 21-117-23-32-0007
LEGAL DESC : CARMAN BAY HEIGHTS
: LOT 002 BLOCK 001
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIREPLACE-GAS
VALUATION : $ 2,000.00
NOTE: GAS F[REPLACE-TRAVIS-MODEL NO. 98400108
APPL[CANT MECHANICAL 50.00
PRACTICAL SYSTEMS STATE SURCHARGE MECH(VALUAT[ON) 1.00
4342 B SHADY OAK RD
HOPKINS,MN 55343 TOTAL 51.00
(952)933-1868
OWNER
SYNDER& SHERRYL STERN, STEVEN
2715 PENCE LA
EXCELSIOR, MN 55331
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
permits. 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 bc
re oked at any1me f�due au ,. ,
i` ' . • �, , 3� , G�
icant Permit ignature Date ��� ���
I u By Signature Datc
SEPARATE PERMITS REQUIRED FOR WORK THER THAN DESCRIBED ABOVE.
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City of Orono �� � ��Y
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2750 Kelley Pazkway '
�� Crystal Bay,MN 55323 ,4ppnoved8}+: AmE►1mt S: �' �
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(952)249-4600
CITY OF ORONO—MECHANICAL PERMIT
(All Commercial pern»ts must be approved by the Building Official or Inspector and/or Fire Mazshall)
CT�'N� INFE��tMAT'ION
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 cazds will be sent by return mail after a review is completed. PERNIITS ARE NOT
VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Mechanical Designs—Complete calculations,details and specifications aze required for each
heating,ventilation,humidification-dehumidification,and air conditioning instatlation 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.
(2448 hour notice required)
7. House Heating Test Record must be submitted before final.
�'s„���� ��� 'T�PE C)��P�ILI�tIT �
�� ��� = �� � �� �� �1�A�'T�t������ t�� �� � ,�
�Residential ❑Commercial(Approval Required)
Q New �Additional ❑Repairs �Replace
JO�f'�1�C/�t�VTl+�t'I11fOTTtl�lOt1:
Site Address: 2�15 PENCE LANE
Owner: STEVEN SNYDER Mailing Address: SAME
City: ORONO Zlp: 55331
Home Phone: �952�471-0646 Alternate Phone:
Contrae�ar farm�tion:
Contractor: PRACTICAL SYSTEMS Contact Person: �OANN
Address: 43426 SHADY OAK RD State Bond#: 558516
City: HOPKINS Zip: 55343 Expiration Date: 09/10N0
Phone: (952)933-1868 Alternate Phone:
✓Q Insurance—Current: 01/01/10
1
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Note:All Geothermal Systems will now require a Site Plan&Review by our Building Official.
IS THIS GEOTHERMAI.? ❑Yes ❑No
HEATING SYSTEMS
Quantity:
Make:
Model:
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quan6ty:
Make:
ModeL•
Tons:
H.Power
FIREPLACES
Q Gas Factory Fireplace Brand Name: TRAVIS
Q Wood Burning Fireplace
❑ Wood Stove Model No.: g8400908
❑ Wood Stove With Flue
VENTILATION
❑ No. Kitchen Exhaust duct recirculating cfm
❑ No. Bath Exhaust(must have duct outside) cfm
('� No. Other Fans: Locations cfm
FUEL STORAGE (Must be approved by�re Marsha[1 ijpropostng to abandon tank in plac�)
❑ Installarion � Removal
Fuel Oil: gallons ❑ Underground a Inside �Outside
LP Gas: gallons
Other:
GAS LINE ONLY
� Outdoor Grilt � Other/List What&Where:
2
� PERMIT FEE CALCULATION(S)
BASED OFF-2002 STATE STATUE
❑ Yes,this section applies
The reptacement of a Residentiai fixture or apgliance that meets all three of the following requirements:
I. Does not require modification to electrical or gas service.
2. Has a tota(cost of$SOO.UO or less;excludine the cost of the fi�cture or appliance:and
3. Is improved,installed or replaced by the homeowner or licensed contractor.
Skip neact section,if this applies; Cost of Permit $ 15.00
State Surchazge $ .50
Mail-In Fee(If Applicable) $ 2.00
Total Permit Fee $
p� ��,ca�:.cui.a�o�v s -3o�s av��ssoo.oa
If above does not apply;follow guidelines below:
I. CONTRACT PRICE * is 125%of contract price with a(Minimum Fee of$50.00)
2,000.00 x.0125$ 50.00
(contract price) (minimum$50.00)
2. STATE SURCHARGE **Add the State Bldg Code Div.Surcharge(Minimum Fee of$.50)
2,000.00 x.0005 $ 1.00
(contcact price) (minimum$ .50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ 51.00
■ * 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, t6e 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.
MEGHANICAL 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
conect.
Applicant's Signature: � f_ -�-! Date: 11/24/09
Reset Form
3
�i` � DATE TIME V
CITY OF ORONO CALLED IN / �
INSPECTION T C SCHEDULED / /o•'�G
PERMIT N �����co LETED
ADDRESS �
OWNER CONTR. �-
TELEPHONE NO. ��- �� -a��
� DESCRIPTION �� �c-' NC��%�I�l,i
� ❑ FOOTING ECHANICAL RI ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE
Q ❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
i ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W� �ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY
V BEFORECONERING PERMANENT
O CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
❑CITATION ISSUED
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Cail for the next inspection 24 hours in advance. (952) 249-46�0
OwnerlContractor on site:
Inspector. ��
White Copyllnspecto�'s Flle Canary CopylSite Notice