HomeMy WebLinkAbout2008-P11809 - gas fireplace PERMIT
CITY OF ORONO
2750 K�Iley Parkway - PO Box 66 Permit Number: P11809
Cc,rystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued:
1/15/2008
SITE ADDRESS: 1348 Rest Point Cir Unit#
Mound,MN 55364
PID: 07-117-23-31-0023
DESCRIPTION:
Proposed Usc: Residential
Permit Class: General
Permit Type:
Mechanical Permits Permit Sub-type(s): Gas Fireplace
DETAILS:
Approved per resolution#:
Separate permits requircd:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 43.75 va�uation: $ 3,500.00
State Surcharge Fee: $ 1.75
TOTAL FEE: $ 45.50
APPLICANT: Guyers Builders Supply, Inc. OWNER: Louis B Baldwin
13405 15th Avenue N 1348 Rest Point Cir
Plymouth,MN 55441 Mound,MN 55364
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLI('ART PER!v1ITBE SIGNATURE ISSUED BY SIGNATURE
Copies: 1-File(Sig�iahiresReguired), l-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
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FOR CITY USE ONLY
' 0,►` City of Orono
� O4 `vO P•O.Box 66 Date Received: Permit#
�f;,; 2750 Kelley Parkway
. a '�'�' � Crys[al Bay,MN 55323 Approved By: Amount$:
�a ������`$o`� (952)249-4600
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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 permiYs by mail or in person at the Ciry offices. Applicarions will
be reviewed and a pernut will be issued within two warking days.
2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT
VALID UI`TTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERMTT CARD IS POSTED ON THE JOB SITE.
3. Mechanicai Desi�ns—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 pernut 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 Apply) �
�,Residential ❑ Commercia](Approval Required)
� New ❑Additional ❑ Repairs ❑ Replace
Job Site/ Owner Information: .
Site Address: / � y� ��S 3'" �T �i�
Owner: C vS TU� S�v C�v�C-S Mailing Address:
City: Zip:
Home Phone: Alternate Phone:
Contractor Information:
Contractor: ��v�E�S -�1/%�0� Contact Person: �o� ���-F-c
.�uP�J�
Address: /3YDS1 iS--�'F .� State Bond#: �y�-� S � ��
City: �GY�ovr� Zip:SS�'�/ Expiration Date: %O- ��- C��
Phone: �� 3- (� i y�-r-/��o�� Alternate Phone:
❑ Insurance-Current: L✓C-Sj FrF�
1
.*
MECHANICAL SYSTEMS BEING INSTALLED '
.
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 � �
❑ Wood Burning Fireplace
❑ Wood Stove
❑ Wood Stove With Flue �Z� E��/ �/S YU
Brand Name:� L���nj`� Model No.: C� � ��t/ S T—
VENTILATION
❑ No. Kitchen Exhaust duct recirculating cfin
❑ No. Bath E�aust(must have duct outside) cfm
❑ No. Other Fans: Locations cfm
FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHALL)
❑ 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 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 $ .50
Mail-In Fee(If Applicable) $ 1.50
Total Permit Fee $
PERMTT�'E����GLTL`ATION(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$35.00)
3 �op X .oizs $ `�3, ��s—
(contract price) (minimum$35.00)
2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(Minimum Fee of�.50)
3S O C� x.0005 $ �� 7 S
(contract price) (minimum$ .50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ --}-:5�-
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ��� � � (:�
■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for Yhe
pernutted 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.
■ ** The STATE SURCHARGE is .0005 of the Building Department at(952)249-4600 for the price.
' MECHANICAL PERMIT APPLICATION AGREEMENT I
The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all
wark 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: �- ��—d e4
3
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DAT TIME
CITY OF ORONO CALLED IN / o�
INSPECTION OTICE SCHEDULED � �- � �'�-
PERMIT NO. � COMPLETED
ADDRESS 3 � �57� f�'O��
OWNER CONTR. u
TELEPHONE NO. Z 3— "l� - ��P
� DESCRIPTION � Q- �Z� �
� ❑ FOOTING ❑ ME ANICAL RI ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE
❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL � SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
� ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
_ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W� �CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR '��CITATION ISSUED
C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
,
Cail forthe next inspection 24 hours in advance. (952� 249-460�
OwnerlContra n it'�:
Inspector.
White Copylinspector's File Canary CopylSite Notice
� � ��' DAT TIME �
CITY OF ORONO CALLED IN � Z �
INSPECTION TICE SCHEDULED � � a=D���
PERMIT NO. COMPLETE .
ADDRESS �
OWNER CONTR.
TELEPHONE N0. � �^ �� � � a�
� DESCRIPTION ��
� ❑ FOOTING ❑ MECHA ICAL RI XCAV/GRADING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE
O ❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
� ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
_ ❑ PLUMBING Rf ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
� ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� ❑ CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑ CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. r pHOTOTAKEN
INSPECTOR WlLL RETt}RN
❑STOP ORDER POSTED.CALL INSPECTOR '� CITATION ISSUED
❑ INSPECTION REQUIRED.CALlTO ARRANGE ACCESS.
Call for the ext inspection 24 hours in advance. (952) 249-4600
OwnerlCo or site:
Inspector.
White Copy/inspect 's File Canary Copy/Site Notice