HomeMy WebLinkAbout2006-P10495 - gas fireplace � PERMIT
CITY OF ORONO
2`l50 Kelley Parkway- PO Box 66 Permit Number: P10495
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Pernuts
(952) 249-4600 Date Issued:
10/25/2006
SITE ADDRESS: 1675 Shadywood Rd Unit#
Wayzata,MN 55391
PID: 17-117-23-21-0004
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type:
Mechanical Permits Permit Sub-type(s): Gas Fireplace
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 35.00 valuation: $ 2,000.00
State Surcharge Fee: $ 1.00
TOTAL FEE: $ 36.00
APPLICANT: Practical Systems OWNER: Angela Williams
4342B Shady Oak Rd. 1675 Shadywood Rd
Hopkins,MN 55343 Wayzata,MN 55391
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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APPL[CA [TEE SIGNATURE [SSUED BY S[GNATURE
Copies: 1-File(Signatures Reguired), 1-Applicant, ]-Monthly Reports, ]-Assessing,(If Septic, 1-Septic) Page 1
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• ���� City of Orono � � �
�� ��� P.O.Box 66 Date Rece��cd �`;,%('� Permtt#� � '�:� ��"
�� ��� 2750 Kcllcy Parkway � ,�
i��'�• � �.��� Crystal Bay,MN 55323 Approved By: Amount$. '/��'�''���_
'��s '� r;,,j,o'`,%� (952)249-4600
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CITY OF ORONO–MECHANICAL PERMIT
(All Comma'cial permits munt bc approvcd by thc Building Official or Inspector and/or Firc Marshdlq
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 DesiQns—Complete calculations,details and specifications are required for each
heating,ventilation,humidification-dehumidification,and air conditioning installation ineluding
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:
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Site Address:
Owner: �� � i ( �� S Mailing Address:
c��: 1 � z�p: �3� I
Home Phone: `��� �O'� ;���d� Alternate Phone:
Contractor Information:
Contractor: Kline Corp.
Address: DBA: Practical Systems
4342B Shady Oak Road
Hopkins, MN 55343
City: g52-g33-1868
Phone: Alternate Phone:
❑ Insurance–Current:
1
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MECHANICAL SYSTEMS BEING INSTALLED ���„�-:; •
HEATING SYSTEMS
Quantity:
Make:
Model:
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
� COOLING SYSTENIS
Quantity:
Make:
Model:
Tons:
H. Power
F[REPLACES
� Gas Factory Fireplace
❑ Wood Burning Fireplace
❑ Wood Stove
❑ Wood Stove With Flue
Brand Name: Model No.: ��,��
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 FIRE MARSFIALL)
❑ Installation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑Inside ❑ Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill ❑ Other/List What&Where:
2
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PERMIT FEE CALCULATION(S) �
BASED O�F - 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 ar 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 $
PERMIT'�'������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$35.00)
� .CSI�
x .0125$
contract price) (mimmum$35.00)
2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50)
UV"� � x.0005 $ /' �V
(contract price) (minimum$ .50)
3. POSTAGE&HANDLINC(Only on Mail-In Applications) $ I.50
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ �v
■. * 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 maYerial, 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 SURCHARCE is.0005 of the Building Department at(952)249-4600 for the price.
�ECHANICAL PERMIT Al'�'LICATION;�������'�' ,.�0 3...
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: Date: �� ��'(�Q
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Reset Form
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C� � �T TIME
CITY OF ORONO CALLED IN ��/G�
INSPECTION �I�E S�s SCHEDULED /D� s? .'
PERMIT NO. �J COMPLETED
ADDRESS 7 d�
OWNER CONTR.�PI��G
TELEPHONE N0. /� Z � ZD �S�Z�'
� DESCRIPTION �� `�`�� ' �/��� ���
� 01 FOOTING ECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 ECHANICAL FINAL�� 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
c��, COMMENTS:
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W WORK SATISFACTORY:PROCEED � ROJECT COMPLETE
� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WFLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Ca11 for the nex inspection 24 hours in advance. (g52) 249-46��
OwnerfContr n i :
Inspector. —�
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