HomeMy WebLinkAbout2005-P08482 - gas fireplace ITY QF OR NO PERMIT
C � Permit Number:
275U�Kelley Parkway- PO Box 66 Po8a82
Crystal Bay, IVlinnesota 55323 Permit Type: Mechanical Permits
(952) 249-4601 Date Issued: 3�3�2oos
SITE ADDRESS: 1740 Shadywood Rd
Wayzata,MI�155391
PID: i�-i i�-23-21-0020
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Mechanical Pernuts Permit Sub-type(s): Gas Fireplace
DETAILS:
Approved per resolurion#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 36.30 Valuation• $ 2,904.00
State Surcharge Fee: $ 1.45
TOTAL FEE: $ 37.75
APPLICANT: Automaric Garage Door&Fireplace,Inc. OWNER: Robert&Joanne Switz
8900-109th Ave N-#1000 1740 Shadywood Rd
Champlin,MN 55316 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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APP CANT PERMITEE SIGNATURE ED BY SIGNATURE v'c �
Covies: 1-File(SiQnitures Required), 1-Applicant 1-Monthlv Renorts, 1-Assessine, 1-Finance Page 1
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CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
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 RECENE A PERMIT. WORK MLTST NOT BEGIN UNTIL THE PERMIT CARD IS
POSTED ON TI�JOB SITE.
3. Mechanical 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 iype, manufacturer and
model. Data shall be presented on form provided. Identification of and specifications for water heating
equipment shall also be 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-hour notice required.
7. House Heating Test Record must be submitted before final.
Instructions
Complete all items on this application. Compute the permit fee. Sign and date the certification.
INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call
(952) 249-4600.
Please check one: �New ❑ Addition ❑ Repair ❑ Replace ❑ Residential ❑ Commercial
JOB SITE: � � �,{�, ' � Zip: 553��-�
Owner's Name: ���_„_: ���-•t�„-, Phone Number: cj.s� � �>73--�y.3S'
Mailing Address: /�3y� ��,�,,,,��� City: � , Zip: ���� /
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Contractor's Name: c � Phone Number: ���`�� � -���S�
Mailing Address: ��I_�;� ,.�'�'�, ;�,�1y,c,�l� ��ity: ' � �,Zip: ��:-?s�
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SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity:
Make: �
Model: �/
Fuel:
Flue Size:
Input BTUs: -'-f'
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H.Power
FIREPLACES
� Gas factory fireplace
Wood burning factory fireplace with flue
❑ Wood Stove
❑ Wood stove with flue
Brand Name � Sz C'��C�i�.'� Model No.
���P�I T�I.ATIGN
No. Kitchen E�aust duct recalculating cfm
No. Bath Exhaust(must have duct outside) cfm
No: Other Fans: Locations cfm
FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHAL)
❑ Installation or ❑ Removal
❑ Fuel oil: gallons ❑ underground ❑ inside ❑outside
❑ LP Gas: gallons
❑ Other Gas opening
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PERMIT F'EE CALCULATION(S)
2002 State Statute ❑ Yes This Section Applies
The replacement of a Residential fixture or a�pliance 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; excludina the cost of the fixture or appliance:
and
3) Is improved, installed or replaced by the homeowner or licensed contractor.
Skip next section; Cost of Permit $ 15.00
State Surcharge$ .50
Mail-In Fee $ 1.50
If above does not apply, follow guidelines below:
1. Contract Price* is .0125%of job with a Minimum Fee of($35.00)
a9o �. �� X .oi2s $
(contract price) (minimum$35.00)
2. State Surcharge. ** Add the State Building Code Division a Minimum Fee of($.50)
x .0005 $
(contract price) (minimum$.50)
3. Posta�e and Handlin�(Only mail-in applications) $ 1.50
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 inc(uding
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 installation is furnished by the owner,tenant or any other party the reasonable markei 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 contract price under$1,000,000 or$.50-whichever is greater.For valuations over
$I,000,000 call the Department of Inspectional Services for the price.
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 Minnesota State Building Code,and certifies that all statements made on this
application are complete,true and correct.
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Applicant's Signature: ����-- ��e��-c��, Date: ' 3 O�—
Approved By: Date:
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