HomeMy WebLinkAbout2006-P10106 - gas fireplace f • PERMIT
C��T�' OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: P1o106
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952)249-4600 Date Issued:
7/14/2006
SITE ADDRESS: 1825 Shadywood Rd Unit#
Wayzata,MN 55391
PID: 17-117-23-24-0001
DESCRIPTION:
Proposed Use: Residenrial
Pernut Class: General
Permit Type: Mechanical Permits Pernvt Sub-type(s): Gas Fireplace
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 35.00 valuation: $ 1,250.00
State Surcharge Fee: $ 0.63
TOTAL FEE: $ 35.63
APPLICANT: Owner/Self OWNER: Ronald&Sabrina Ruud
MN 1825 Shadywood Rd
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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APPLI ANT PERMITEE SIGNATURE UED BY SIGNATURE
Copies: 1-File(SignaturesRequired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
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� FOR CITY USE ONLY
City of Orono '
O4��O P.O.Box 66 Date Received: Permit#
2750 Kelley Parkway
� � Crystal Bay,MN 55323 Approved By: Amount$:
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�� '`�`o (952)249-4600
CITY OF ORONO-MECHANICAL PERMIT
(All Commercial permiu must be approved by the Building Official or Inspector and/or Fire Marshall)
GENER.AL 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. Pernut 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�ns—Complete calculations,details and specificarions are required for each
heating,ventilation,humidification-dehumidification,and air conditioning installarion including
heat loss/heat gain calculation,design temperatures,equipment ratings and identificarion as to
type,manufacturer and model. Data shall be presented on form provided.
4. When any new construcrion 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 fmal.
TYPE OF PERMIT
' Check All That A 1
,[�Residential ❑Commercial(Approval Required)
❑New �Additional ❑Repairs ❑Replace
Job Site/'Owner Information:
Site Address: �,�� �C`(.ZdU U�b�Q K�[
Owner:�n��la u� Mailing Address: �,��`n�
c�ty: V�o�-�Zc.� z�p: S 5 3�I
Home Phone: �SZ-�_l� - �(o�� Alternate Phone: (o j�.: �1 g�g��
Contractor Information:
Contractor: 1-�� Contact Person: `��
Address: State Bond#:
City: Zip: Expiration Date:
Phone: Alteinate Phone:
❑ Insurance-Current:
1
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� �-: :�MECH�'lCAL SYSTEM�:B�,irTG INSTALT;ED�` :, ' .
HEATING SYSTEMS
Quantity:
Make:
Model:
Fuel:
Flue Size:
Input BTLTs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H.Power
FIREPLACES
Gas Factory Fireplace
Wood Burning Fireplace
❑ Wood Stove
❑ Wood Stove With Flue
Brand Name: �-r` G�6 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 MARSHALL)
❑ 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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; f � ` PERM�T FEE;:CA.L;CULAT�flN(S� � ��
` � : BAS�D �F� = 2Q02,STATE S'�ATL7E. � :� � `
❑ Yes,this section applies
The replacement of a Residential fixture or appliance that meets all three of the following requirements:
1. Does not require modificarion 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 Pernut $ 15.00
State Surchazge $ .50
Mail-In Fee(If Applicable) $ 1.50
Total Permit Fee $
:. PERIVII'I`FEE.CALCULA'��O�T(S -:TOBS:'QV`ER$SOO.OQ ,
If above does not apply;follow guidelines below:
1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$35.00)
���b. l�� x.0125$
(contract price) (minimum$35.00)
2. STATE SURCHARGE **Add the State Bldg Code Div.Surcharge(Minimum Fee of$.50)
x.0005 $
(contractprice) (minimum$ .50)
3. POSTAGE&HANDLING(Only on Mail-In Applicarions) $ 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
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.
NIECHANI�AL PERMIT APPLICATIO�T 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: Date: � �U�
3
� DATE E ^
CITY OF ORONO CALIED IN 7�
INSPECTION N TICE SCHEDULED - D �
PERMIT NO. Co COMPLETED
ADDRESS aJ� �
OWNER�-�"l2 ����- CONTR.
TELEPHONE NO. 9S a -S�7/86(0�
� DESCRIPTION !�"-' �P ��
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Z
Q 05 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
i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
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� ❑CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY
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O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. L, pHOTOTAKEN
INSPECTOR WlLL RETURN
❑STOP ORDER POSTED.CALL 1NSPECTOR ;'CITATION ISSUED
G INSPECTION REOUIRED.CALL TO ARRANGE ACCESS.
Call for t e next inspection 24 hours in advance. (952� 24J-46O0
Owner/Cont on site:
Inspector.
White Copyllnspe tor's File Canary Copy/Site Notice
C � ��� DATE TI
CITY OF ORONO CALLED IN ' ��� '��
INSPECTION I SCHEDULED ���L"�"��lD
PERMIT NO. I COMPLETED
ADDRESS � C O � _�
OWNER CONTR. ���Y �
TELEPHON E NO. I J�'1`�� � � �Q�Q �
� DESCRIPTION �LC��C� S
� 01 FOOTING MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Z
Q OS FINAI 14 SEWER HOOK-UP 06 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
Z OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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O ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WILL RETURN
❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the ext inspection 24 hours in advance. (952� 249-4600
Owner/Contr site:
Inspector.
White Copyllnspect 's File Canary CopylSite Notice