HomeMy WebLinkAbout2005-P08658 - gas fireplace PERMIT
C rT�Y �F O RO N O Permit Number:
2750 Kelley Parkway- PO Box 66 P08658
Crystal Bay, Minnesota 55323 Permit Type: Me�h�i�al Pe�ts
(952) 249-4600 Date Issued: 4/29/2005
SITE ADDRESS: 1690 Shadywood Rd
Wayzata,NIN 55391
PID: i�-ii�-23-2i-ooi�
DESCRI PTION:
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: Pernut Fee: $ 118.75 Valuation• $ 9,500.00
State Surcharge Fee: $ 4.75
Misc.Fee: $ 1.50
TOTAL FEE: $ 125.00
APPLICANT• Condor Fireplace&Stone Co. OWNER: James&Darcey Loffler
� 8282 Arthur St NE 1690 Shadywood Rd
Spring Lake Park,MN 55432 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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APPLICANT PERMITEE SIGNATURE ED BY SIGNATURE
Couies: 1-File(SiQnitures Required). 1-Auulicant, 1-Monthlv Renorts, 1-Assessine, 1-Finance Page 1
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F�lIi�'�� ���,'�* � Y
,�p� City of Orono �� � ' �� .�� �s.:
P.O.Box 66 �R,�c�tved, '� ' �
Q � ��,;:
2750 Kelley Parkway ���
7� "�.:� Crystal B8y,MN 55323 �l�B�t ' r 5�' ��r � �r �
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(952)249-4600 p, , , .^,,». � .. .,.,r �, ,,.
CITY OF ORONO—MECHA1vICAL PERNIIT
(All Commercial permits must be approv�by the Building Officiai or Inspector and/or F've Marshall)
GEI�TEit�T]���t,�A'�l'��fi ,.. , ..;
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.
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 retum 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 Desiens—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 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). Ca11(952)249-4600.
(24-48 hour notice required)
7. House Heating Test Record must be submitted before final.
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�esidential ❑Commercial(Approval Required)
�Qew ❑Additional ❑Repairs ❑Replace
1ob'�rte l�u�'u�Iti��+�n` .
Site Address: —
Owne . Mailing Address:
City: Zip:
Home Phone: Alternate Phone:
G�nt�uct+�r�t��m�tia�: .
� CONDOR Fireplace & Stone Co. Contact Person: ��
E 8282 Arthur Street State Bond#: '��7�/ �
Spring Lake Park, MN 55432
� 763-786-2341 Expiration Date: �� C� �
Phone: Alternate Phone:
❑ Insurance—Current: (/1,� �
• 1
,
HEATING SYSTEMS •
� Quantity:
Make:
ModeL•
Fuel:
Flue Size:
Input BTUs: �
Output BTUs:
CFM:
COOLING SYSTEMS
Quantiry:
Make:
Model: "
Tons:
H.Power
FIRE�S
'���,�� -- � I ,��► n� '
as Factory Fireplace � � �o� ��
I Wood Burning•Fireplace � �Cl�,� Ja�Q b�
❑ Wood Stove (
❑ Wood Stove With Flue .�.�c�G--IC� =Q
l.�c�-�e�.
Brand Name: Model No.:
' VENTILATION
❑ No. Kitchen Exhaust duct recirculating cfm .
❑ No. Bath Exhaust(must have duct outside) cfin
0 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:
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' ❑ 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(ess;excludine 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 $
If above dces not apply;follow guidelines below:
1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$35.00)
. —6�'� /
x.0125$ � ��,� ,.!
(contract price) (minimum$35.00)
2. STATE SURCHARGE **Add the State Bldg Code Div.Swcharge(Minimum Fee of$.50) •
' `"�'�l.lJ � x.0005 $ —1•��
(contract price) (minimum$ .50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ � � ��
• ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollaz 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 fumished 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.
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 aze complete, true and '
correct. .
.
Applicant's Signature: Date: � �V�
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