HomeMy WebLinkAbout2001-P03495 - gas fireplace � � PERMIT
GITY OF ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: Po349s
Crystal Bay, Minnesota 55323 Pel't711t Typ@: Mechanical Permits
(612) 249-4600 Date Issued: ii29i2ooi
SITE ADDRESS: 1875 Shadywood Rd
WAYZATA,MN 55391
P ID: 17-117-23-24-0002
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Sub-type(s): Gas Fireplace
Permit Type: Mechanical Permits
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
Homeowner putting in fireplace himself.
FEE SUMMARY: Permit Fee: $ 35.00 Valuation: $ 300.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 35.50
APPLICANT: MARK KOSEK OWNER: MARK&GINA KOSEK
1855 SHADYWOOD ROAD 1875 SHADYWOOD RD
WAYZATA, MN 55391 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 NIINNESOTA BUILDING CODE REQUIREMENTS.
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APPLICAN PERMITE NATURE �ISSUED BY SIGNATURE �
Copies: City,Applicant,Assessor,Finance Page 1
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CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
GE:�tERAL 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 2 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 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. 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 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 249-4600.
Please check one: ✓New Addition Repair Replace
✓. Residential Commercial
JOB SITE: ���.�S 5�,�r;�.C,l�v.�lr��r� i � Zip: �3�'1
Owner's Name: M�,e � J L—��,y,�, (�{�ej,�_Telephone Number: �;�-<}�-� 0 7 9
MailingAddress: I�,S City: Zip: SS3g�
Contractor's Name: .�_�� Teleph ne Number: yS�--4�1-)D�I�
Mailing Address: City: Zip:
S�'STEM DESCRIPTION
HEATING SYSTEMS
Quantity:
Make:
Model: �
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
- H. Power
;
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FIREPLACES
,/ Gas factory fireplace
Wood burning factory fireplace with flue
Wood Stove
Wood stove with flue
Brand Name � P��� Model No. ��D � p�i-�3�,
VENTILATION
No. Kitchen Exhaust ducted recirculating cfm
No. Bath Exhaust (must be ducted outside) cfm
No. Other Fans: Locations cfm
FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL)
Installation Removal
Fuel oil: gallons underground inside outside
LP Gas: gallons
Other Gas opening
PERI`IIT FEE CALCULATION
1. 1.��% of Contract Price* or Minimum Fee ($3�.00)
� �� �i � � x .0125 $
(contract price)
2. State Surcharae. ** Add the State Building Code Division
Surcharge to each permit. '=�,r;(, ` `� x .0005 $
or 5.50, whichever is greater (concract price)
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 includina 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 are furnished by the owner, tenant or
any other parry 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 contract price under$1,000,000 or $.50 - whichever is greater.
For valuations over $1,000,000 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.
Applicant's Signature: - Date: � 2 0
Approved By: Date:
V
DATE TIME
CITY OF ORONO CALLED IN �" �'-U� �= �1��
INSPECTION NOTICE SCHEDULED �� -��-C>/ / -'�30
PERMIT NO. ,�3��a COMPLETED �l � �
ADDRESS ����J ��Ylc�� i.a (�l-�C�:f%�
OWNER '� CONTR. � C'D�l� .
TELEPHONE NO. ��� �-J/ � f D��1
� DESCRIPTION �- �/rC��/�'��----
ty� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 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
Q OWNER/CONTRACTOR TO MEET YOU:_YES_NO
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d RK SATISFACTORY:PROCEED C PROJECT COMPLETE
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� ❑ CORRECT WORK&PROCEED L ISSUE CERTIFICATE OF OCCUPANCY
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O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑ CORRECT UNSAFE CONDITION WITHIN HOURS. , pHOTO TAKEN
�NSPECTOR WILL REfURN
❑ STOP ORDER POSTED.CALL INSPECTOR '- CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-4600
OwnerlContractor ' e:
Inspector.
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