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Home My WebLink About2003-P07130 - gas fireplace CITY OF ORONO PERMIT 2750 Kel�e� Parkway - PO Box 66 Permit Number: Po�i3o Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits (952) 249-4600 Date Issued: i2�29i2oo3 SITE ADDRESS: 2032 Shadywood Rd Wayzata,MN 55391 PID: i�-11�-23-3i-ooi2 DESCRIPTION: Proposed Use: Residential Pernut Class: General Pernut Type: Mechanical Pernuts Permit Sub-type(s): Gas Fireplace DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 15.00 Valuation: $ 500.00 State Surcharge Fee: $ 0.50 TOTAL FEE: $ 15.50 APPLICANT: Owner/Self OWNER: Timothy&Sheryl Latterner MN 2032 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. .� �"� � _ �� —Y�✓1 Cs� � !L/'G' AP LICANT PERMITEE SIGNATURE IS ED BY SIGNATURE Cooies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1 , � �� 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 pernut 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 BEGLti LJNTII.THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Desi n�s-Complete calculations, details and specificarions are required for each heating, ventilation,humidification-dehumidification, and air conditioning installation including heat loss/heat gain calculation, design temperatures, equipment ratings and idenrification as to type,manufacturer and model. Data shall be presented on form provided. Identification of and specifications for water heating equipment shall also be pro�-ided. 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 pertnit fee. Sign and date the certification. INCOMPLETE APPLICATIONS �VII.,L NOT BE PROCESSED. If you have questions, call (952) 249-4600. Please check one: New ❑ Addition ❑ Repair ❑ Replace ❑ Residential ❑ Commercial JOB SITE: �032 h c�� c,��o � 4'rv:�o Zip: S-S3�! Owner's Name: � �1" Phone Number: ys�— 1}70 —416J Mailing Address: �o �2 � � � S�i� c,�..hAr1 City:� � Zip: drvs�o ,np�� Contractor's Name: Z;��w Phone Number: Mailing Address: � City: Zip: 1 �► . PERMIT FEE CALCULATION(S) 2002 State Statute [�] Yes This Section Applies r 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 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) x .0125 $ (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 Handling (Only mai[-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 including materials, ;abor,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 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 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. � l�� / � Applicant's Signature• L�— Date: �Q3 , � Approved By: Date: 3 f 1 � SYSTEM DESCRIPTION • HEATING SYSTEMS Quantity: Make: Model: FueL• Flue Size: Input BTUs: Output BTUs: CFM: COOLINC SYSTEMS Quantity: Make: Model: Tons: H.Power FIREPLACES GAS LINE ONLY �Gas factory fireplace ❑ Installing a Gas Line Only Wood buming factory fireplace with flue ❑ Wood Stove ❑ Wood stove with flue Brand Name ��r N ��D Model No. � ,�^ VENTILATION No. Kitchen Exhaust 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 2 ✓ DATE TIME CITY OF ORONO CALLED IN INSPECTION �CE SCHEDULED �1--30-�3 PERMIT NO. � COMPLETED `� 3 =c� ADDRESS Z O 3?� OWNER �� C TR. TELEPHONE N0. �/�� - 7(� -'OS! �I � DESCRIPTION �� t� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y Q 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 `� 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: � W a J O � � O � W GC Q � W � W � � � �iIORKSATISFACTORY:PROCEED ❑PROJECTCOMPLETE W ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITION WITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CAIL�NSPECTOR �CITATION ISSUED O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-46�0 OwnerlContra o e- Inspecto White Copyllnspector's File Canary CopylSite Notics ✓ DATE TIME CITY OF ORONO CALLED IN �-l��"� INSPECTION N TICE SCHEDULED ��a-��1 1 U�� PERMIT NO. COMPLET D ADDRESS %� �-� � " OWNER I'i (Yl � a te f r�► CONTR. Cjl.�!1�(� TELEPHONE NO. �' I� 7�vC� �� I� � DESCRIPTION � � - i-� t !� �-C' c� lL 01 FOOTING 11 MECHANI Rk-�.` 18 EXCAV/GRADING/FILLING � _� -, �,. Q 02 FRAMING 13 ME�ICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOO R/FIREPLACE 34 TREE REMOVAL Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT � 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL BING FINAL j 36 FOUNDATION/REMOVAL � OWNE ONTRACTOR TO MEET YOU:�YES_NO � COMMENTS: � W a j � � � O >. � O � W � Q � 2 W � W � � d W WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE � ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTiONREQUIRED.CALLTOARRANGEACCESS. Call for the nex inspection 24 hours in advance. (g52) 249-46�� OwnerlContr c n i e: Inspector. White Copy/lnspector's File Canary CopylSite NoUce