HomeMy WebLinkAbout2006-P10544 - gas fireplace PERMIT
CITY OF ORONO
Permit Number:
2750 Kelley Parkway- PO Box 66 P10544
Crystal�3ay, Minnesota 55323 Permit Type: Mechanical Pernuts
(952) 249-4600 Date Issued:
11/9/2006
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SITE ADDRESS: 2224 Shadywood Rd Unit#
Wayzata,MN 55391
P��� 17-117-23-42-0003
DESCRIPTION:
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: $ 35.00 valuation: $ 2,000.00
State Surcharge Fee: $ 1.00
TOTAL FEE: $ 36.00
APPLICANT: Practical Systems OWNER: Mark& Susanne Griffin
4342B Shady Oak Rd. 2224 Shadywood Rd
Hopkins,MN 55343 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 ISSUED BY SIGNATURE
Copies: 1-File(SignaturesRequired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(IfSeptic, 1-Septic) Page 1
� FOIt CITY USE ONLY
� � ' ,,. `d��` ` City of Orono
� ii'�" `Y\'�� P.O.Box 66 Date Received __ Pennit» -
��a a`�� 27�0 Kcllcy Parkway
i x. �� �+��� Crystal Bay,MN 55323 Approved By: Amount$:
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������aaxo$�c`�,' (952)249-4600 _.�
CITY OF ORONO-MECHAN[CAL PERMIT
(All Commcrcial permits must bc approvcd by thc Building Ofticial or Inspcctor and/or b'irc Marshall)
GENERAL INFORP✓IATION
I. You may apply for mechanical permits by mail or in person at the City oftices. Applications will
be reviewed and a permit will be issued within two working days.
2. Permit cards will be sent by return mail alter a review is completed. PERMITS ARE NOT
VALID UNTIL YOU RECEIVE A PERMIT. WORK MI1ST NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED ON THE 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
type,manufacturer and model. Data shall be presented on form provided.
4. When any uew 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.
(24-48 hour notice required)
7. House Heating Test Record must be submitted before final.
TYPE OF PERMIT
Check All That A 1
�Residential ❑Commercial(Approval Required)
❑New ❑ Additional ❑ Repairs ❑Replace
Job Site/Owner Infonnation:
r / `" � �f
slte AC1C�I'OSS: �'Y
Owner:�/ ,� ailing Address: �Ct n•'t..�
City: _ Zip: ��J �C�
Home Phone: %��� `�' /�� �D`�� Alternate Phone:
Contractor Information:
Contractor: Contact Person:
Kline Corp.
Address: DBA: Practical Systems �:
- 4342B Shady Oak Road
Ci Hopkins, MN 55343 �ate:
�� - 952-933-1868
Phone: Alternate rhone:
❑ Insurance-Current:
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MEC��' �`�AL SYSTEIV�S BEING INSTALLE�` ;�� , '' ' ' '�
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HEATING SYSTEMS
�
Quantity:
Make:
Model:
Fuel:
Flue Size:
Input BTUs:
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: Model No.: ��.��V �(���
VENTILAT[ON
❑ 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: ballons
Other:
CAS LtNE ONLY
❑ Outdoor Grill ❑ Other/List What&Where:
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' • PERMIT FEE C:ALCULATION(S)
BASED OFF - 2002 STATE STATUE
� ❑ 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; excludina 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 $ I5.00
State Surcharge $ .50
Mail-In Fee(If Applicable) $ I.50
Total Permit Fee $
PERMIT FEE CALCLILA'�I+pN S'�-�,,�����'�!,._,._ �r�4�.OQ
If above does not apply;follow guidelines below:
l. CONTRACT PRICE *is 1.25°/o of contract price with a(Minimum Fee of$35.00)
; �
���`� �� x .0125$ � �� �
(contract price) (minimum$35.00)
2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50)
' � x.0005 $ ' � "
(contractpricc) (minimum$ .50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ I.50
� �
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ;�% li�
■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar 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 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
amo�mt of the job cost, the City may request the submission of a signed copy of the actual contract.
■ ** The STATE SURCHARGF is.0005 of the Building Department at(952)249-4600 for the price.
, MECHANICAL PERMIT APPLICA,TION A�;�.EEMENT
The undersigned hereby applies to the City far issuance of a Mechanical Pernlit, agrees to do all
work in strict accardance 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.
' J�bApplicant's Signature: �, � Date: �-��
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