HomeMy WebLinkAbout2008-00236 - gas fireplace � � CITY OF ORONO PERMIT NO.: 2oos-oo236
2750 KELLEY PARKWAY
ORONO,MN 55356- DATE ISSUED: 09/18/2008
952 249-4600 FAX: 952 249-4616
ADDRESS : 2264 SHADYV�OOD RD
PIN : 17-117-23-43-0124
LEGAL DESC : WILEYS PARK LAKE MTKA
: LOT 005 BLOCK 001
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIREPLACE-GAS
VALUATION : $ 3,805.00
NOTE:
INSTALL GAS FIREPLACE-BRAND NAME: HEATALATOR-MODEL NO.GDCH60I
GASLINE WILL BE RUN BY OTHER CONTRACTOR.
APPLICANT �CHANICAL 47.56
FIRESIDE HEARTH&HOME STATE SURCHARGE MECH(VALUATION) 1.90
2700 FAIRVIEW AVE
ROSEVILLE,MN 55113 TOTAL 49.46
(651)633-2561
Minnesota State License#:20512060
OWNER
ZIEGLER,THOMAS
2264 SHADYWOOD RD
WAYZATA,MN 55391
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and dces
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances goveming this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance with the State Building Code.This permit may be
revoked at any time for due use.G�
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pli t Permitee Signature Date I ed By Sign re Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
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2750 Kelley Parkway ������°�m���,�`�`�`�����,����'� �� �.�� � ��;-�
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CITY OF ORONO—MECHANICAL PERMIT
(All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall) CJD 9I
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1. You may apply for mechanical pemuts by mail or in person at the City offices. Applicarions will '
be reviewed and a permit will be issued within two working days.
2. Pernut cazds 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 specifications are required for each
heating,venrilation,humidification-dehumidification,and air conditioning installation including
heat loss/heat gain calcularion, design temperatures,equipment ratings and idenrification as to
type,manufachuer and model. Data shall be presented on form provided.
4. When any new constxuction 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 Hearing Test Record must be submitted before final.
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�Residential ❑Commercial(Approval Required)
❑ New ❑Additional ❑Repairs ❑Replace
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Site Address: 2. � � � S � �. � � w � o c� � � ,
Owner: � G' � �� � � � T� c . Mailing Address:
City: D v o � u Zip:
Home Phone: � I 2 — �3 � 6--�3 ��l Alternate Phone:
�ar��ctt�r��at�c�n t �
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Contractor: � f ��S I � e N"t �: Contact Person: � ~� % 4-- N�
Address: '� � � � �v� • ��' � ''��e k'State Bond#:
City: � b S e v + 1 Cc_ Zip:���3 Expiration Date:
Phone: �'��� 6 33"-�d y 2 Alternate Phone:
❑ Insurance—Current:
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Note:All Geothermal Systems will now require a Site Plan&Review by our Building Official.
IS THIS GEOTHERMAL? ❑Yes [�No
/
HEATING SYSTEMS
QuantitY. ,-
Make:
ModeL•
Fuel:
Flue Size:
Input BTUs:
Output BTLTs:
CFM:
COOLING SYSTEMS
Quanrity:
Make:
Model:
Tons:
H.Power
FIREPLACES
Gas Factory Fireplace Brand Name: �—f.e s�—�-ti � P T o�
❑ Wood Burning Fireplace
❑ Wood Stove Model No.: �- �C }� � � ,L
❑ Wood Stove With Flue
VENTILATION
❑ No. Kitchen Exhaust duct recirculating cfrn
❑ No. Bath Exhaust(must have duct outside) cfm
❑ No. Other Fans: Locations cfrn
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 less;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 does not apply;follow guidelines below:
1. CONTRACT PRICE *is 1.25%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 $
(contract price) (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 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 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 pernut 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 are complete, true and
correct.
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Applicant's Signature: � Date: � � / f g/G �
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