HomeMy WebLinkAbout2005-P09252 - gas fireplace PERMIT
CITY" OF'ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: p09252
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952)249-4600 Date Issued:
10/5/2005
SITE ADDRESS: 2735 Shadywood Rd Unit#
Excelsior,MN 55331
PID: 21-117-23-24-0005
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type:
Mechanical Permits Permit Sub-type(s): Gas Fireplace
DETAILS:
Approved per resolution#:
Sepazate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Pernrit Fee: $ 37.50 Valuation: $ 3,000.00
State Surcharge Fee: $ 1.50
Misc.Fee: $ 1.50
TOTAL FEE: $ 40.50
APPLICANT: Woodland Stoves&Fireplaces OWNER: Richard&Sue Gay
1203 Washington Ave.S. 2735 Shadywood Rd
Minneapolis,MN 55415 Excelsior MN 55331
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-MonthlyReports, 1-Assessing,(IfSeptic, 1-Septic) Page 1
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� . � � /�� FOR Cl`CY USE ONLY
���� City of Orouo ��/ � �!/
Y.O.Box 66 te Received: Permit#
� ��1' �750 Kelle}Parkway
�'�'� � Crystal Bay,(viN»323 Approved By: Amotmt$:
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�, '�_�,���rp�,�'`� 19�2)2�19-�b00
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CITY OF ORONO—NIECHANICAL YERMIT
(All Commeroial parmits must be uppruved by tl�e Building Ofricial or Inspector and/or Fire Marshalij
� GENERAL 1NFORMATION
l. 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 wiChin two working days.
2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT
VALID UNTIL YOU KECEIVE A PERM11'. WORK MUST NOT BEGIN UNTIL THE
YERMIT'CARD iS POSTEU ON THE JOB SITE.
3. Mechanical Desi�;ns–Complete calculations,details and specifications are required for each
lieating,ventilation,humidification-dehumiditication,and air conditioning installation including
heat loss/heat gain calculation,desi�:n temperatures,equipment ratiugs 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). Call(952)249-4600.
(24-48 hour notice required)
7. Ho�ise Heating Test Record must be submitted before tinal.
TYPE OF PERMIT �
(Check All That Apply)
Residential ❑Commercial(Approval Required)
❑ New ❑Additional ❑Repairs ❑Replace j��
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Job Site/Owner Information:
Site Address: �
Owner: h ^�. Mailing Address: ¢�v��--C�"L uj-p�' `�
� �
c�ty�: � �� z�p: S 5 3�31
Home Phone:���2 -�`���� Alternate Phone:
T[�
Contractor Information:
1 � _�/ /
Contractor:�/� J 9L Contact Person: �C�,fif? �.�
�
�ddress�/�D������,�l��( State Bond#: ��-T ��o��/�
City: Zip�� Eapiration Date: l��-�— ��
Yhone: �Q -�3��'Q�G � Alternate Phone:
❑ lnsuranee—Current:
1
� Y11 ��� ��o�/�S 3 �1������'
� � ��
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t a __'
� MECHANICAL SYSTEM�BEING INSTALLED
HE:1"I'ING SYSTEMS
Quaiitity:
Make:
Nlociel: __��_�y�
ruel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
GOOLING SYSTEMS
Qua�itity:
V1ake:
ivlociel:
"1'ons:
H.Power
F112EYLACE
Gas Factory Fireplace
❑ Wood Bttrning Fireplace
❑ Wood Stove
❑ Wood Stove With Flue
Braiid Name: Model No.:
VENTILA"CION
❑ No. Kitchen Exhaust duct recirculating cfm
❑ No. Bath Ex�aust(must have duct outside) cfm
❑ No. Other Fans: Locations cfm
FUEL S1'ORAGE(MUST BE APPROVED BY FIRE MARSHALL)
❑ Instal�lation ❑ Removal
Fuei Oil: gallons ❑ Underground ❑ inside ❑Outside
LP Gas: gallons
Other:
GAS L11VE ONLY
❑ Outdoor Grill ❑ Other/List What&Where:
�
Oct-03-2005 10:49am From-CITY OF ORONO +g522464616 T-606 P.002/002 F-483
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� Yes,this sacuon applies
The rcplacement of a Residential fixture�r appliance that rneeu all thrce of ihe following requirements:
1. Does nnt require-modificarion to elec�ical or�as servicz.
2. Has a tot l cos of$500.00 or less;excludine rhe cost of che fixnue or appliance: and
3. Is improved,install�d ur replaced by the homeo�wner or licensed conu�actor.
Skip next seccion,if rhis agplies; Cost of Permit $ 15.00
Stat�SurchArge $ .50
Mail-In ree(If Applicabin) $ 1.50
Total Permit�ee $
�
M �! � .I. �1
If Abov�does not apply;follow guidelines below: •
1. CONTYtACT PRTCE �is 125%of con�ract price with a(Min�mum Fee of 535.00)
__ � x.0125$__��J !.�
{p nrract price) (minimum 535.00)
2. STATE SURCHAR,C.E '�*Add the Star,e Bldg Codc Div. Sutcharge(Minimum Fec of$.50)
� Q� x.00OS $ �
OnirnCi priC2) (nnnimum S .50)
3. POSTAGE&HANDJ ING(OiilY on Mail-In Applicarions) $ 1.So
4. TOTAL�ERMIT�E�(Add Lines 1-3 Above) � ��� ��
• * CONTRACT pRIC� or 708 COST means the actual or estimated daUar amount charged for �he
pernut�ed work including rnaterial5, labor,prafi�, and oiher fixed cosu. lt is the amount to be charged
to the customer far ehe work done, If any material, equipmeni, labor or installauons arc furnished by
the owner, tenant or any other party,the reasonsible m�,rkzt value of such items must be added to ihe
Csumated cost or contract price for permic fee Pu�pOses. In rlie event that there is a disputc on th�
am�unt of the job cost, the City may request r1�e submission of a signed copy of the actual copaaet.
• **'I'he STATE SiJRCI�ARGP is.0005 of rhe Building Departm�nc at(952)249�600 for the price.
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The undersigned hereby applies co the City for issuance of a Mechanical Permit, agrees to do all
work in saict accordance wiriz the ordinances of rhe Ciry and the regulations of the State of
Minn�sota, and eemfies that all statzrrient� made on this applicarion are complete, irue and
correct.
Applicant's Signature: Aare: ,��'3"'���
3
� � �, ��j ��� � � �
Q/V^ , �..� <��� DAT • TIME '
CITY OF ORONO ' CALLED IN ���
INSPECTION NO CE SCHEDULE�a� ,/�
PERMIT NO. COMPLETED
ADDRESS � / ��
OWNER CONTR.
TELEPHONE NO. (.�/�� � `��� c;�%�P�
� DESCRIPTION �� /��/x,GQ� ��
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Z
Q 05 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 SEPTI FI L 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YO YES_NO
� COMMENTS:
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� ORK SATISFACTORY:PROCEED Cl PROJECT COMPLETE
W ❑ CO ECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑ CORRECTUNSAFECONDlTIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL REfURN
❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-46��
OwnerlContractor on site:
Inspector. � � T//���
White Copyllnspector's File Canary Copy/Site Notice