HomeMy WebLinkAbout2007-P11734 - gas fireplace PERMIT
CI�Y �F ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: P11734
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Pernuts
(952) 249-4600 Date Issued:
12/7/2007
SITE ADDRESS: 99 Sixth Ave N Unit#
Wayzata,MN 55391
P��� 25-118-23-44-0012
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Mechanical Pernuts 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: Mr. &Mrs.Briscoe
4342B Shady Oak Rd 99 Sixth Ave N
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 SUED BY SIGNATURE
Copies: 1-File(Signatures Reguired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
� FOR CITY"USE OlVLY
---� '"'�-'=� City of Orono
� � `"� ��``� P.O.Bos 6(i Date Rccciv�d: Permit# _
`���� ��ti; 2750 Kellcy Parkway
��,a �`'r• `� � Crystal Bay,MN 55323 Approvcd By_ Amount$:
�� � : . o�� 952)24)-4600
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CITY OF ORONO—MECHANICAL PERMIT
(All Comm�rcial permit,must bc�pprovcd by thc Building Officia]or lnspcctor andior Firc Mar,hall)
GENERAL INFORMATION
1. You may apply for mzchanica]permits by mail or in person at the City offices. Applications will
be reviewed and a permit will be issued within two working days.
2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT
VAL1D UNTiL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERMIT CARD IS POS'TED ON THE JOB SITE.
3. Mechanical Desi�ns—Complete calculations,details and specifications are required for each
heating,ventilation,humidification-dehuinid.ification,and air conditioning installation including
heat loss/heat bain calculation,design temperatures,equipment ratings and identification as to
type,manufacturer and inodeL Data shall be presented on form provided.
4. When any new construction or remodelinb is involved,a separate building permit must be
obtained.
5. All work must be done in accordance wiYh 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 �dditional ❑ Repairs ❑Replace
Job Site/Owner Information:
Site Address: �
Owner: �����j�('�, Mailing Address: � �'�
c�ty: z�p: 5�5�9 1
Home Phone: Alternate Phone: l D I�� ��I � �� 1
Contra.ctor Information:
Contracior: Kline Corp. erson:
DBA: Practical Systems
Address: 4342B Shady Oak Road d#: � S�� �
Hopkins, MN 55343 ��
City: 952-933-1868 1 Date: � �
Phone: Alternate Phone:
❑ Insurance—Current:
1
. �
� MECHANICAL SYSTEM�BEING INSTALLED � � ��
�
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 Witll lue
Brand Name: , �S�� Model No.: C����.
VENTILATION
❑ No. Kitchen Exhaust duct __ recirculating _ _cfm
❑ No. Bath Eshaust(must have duct outside) _cfm
❑ No. Other Fans: Locations cfm
FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHALL)
❑ lnstallation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑ Inside ❑Outside
LP Gas: gallons
Other:
CAS LINE ONLY
❑ Outdoor Grill ❑ Other/List What&Where:
2
i
� � P�RMIT FEE�'ALCULATTON{�} � �
BASED OFF - 2002 STATE STATUE
� ❑ Yes,this section applies
The replacement of a Residential tixture or appliance that meets all three of the following requirements:
1. Does not require�nodification 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, if this applies; Cost of Permit $ 15.00
State Surcharge $ .50
Mail-In Fee(If Applicable) � L50
Total Permit Fee $
PERMIT FEE CALCULATTON(S}—JOBS OVER$5�0.00 k
If above does not apply;follow guidelines below:
1. CONTRACT PR[CE * is 1.25%of contract price with a(Minimum Fee of$35.00)
—�-� _ �5, c��
� X.o�zs�
(contract pricc) (minimum$35.00)
2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50)
�G� � x .0005 $ /. O�
(contractpnce) (minimum$ .50)
3. POSTAGE&HANDLING(Only on Mail-[n Applications) $ 1.50
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $
�U� . �
■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the
permitted work including materials, labor,protit, 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 reasonabie 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 imay request the submission of a sigi�ed copy of the actua] conh�act.
■ **The STATE SURCHARGE is.0005 of thc Buildinb Department at(952)249-4600 for the price.
MECHANIC�L PERMIT APPLICATICIN AGREEh�E:-'% r�' .,:, �. . � .;. ::_:
The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all
work iri strict accordance with the ordinances of the City and the regulations of the State of
Minnesota, and certities that all statements made on this application are complete, true and
correct.
Applicant's Signature: ` Date: ���0��'U�
Reset Form
3
�\ � j���� DATE TIME ✓/
CITY OF ORONO CALLED IN .Z `7 ��
INSPECTION NOTICE SCHEDULED -��--��
PERMIT NO. 'P f���� COMPLETED
ADDRESS `� � v)t �Y+�1 �-l?�F� Iv �
OWNER CONTR. �'��-F ..�.1,1�,}��
TELEPHONE NO. �r� � �C; `— ����
� DESCRIPTION ' �` `�C� �� �C�'-� � �
� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING
y ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
❑ �NSULATION � WOOD BURNER/FIREPLACE ❑ TREE REMOVAL //-� `;
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTIOfV 7r� r
� ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS ���—
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
_ ❑ PLUMBING Rt ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU: YES_NO
� COMMENTS:
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� ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� (�'�CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� ��BEFORECOVERING
V PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN
INSPECTOR WILL RETURN
❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALI TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-460�
OwnerlContractor on site:
Inspector. � ,, �
White Copyllnspector's File Canary CopylSite Notice
�K i �-� w� ��� �- �
D TE TIME
CITY OF ORONO CALLED IN �� �
INSPECTION�TICE SCHEDULED ��/' o ��'���'�
PERMIT NO. �� C PLETED
ADDRESS g � �� �'
OWNER CONTR. �`'Q
TELEPHONENO. �P�v�l- ��o - 3��3 ' ���
� DESCRIPTION LJ�S��Llt,e, �*�' ��� ��e�-��G��
� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING
� ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
Q ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
_ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J ❑ PIUMBING FINAL ❑ FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU• YES_NO
� COMMENTS:
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W��.t�,WORKSATISFACTORY:PROCEED CI PROJECTCOMPLETE
W ❑CORRECT WORK&PROCEED n ISSUE CERTIFICATE OF OCCUPANCY
� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITNIN HOURS. ;� pHOTO TAKEN
INSPECTOR WILL RETt1RN
❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
� INSPECTIOfV REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (J52� 249-4600
OwnerlContractor on site: .
Inspector. �-�/ L'—� �3 �, -S
White Copyllnspector's File Canary CopylSite Notice