HomeMy WebLinkAbout2003-P06255 - gas fireplace PERMIT
CITY OF ORONO Permit Number:
2750 Kelley Parkway- PO Box 66 Po62ss
Crystal Bay, Minnesota 55323 Permit Type: Mect�a�ical Permits
(952) 243-4600 Date Issued: s�i�2oo3
SITE ADDRESS: 125 Smith Ave
Wayzata,MI�T 55391
PID: o2-ii�-23-2i-oo1�
DESCRIPTION:
Proposed Use: Residential
Pernut Class: General
Pernut Type: Mechanical Permits Permit Sub-type(s): Gas Fireplace
DETAILS:
Approved per resolurion#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: PermitFee: $ 35.00
Valuation: $ 2,000.00
State Surcharge Fee: $ 1.00
TOTAL FEE: $ 36.00
APPLICANT: Brian Hinich Fireplace OWNER: Bradley&Pamela Horner
7847 Palmgren Ave 125 Smith Ave
Otsego,MN 55330 Wayzata MN 55391
THE UNDERSIGNED HEREBY REQUESTS PIItMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN SI'RICf COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMEN'TS.
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APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE
Conies: 1-File(Si�nih,�res Required), 1-At�nlicant, 1-Monthlv Renorts, 1-Assessine, 1-Finance Page 1
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.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 RECENE A PERMIT. WORK MUST NOT BEG1N UNTIL THE PERMIT CARD IS
POSTED ON THE JOB SITE.
3. Mechanical Desi ris -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. Identification of and specifications for water heating
equipment shall also be provided.
4. When any new construction or remodeling is involved, a separate building pernut 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 permit fee. Sign and date the certification.
INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call
(952) 249-4600.
Please check one: ❑ New �] Addition ❑ Repair ❑ Replace �] Residential ❑ Commercial
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JOB SITE: l Z� �j""' 7�'� //�-'� Zip: �S 3� /
Owner's Name: � �� r� Phone Number:�S`�- �(�r— �S � �
Mailing Address: /Z� 5,�;1� �C� City: �j f�nc' Zip: 5�5�3 c J
Contractor's Name: ✓tC�r� � i Phone Nu}�ber: ro�� � Z:�74 �! z"v
Mailing Address: L1 < , �� City: C,��f"S��-� Zip• �S'��jc,
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SYSTEM DESCRIPTION -
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HEATING SYSTEMS
Quantity:
Make:
Model:
Fuel:
Flue Size:
Input BT[Js:
Output BTUs: � ���
CFM:
COOLING SYSTEMS
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Quantity:
t Make:
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'� Model:
� Tons:
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FIREPLACES GAS LINE ONLY
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� Gas factory fireplace ❑ Installing a Gas Line Only
�,' Wood burning factory fireplace with flue
❑ Wood Stove
❑ Wood stove with flue
Brand Name >��� ��C, � Model No. �l Y�� � � ef`
�x VENTILATION
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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
��`Y ❑ LP Gas: gallons
;'; ❑ Other Gas opening
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� PERMIT FEE CALCULATION(S)
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2002 State Statute ❑ Yes This Section Applies
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The replacement of a Residential fixture or apnliance that meets all three of the following requirements: �
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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. �
Ski next section• �
P � Cost of Permit $ 15.00 rx
State Surcharge$ .50 ;�
Mail-In Fee $ 1.50 �,
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'^�If above does not apply, follow guidelines below: .�
1. Contract Price* is .0125% of job with a Minimum Fee of($35.00) �
ca '£
�.��a X .o12s $ '�°
(contract price) (minimum$35.00) '�
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2. State Surcharse. ** Add the State Building Code Division a Minimum Fee of($.50) `�
x .0005 $
(contract price) (minimum$.50) :,
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3. Postage and Handlin� (Only mail-in applications) $ 1.50 `'�;,
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4. TOTAL PERMIT FEE (Add lines 1-3 above) $ r�
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'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, y�
equipment,labor,or installation is 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 amount of f�
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 �
$1,000,000 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.
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Applicant's Signature: Date: '�—` — U� �
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Approved By: Date: '�
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DATE TIME
CITY OF ORONO CALLED IN �5 'O3
INSPECTION N TICE SCHEDULED 5-1�-Q3
PERMIT N0. � � COMPLETED
ADDRESS I al S S(Yl�1-��G'�
OWNER CONTR. [".�(�rG�vl �k_i1 C'�r�(�CS��
TELEPHONE NO. Cfl� � �7 ���d
� DESCRIPTION �r� �P. "� � �: � (f S-�'^
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLINCa
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP 06 PFiOGRESS
� 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
� 10 PLUMBING FINAL 36 FOUNDATIOWREMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
c� COMMENTS:
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� WORKSATISFACTORY:PROCEED ❑PROJECTCOMPLETE
W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
� ❑COHRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDRIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR W{LL RETURN ❑CITATION ISSUED
❑STOP ORUER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call forthe next in pection 24 hours in advance. (952) 249-460�
OwnedContractor on '
Inspector. �
White Copyllnapector's File Canary Copy/Site Notics