HomeMy WebLinkAbout2003-P06261 - gas fireplace PERMIT
��:��-Y O F O RO N O Permit ►vumber:
2750 K+elley Parkway- PO Box 66 P06261
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Pernrits
(952) 249-4600 Date Issued: si2�2oo3
SITE ADDRESS: 2080 Spates Ave
Wayzata,MN 55391
P I D: 10-117-23-31-0095
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Mechanical Perxnits Permit Sub-type(s): Gas Fireplace
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
Also Installing Gas Line#25
FEE SUMMARY: Permit Fee: $ 15.00
Valuation: $ 0.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 15.50
APPLICANT: Gezel Plumbing OWNER: Terry and Christy Morse
25 W. lst Street 2080 Spates Ave
Waconia,MN 55387 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 PERM SIGNATURE SUED BY SIGNATURE
Copies: 1-File(Si¢nitures Required), 1-Avnlicant, 1-Monthlv Reuorts, 1-Assessine, 1-Finance Page 1
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CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT
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Box 66 (2750 Kelley Parkway) 'a
Crystal Bay, MN 55323 :�;
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GENERAL INFORMATION
1. 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 within two working days. Y
2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID A�
UNTIL YOU RECENE A PERMIT. WORK MUST NOT BEG1N UNTII,THE PERMIT CARD IS `�
POSTED ON THE JOB SITE. �
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3. Mechanical Desi rg_is -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 permit must be obtained. �;
5. All work must be done in accardance 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. �
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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: �O �O �Pr4 r�-S /�c/e Zip: '�
Owner's Name: ��/L/� y �'Io 2 s E' Phone Number: �
Mailing Address: City: Zip:
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Contractor's Name: (�-e z.eL ��u.��„✓�Phone Number: g S z `�70 - �'��Z ��=
Mailing Address: Z S t,J- %s` S��• City: (,cJAcc,,v"q Zip: S S3 �7
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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
Quantity:
Make: '
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Model:
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Tons:
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H.Power
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FIREPLACES GAS LINE ONLY "
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[k� Gas factory fireplace Installmg a Gas Line Only �
❑ Wood burning factory fireplace with flue �— "" " � ����— �
❑ Wood Stove 2>� � — Z '0 3 J�.s4o..c-- N ee�.!
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❑ Wood stove with flue �
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Brand Name Model Na '��
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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) °��
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❑ Installation or ❑ Removal w�
❑ Fuel oil: gallons ❑ underground ❑ inside ❑outside '�:�
❑ 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 �;,��
�� The replacement of a Residential fixture or appliance that meets all three of the following requirements: �
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1) Does not require modification to electrical or gas service. '
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, 2) Has a total cost of$500.00 or less; excludin�the cost of the fixture or appliance:
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� ;. 3) Is improved, installed ar replaced by the homeowner or licensed contractor.
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,��. Skip next section; Cost of Permit $ 15.00
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State Surcharge $ .50 �
yr 4 �
� �� Mail-In Fee $ 1.50 �,
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�3 If above does not apply, follow guidelines below: �
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� ' 1. Contract Price* is .0125% of job with a Minimum Fee of($35.00)
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�� x .0125 $
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2. State Surcharge. ** Add the State Building Code Division a Minimum Fee of($ .50) �
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x .0005 $ µ�
(contract price) (minimum$.50) i6
3. Posta�e and HandlinS (Only mail-in applicatio�:s) $ 1.50
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� �,' 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ ;_#
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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,
equipment,labor,or installation is fumished 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
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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 51,000,000 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 Ntinnesota 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: � � � —�' 3
,�,,;: Approved By: Date:
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(��� DATE TIME
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CITY OF ORONO CALLED IN �`�' ���
INSPECTION N TICE SCHEDULED {��� �
PERMIT NO. COMPLETED
ADDRESS
OWNER CONTR. �b
TELEPHONENO. _4$3^��053 �5� - � -�� _ t.��.�
� DESCRIPTION ` � S �`-�-�'
� 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
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
? 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PIUMBING FINAL 36 FOUNDATIOWREMOVAL
Q OWNERICONTRACTOR TO MEEf YOU:_YES NO
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� WORKSATISFACTORY:PflOCEED ❑PROJECT COMPLEfE
W ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTiFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECWERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ppHOTOTAKEN
INSPECTOR WILL RETURN
0 STOP ORDER POSTED.CALL INSPECTOR
❑CITATION ISSUED
❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next in ion 24 hours in advance. (952) 249-4600
OwnedContra n sit :
Inspector.
White Copyllnspector's File Canary Copy/Site Notfce