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HomeMy WebLinkAbout2001-P03516 - gas fireplace w •.. � -- PERMIT CITY OF ORONO 2750 Kelley Parkway - PO Box 66 Permit Number: Po3st6 Crystal Bay, Minnesota 55323 Pe�mit Type: Mechanical Permits (952) 249-4600 Date Issued: 2�9i2ooi SITE ADDRESS: 48o Sussex La LONG LAKE,MN 55356 P I D: 04-117-23-31-0013 DESCRIPTION: Proposed Use: Residential Permit Class: General Permit Type: Mechanical Permits Permit Sub-type(s): Gas Fireplace �— � DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: � - _ � FEE SUMMARY: Permit Fee: $ 35.00 Valuation• $ 2,300.00 State Surcharge Fee: $ 1.15 TOTAL FEE: $36.15 APPLICANT: GUYERS BUILDERS EXPRESS OWNER: N W&D C WILDMAN 13405 15TH AVE N 480 SUSSEX LA PLYMOUTH,MN 55441 LONG LAKE MN 55356 TI�UNDERSIGNID HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WTTH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUII.DING CODE REQUIREMENTS. �� � IS D BY SIGNATURE Copies:City,Applicant,Assessor,Finance Page 1 • _ CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT Box 66 (2750 Kelley Parkway) Crystal Bay, MN 55323 GENERAL INFORMATION 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 within 2 working days. 2. Permit cards will be sent by retum mail after a review is completed. PERNIITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Desiens - Complete calculations, details and specifications are required for each heating, ventilation, humidification-dehumidification, and air conditioninQ installation including heat loss/heat gain calculation, design temperatures, equipment ratings and identification as to rype, manufacturer and model. Data shall be presented on form provided. Identification of and specifications for water heating equipment shall also be provided. 4. V6:<<:�any new construction or remodeling is involved, a sepazate 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). Ca11249-4600. 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, ca11249-4600. Please check one: �New Addition Repair Replace �_ Residential Commercial JOB SITE: `��'D �'v�>C ��t/, Zip: Owner's Name: �/�7,rS�/ Telephone 1\'umber: Mailing Address• City: Zip: Contractor's Name�v y�s,e S ��/r�v��e 5' �X�,e�S.s�elephone Number: Mailing Address:/��BS" �5� Na� CitY.l��r.�o�T� Zip: s�y�/ SYSTEM DESCRIPTION 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 factory fireplace with flue Wood Stove Wood stove with flue Brand Name ��p�Z�cr2 Model No. �l�T� �'�l�tl.� ��l�T�L� �i4��a �� C�N�Y� VENTILATION No. Kitchen Exhaust ducted recirculating cfm No. Bath Exhaust (must be ducted outside) cfm No. Other Fans: Locations cfm FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL) Installation Removal Fuel oil: gallons underground inside outside LP Gas: gallons Other Gas opening PERMIT FEE CALCULATION 1. 1.25% of Contract Price* or Minimum Fee ($35.00) /�j Qp °� x .0125 $ (contract price) 2. State Surchar�e. ** Add the State Building Code Division Surcharge to each permit. x .0005 $ or $.50, whichever is greater (contract price) 3. Posta�e and Handlin� (Only mail-in applications) $ 1.50 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ * 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 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 permit 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 contract price under$1,000,000 or $.50 -whichever is greater. For valuations over$1,000,000 call the Depaztment 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. A licant's Signature:�� Date: PP Approved By: Date: , , . . CITY OF ORONO APPLICATION FOR MECHANICA�. 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 Ciry• offices. Applications will be reviewed and a permit will be issued within 2 working days. 2. Permit cards will be sent by retum 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 Desiens - Complete calculations, details and specificatioas are required for each heating, ventilation, humidification-dehumidification, and air conditionins installation including heat loss/heat gain calculation, design temperatures, equipment ratings and identifica[ion as to rype, manufacturer and model. Data shall be presented on form provided. Identification of and specifications for water heating equipment shall also be provided. 4. V�;:e:�any new construction or remodeling is involved, a separate building pemut 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). Ca11249-4600. 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, ca11249-4600. Please check one: y� New Addition Repair Replace , Residential Commercial JOB SITE: _ Zip: Owner's Name: �/��,t.,/ Telephone 1�'umber: ' Mailing Address: City: Zip: �ontractor's Name���y�s,�'aUr�o�.2 s �xPrz�s� Tele hone Number:�P3��3/�,//� Mailing Address:/�t/a S > �%� �f-Y �o City: ��/hotfib� Zip: ���/ SYSTEM DESCRIPTION HEATING SYSTEMS Quantity: Make: Model: FueL• Flue Size: Input BTUs: Output BTUs: CFM: COOLING SYSTEMS Quantity: Make: Model: � � Tons: H. Power . . . R FIREPLACES � Gas factory fireplace Wood burning factory fireplace with flue Wood Stove Wood stove with flue Brand Name��j/,��,p/��2. Model No.,�1/�Co��(,(/.� ��/�S%�LL ��o uC�� <L.ii e�vL�-C J VENTILATION No. Kitchen Exhaust ducted recirculating cfm No. Bath Eachaust (must be ducted outside) cfm No. Other Fans: Locations cfm FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL) Installation Removal Fuel oil: gallons underground inside outside LP Gas: gallons Other Gas opening PERMIT FEE CALCULATION l. 1.25% of Contract Price* or Minimum Fee ($35.00 ` � ��'� x .0125 $ — (con act price�— 2. State Surchar�e. ** Add the State Building Code Division Surcharge to each permit. x .0005 $ or $.50, whichever is greater (contract price) 3. Posta�e and Handlin� (Only mail-in applications) $ 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 installation 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 permit 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 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 �uilding Code, and certifies that all statements made on this application are complete, true and correct. Applicant's Signature:�a,�X�C Date: 2. O� Approved By: Date: J CITY OF ORONO CALLED IN `�-��E U' p,T',_� dA^ O �1�'l INSPECTION NOTICE SCHEDULED � ����� � PERMIT NO. �-S�� COMPLETED '"'r� � d ADDRESS y�� Suss-2 �( �C�`'I� OWNER CONTR. Cr�� ��'�•"s ������,;- fX�'•��, TELEPHONENO. ��� ��� y��`�� � DESCRIPTION � f ���'e /����� �� LL 01 FOOTING 11 fv1ECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS h 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q OS 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 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � C MENTS: a � '��� 'il Li „ � � - � ✓� � ti_ , j �7 cX �,� ,��, � .�.�c�,. �Z.� O >. � � �� ��O � �c>vP�-� �,�.y� � W Q �� � / i� � "���� � � Z W � W � � d W ❑WORKSATISFACTORY:PROCEED PROJECTCOMPLETE � ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W ,� � �ORRECT WORK,CALL FOR REINSPECTION TEMPORARY � t BEFORECOVERING PERMANENT ❑ CORRECT UNSAFE CONDITION WITHIN HOURS. r PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. Z49-4600 OwnerlContractor on site: Inspector�,�,Gz �C�LL� � ��� " White Copyllnspector's File Canary CopylSite Notice