HomeMy WebLinkAbout1996 - 007826 - gas fireplace PERMIT
6ITY-OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 MF(1.1MICAL
Permit Number: 00826
L.
Crystal Bay, Minnesota 55323 Date Issued: 04/04/96
(612)473-7357
SITE ADDRESS:
850 WINDJAMMER LA
LSV
P . I . N . : 07-117-23-11-0010
DESCRIPTION:
GAS FIREPLACE
1 FIREPLACE FLUE SIZE 3" FUEL NATURAL GAS
MAKE HEAT-N-GLO MODEL. BAY INSERT
REMARKS:
FEE SUMMARY:
VALUATION $2, 000
Base Fee $25. 00 MAIL IN
Surcharge 11AQ Total Fee $37 . 50
Subtotal $36 . 00
CONTRACTOR: - Applicant. - OWNER:
FIRESIDE CORNER 3633561 KAHN FAIZ
2700 FAIRVIEW AVE N :-U WINDJAMMER L
ROSEVILLE MN 55113 ORONO MN 55364
(612) 633-2561 (612)472-6695
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS
SPECIFIED AND AGREES TO DO ALL WORE IN STRICT COMPLIANCEWITH ALL CITY OF
ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS .
APPLICANT PERMITEE SIGNATURE ISSUED BY:SIGNATURE
11ac
CITY OF ORONO APPLICATION FOR MECH NI ?, PERMIT
Box 66 (2750 Kelley Parkway) p,P R
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 permit will be issued within 2 working days.
2. Permit cards will be sent by return 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 Designs - 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 accordance with the Uniform Mechanical Code/State Building Code
requirements.
6. All work must be inspected (rough-in and final). Call 473-7357. 24-hour notice required.
7. House Heating Test Record must he 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 473-7357.
Please check one: (/ New Addition Repair Replace
Residential Commercial
JOB SITE: iT750 C�li�vC�/a- ,tee LcE�v,P Zip: $75-341
Owner's Name: ,c4i ? 4 v ,1-%. •� Telephone Number: h) y7 zqL—Yo33(k4
Mailing Address: YcD �.,,,,�,►, , j/ City: Q,2,,,�0 Zip: 5--;36V
Tele honeNumber:
Contractor'sName:��1"��v �f—au���., 6 33 -iota
Mailing Address: 700 N.o, /fir,, City: �d� Zip: c 5--//3
SYSTEM DESCRIPTION
HEATING SYSTEMS -- A4
Quantity: /
Make: Vero,n/' G60
Model a `d1 Znae.
Fuel: A/o-T
Flue Size:
Input BTUs: 71 ezro
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model: •
Tons:
H. Power
•
WOOD BURNING EQUIPMENT
Wood stove with flue
Wood combination or add-on
Factory fireplace with flue
Factory Fireplace (s) Freestanding Masonry
Wood Stove (s) Franklin, other
Brand Name Model No.
Mfgr's Min., Clearances, side , rear , min. flue dia.
Total
VENTILATION
No. Kitchen Exhaust ducted recirculating cfm
No. Bath Exhaust (must be ducted outside) cfm
No. Other Fans: Locations cfm
Total
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)
,vv x .0125 $ 3 ,
cro
(contract price)
2. State Surcharge. ** Add the State Building Code Division / O-0
Surcharge to each permit. Zv-w x .0005 $
(contract price)
or $.50, whichever is greater
3. Postage and Handling (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ 7 ,5D
* 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 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.
Applicant's Signature: t - , Date: (
AKe
Approved By: Date:
/
/DATE TIME
CITY OF ORONO CALLED IN 30 C. 'F=
INSPECTION NOTICE C SCHEDULED '�/� 1��=
PERMIT NO. ' t ✓o r COMPLETED t4
ADDRESS 9 �G?, 2
OWNER �'.C�L CONTR.
TELEPHONE NO. • � l > 3
DESCRIPTION
LL 01 FOOTING 11 MECHANICAL R 18 EXCAV/GRADING/FIWNG
Q 02 FRAMING 13 MEDIAN! ... 19 LAKESHORE/WETLANDS
O 03 INSULATION 24/25 WOOD BUR` . REPLACE 34 TREE REMOVAL
• 04 WALL BDINSPECTION
12 WATER HOOK-UP 17 SITE"C714 SEWER HOOK-UO 06 P OG ESS
~ 07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT
W 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
• OWNER/CONTRACTOR TO MEET YOU:_YES_NO
o COMMENTS:
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dWORK SATISFACTORY:PROCEED ROJECT COMPLETE
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0 CORRECT WORK&PROCEED ISSUE CERTIFICATE OF OCCUPANCY
O 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR C CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call fort t'n pection 24 hours in advance.473-7357
Owner/Contract sit
Inspector. -
White Copyllnspector's File Canary Copy/Site Notice