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HomeMy WebLinkAbout2000 - P03186 - fireplace • PERMIT CITY OF ORONO 2750 Kelley Parkway - PO Box 66 Permit Number: P03186 Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits (612) 249-4600 Date Issued: 10/27/20 SITE ADDRESS: 320 Woodhill Rd WAYZATA,MN 55391 PID: 02-117-23-13-0005 DESCRIPTION: Proposed Use: Residential Permit Class: General Permit Sub-type(s): Fireplace Permit Type: Mechanical Permits DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 35.00 Valuation: $ 2,500.00 State Surcharge Fee: $ 1.25 Misc.Fee: $ 1.50 TOTAL FEE: $ 37.75 APPLICANT: WOODLAND STOVES OWNER: J L CONNER&G J PAULUCCI 1203 WASHINGTON AVE SOUTH 322 WOODHILL RD MINNEAPOLIS,MN 55415 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. / PLICANT PERMITEE SIGNATURE D BY SIGNATURE Copies: City,Applicant,Assessor,Finance Page 1 Oct-24-2000 10:19am From-CITY OF ORONO +9622494616 T-851 P.002/003 F-011 it,4s74 45erwi CopR. Win* ) Lx.,/ CITY OF ORONO • APPLICATION FOR.MEMCHANICAL PERMIT�er-rn; Box.66 (2750 Kelley Parkway) / Crystal Bay, MN 55323 /� ) / I . CENTRAL INFORMATION. 1. You may apply far 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 review is completed. PERMITS ARE NOT VALID UNTIL . YOU RECEIVE A PERMIT.. . • kit 44, = .R . a I , - .- ,./W ' �' a S P e V_ •1`1 THE JOB SITE. 3, Mechanical Designs - Complete calculations, details and specifications; are required for each heating, ventilation, huraidificaiion-dehumi4ittcatfan, and air conditioning installation including heat Ioss/heat gain calculation, design temperatures;equipment ratings and ideintification as to,type, manufacturer and model. Data shall be presented on form provided. Identification of and specifications for water hating equipment shall also be,provided. 4. When any new construction or remodeling is involved. a separate building permit must be obtained. 5. AU 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 2494600. 24-hour nodee required. . 7. House Heating Test Record must be submitted before final. j gwg' Complete all items'on this application. 'Compute the permit fee: 'Sign and date the certification. ' INCOMPLETE APPLICATIONS WILL NOT r PROCESSED. If you have questions, c 249.4600. • Please check one: _New rdd /Aition Repair .Replace ( (,w!'14r.L,- 1,‘t.) l/) 60 xResidential Commercial r. I.IJt?, ?/ "V".�r O" IOBSI'Z'E: 3x,041,000i(l�u' 1-I 'i-itl� him,/ Zip: Owner's Name:1// l t i — ,i • ,. 5 . O1" " Telephone Number: 1,3 A 3 q 5 Mailing Address:3 20 l pQcIGti(! 1,r1 City: d l i'i.° Zip: Contractor's Name: t'1IDL/LI oriel clipbec j '- h+icpl 6_,Telepbone Number: 6/Z - 3 3 i3 --C`40 0 6 1VCalting Address: . .., r ii it • City: rne/3 • Zip: f4f/,�`— &YAW DESCRIPTION / • • HEATING SYSTEMS Quantity. . - Make: . ::: Model: •..- .-_ - . , .. . Fuel: • Flue Size; __ • Input.BTUs: _ Output BTUs �, CFM: COOLING SYSTEMS . . Quantity: Make: Model Tons; ,.� - ' H. Power . . Oct-24-2000 10:20am From-CITY OF ORONO +3522434616 T-351 P.003/003 F-011 " F`�TREPLICE45 / Gas factory fireplace Wood burning factory fireplace with flue Wood Stove Wood stove with flue Brand Name �� L1M`'1 Modes No. � VENTILAy, No. Kitchen Exhaust ducted recirculating efm No, • Bath Exhaust (must be ducted outside) clim No. Other Fans: Locations cfm FUEL STOGE (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 (S3S.00) 4600 x ,0125 $ ` 3 5 "° (contract price) 2. Stara Sur **Add the State Building Code Division Surcharge to each permit. ti®Q _ x .0005 $ or $;50, whichever is greater (contract price) 3, postage and Handling (Only mail-in applications) $ 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ _ 3 7, 2S * CONTRACT PRICE or JOB COST weans 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 coturact price for permit fee purposes. In the event that there is a dispute on the amount of the job cost,the Ciry 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 Minnesota State Building Code, and certifies that all sraements made on this application are complete, true and correct. ,� GL/�/ Applicant's Signature: Date: n Approved By: — Date: �,�