HomeMy WebLinkAbout2005-P09188 (Fireplace) • PERMIT
CITY OF ORONO Permit Number:
, 2750 Kelley Parkway- PO Box 66 Po9188
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952)249-4600 Date Issued: 9/16/2005
SITE ADDRESS: 1290 Arbor St Unit#
Wayzata,MN 55391
P��� 10-117-23-31-0028
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Pemut Type: Mechanical Pernuts Pernut Sub-type(s): Gas Fireplace
DETAILS:
Approved per resolurion#:
Sepazate permits reyuired:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 35.00 Vaivation: $ 600.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $35.50
APPLICANT: Owner/Self OWNER: Dean&Sherri Strewlow-Lundblad
MN 1290 Arbor St
Wayzata,MN 55391
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STAT'E OF
MINNESOTA BUILDING CODE REQUIREMENTS.
�-- � �
E TEE SIGNATURE ISSCTED BY SIGNATURE
Copies: 1-File(SignaturesRequired), 1-Applicant, 1-MonthlyReports, 1-Assessing,(IfSepric, 1-Sepric) Page 1
, � FOR CTTX�QSE,ONi.Y,':, �',•,! ; ',
City of Orono " ' ' '
, O4�'�O P.O.Box 66 Date Reeeived:��ermit#' �����'
2750 Kelley Parkway ' ''
� - a� , Crystal Bay,MN 55323 APProved By: ; �,' Amount�$:' "'�'.�
���o$�a� (952)249-4600 ''�"
CITY OF ORONO—MECHAI�TICAL PERMIT
(All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall)
GENERAL INFORMATIQN � � � ' ,`
1. You may apply for mechanical permits by mail or in person at the City offices. Applications will
be reviewed and a permit will be issued within two working days.
2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT
VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Mechanical Desi -�ns—Complete calculations,details and specifications are required for each
heating,ventilation,humidification-dehumidification,and air conditioning installation including
heat loss/heat gain calculation,design temperatures,equipment ratings and identification as to
type,ma.nufacturer and model. Data sha.11 be presented on form provided.
4. When any new construction or remodeling is involved,a separate building permit must be
obtained.
5. All work must be done in accordance with the Uniform Mechanical Code/State Building Code
requirements.
6. All work must be inspected(rough-in and final). Call(952)249-4600.
(24-48 hour notice required)
7. House Heating Test Record must be submitted before final.
TYPE OF PERMTT
' (Check A11'That A 1 � ' ' �
Residenhal ❑ Commercial(Approval Reqiured)
❑New Additional ❑Repairs ❑Replace
Job Site/Owner Information: ' ,' ,
Site Address: ��.� ffi1�� ��,��
Owner:�C�d1 ��D I�, Mailing Address: )2�0 �' '�•
City: �`��� Zip: ���- 1
Home Phone: �.�'26 "i7�°�2.�� Alternate Phone: �2���2 P7
�C'ontracto'r`Tnformatiari:, ,;'�' �
Contractor: ���� Contact Person:
Address: State Bond#:
City: Zip: Expiration Date:
Phone: Alternate Phone:
❑ Insurance—Current:
1
. , �c��ic�;.��sT���$En��rn�sr�r�� , .
,
• HEATING SYSTEMS � �
�tiry: �
Make: �V1_�p
Model: �QC�TQ—��K
Fuel: --�_ S
Flue Size: �j u
Input BT'Us: ����
Output BTIJs: �,�
CFM:
COOLING SYSTEMS
Quantit3'.
Make:
Model:
Tons: �
H.Power
FII2EPLACES
� Gas Factory Fireplace
❑ Wood Burning Fireplace
❑ Wood Stove
❑ Wood Stove With Flue
Brand Name: Model No.:
VENTILATION
❑ No. Kitchen Exhaust duct recirculating cfin
❑ No. Bath Exhaust(must have duct outside) cfm
❑ No. Other Fans: Locarions cfin
FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHALL)
❑ Installarion ❑ Removal
Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill ❑ Other/List What&Where:
2
. � � . - , :PERIVIIT CAL �'�ION�S _ - ,., ,,.
��, GIT� (.)
. , B�SEI�'OFF;- ,, . ,;.�'
2�,Q�.�S�.A'TE S�`:�T`U:E
❑ Yes,this section applies
The replacement of a Residential fixture or appliance that meets all three of the following requirements:
1. Does not require modification to elecirical 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.
Skip next section,if this applies; Cost of Permit $ 15.00
State Surcharge $ .50
Mail-In Fee(If Applicable) $ 1.50
Total Permit Fee $
PE ' . .�,:. �;� - ' ON(S}-'T(OBS'OVER$SOD:flO ' =:";�..k., ;.
g,h�(I'I'`-�`F.E�C�I.�CtJL�T'T'
If above does not apply;follow guidelines below:
1. CONTRACT PRICE '"is 1.25%of contract price with a(Minimum Fee of$35.00)
��.
��1°�.0125$
� (contract price) (minimum$35.00)
2. STATE SURCHARGE **Add the State Bldg Code Div.Surcharge(Minimum Fee of$.50)
x.0005 $
(contract price) (minimum$ .50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $
■ * CONTR.ACT PRICE or JOB COST means the actual or estimated dollar amount charged for the
permitted work including materials, labor,profit, and other fuced costs. It is the amount to be charged
to the customer for the work done. If any material, equipment, labor or installations are furnished by
the owner, tenant or any other party, the reasonable market value of such items must be added to the
esi�iimated 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 Building Department at(952)249-4600 for the price.
,` - - �I�EC�I�NIC�L�?E�IVIXT;AFPI;IC`�i'�`�t�N�AG�tE�'l�IEN�',- �'�� '
:N. �
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 State of
Minnesota, and certifies that all statements made on this application are complete, true and
correct.
Applicant's Signature: Date: �— �lo `�
3
�( DATE TIME �/
v�CITY OF ORONO CALLED IN .�' ��-0
INSPECTION NO CE SCHEDULED _e���1�. �:���.�
PERMIT NO. �C�i l�� COMPLETED
ADDRESS � -S •
OWNER �'l CONTR.
TELEPHONE NO.� GI�� ���" 7
� DESCRIPTION ��
lV 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FI 19 LAKESHORE/WETLANDS
h
Q 03 INSULATION 24/25 WOOD BURN FIREP E 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-U 17 SITE INSPECTION
Q 05 FIfdAL. 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v O7 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATIOWREMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
y COMMENTS:
W � ��c�e�'
a
j
O
'' -� D til.
�
0
�
W
�
Q
�
W
�
W
�
�
d
W WORKSATISFACTORY:PRQCEED ❑ PROJECTCOMPLEfE
� ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
W
p ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WFLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTtONREQUIRED.CALLTOARRANGEACCESS.
Call forthe next inspe�tion 24 hours irt advance. (952) 249-4600
Owner►Contra 'te:
Inspector.
White Copy/lnspector's FII Canary Copy/Site Notice
�,(1 � e� � / DATE TIME `�
v CITY OF OROIVO oc,�CALLED IN j � -D�
INSPECTION NO ICE 2• � SCHEDULED � '-r 3-�
PERMIT NO. COMPLEfED
ADDRESS � � �U4Y� cSJ
OWNER CONTR. ���r
TELEPHONE NO. �S�� % �o� �P� �.e Y
� DESCRIPTION Yi /�e•� 1� / •
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNE IREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK 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 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
y COMMENTS:
�
W
C
�
�
O
�
�
O
�
W
�
Q
�
2
� /
W
�
J
d
W WORKSATISFACTORY:PRO�EED PROJECTCOMPLEfE
� O CORRECT WORK 8�PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
0 �CARRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
�INSPECTIOIVREQUIRED.CALLTOARRANGEACCESS.
Call forthe n xt inspection 24 hours in advance. (952) 249-46��
OuvnerlContr sit :
Inspector. �
White CopyMspector's Flle Canary CopylSite Notice