HomeMy WebLinkAbout2007-P10762 - gas fireplace r
• PERMIT
C1TY OF ORONO Permit ►vumber:
2750 Kelley Parkway- PO Box 66 P1o762
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued:
2/12/2007 �
SITE ADDRESS: 920 Brown Rd S Unit#
Wayzata,MN 55391
PID: 10-117-23-12-0002
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Pem,it Type: Mechanical Permits Permit Sub-type(s): Gas Fireplace
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 85�gg valuation: $ 6,870.00
State Surcharge Fee: $ 3.44
TOTAL FEE: $ 89.32
APPLICANT: Automatic Garage Door&Fireplace,Inc. OWNER: Jay Hulbert
8�900-109th Ave N-#1000 920 Brown Rd S
Champlin, MN 55316 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 PERMITEE SIGNATURE ISSUED BY S[GNATURE
Copies: l-File(Signa[uresRequired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
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CITY OF ORONO APPLICATION FOR MECHANICAL 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 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
UNTII,YOU RECENE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS
POSTED ON THE JOB SITE.
3. Mechanical Desi r�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 pertnit 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-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, call
(952) 249-4600.
Please check one: �New ❑ Addition ❑ Repair ❑ Replace ❑ Residential ❑ Commercial
JOB SITE: � �rr� �(� Zip: S J�J�o
Owner's Name: ��� ��: r Phone Number: ci S�- '�-I—11—C1��
Mailing Address: `1�1Q`� ' �q [�c�ity: , ,,,, n-, i��ip: S S' �(c
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Contractor's Name: �c,,,_,�� ' ��Phone Number: �,���`' a -����5�
Mailin� Address: �9��};;�p�L�'�, �cx�_ ,�-:� �ity:����,-:,�G.�,:��.Zio: ���at:-�.
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SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity:
Make:
ModeL•
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
ModeL• __ _ __,,,_,_�..,_,.-
Tons:
H.Power _
FII2EPLACES
Gas factory fireplace
❑ Wood burning factory fireplace with flue
❑ Wood Stove
❑ Wood stove with flue
Brand Name �L W ti�� �--�C�)r� Model No. �(��.�-� � ,��
�VEiiITILATION
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)
❑ Installation or ❑ Removal
❑ Fuel oil: gallons ❑ underground ❑ inside ❑outside
❑ LP Gas: gallons
❑ Other Gas opening
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PERMIT FEE CALCULATION(S)
2002 State Statute ❑ 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 electrical 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; Cost of Permit $ 15.00
State Surcharge $ .50
Mail-In Fee $ 1.50
If above does not apply, follow guidelines below:
1. Contract Price* is .0125%of job with a Minimum Fee of($35.00)
��; ��� .� - x.0125 $
(contract price) (minimum$35.00)
2. State Surchar�e. ** Add the State Building Code Division a 1Vlinimum Fee of($.50)
x.0005 $
(contract price) (minimum$.50)
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 is fumished by the owner,tenant or any other party the reasonable market value of such items
must be added to the estimated cos[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 Depar[ment 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
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application are comp(ete,true and correct.
Applicant's Signature: �� `"'�y1-�Y\S?M'l.C�.'`1 Date: i � C��
Approved By: Date:
3
DATE TIME �/
CITY OF ORONO CALL.ED IN � � . ��"7
INSPECTION NO CE SCHEDULED � �� .�L�����
PERMIT NO. 7�'' COMPLETED
ADDRESS �"1;�� C�� � �`�/i�L'�/J �c�� _
OWNER CONTR.L'�"Z��ii>>t-.�-r9`'i'� C�-�-�- �
TELEPHONE NO. �S � �� "�f�� �I��l'�
� DESCRIPTION ��� �/��
lL 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FI L 19 LAKESHORE/WETLANDS
�
Q 03 INSULATION 24/25 WOOD BU ER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-U 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
? 09 PLUMBING Rt 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W WORK SATISFACTORY:PROCEED L, PROJECT COMPLETE
� ❑CORRECT WORK&PROCEED r ISSUE CERTIFICATE OF OCCUPANCY
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O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN
INSPECTOR WILL RETURN
��CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
C INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-46��
OwnerlContrac ' ite:
Inspector. �
White Copyllnspector's 'le Canary CopylSite Notice