HomeMy WebLinkAbout2002-P05041 (gas fireplace) �
CITY OF ORONO PERMIT
2750 Kelley Parkway - PO Box 66 Permit Number: Poso4i
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued: 4�is�2oo2
SITE ADDRESS: 2732 Caroline Ave
Wayzata,MN 55391
P I D: 20-117-23-24-0041
DESCRIPTION:
Proposed Use: Residential
Pernut Class: General
Pernut Type: Mechanical Pernuts Pernut Sub-type(s): Gas Fireplace
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 15.00 Valuation: $ 200.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 15.50
APPLICANT: Plumbing Plus Inc. OWNER: Charles&Susan Percival
340 Michigan Ave 2732 Caroline Ave
Hutchinson,MN 55350 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.
C�' � ,���!� ��!�,�c`� (��������_ C .✓,.,?/�
�
APPLICANT PERMITEP,SIGNATURE ISSUED BY SIGNATURE
Copies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessina, 1-Finance Page 1
� �or-15-2002 �8:08am From-CITY OF ORONO +8522494616 T-038 P 001/003 F-211
CITY O� ORONO APT'T�ICATION�OR MECHANICAL PBRMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
GE RA TNF TY�
1. You may apply for mechanical permits by mail o,•in person at the City offices. Applications wi�l t�e
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.PE1tMI"FS ATtE NOT VALIIa
UNTIL YOU RECEIVE A PERMIT.WORK MU'ST NO7 BEGTN UNTIL THE PE CARD TS
OS7ED ON T�)OB SITE.
3. Mechan�cal Desi n�.�-Complete calculfltions,details and specificetions are required for each heating,
ventilation,humidification-dehumidification, ancl air conditioning installation including heatlossfheat
gain calculation,design temperatures,equipment ratings and identification as to type,manufaeiurer and
model.Data shal]be presented on form provided. Identification of and specifications for water heating
equipment shail atso be provided.
4. When any new construction or ratnodeling is involved,a separate building permit must be obtAined.
5. All work must be done in accorcianco w'sE��the Uniform Mechattical Code/State Building Code
requirements.
6. All w�rk must be inspected(rough-in and final). Call(952)249�600. 24-hour nocice required.
7. House Heating Test Record must be submitted before ftRal.
Ynstr! uctions
Complete all items on this applicacion. Compute the permit fee. Sign and date the certification.
TNCOMFLE7E APPLICATIONS WILL NOT BE PROC�SSED.Tf you have questions,call
(952)249-4600.
Please check one: ❑Nev�+ ❑Addition ❑R.epair ❑Replace[]Residential [] Commercial
�OB SYTE: z�3"L Cczrv lc�,.2 �?u�e. � Qr0"O l71 N` Zip: 5539/
bwner's Name: Phone Number:
Mailing Address: City: ��P�
/ P/u5 ,(,r�. Phone Number: 32U�SS��3�
Contractor's Name: P ccml�c:�C _
Mailing Addre�s: �3ox '� _ City: /�i��thSc�Zip:_5535�
3� mN
i
� „Apr-15-20�2 08:08am From-CITY OF ORONO +9522d84616 T-038 P 002/003 F-211
SYSTEM DESCRIPTYON
HEATING SYST�A'IS
Quantiry: -
Malce: -
Mod�l: •
FueL'
Flue Siu: �
[nput B'Ns: �
Output B7Us:
CFM:
COOL1rG SYSTEMS
QuAntiry:
:�fake:
ivlodel:
Tons:
f�'(.Power
FIREPLACES
� Gas factory fireplace
� Wood burning factory ftreplaco wi�h tlue
❑ Wood Stove
❑ wood stove with f{ue
Brand Name .,_ Model No.
VE�iTIY.ATION
No. Kitchen�xhaust duct recaiculat'rng c m
No. Bath Exhaust(must l�ave duct outsi�je)
No' �ther Ff►ns: Locations cfm
FUEL STORAGE(MUST BE APPROVED BY FIRE MARS�TAL)
�Installation or ❑Removal
(]Fuel oil: gallons ❑ underground ❑ inside ❑outside
❑ LP Gas� gallons
❑Other _Gas opening
2
Apr-15-2002 08:OBam From-CITY OF ORONO +9522484616 T-038 P 0031003 F-211
.j" .
PERMIT F'�E CALC'tJLATION S
2002 State Statute ❑Ye9 This Sectian Applies
The replacement of a Residential Fxture or appliance that meets all three of the following requirements:
t) Does not require modification to electrical or gfls service.
2) Has a total cost of$SOQ.Ofl orless;excludin�the cost of the fixhire or appliance:
and
3) Is improved,installed orreplaced by tlm horrteowner or licensed contraGtor.
Skip next section; Cost of Permit $ 15.00
State Surcharge$ .50
Mail-Tn Fee $ 1.50
If above does not apply,foltow gaidelines below:
1. C�ntract price* is .O125%of job with a Minimum Fee of 35.00
!w'� x.4125 $ 35'0�
(contrac[price) (minimum 535.00)
2.State Surrhar�'�'` Add the State Building Code Division a Minimum�ee of �.50
x.QEtE}5 $
(convtuc price) (minimum$.50)
3.Posta e and I�andlin (Only mail-in npplications� $ �—
�
,��00 �
4.TOTAL PERMIT FEE(Add lines 1-3 above) $
*CONI'RAC'f PRICE or 70[3 COST means chc octufll or esrimated dotlar nmourti chargccl for tlx permitted work including
mnttnals,labor,profit,and ocAer fixed costs.l�is[ha amounc�o be chargcd to the cunomcr for the work donc.If ony maeeriaf,
equipmz�t,labor,or instnllotion is furaished by thto"a'ner,u:nant Qr any othcr ps►rry the reasonable markec valuc of such itcros
mu9t bt�dded to ihe estimatrd cosc or coniract prict for pennit fcc purposes.In the event that there is a disputc on Ihe amount of
[ha job cosi,ihe Ciry may rcquesF ihe submission of a�igned copy of the accual cnnnac�•
�•The STATE SURCHARGE is.0005 of the contract price under S1,000,000 or$.50-whichever is greatcr.For valuations over
$1,0OO,OUO call tht Depattment of Imptctionat Scrvices for tne price.
The undcr9igned hercby applits to the City fot issuanct of n Mechanicnl Permit,agrtes to do all work in strict accordance with
tht otdinances of thc Ciry and-tht regulations of thc Minnes�[a State Building Codc,nnd ceRifies thtlC all statements mude on thii
appliCution arc Completc,srue and corcect.
Applicant's Signature:
�� � �'�/���� �3LC:��J`�—�Z
Approved By: �ie'
3
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTI E !` SCHEDULED _�� /%OD •'`t
PERMIT NO. PD� �`f I COMPLETED < < �
ADDRESS � �
OWNER CONTR. � �/x-6��
TELEPHONE NO. (D � (7� Z 7� (✓�
, � � �r---
� DESCRIPTION �� —Gc�.-c. ��' 1— �
� O7 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICA�FINAL 19 IAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 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 RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
�
� -" �4//LT�-�- ��
�
o --�/l.vv ��1.Q �/ AL �f Dcri S<n.e ��/l�/SafC
a
�
0
�
W
�
Q
�
z
W
�
W
�
�
�j��110RK SATISFACTORY:PROCEED ❑ PROJECT COMPIETE
W� ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR W{LL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION RE�UIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-460�
Owner/ConUact n site:
Inspector.
Wh�te Copyllnspector's File Can��•�`-- '-