HomeMy WebLinkAbout2005-P09434 (mechanical- gas fireplace) PERMIT
CITY JF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: P09434
Crystal Bay, Minnesota 55323 Permit Type:
(952) 249-4600 Mechanical Pernuts
Date Issued: 11/18/2005
SITE ADDRESS: 3135 Casco Cir Unit#
Wayzata,MN 55391
P��� 20-117-23-43-0029
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Gas Fireplace
DETAILS:
Approved per resolution#:
Separate permits required:
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NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 35.00 valuation: $ 2,600.00
State Surcharge Fee: $ 1.30
TOTAL FEE: $ 36.30
APPLICANT: D.T'S Heating&Air Conditioning OWNER: Milo&Audrey Thompson
6060 Labeaux Ave 3135 Casco Cir
Albertville,MN 55301 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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APPUCANT PERMITEE SIGNATURE SSUED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, l-Assessing,(If Septic, 1-Septic) Page 1
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FOR CITY USE ONLY
r ,¢�� City of Orono
P.O.F3ox 66 Date Received: Permit#
��" � 2750 Kelle Parkwa
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a ;�j'•'�;�''= � Gystai Bay,MN 55323 Approved By: Amount$:
K� ��,y 4�-�: .
� 'q�,t1���4.�0 (952)249-4600
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CITY OF ORONO- MECHANICAL PERMIT
(All C:ominercial permits must be approved by the l3uilding Ofticial or Inspector and/or I�ire Marsl�all)
GENERAL 1NFORMATION �
1. You may apply for nlechanical pernuts by mail or in person at tl�e City offices. Applications will
be reviewed and a pernut will be issued within two working days.
2. Pennit cards will be sent by return mail after a review is completed. PERIVIITS ARE NOT
VALID UN1'1L YOU RECEIVE A P�RMIT. WORK MUST NOT BEGIN UNTIL THE
PERMIT CARI) IS POSTED ON THE JOB SITE.
3. Mechanical Desi�ns—Complete calculations, details and specifications are required for each
heating,ventilatiou, liumidifica�iou-del�iunidircatioil,and air ceuditioning installation including
heat loss/heat gain calculation, design temperariires, equipment ratings and idei�tification as to
type, marnifacturer and�nodel. Data shail be presented ou form provided.
4. When auy new construction or remodeliu�is iuvolved, a separate building pernut must be
obtained.
5. All work iiiust bc done in accordauce with the Uniform Mechanical Code/State Building Code
requirements.
6. All work nuist be inspccted(rough-in and final). Call(952)249-4600.
(24-48 hour notice required)
7. House Heating Test Record must be subnutted before final. '�
TYPE OF PERMIT
(Check All That Apply)
�Rcsidentia] ❑ Conunercial(Appi•oval Required)
❑ New �dditional ❑Repairs ❑ Replace
Job Site/Owner Information:
Site Address: 3 ) 3� C��s co C:��c/�
Owner: y�;�0 7��io ���sd�/ _ Mailing Address:
City: ����, ,��, Zip: S S 3�/
Home Phone: Y$,,2- �/ 71-2,�s'd Altei-�late Phone:
Contractor Information: �
Contractor: �'��' `5 �����f„�G ,-�Q/c' Contact Person: �,,.,-, G�1F•��:;�z (
Address: �c-�U j��lj����,� /�,.,� State Bond #: �"9 y3z.9 76�
City: �/��r��,�J�t Zip: Ss �� Expiration Date: 6/3c�/�G
Phone: 763 - �/`y>' ,2 E61 Alternate Phone: G i.z � 3�- bSiy
❑ Insurance-Current:
1
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MECHANICAL SYSTEMS BEING INSTALLED
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 Fireplace
❑ Wood Stove
❑ Wood Stove With Flue
Brand Name: �l„�„��,,r Model No.: L.��v � /�� 7.Z T
VENTILATION
❑ I��a Kitchen Eshaust duct recirculating cfm
❑ No. _ Bath E�chaust(must have duct outside) cfin
❑ No. Other Fans: Locations _ ___cfin
FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHALL)
❑ Installation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑ Inside ❑ Outside
LP Gas: gallons
Other:
(sAS LINE ONLY
❑ Outdoor Grill ❑ Other/List What&Where: _
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PERMIT FCE CALCULATION(S)
BASED OFF - 2002 STATE STATUE
❑ Yes, this section ap}�lies
The replacement of a Residential fixhu•e or appliance that meets all tlu�ee 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, if this applies; Cost of Pernut $ 15.00
State Surcharge $ .50
Mail-In Fee(If Applicable) $ 1.50
Total Permit Fee $
� PERMIT FEE CALCULATION(S}—JOBS OVER $500.00
If above does not apply; follow guidelincs belo�v:
1. CO1vTRACT PR10E * is 125%of conh�act price with a(Minimum Fee of$35.00)
.�.c�C�c.�� x .012 5 $
� (contract price) (minimwn$35A0) - �
2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50)
,,c
���iC>c3. '� x .0005 $
(contract price) (minimum� .50)
3. VOSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50
4, T(_1TAi PEI2IVIIT FEE(Add Lines 1-3 Above) �
° * CONTRACT PRIC� or JOB COST means the actual or estii7iated dollar amount charged for tlze.
permitted work including inaterials, labor,profit, and otlier fixed costs. It is tl�e amount to be cliarged
to the cusCoiner for tl�e work done. If any �natcrial, equipment, labor or installations are furnislled by
the owner, tenanY or any other party, tl�e reasonable uiarket value of such items must be added to the
estin�ated cost or contract price for pernut fee purposes. In the event that there is a dispute on the
amount of the job cost, the City may request the subnussion of a signed copy of tlie actual conh�act.
� **The STATE SURCIIARUE is .0005 of the Building Department at(952)249-4600 for the price.
MECHANICAL PERMIT APPLICATION AGREEMENT
Tl�c tmdersigned hereby applies to the City for issuance of a Mechanical �Yern7it, agrees to do all
work in strict accordance with the ordinances of the City and the regulations of the State of
Minnesota, and certifies tha� all statements made on this application are complete, n-ue and
cocrect.
Applicant's Signatw�e: ,� �a�y�1��� Date: l/T�?lD �
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