HomeMy WebLinkAbout2008-P12133 - gas fireplace � •
PERMIT
CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: p12133
Crystal Bay, Minnesota 55323 Permit Type:
Mechanical Permits
(952) 249-4600 Date Issued:
6/4/2008
SITE ADDRESS: 2829 Casco Pt Rd Unit#
Wayzata,MN 5539]
P��� 20-117-23-32-0007
DESCRIPTION:
Proposed Usc: Residenrial
Permit Class: General
Permit Type:
Mechanical Permits Permit Sub-type(s): Gas Fireplace
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
See thru Gas Fireplace
FEE SUMMARY: Pernut Fee: $ 81.50 valuation: $ 6,520.00
State Surcharge Fee: $ 3.26
TOTAL FEE: $ 84.76
APPLICANT: Automatic Garage Door&Fireplace OWNER: Bruce&Mary Peterson
8900-109th Ave N-#1000 2829 Casco Point Rd
Champlin,MN 55316 Wayzata MN 55391
TNE 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.
APPLICANT P8RMITEE SIGNATURE ISSUED BY SIGNATURE
Copies: 1-File(Signatures Reguired), 1-Applicant, 1-Monthly Reports, ]-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 TF�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, 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 permit must be obtained.
5. All work must be done in accordance with the Uniform Mechanical Code/State Building Code
requirements.
- - - 6: �lrw�k mustfii�rispe�t��(ctsugYi-in�nd fnat}�Call(I52)�9��i00:24-hou"r rio�ice iequired�- - ---------— - ----
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: ew ❑ Addition ❑ Repair ❑ Replace ❑ Residential ❑ Commercial
JOB SITE: o� �'���.s r o ��.�J T /� Zip: S"S 3�i f
Owner's Name: Phone Number: �o /o��vZ��-o�(o
Mailing Address: City: (�/l.p�v Zip:
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Contractor's Name: � f ��Phone Number: ����' i -a��S
Mailing Address: ��I�_:�/�y q�l, � a �ity: ' •�,Zip: ��,t{,�`
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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
FIREPLACES
Gas factory fireplace
❑ Wood burning factory fireplace with flue
❑ Wood Stove
❑ Wood stove with flue
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Brand Name/ � Model No. � r��� C S��
,S�c �2u ���.
�VENTILATION _
No. Kitchen Exhaust duct recalculating cfin
No. Bath Exhaust(must have duct outside) cfin
No: Other Fans: Locations cfm
FUEL STORAGE(1VIiJST BE APPROVED BY FIltE MARSHAL)
❑ Installation or ❑Removal
❑ Fuel oil: gallons ❑ underground ❑ inside ❑outside
❑ LP Gas: gallons
❑ Other Gas opening
2
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PERMIT FEE CALCULATION(S)
2002 State Statute ❑ Yes This Section Applies
The replacement of a Residential fixture or a� lp iance that meets all three of the following requirements:
1) Does not require modification to electrical or gas service.
2) Has a iotai cost oi$SuG.00 or iess;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$35.00)
2. State Surcharge. ** Add the State Building Code Division a Minimum Fee of($.501.
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 dollaz 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 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 actuat contract.
**The STATE SURCFIARGE is.0005 of the contract price under$1,000,000 or$.50-whichever is greater.For valuations over
$1,000,000 call the Department of Inspectional Services for the price.
The undersigned hereby app[ies 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 statements made on this
application aze complete,true and correc
Applicant's Signature: Date: .� ��-� �
Approved By: Date:
3
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CITY OF ORONO CALLED IN
INSPECTION ICE SCHEDULED `
PERMIT NO. COMPLETED
ADDRESS � -
OWNER CONTR.�.���t—�v
TELEPHONE NO�/O�'� — ��0�- 4��l " � 3�
� DESCRIPTION �� �� ��
� ❑ FOOTING � MECHANI AL RI ❑ EXCAV/GRADING/FiLLING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE
❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
� ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
� ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W� WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
W ❑ RRECT WORK&PROCEED J ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE CQVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
G INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-46��
OwnedContractor on s te:
Inspector. I .�o� )��� �
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