HomeMy WebLinkAbout2005-P09484 - gas fireplace Cf'TY bF ORONO PERMIT
Permit Number:
2750 Kelley Parkway- PO Box 66 Po9484
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued: 12/14/2005
SITE ADDRESS: 2920 Casco Point Rd Unit#
Wayzata, MN 55391
PID: 20-ll 7-23-31-0033
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Gas Fireplace
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 35.00 valuation: $ 2,000.00
State Surcharge Fee: $ 1.00
TOTAL FEE: $ 36.00
APPLICANT: Practical Systems OWNER: Mr. &Mrs. Frank Pichelman
4342B Shady Oak Rd. 2920 Casco Point Rd
Hopkins,MN 55343 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 SUED BY S[GNATUREi
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
r
.+
NOR CITY USE ONLY
�,�` City of Orono
i�/� `v��� P.O.Box 66 Uatc Rcccived: Pcnnit»
+���,: �', 27�0 Kcllcy Parkway
��'a i��'�• � �.�� Crystal Bay,MN 55323 Approved By: Amount$:
�����s`G`;9 (952)249-4600
CITY OF ORONO—MECHANICAL PERMIT
(All Commcrcial permits must bc approved by thc Building Official or Inspcctor and/or Firc Marshall)
GENERAL INFORMATION
1. You may apply for mechanical pennits 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 BEG[N 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,manufacturer and model. Data shall 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�efore final.
TYPE OF PERMIT
(Check All That Apply)
�{Zesidential ❑Commercial (Approval Required)
❑New ,�Additional ❑Repairs ❑Replace
Job Site/Owner,Inforination: �
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Site Address: �/��' �.� � ' ` �� �C
Owner: �t'k��' 1��1� �ti���� Mailing Address: C� �����
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c��: �:�tl�- z�p: � �i
Home Phone: f��`���" `/�UfJ Alternate Phone:
Contractar Infonnarion:
Contractor: _ Kline Corp. �
Address: DBA: Practical Systems
4342B Shady Oak Road
Hopkins, MN 55343
City: g52-g33-1868 �
Phone: Alternate Phone:
❑ Insurance—Current:
1
l
�,
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
FIREPLACES
� Gas Factory Fireplace
❑ Wood Burning Fireplace
❑ Wood Stove
❑ Wood Stove With Flue
,� ' �,�, r'�
Brand Name: —_ �� Mode]No.:__�%����,'���-
VENTILATION
❑ Na Kitchen Exhaust_ duct recirculating cfm
❑ No. Bath Exhaust(must have duct outside) cfm
❑ No. Other Fans: Locations cfm
FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHALL)
❑ Installation ❑ Removal
Fuel Oil: gallons ❑ Undergro�md ❑ Inside ❑ Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill ❑ Other/List What&Where:
2
.
PERMIT FEE CALCULATION(S) �
BASED OFF - 2002 STATE STATUE
❑ 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 cosY of$500.00 or less;excludin�the cost of the fixture or appliance:and
3. Is improved, installed or replaced by the homeowner or]icensed contractor.
Skip next section, if this applies; Cost of Permit $ I SAO
State Surcharge $ .50
Mail-In Fee(If Applicable) $ 1.50
Total Permit Fee $
FERI�IIT���,�,����3L:A�.TI�UN(S�—JOBS O�ER�S�(�.04 ..��;-�;
If above does not apply; follow guidelines below:
1. CONTRACT PRICE *is 1.25`%o of contract price with a(Minimum Fee of$35.�) �
���__ x .O 1 Z 5$ �l� '
��1%�
(�ontract pricc) (minimum$35.00)
2. 5TATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50)
,�,�;L��� � , LA'�j
,� X.000s $
(contract price) (minimum$ .50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ l.50
�' (,J�U
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 installations are furnished 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 actual contract.
■ ** The STATE SURCHARGE is.0005 of tl�e Building Department at(952)249-4600 for the price.
�r,�ECHANICAL PERMIT APPLICATION AGREEMENT ,;;v�,_ ,x�z��,;
The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do al(
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.
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Applicant's Signature: � ��'L..� Date: �� � ��
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Reset Form
3
c�`� ��� DAT� TIME V
CITY OF ORONO CALLED IN y fa f 51�
INSPECTION NOTIC�j SCHEDULED��+���f����DS�
PERMIT NO. r ����I COMPLETED
ADDRESS Z-�� ZC7 �CC� �' �� /�-� fZ�
OWNER CONTR. ��c'�r-����k7�,
TELEPHONE NO. /J �— g�� —��CGC�
� DESCRIPTION ( � � �`
� 01 FOOTING 11 CHANICAL RI 18 EXCAV/GRADING/FILLIN
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Z
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FO�LOW-UP
i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:�YES_NO
� COMMENTS:
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W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
� ❑CORRECT WORK&PROCEED r; ISSUE CERTIFICATE OF OCCUPANCY
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0 ❑ CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION W�THIN HOURS. G PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
G INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call forthe next� spection 24 hours in advance. (952� 249-46��
OwnerlContr n s e
Inspector.
White Copyllnspector's File Canary Copy/Site Notice