HomeMy WebLinkAbout2005-P08541 - gas fireplace , `
CITY OF ORONO PERMIT
2750 Kelley Parkway - PO Box 66 Permit Number: Poas4i
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Perniits
(952) 249-4600 Date Issued: 3i22i2oos
SITE ADDRESS: 3020 Casco Point Rd
Wayzata,MN 55391
P I D: 20-117-23-34-0025
DESCRIPTION:
Proposed Use: Residential
Perniit Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Gas Fireplace
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 56.25
Valuation: $ 4,500.00
State Surcharge Fee: $ 2.25
TOTAL FEE: $ 58.50
APPLICANT: Practical Systems OWNER: Mr. &Mrs. Lindgren
4342B Shady Oak Rd. 3020 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 PE [TEE SIGNATURE (SSUED IGNATURE
Copies: 1-File(Si�nitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessing, 1-Finance Page 1
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FOR CITY USE O�VLY
'` 'A`� City of Orono '
1���`r�` Datc Rcceived: ��Permit#
F \ P.O.Box 66
f����, �'� 2750 Kelley Parkway
�� �j" x� �'jj Crystal Bay,MN 55323 Approved By: Amount$: _
�\�<i_°#i�',r.SL' (952)249-4600
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CITY OF ORONO—MECHANICAL PERMIT
(All Commcrcial permits must bc approvcd by thc Building Official or Inspcctor and/or Firc Martihall)
GENERAL INFORMATION
I. You may apply for mechanical permits by mail or in person at the City offices. Applications will
be reviewed and a pennit 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 BEGIN 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 calcularion,design temperatures,equipment ratings and identificarion 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 before final.
TYPE OF PERMIT
(Check All That A I
�Residential ❑Commercial(Approval Required)
❑New ,� Additional ❑Repairs '>" Replace
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Job Site/Owner Information:
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Site Address: _/���-� �_� I �.�'���:ti't� l�LF _
Owner: � -1 L � � ' �-� � Mailing Address:
City: �.�7�Y�: Zip: �7 ���1 �
Home Phone: ���?;�' �" ��" ���� Alternate Phone:
Contractar Infonnation:
Contractor: Contact Person:
Kline Corp, ond#:
Address: pgA: Practical Systems
43428 Shady Oak Road
City: Hopkins, MN 55343 ion Date:
952-933-1868
Phone: ate Phone:
❑ Insurance—Current:
1
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MECHANICAL �YSTEMS BEING INSTALLED
HEATING SYSTEMS
Quantity: ___
Make:
Model:
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOWNG SYSTEMS
Quantity: __
Make:
Model:
Tons:
H.Power
FIREPLACES
� Gas Factory Fireplace �L�
❑ Wood Burning Fireplace
❑ Wood Stove
❑ Wood Stove With Flue
Brand Name: '�G�� ��,' Model No.: �H�.!`,��`�, JC �
VENTILATION L-�'� ��,��� 3� �!-� �
❑ No. 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 ❑ Underground ❑ Inside ❑Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill [�.. Other/List What&Where: i � 'fL
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PERMIT FEE CALCULATION(S)
BASED OFF - 2002 STATE STATUE
❑ Yes,this section applies
The replacement of a Residential fixture or ap�liance 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, if this applies; Cost of Permit $ 15.00
State Surcharge $ .50
Mail-In Fee(If Applicable) $ 1.50
Total Permit Fee $
�'``'.``` ' PERMT'�"F�E CAL�T,�L�IT'ION S -�CJ$S OVER$�00.04
If above does not apply; follow guidelines below:
1. CONTRACT PRICE * is I.25%of contract price with a(Minimum Fee of$35.00)
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� ��� ' x .0125� �� � '�
(co � act price) (minimum$35.00)
2. 5TATE SIJRCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50)
. � i
�� i �
�' / x.0005 $ j`
(con actprice) (minimum$ .50)
3. POSTAGE&HANDLING(Only on 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 wark 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 the Building Department at(952)249-4600 for the price.
,' MECHANICAL PERMIT APPLICATI(�N AGREEMENT
The undersigned hereby applies to the City far issuance of a Mechanical Permit, agrees to do all
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.
Applicant's Signature: � �, `'�� -� Date: �j "���'���
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Reset Form
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� I � DATE TIME �
CITY OF ORONO CALLED IN �dS
INSPECTION NOTIryCE SCHEDULED 'J'0"?.3-(2S- %
PERMIT NO.J��U6 � ��I COMPLETED
ADDRESS �Ci`I�CJ ��-5�6 �v'J�-f �.
OWNER CONTR. �!'t`�-c�l� S�-S •
TELEPHONE NO. �J� � �3 �✓" /�C�d
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� DESCRIPTION �� � �''`� ��!� ��� ��S
l� 01 FOOTING 11 ME NICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHA L FINAL 19 LAKESHORE/WETLANDS
�
O 03 INSULATION 24/25 WOOD BURN /FIREPLAC 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP'- "-"" 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP O6 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
BING FINAL � � 36 FOUNDATION/REMOVAL
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W WORKSATISFACTORY:PROCEED 17 PROJECTCOMPLETE
� ❑CORRECT WORK&PROCEED `- ISSUE CERTIFICATE OF OCCUPANCY
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O ❑ Ct�RRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
G INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the nex inspection 24 hours in advance. (Q52� 249-46�0
Owner►Contra on i e:
Inspector.
White Copyllnspector's File Canary CopylSite Notice