HomeMy WebLinkAbout2005-P08680 - gas fireplace 2
� PERMIT
CITY OF ORONO Permit Number:
2750 Kelley Parkway - PO Box 66 Pos6so
Crystal Bay, Minnesota 55323 Per'mit Type: Mechanical Permits
(952) 249-4600 Date Issued: si4i2oos
SITE ADDRESS: 122 Chevy Chase Dr
Wayzata,MN 55391
P I D: 3 6-118-2 3-41-003 8
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Gas Fireplace
DETAILS:
Approved per resolution#:
Separate pernuts required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 42•ZS Valuation: $ 3,380.00
State Surcharge Fee: $ 1.69
TOTAL FEE: $ 43.94
APPLICANT: DJ'S Heating&Air Conditioning OWNER: 7oanne Carlson
6060 Labeaux Ave 122 Chevy Chase Dr
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.
- �,,��.��,��- �.��� -�c C�.��z�e��_ ���
APPLICANT PERM[TEE SIGNATURE ISSUED BY SIGNATURE
Copies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1
i
FOR CITY USE ONLY
,�` City of Orono
� 4�`�' P.O.Box 66 Date Received: Permit#
�" � 27�0 Kelley Parkway ��o C��,
�:`�:�.s
i`��-m Cr stal Ba MN 5�323 Approved By: Amount$: S� r
11 �� �' Y" Y>
�� �('����i,�.�a` (952)249-4600
�seaoa
CITY OF ORONO —MECHANICAL PERMIT
(All Commercial permits must be approved Uy ihe Suilding Official or Inspector and/or Fire 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. Pennit 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, hunudification-dehunudification,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 consnuction 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 subnutted before final.
TYPE OF PERMIT
(Check All That A 1 )
.�,Residential ❑ Corrunercial(Approval Required)
❑ New ❑Additional ❑Repairs ❑Replace
Job Site/ Owner Information:
Site Address: �� � ��h�� � C � �;; C���
Owner:;,i��y � -�,��s� �✓ Mailing Address:
City: ��,-.,,� •� Zip: _ss 3';%1
Home Phone: `I.S�:' �7 ; - �`:�� ' Alternate Phone:
Contractor Information:
_ � , ,
Contractor: �� � -� -- .� �-��� Contact Person: ��-�,ti, f;��;,�.� r �
�
Address: �O;;_� ������-���,� �� /�v� State Bond#: ��/ 3,' ��� 7�
City: /-��r�����: ��� Zip: Expiration Date: l/�3�i%C�s
Phone: 7�" ; - =!� 7", �6 a Alternate Phone: E j.� -3���>-�>j`�
❑ Insurance—Current:
1
�
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
Brand Name: �,y.> ��t�7 r Model No.: �J/�XL
;�
VENTILATION
❑ No. Kitchen Exhaust duct recuculating cfm
❑ No. Bath Exhaust(must have duct outside) cfm
❑ No. Other Fans: Locations cfm
FLTEL STORAGE(MUST BE APPROVED BY FIRE MARSHALL)
❑ Installation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑ Inside ❑ Outside
LP Gas: gallons
Other:
�,�"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 requireinents:
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 connactor.
Skip next section, if this applies; Cost of Pernut $ 15.00
State Surcharge $ .50
Mail-In Fee (If Applicable) $ 1.50
Total Pernvt Fee $
PERMIT FEE CALCULATION(S)—JOBS OVER $500.00
If above does not apply; follow guidelines below:
1. CONTRACT PRICE *is 1.25% of conri�act price with a(Minimum Fee of$35.00)
`.� �J V � �I/ x A 125 $
(contract price) (minimum�35.00)
2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50)
x.0005 $
(contract price) (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
pernutted 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
estiinated cost or contract price ior pemut fec pur�u-scs. i�i the ever�t that there is a dispute on :he
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 APPLICATION AGREEMENT
The undersigned hereby applies 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 State of
Minnesota, and certifies that all statements made on this application are complete, true and
conect.
Applicant's Signature: ��� � �,�,�1,..��'`�'� Date: � � �S
�� lZ�.,��-
3
DATE TIME V
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED -�, 7�6�
PERMIT NO. � COMPLETED �� �
ADDRESS ��i� �,�ro'��,�.- _ ,l J�C,
OWNER CONTR. �.J �S
TELEPHONENO. /LC� �.! ��7 v�G�l.e /
� DESCRIPTION ,���'�
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINA 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURN R/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
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
�
W
�
�
�
O
a
�
O
�
W
�
Q
�
Z
W
�
W
�
j
� B�WORK SATISFACTORY:PROCEED �PROJECT COMPLETE
� ❑CORRECT WORK 8 PROCEED i i ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� 249-4600
OwnedContract o si :
Inspector.
White Copyllnspector's File Canary Copy/Site Notice