HomeMy WebLinkAbout2008-P12113 - gas fireplace PERMIT
CITY OF ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: p12113
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Pernuts
(952) 249-4600 Date Issued:
5/28/2008
SITE ADDRESS: 720 Big Island Unit#
Excelsior,MN 55331
PID: 22-117-23-24-0001
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: Permit Fee: $ 73��5 valuation: $ 5,900.00
State Surcharge Fee: $ 2.95
Misc. Fee: $ 1.50
TOTAL FEE: $ �g,20
APPLICANT: Woodland Stoves&Fireplaces OWNER: Gerald Erickson
2901 E.Franklin Ave. 4567 American Blvd W
Minneapolis,MN 55403 Minneapolis,MN 55437
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
'VIINNESOTA BUILDING CODE REQUIREMENTS.
\�Il,�,,(.t, _,(�� (.C��
APPLICANT PERMITEE SIGNATURE I ED BY SIGNATURE
: 1-File(SignaturesRequired), 1-Applicant, 1-MonthlyReports, 1-Assessing,(If Septic, 1-Septic) Page l
� FOR CITY USE O\Ll'
' p City of Orono
4 � ` P.O.Box 66 Date Received: Permit#
� � ` 2750 Kelley Parkway
��� .� ��• ��� Crystal Bay,MN 55323 Approved E3y: �� Amount$:
��^ �,'� o� (952)249-4600
t���xo¢w .
CITY OF ORONO—MECHANICAL PERMIT
(nll Commercial permits must be approved by the Building Olt�icial or Inspector and/or Fire Marshall)
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 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 calculation,design temperatures,equipment ratings and identification as to
type,manufacturer and model. Data shall be presented on farm 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.
� � � TYP� OF PERMll ��
� � (Check All That A 1 �� �
0 Residential ❑ Commercial(Approval Required)
❑ New ❑ Additional ❑ Repairs ❑ Replace
Job Site / Owner Information:
Site Address: �'-o s�g Is�and
�Wrier: Gerald Erickson Malling Addt'ess: 2630 Marshland Road
Woodland 55391
City: Zip:
Home Phone: (952)4�3-as26 Alternate Phone:
Contractor Information: ��� � � �
COritP1CtOT': Woodland Stoves& Fireplac� Contact Person: Cindy
2901 E Franklin Ave 2558
Address: State Bond#:
Minneapolis 55406 3��J� �'C�
City: Zip: Expiration Date:
Phone: �6�2)33s-66o6 Alternate Phone:
OS/26/09
Q✓ Insurance—Current:
1
--
� MEC'HAI�1�G� ���fiEIti�IS BEING INSTALLED; �. e,<< : �'` '
m
. �'s•?.a. �._,
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 — �� ���S�L'
��� �c�,s�o /��t
❑ Wood Burning Fireplace � i�gT7}�L�1 r,-� �'15�rl c� H�'n ��002 /��' �'�'�r"� �►�
❑ Wood Stove � I nSTA-�1.�� ��� C`F�►�S7-j/ili �.n'����'C2 `�"�,Qo� F�
❑ Wood Stove With Flue ��oe� �-�C�s��c� (o�� C!'r�tS VD U�iT�
Brand Name: Valar Model No.; 530XCN
VENTILATION
❑ No. Kitchen Exhaust duct recirculating cfm
❑ No. Bath E�chaust(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:
2
i___--- — _ _ __
� P�RMIT I'EF CnLCUL�ITION(S� '
�_ 13�1SL'D Ol�l� ''(�OZ STATE STATUL � � �� �
❑ 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 cost of$500.00 or less;excluding 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) $ L50
Total Permit Fee $
_ � . � ,� ,��� � � �.
; � : ; _
F �.. �
� ��
=,._. ,__ ,..._ ,: _.:�_. . r �'. .__ � ��:"
x �:..
�.. . .�.
y=
If above does not apply; follow guidelines below:
1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$35.00)
5,900.00 x .0125 $ �3.75
(contract price) (minimum$35.00)
2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of�.50)
5,900.00 x .0005 $ 2.95
(contract price) (minimum$ .50)
3. POSTAGE& HANDLING (Only on Mail-In Applications) $ 1.50
78.20
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 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 actual contract.
■ ** 'I'he STATE SURCHARGE is .0005 ofthe Building Department at(952)249-4600 Tor the price.
�:, � °�� ;' �� ,.
„ n„� �", ta d���
,_ , � �`�j e �9i� ,,,.. .�� � ^Y rY��w.m�,i �i C;,,
� F
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
correct. �
� ^
ii; � e�
Applicant's Signature: ` � '�� Date: `� a�3 �'O
Reset Form
3