HomeMy WebLinkAbout2004-P08009 - gas fireplace � PERMIT
�ITY OF ORONO Permit Number:
�7�U Kelley Parkway- PO Box 66 Posoo9
��C;rystal Bay, Minnesota 55323 Permit Type: Mechanical Pernuts
t952) 249-4600 Date Issued: 9/29/2004
SITE ADDRESS: 3220 Bohns Pt La °!
Way�ata,MIV 55391
PID: 08-117-23-44-0006
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: $ 35.00 Valuation: $ 2,800.00
State Surcharge Fee: $ 1.40
TOTAL FEE: $ 36.40
APPLICANT' DJ'S Heating&Air Conditioning OWNER: Catheriae M Sallas
� 6060 Labeaux Ave 3220 Bohns Pt I,a
Alberlville,MN 55301 Wayzata,MN 55391
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IlVIPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINr1ESOTA BUILDING CODE REQUIItEMENTS.
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APPLICANT ERMTfEE SIGNATURE SS[JED BY SIGNATURE
Capies: 1-File(Sir�nit�a•es ReAuired).1-Aunlicant 1-Monthlv Renorts.1-Assessin�, 1-Finance 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 pernut will be issued within two working days.
2. Pernut cards will be sent Uy retum 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 STTE.
3. Mechanical Desi m�s-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 fio 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 obta.ined.
5. All work must Ue 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-hour notice required.
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 clieck one: ❑New Addition ❑Repair ❑ Replace�esidential ❑ Commercial
JOB SITE:_-_3�20 Qo �l iv_� !��-• L�v Zip: �S"S��(
Owner's Name: ' � / � Phone Number: ���2-`��cf—A-��JL!
Mailing Address: 3�2 Qa H.�s p�. L.�� City: U�o,,,� Zip: Sc�Ai
Contractor's Name: .I� 's !� �� �/C Phone Number: 7�3 -�l�7'-2/G/
Mailing Address: ��ti'p �-jhf��a� City: ,,�/�f,�v;l/� Zip: S 530�
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SYSTEM DESCRIPTION • ' � I
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' HEATING SYSTEMS w I
Quantity: �,
Make:
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Model:
Fuel:
� Flue Size:
I Input BTtJs: I
Output BTUs:
CFM: !
COOLING SYSTEMS
Quantity:
� Make:
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Model: �
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' Tons:
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, H.Power �
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FIREPLACES GAS LINE ONLY '
� Gas facto fire lace �
ry p ❑ Installing a Gas Line Only
❑ Wood burning factory fireplace with flue '
❑ Wood Stove I
❑ Wood stove with flue '
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Brand Name Model No._ q J/�'` _L.,u S��' "�
VENTILATION
No. Kitchen Exhaust duct recalculating cfin
, No. Bath Exhaust(must have duct outside) cfm
' No. Other Fans: Locations cfm
FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHAL) �
� ❑Installation or ❑Removal
� ❑Fuel oil: gallons ❑underground ❑ inside ❑outside
�' ❑LP Gas: gallons
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❑ Other Gas opening
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PERMIT FEE CALCULATION(S)
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2002 State Statute ❑ 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; excludin�the cost of the fixture or appliance:
and
3) Is improved,installed or replaced Uy the homeowner or licensed contractor.
Skip next section; Cost of Permit $ 15.00
State Surcharge$ .50
Mail-In Fee $ 1.50
If aUove does not apply,follow guidelines below:
1. Contract Price*is .0125%of job with a Minimum Fee of($35.00)
r.
,�,�G��'� x .0125 $
J(contract price) (minimum$35.00)
2. State Surcharge.**Add the State Building Code Division a Minimum Fee of($.50)
x.0005 $
(contract price) (minimum$.50)
3. Posta�e and Handling(O�:ly inai[-i�a applicatio�zs) $ 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 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 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 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.
'I`he 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 Minnesota State Building Code,and certifies that all statements made on this
application are complete,true and correct. �
Applicant's Signature. � Date: u G
Approved By: Date:
3
O"�J D E TIME �
CITY OF ORONO CALLED IN g�
INSPECTION NQ�'� OOQ SCHEDULED ��S-O`� 0?%0�0
PERMIT NO. 1� I COMPLETED
ADDRESS 3aao �(9� �'f' �J
OWNER CONTR. //.� �S
TELEPHONEN0. 7�3 �g 7 0���0 (
� DESCRIPTION �� ��
lL 01 FOOTING 11 MECHANICAL R 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICA IMAL � 19 LAKESHORE/WETLANDS
h
O 03 INSULATION 24/25 WOOD BURNER/FIREPLAC 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q O5 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC 1(dSTALL. 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:
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W� ORK SATlSFACTORY:PROCEED ❑PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTORlNlLL RETURN p CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTIOIV REQUIRED.CALLTO ARRANGE ACCESS.
Ca11 for the xt inspection 24 hours in advance. (952) 249-4600
OwnerlCo site:
Inspector.
White Copyllnspector's Fl e Canary Copy/Site Notice