HomeMy WebLinkAbout2008-P12028 - gas fireplace PERMIT
CITY OF ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: p12028
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued:
5/6/2008
SITE ADDRESS: 1595 Bohns Pt Rd Unit#
Wayzata,MN 55391
P��� 08-117-23-44-0024
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: $ 56.25 valuation: $ 4,500.00
State Surcharge Fee: $ 2.25
TOTAL FEE: $ 58.50
APPLICANT: Practical Systems OWNER: Pat&Kathy Halloran
4342B Shady Oak Rd 1595 Bohns Pt 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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PLIC'ANT PERM EE S NATURE ISSUED Y SIGNATURE
Copies: 1-File(Sigriatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
. FOIZ CfCY USE ONI.Y
%""�' City of Orono
;;�� ��`', P.O.Box 6(i Datc Rcccivcd: Pcrmit#
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2750 Kcllcy Parkway
i r � Crystal Bay,MN 55323 Approved By: Amount$:
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CITY OF ORONO—MECHANICAL PERMIT
(All Commcrcial permits must bc approvcd hy thc Building Official or[napcctor and/or Firc 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�ermit 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. Mechanica] 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 pennit 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 1
❑� Residential ❑ Commercial(Approval Required)
❑ New 0 Additional ❑Repairs ❑Replace
Job Site/ Owner Infonnation: �
Site Address: ��95 BOHNS POINT RD
Owner: N�A Mailing Address: sAvtE
Clt WAYZATA �� 55391
Y� P�
Home Phone: Alternate Phone:
Contractor Infor�nation:
COrilT1CtOI': KL[NI?CORP.DBA: PRAC COritaCt PeT'SOri: JOANN
l�C�dl"eSS: 4342B SHADY OAK RD StSte BOrid#: 558516
City: HonKirrs Zip, ss343 Expiration Date: o9i»iog
PhOne: (95?)933-1868
Alternate Phone:
Q✓ Insurance—Current:
o�rotro9
1
� 1VIECHA1vICAL 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 — i������1�\ G`Gt�
❑ Wood Burning Fireplace � J
❑ Wood Stove
❑ Wood Stove With Flue I
� �,�1/i.�16�
Brand Name: 3 TOWN&COUNTRY& Model No.: TC54.CE,TC36.CE(2),530XC
VF,NTILATION
❑ No. Kitchen F,xhaust duct recirculating cfm
❑ No. Bath Exhaust(must ha��e duct outside) cfm
❑ No. Other Fans: Locations cfm
FUEL STORAGE(MUST BE APPROVBD 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
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PERMIT FEE CALCULATION(S)
BASED OFF - 2002 STATE STATUE
❑ Yes, this section applies
The replacement of a Residential fixture or appliancc that meets all three of the following requirements:
1. Does not require modification to electrical or gas service.
2. Has a total cost of 5500.00 or les5;excludin�the cost of the�xture or appliance:and
3. Is improved, installed or replaced by the homeowner or licensed contractor.
Skip next section,if this applizs; Cost of Permit $ 15.00
State Surcharge $ .50
Mail-In Fee(If Applicable) $ 1.50
Total Permit Fee $
PERMIT FEE CALCULATION(S)-JOBS OVER$500.00 ^�---�
If above does not apply;follow guidelines below:
1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$35.00)
4,500.00 x.0125$ 56.25
(contract pricc) (minimum$35.00)
2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(Minimum Fec of$.50)
4,500.00 x .���5 � '.25
(contracY price) (minimum$ SO)
3. POSTAGE& HANDLING(Only on Mail-In Flpplications) $ 1.50
58.50
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 ainount 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
amoimt of the job cost, the City may request the submission of a signed copy of the actual contract.
■ **The STATF,SURCHARGE is .0005 of the Building Department at(952j 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
Mini�esota, and certifies that all statements made on this application are complete, true and
correct.
Applicant's Signature: Date: '
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Reset Form
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CITY OF ORONO ca� D IN t�
INSPECTION N ) SCHEDULED 6 �
PERMIT NO. �`�b�� COMP ETED
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ADDRESS
OWNER CONTR. �
TELEPHONE NO. � 4� D'" S�
� DESCRIPTION
� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE
❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
Q ❑ DEMO-FINAL ❑ SEPTIC INSTALI. ❑ FOLLOW-UP
? ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_1�0
� COMMENTS: — �� �i(.�-���� �L��Y�
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑ CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL RETURN �CITATION ISSUED
❑STOP ORDER POSTED.CALI INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-4600
Owner/Contractor on s�:
Inspector. .�/
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�� DA E TIME ✓
CITY OF ORONO CALIED IN ` �
INSPECTION N TI � SCHEDULED � -0 .C� 23�:
PERMIT NO. � � COMPLETED
ADDRESS �
OWNER CONTR.
TELEPHONE N0. �U(� �"�v �..k1 �
� DESCRIPTION � �CQ-- U��
� ❑ FOOTING ❑ MECHANICA RI ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPIAINT
� ❑ DEMO-FINAL ❑ SEPTIC INSTA�L. ❑ FOLLOW-UP
? ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� ❑CORRECT WORK&PROCEED `_�' ISSUE CERTIFICATE OF OCCUPANCY
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� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. C PHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR '�CITATION ISSUED
❑ tNSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-4600
OwnerlContractor on�ez'
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Inspector. / 1 �� �
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