HomeMy WebLinkAbout2002-P04838 - gas fireplace - PERMIT
CITY �F ORONO Permit Number:
2750�e.11ey Parkway - PO Box 66 P04838
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued: ii2si2oo2
SITE ADDRESS: 1220 Bracketts Pt Rd
Wayzata,MN 55391
PID: >>-tt�-23-32-oots
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: $ 40.54 Valuation: $ 3,243.00
State Surcharge Fee: $ 1.62
Misc. Fee: $ 1.50
TOTAL FEE: $ 43.66
APPLICANT: Woodland Stoves&Fireplaces OWNER: Julie&Elizabeth Hannaford
1203 Washington Ave. S. 1220 Bracketts Pt Rd
Minneapolis, MN 55415 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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AP LICANT PERMITEE SIGNATURE ISS EDBYSIGNATURE
Covies: 1-File(SiQnitures Reauired), 1-Applicant. 1-Monthlv Revorts, 1-Assessin�, 1-Finance Page 1
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CITY OF ORONO APPLICATION FOR MECHANICAL PERiv1IT
Box 66 (2750 Kelley Parkway) (l
Crystal Bay, MN 55323 !' '` `�
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GENERAL INFORMATION �
1. You may apply for mechanical permits by mail or in person at the Ciry offices. Applications will be
reviewed and a permit will be issued within 2 working days.
2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID UNT1L
YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON
THE JOB SITE.
3. Mechanical Designs - Complete calculations, details and specifications are required for each heating,
ventilation, humidification-dehumidification, and air conditioning installation including heat loss/heat gain
caiculation, design temperatures, equipment ratings and identification as to rype, 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 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 249-4600. 24-hour noti�e required.
7. House Heatinb 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 249-4600.
Please check one: New Addition Repair Replace
� Residential Commercial
JOB SITE: } ��'' ' _, (Z ���i�-�U� �'hcnC Zip:
Owner's Name: �. Telephone Number:
Mailing Address: % �` /`��� �' City: ��;-,�� Zip:
Contractor's Name: ' , Telephone Number:(�/�33�=(����,
Mailing Address: /o�3 j����-�--,��}y City: �1 Zip: jyI/j�
SYSTENI DESCRIPTION
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 factory fireplace with flue
Wood Stove
Wood stove with flue
Brand Name /�Qjp,�� ��� �� �L��'L �C Model No. ��S��lS7
��� � �A����� ��t� ���. r�i��'s � y�; c�o�
VENTILATION
No. Kitchen Exhaust ducted recirculating cfm
No. Bath Exhaust (must be ducted outside) cfm
No. Otker Fans: Locaticns cfm
FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL)
Installation .Removal ,
Fuel oil: gallons underground inside outside
LP Gas: gallons
Other Gas opening
PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00)
� �,,�.�� x .0125 � �0-5y
(contract price)
2. State Surchar�e. �`* Add the State Building Code Division
Surcharge to each permit. x .0005 $ ;, (l07
or $.50, whichever is greater (contract price)
3. Postage and Handlin� (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ �/�,(.��G
* 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 are furnished by the owner, tenant or
any other parry 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 Ihere is a dispute on the amount of the job cost, the Ciry 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 $1,000,000 call the Department of Inspectional Services for the price.
The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all
work in strict accordance with the ordinances of the City and the regulations of the Minnesota
State Building Code, and certifies that all statements made on this application are complete, true
and correct.
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Applicant's Signature: �C������CCl1 ��; Date: — ,��07��
Approved By: Date:
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,��Hes�,"''� State of Minnesota Departmenf of Comrnerce Licensing Division
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�x,"��, Departinenf of Commerce Telephone: (&51)296-0319 or(8�0}657-3878
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?��, �,, �- 85-7th Place Fast, Suite GQO E-mail address' licensing>commerce@state.mn.us
"v�,s,�} 4�'��.'' St. Pauf, MN 55101-3165 Website address: commercestate.mn.us
resa* :
Residentiat Building Contractor License ��
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�ega�Name: ' WOODLAND �'fOVES FIR�PLAGES susiness str�cwre:
pBA� CORPORATION
Address:, 1203 WASM�NGTON AVE S
MPLS, MN 55415
Lice�se Identification Numbec -BC- ��j�$ Qualifying Person: PETER E SOLAG
License Expiration Date: 3/��/2QQ,2 Continuing Education; 7 Hrs CE due by 3/31/2002`
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