HomeMy WebLinkAbout2004-P08246 - gas fireplace ' � PERMIT
` CITY OF ORONO Permit ►vumber:
2750 Kelley Parkway - PO Box 66 Pos2a6
Crystal Bay, Minnesota 55323 Pe►'mit Type: Mechanical Permits
(952) 249-4600 Date Issued: 12i2i2oo4
SITE ADDRESS: 1280 Bracketts Pt Rd
Wayzata,MN 55391
PID: 11-117-23-32-0019
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• $ 2,000.00
State Surcharge Fee: $ 1.00
TOTAL FEE: $ 36.00
APPLICANT: practical Systems OWNER: 7ames&Beverly Nyce
4342B Shady Oak Rd. 1280 Bracketts 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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APPLICANT PEF�tITEE SIGNATURE ��� ISSUED BY�SIGNATURE
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Copies: 1-File(SiQnitures Required), 1-Avplicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1
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CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, N1N 55323
GENERAL INFORMATION
1. You may apply for mechanical permits Uy mail or in person at the City offices. Applications will be
reviewed and a pennit will be issued within two working days.
2. Pei7nit cards will Ue sent Uy retuin mail after a revie�v 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
inodel. Data shall Ue 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 Ue oUtained.
5. All work inust Ue done in accordance with the Uniform Mechanical Code/State Building Code
requirements.
6. All work must Ue inspected(rough-in and final). Call (952) 249-4600. 24-hour notice required.
7. House Heating Test Record must Ue submitted Uefore 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 check one: ❑ New ❑ Addition ❑ Repair '�Replace ❑ Residential ❑ Commercial
JOB SITE: ���BG' .�'���i.��-f5 �,..� �� Zip: S� 3`�'�
Owner's Name: 7��^^ IUx�e Phone Number: ySa-,�y9'�-8�`�
Mailing Address: ��.�G �r��c�� P-�- City: ��i,�•�� Zip: � �3�j/
Contractor's Name: �kc�f,<</ � � � � Phone Number: �S^�-y33-/�`6�
Mailing Address: y��a S ,� G�/< .P�'l City: �-�l���i Zip: �3,�'�3
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SYSTEM DESCRIPTION '
HEATING SYSTEMS
Quantity: �
Make: � � � '��C
Model: Q �/�T,36�F�
Fuel: ��
, /�
Flue Size:
Input BTUs 6 ��'U
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H. Power
FIREPLACES GAS LINE ONLY
� Gas factory fireplace ❑ Installing a Gas Line Only
Wood Uurning factory fireplace with flue
❑ Wood Stove
❑ Wood stove with flue
Brand Name��#"f •L Model No. I���T3��,f/�
VENTILATION
No. Kitchen Exhaust duct recalculating cfm
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
❑ Other Gas opening
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PERMIT FEE CALCULATION(S)
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; excludinQ the cost of the fixture or appliance:
and
3) Is improved, installed or replaced Uy the hoineowner 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 Uelow:
1. Contract Price* is .0125% of joU with a Minimum Fee of($35.00)
�r/
�UU� :. a a .0125 $
(contract price) (minimuir�S35.00)
2. State Surchar�e. ** Add the State Building Code Division a Minimum Fee of($ .50)
x .0005 $
(contracY price) (minimum� .50)
3. Posta�e and Handlin� (Orrly ntai!-in ap�licatiorts) $ 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 pennit fee purposes. [n 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 SURCFIARGE 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.
A licant's Si ature: � �'z'� Date: '���—D t
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Approved By: Date:
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� DAT TIME �
CITY OF ORONO CALLED IN /���
INSPECTION TI E SCHEDULED � :
PERMIT NO. COMPLETED
ADDRESS
OWNER CONTR.�� ��'�
TELEPHONE NO. �O�Z- �O�P ! ��Z 1J�1�`YI
� DESCRIPTION vQs �� ��
l� 01 FOOTWG 11 MECHANICAL R ,/ 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICA INAL QIC 19 LAKESHORE/WETLANDS
y
O 03 INSULATION 24/25 WOOD BURNER/FIREPLAC\ 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 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
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� WORKSATISFACTORY:PROCEED PROJECTCOMPLETE
W ❑ CORRECT WORK&PROCEED r ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL RETURN
r7 CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the ne t i spection 24 hours in advance. (J52� 249-4600
Owner/Con n s t :
Inspector.
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