HomeMy WebLinkAbout2003-P07082 - gas fireplace PERMIT
CITY OF ORONO Permit Number:
2750:�elle� Parkway - PO Box 66 Po�osz
Crystal Bay, Minnesota 55323 Pe►'mit Type: Mechanical Permits
(952) 249-4600 Date Issued: t2iioi2oo3
SITE ADDRESS: 4650 Creekwood Tr
MAPLE PLAIN,MN 55359
P I D: 30-118-23-33-0006
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Sub-type(s):�g�s �QS �P
Permit Type: Mechanical Permits
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Pemut Fee: $ 35.00 Valuation: $ 2,000.00
State Surcharge Fee: $ 1.00
TOTAL FEE: $ 36.00
APPLICANT: Practical Systems OWNER: K P B70RK&L S B70RK
4342B Shady Oak Rd. 4650 CREEKWOOD TR
Hopkins, MN 55343 MAPLE PLAIN MN 55359
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN SI'RICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLICAN � ERMITEES[GNATURF � ISSUEDBYSIGNAl'URE
Copies: 1-File(SiQnitures Repuired), 1-Anplicant, 1-Monthlv Reports, 1-Assessin�, 1-Finance Page 1
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CITY OF ORONO APPLICATION FOR MECHAI�ZCAL 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. Applicarions 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. PERl�fITS ARE NOT VALID
UNTIL YOU RECENE A PERMIT. WORK MUST NOT BEGIN LTNTII, 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]oss/heat
gain calculation, design temperatures, equipment ratings and identification as to npe, 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 (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 check one: ❑ New �.Addition ❑ Repair ❑ Replace ❑ Residential ❑ Commercial
JOB SITE: �/�5�� �r�ei��,:��cC �ra; 1 I�l���l e Lcth;� Zip: s�s`�
Owner's Name: i.:;,;:,, � �, ;; t��,e c�k.. Phone Number:
Mailing Address: City: Zip:
Contractor's Name: �rrrcfi�c� s�skrn Phone Number: �9s;t.) y��•i���=-
Mailing Address: �;5'7 4h4d� rc�k �'�(. City: _ _�/4�k,iti; Zip: sS3C;i3
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PERIVIIT 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; excludin�the cost of the fixture or appliance:
and
3) Is improved, installed or replaced by the homeowner or licensed contractor.
Skip next section; Cost of Permit $ 1�.00
State Surcharge $ .50
Mail-In Fee $ 1.50
If above does not apply, follow guidelines below:
1. Contract Price* is .0125%of job with a Minimum Fee of($35.00)
����� x .0125 $
(contract price) (minimum$35.00)
2. State Surchar�e. ** Add the State Building Code Division a Minimum Fee of($ .50)
x .0005 $
(contract price) (minimum$.50)
3. Postage and Handling (Oitly mail-in applications) $ 1.50
4. TOTAL PER�'�IIT FEE (Add lines 1-3 above) $
*CONTRACT PRICE or JOB COST means the actual or estimated do►lar 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. [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 SURCHARGE is.0005 of the contract price under$I,000,000 or$.50-whichever is greater.For valuations over
$1,000,000 call the Deparnnent 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 Ciry and the regulations of the Minnesota State Building Code,and certifies that all statements made on this
appiication are complete,true and correct.
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Applicant's Signature: ������ Date: �� /O G'�
Approved By: Date:
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SYSTEM DESCRIPTION •
HEATING SYSTEMS
Quantity:
Make: '� �
Model: �.3(r� �Y�-�
Fuel: C,-�C(`j
Flue Size:
Input BTCJs: .3��t'`�,c�
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H.Power
FIREPLACES GAS LINE ONLY
��Gas factory fireplace ,�nstalling a Gas Line Only
❑ Wood burning factory fireplace with flue
❑ Wood Stove
❑ Wood stove with flue
Brand Name /��4'�e��.�-t �• _ Model No. �V 3(c C`�V�
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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�ZDA� TIME
CITY OF ORONO CALLED IN ���
INSPECTION N T CE SCHEDULED Z� 3:�
PERMIT N0. vSI Z COMPLEfED
ADDRESS ���0 L%'C�1�GlJ'4��
OWNER CONTR. �/rQ G �1S�a
TELEPHONE NO._ �-SZ g33 �(��p
� DESCRIPTION i��r T�S� �� ��
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORENVETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INS7ALL. 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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� .RfWORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR W{LL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
❑C�TATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
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Call for the next inspection 24 hours in advance. (952) 249-4600
OwnerlContracto site•
Inspector.
White Copyllnspector's File Canary CopylSfte Notice