HomeMy WebLinkAbout2005-P09390 - gas fireplace PERMIT
CITY' OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: po9390
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Pernuts
(952) 249-4600 Date Issued:
11/4/2005
SITE ADDRESS: 3415 Crystal Bay Rd Unit#
Wayzata,MN 55391
PID: 17-117-23-43-0118
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type:
Mechanical Permits Permit Sub-type(s): Gas Fireplace
DETAILS:
Approved perresolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 70.00 valuation: $ 2,700.00
State Surcharge Fee: $ 1.35
TOTAL FEE: $ 71.35
APPLICANT: Practical Systems OWNER: Yousry&Karen Elshazly
4342B Shady Oak Rd. 3415 Crystal Bay 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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A ICANT P MIT E GNAT RE ISSUED BY SIGNATURE
Copies: 1-File(Signatures Reguired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
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„ FOR CITY USE ONLY
' '- City of Orono
�'Q'����:.
r, P.O.Box 66 Datc Rcccived_ Pcrmit#
��a,, �j� 2750 Kcl Icy Parkway
� i` x � �,� Crystal Bay.MN��323 Approvcd By: __ Amount$._
t '���',�4G� (952)249-4600
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CITY OF ORONO–MECHANICAL PERMIT
(All Commcrcial permits must bc approvcd by thc Building Official or Inspccror 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 permit will be issued within two working days.
2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT
VnL1D UNT[L YOU RECEIVE A PERMIT. V1'ORK NTUST NOT BEGIN UNTIL TNE
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 includin�
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 ❑ Additional �Repairs ❑Replace
,
Job Site/ Owner Infonnation:
Site Address: ' �'"�� ' �`� l � �� �� �:
Owner: � � �. `� 1 ` I�- Mailing Address: }� �`��
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c�ry: z�p:
Home Phone: ��� � / �� � J�/� Alternate Phone:
Contractor Information:
Contractor: Kline Corp. n:
— DBA: Practical Systems
Address: 4342B Shady Oak Road
— Hopkins, MN 55343
Ci 952-933-1868 .te:
�'' —
Phone: Alternate Phone:
❑ Insurance–Current:
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MECHANICAL 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
❑ Wood[3urning Fireplace
❑ Wood Stove
❑ Wood Stove With Flue
Brand Name: �l��{ ��������--' Model No.: �-������ -���� F-'�1��
�
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VENTILATION �� � � ������.,�� �"���
❑ No. Kitchen Exhaust duct recirculating cfm
❑ No. Bath Exhaust(must have duct outside) cfm
❑ No. ____ Other Fans: Locations __ cfm
FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHALL)
❑ Installation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑ Inside ❑Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill ❑ Other/List What&Where:
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PERMIT FEE CALCULATTON(S)
BASED OFF - 2002 STATE STATUE
❑ Yes,this section applies
The replacement of a Residential fixture or appliance that meets all three of the following requirements:
1. Does not require moditication 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 nest section,if this applies; Cost of Permit S I5.00
State Surcharge $ .50
Mail-In Fee(If Applicable) $ 1.50
Total Permit Fee $
PERMiT�'EE+�ALCULATION S —JOBS OVER$SOO.OQ
If above does not apply;follow guidelines below:
1. CONTRACT PR[CE * is 1.25%of contract price with a(Minimum Fee of$35.00)
/ �' � / x .0125 $ �����i;��;
(contract pricc) (minimum$35.00)
2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50)
' - �7 ��-�� � X.000s � _�- � ��
`,
(contract pricc) (minimum$ .50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) S 1.50
.� � "����
4. TOTAL PERMIT FEE(Add Lines I-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 installations are furnished by
the owner, tenant or any other party, the reasonable market value of sud� 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 STATF,SURCHARGE is.0005 of the Building Department at(952)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
Minnesota, and certifies that all statements made on this application are complete, true and
correct.
Applicant's Signature: � , ' - � �, Date: ��� ���
_ �
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