HomeMy WebLinkAbout2001-P03767 - gas fireplace � , ti
PERMIT
C I TY O F O RO N O Permit Number:
2750 Kelley Parkway - PO Box 66 Po3�6�
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued: s�4�2oot
SITE ADDRESS: 1045 Edgewood Hills Rd
WAYZATA,MN 55391
P ID: 02-117-23-41-0003
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: $ 850.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 35.50
APPLICANT: Practical Systems OWNER: �+THARINE K. JACKSON
14226 Norden Dr 1045 EDGEWOOD HILLS RD
Rogers,MN 55374 WAYZATA,MN 55391
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPEC�'IED
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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APPLI ANT PG IT6 SI NATURE • ISSUED BY SIGNATURE
Copies: City,Applicant,Assessor, Finance Page 1
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CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT
Box 66 (2750 Kelley Parkway)
Cryst:�l Bay, MN 55323
GEI�'ERAL 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 2 working days.
2. Pernut 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. Mechanical Designs - 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. Identification of and specifications for water heating equipment
shall also be provided.
4. When any new construction or remodeling is involved, a separate building pernut 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 473-7357. 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 473-7357.
Please check one: New Addition Repair Replace
Residential Commercial
JOB SITE:_ /a�� S ��-��� f�.,r,��(7 h���l� � ��1� Zip:
Owner's Name: ,��f � 7 U�� s�,;, Telephone Number:
Mailing Address: c t ,��� ��f� � �«,�-f-I� Cit Zi
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Contractor's Name: �=',;; �-�,� �;,_(� �,,;�-�=,.;s Telephone Number:���f;2��� -��, �!�S�
Mailing Address: /�/;��� � fl:>,..f �r; �)�� City: d;'�s�� Y, Zip: .ss.f .� c�
SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity: �
Make: F��-,�,;,�
Model: gC;(�-�?��
Fuel: .�%��,�;'.,,�.�
Flue Size: -T
Input BTUs: «��a ��.�.��
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H. Power
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WOOD BURNING EQUIPMENT
Wood stove with flue
Wood combination or add-on
Factory fireplace with flue
Factory Fireplace (s) Freestanding Masonry
Wood Stove (s) Franklin, other
Brand Name Model No.
Mfgr's Min., Clearances, side , rear , min. flue dia.
VENTILATION
No. Kitchen E�aust ducted recirculating cfm
No. Bath Exhaust (must be ducted outside) cfm
No. Other Fans: Locations 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) z,t,
�C>`'-1' x .0125 $ .�S
(contract price)
2. State Surchar�e. ** Add the State Bu ding �ode Division SZ
Surcharge to each permit. �S�i= x .0005 $ �
or $.50, whichever is greater (contract price)
3. Posta�e and Handlin� (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $
* CONTRACT PRICE or JOB COST means the actual or estunated dollar amount chazged 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 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 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 $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 al�tements made on this application are complete, true
and correct. ; ,�
A licant's Si nature: � '"' � � Date:
PP � a,/I�E�/���:�l����;ril' �--�``_.
Approved By: Date:
� DATE TIME
CITY OF ORONO CALLED IN
INSPECTION �TICE SCHEDULED -S— 7'"�� ��
j ���PERMIT NO. d � ��(�/ COMPLETED � "��
ADDRESS � � ' '��
OWNER l_ll ,��CONTR. �•
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TELEPHOI�ENO. /� 3 ��� -Z- c�-�-S�
� DESCRIPTION �-2, . � -
l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRA G/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
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Q 05 FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
W 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
= 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
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Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
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RK SATISFACTORY:PROCEED JECT COMPLETE
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� t ORRECT WORK&PROCEED I SUE CERTIFICATE OF OCCUPANCY
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O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. - pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CAL�INSPECTOR � CITATION ISSUED
C; INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-46��
OwnerlContr ctor on site:
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Inspector �iy S
White Copyllnspector's File Canary CopylSite Notice