HomeMy WebLinkAbout2006-P10630 - wood fireplace PERMIT
CITY CF ORONO
2750`Kelley Parkway - PO Box 66 Permit Number: p10630
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued: 12/13/2006
SITE ADDRESS: 905 Ferndale Rd W Unit#
Wayzata,MN 55391
P I D: 02-117-23-44-0010
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type:
Mechanical Permits Permit Sub-type(s): Wood Fireplace
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 43.75 valuation: $ 3,500.00
State Surcharge Fee: $ 1.75
TOTAL FEE: $ 45.50
APPLICANT: Practical Systems OWNER: John&Joan Brooks
4342B Shady Oak Rd. 905 Ferndale Rd W
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 BU[LDING CODE REQUIREMENTS. %
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APPLICANT PERMITEE S[GNATURF, �/' I SUED BY SIGNATURE
Copies: 1-File(SignaturesRequrred), 1-Applicant, 1-MonthlyReports, 1-Assessing,(If Septic, 1-Septic) Page 1
PERMIT
CITY GF ORONO Permit Number: I� � �� �v
2750 Kelley Parkway- PO Box 66 Po��
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued:
12/13/2006
SITE ADDRESS: 905 Ferndale Rd W Unit#
Wayzata,MN 55391
PID: 02-117-23-44-0010
DESCRIPTION:
Proposed Use: Residential
Permit Class: General ..�
`� Perrr�t Sub-type(s): Wood Fireplace
Permit Type: Mechanical Permits �,
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DETAILS: �
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Approved per resolution#: �,�� � �
Separate permits required: �
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NOTICES/REMARKS: � � � �
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FEE SUMMARY: Permit Fee: $ 43.75 Valuation: $ 3,500.00 � �
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State Surcharge Fee: $ 1 JS � �
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TOTAL FEE: " $ 45.50 �
APPLICANT: Practical Systems OWNER: John&Joan Brooks
4342B Shady Oak Rd. 905 Ferndale Rd W
Hopkins,MN 55343 Wayzata MN 55391
THE UNDERSIGNED HEREBY REQUESTS PERM[SSION 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 PERMITEE SIGN URG ISSUED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, l-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
! � FOR CITY USE O�LI'
Q A,, City of Orono
� i:Os O`YO�� P.O.Box 66 Date Reccived: _ Pcrmit# ----
�� 27�0 Kclley Parkway
a � �� � ��.� Crystal Bay,MN 55323 Approvcd By: Amount$:
��� �,r�«,,�o`,' (952)249-4600
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CITY OF ORONO—MECHANICAL PERMiT
(All Commcrcial permits must bc�pprovcd hy thc Buildino Ofticial or lntipcctur andior Firc Marshall)
GENERAL INFORMATION
I. 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 niail after a review is completed. PERMITS ARE NOT
VAL1D 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
heatinb,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.
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.
(24-48 hour notice required)
7. House Heating Test Record must be submitted before final.
TYPE OF PERMIT
{Clleck All That Apply)
��esidential ❑Commercial (Approval Required)
❑ New �Additional ❑ Repairs ❑ Replace
Job Site/Owner Infonnation:
Site Address: ��� ��I'l CI�a;l� � �
Owner: JI�D�cj Mailing Address: SG.I'Yl�i
c��: Orcm o z�p: -55 3 y'I
Home Phone: Alternate Phone:
Contractor Information:
Contractor: r'�~+��� n�--�on: �
— Kline Corp.
Address: DBA: Practical Systems ;
— 4342B Shady Oak Road
Hopkins, MN 55343
City: — 952-933-1868 �te:
Phone: Alternate Phone:
❑ Insurance—Current:
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MECHANICAL SYSTEMS BEING INSTALLED „� �
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HEATING SYSTEMS
Quantity:
Make:
Model:
Fuel:
Flue 5ize:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity: ------- — --- -- -----
Make:
Model:
Tons:
H.Power
F[RFPLACES
� Gas Factory Fireplace
Wood Burning Fireplace
❑ Wood Stove
❑ Wood Stove With Flue
Brand Name:'�I� Model No.: I�D:J O� _ __
VENT[LATION
❑ 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 L[NE ONLY
❑ Outdoor Grill ❑ Other/List What&Where:
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' PERMIT FEE CALCULATION(S) �
BASED OFF - 2002 STATE STATUE
❑ Yes,this section applies
The replacement of a Residential fixture or appliance that meets all three of the followinb 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, if this applies; Cost of Permit � I 5.00
State Surcharbe � .50
Mail-In Fee(If Applicable) $ 1.50
Total Permit Fee $
PERMIT FEE CALCULATION S -JOBS OVER�500.00
If above does not apply;iollow guidelines below:
1. CONTRACT PR[CE *is 125%of contract price with a(Minimum Fee of$35.00)
. 5� - X .0�25� �3. �S
(co�trar,t pricc) (minimum$35.00)
2. STATE SURCNARGE ** Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50)
JJw� x A005 $ �. ��
(contract pricc) (minimum$ .50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) � I.50
�i,�
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 installations are furnished by
the owner, tenant ar any other party, the reasonable market value of such items must be added to the
estimaCed 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 Building Department at(952)249-4Fi00 ior ihe 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:/�' ����Q
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