HomeMy WebLinkAbout2007-P10931 - gas fireplace PERMIT
CITY� OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: P10931
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued:
4/27/2007
SITE ADDRESS: 1185 Ferndale Rd W Unit#
Wayzata,MN 55391
P��� 02-117-23-43-0025
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: $ 50.79 valuation: $ 4,063.00
State Surcharge Fee: $ 2.03
TOTAL FEE: $ 52,g2
APPLICANT: Automatic Garage Door&Fireplace, Inc. OWNER: James&Kathy Wyman
8900-109th Ave N-#1000 1185 Ferndale Rd W
Champlin,MN 55316 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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PLICAN PEfrM T E SIGNATURE SSUED 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 C1TY USE ONLY
. �,►` City of Orono
Q4O`vO P.O.Box 66 Date Received: Permit#
' �,_,;�.,, 27�0 Kelley Park�vay
a ��?�;�;'" �* Crystal Bay,MN 55323 Approved By: Amount$:
9 I�Y�i,:
.� '��5�'"�.y.o` (952)249-4600
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CITY OF ORONO –MECHANICAL PERMIT
(All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall)
GENERAL INFORMATION
1. You may apply for mechanical pennits by mail or in person at the City offices. Applications will
be reviewed and a permit will be issued within ri�vo working days.
2. Pei�lut cards will be seut by 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 DesiQns—Complete calculations, details and specifications are required for each
� heating, ventilation, humidification-dehui7lidifieation, and air coilditioning installation including
l�eat loss/heat gain calculation, design temperattires, equipment ratings and identification as to
type,manufacturer and model. Data shall be presented on form provided.
4. When any new consnliction or remodeling is involved, a separate building permit must be
obtained.
5. All work nlust be done iu 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 subnutted before final.
TYPE OF PERMIT
(Check All That A ly)
Residential ❑ Commercial(Approval Required)
❑ Ne�i� ❑Additional ❑ Repairs Replace
Job Site/ Owner Information:
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Site Address: /��5� ��-����-�
Owner:.�a�.��f� y�yrh �-�/ Mailing Address: ���'lC
City: (,1i�7/9`7�- Zip:
Home Phone: '�f"S 2 `�y7U��-7� Alternate Phone:
Contractor Information:
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Contractor: �l'•�'!�c' �.f�5���=/Contact Person: /��1�` �11�i��"�
Address: ��o %��''—�i�� .� State Bond #: /��C�
City: ��h'P.�i'« �/ Zip� Eapiration Date:
Phone: '?�� '-n� Z��S Altei�late Phone:
❑ Insurance– Ctu-rent:
,
�
f � MECHANICAL SYSTEMS BEING 1NSTALLED �
, 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 Buniing Fireplace
❑ Wood Stove
❑ Wood Stove With Flue
Bi•and Name: /'Lf.."'�E,nV� Model No.: �✓'3 S X L---
VENTILATION
❑ No. Kitchen Exhaust duct recirculating cfm
❑ No. Bath Exhaust(must have duct outside) cfm
❑ No. Other Fans: Locations cfm
FUF,L 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 CALCULATION(S)
BASED OFF - 2002 STATE STATUE
❑ Yes,this sectiou applies
The replacement of a Residential fixture or appliance that meets all tluee 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 fixhue or appliance: and
3. Is improved,installed or replaced by the homeo�vner or licensed contractor.
Skip next section, if this applies; Cost of Pernut $ 15.00
State Surcharge $ ���
Mail-In Fee(If Applicable) $ 1.50
Total Permit Fee $
PERMIT FEE CALCULATION(S)-JOBS OVER$500.00 —�
If above does not apply; follow guidelines below:
1. CONTRACT PRICE * is 1.25%of cont�-act price with a(Minimum Fee of$35.00)
��Q��� �� x .012� $
(contract price) (minimum 535.00)
2. STATE SLTRCHARGE ** Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50)
x .0005 $
(contract price) (minimum$ .50)
3. POSTAGE R<HANDLING(Only on Mail-In Applications) $ 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
pernutted 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
tl�e owner, tenant or aiiy other party, the reasonable market value of such items must be added to the
estimated cost or contract price for peniut fee puiposes. In tl�e 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)249-4600 for the price.
MECHANICAL PERMIT APPLICATION AGREEMENT
The undersigned hereby applies to the Ciry for issuance of a Mechanical Pern�it, 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
con-ect.
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A licant's Si�nature: � iC� / Date: � �7�
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�� AT TIME /
CITY OF ORONO c�iN '
HED LED --�� I ,�
INS�ECTI�N N TICE sc u
PERMIT NO. COMPLETED
ADDRESS I18'S t�'1�J4�t�(�,.Q_Q � �
OWNER CONTR.�1,�lCc,�1G �� �
TELEPHONE NO. ��� � 7(� 7ZII�
� DESCRIPTION t' T �"J-�
ly 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP O6 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
Z OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENT
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W ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
� CORRECT WORK 8�PROCEED Ci ISSUE CERTIFICATE OF OCCUPANCY
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� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ PHOTOTAKEN
INSPECTOR WILL RETURN
7 CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� 249-46QQ
OwnerlContrac site:
Inspector.
White Copyllnspect s File Canary CopylSite Notice
DATE TIME `�
CITY OF ORONO CALLED IN � �
INSPECTION TIC SCHEDULED '_�7 ��
PERMIT NO. 3� COMPLETED
ADDRESS ��S ��''dC'�
OWNER CONTR. �GG7�ri�.4-��- �
TELEPHONE N0. 7�0� S7� 7al�o
� DESCRIPTION ��/Z�� ��
l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 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
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� ❑ CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
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0 G CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. C PHOTOTAKEN
INSPECTOR WILL RETURN
�J CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the n t inspection 24 hours in advance. (952� 249-4600
OwnerlContr o ite:
Inspector. -�
White Copyllnspector's 'le Canary CopylSite Notice