HomeMy WebLinkAbout2006-P10323 - gas fireplace PERMIT
CITY OF ORONO
2750 Ke��ey Parkway- PO Box 66 Permit Number: P10323
Crystal E�ay, Minnesota 55323 Permit Type:
(952) 249-4600 Mechanical Pernuts
Date Issued: 9/13/2006
SITE ADDRESS: 835 Forest Arms La Unit#
Mound,MN 55364
PID: 07-117-23-12-0012
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: PernutFee: $ 43.06 valuation: $ 3,445.00
State Surcharge Fee: $ 1.72
TOTAL FEE: $ 44.78
APPLICANT: Countryside Heating&Cooling OWNER: Bret&Jennifer Schneider
65ll Hwy 12 835 Forest Arms La
Maple Plain,MN 55359 Mound,MN 55364
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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APPLICANT PERMITEE SIGNATURE � ^\ ' . \ ,^ IS UED BY SIGNATURE
lJ V�.1 �� �
Copies: 1-File(Signatures Reguired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
FOR CITY USE ONLY
� O�p�O City of Orono
P_O.Bo�66 Date Received: Permit�l
2750 Kelley Parkway
a �''�• �. ' Crystal[3ay,MN�5323 Approved IIy: Amount$:
"��� "� � -�..: v`���' (952)249-4600
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CITY OF ORONO—MECHANICAL PERMIT
(All Cominercial permi[s must be approved by the Building Ofticial or Inspector and/or Fire Marshall)
; GENERAL W FORMATION
l. 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
VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NO"C BEGIN UNTIL THE
PERMIT CARD IS POSTED ON THE JOB SI"TE.
3. Mechanical Desi�ns—Complete ca(culations,details and specifications are required for each
heating,ventilation,humidification-dehumidification,and air conditioning installation including
heat loss/heat gain calculation,design temperatures,equipment rati��gs and identification as to
rype,manufacturer and model. Data shall be presented on form provided.
4. When any new construction or remodeling is involved,a separate b�iilding 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(rouglrin and fi��al). 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 Apply)
�Residential ❑ Commercial(Approval Required)
❑ New ❑ Additional ❑ Repairs ❑ Replace
Job Site/Owner Information:
Site Address: ��S �res� ,a'��T� � `� ��
: �
Owner:�r�� .c���s c�c��:a,r Mai l inb Address: -�
City: ��o nU Zip: �%���
Home Phone: `�S�—�1�at �6��� Alternate Phone: ��� ��`�'i 7��
IContractor Information:
Contractor: ��4,��k,s:ac N�C--��'���� Contact Person: ����/ r�,•i/o.�
Address: �%l� N�/ �a- State Bond #:
City: I'n�+Plc ,�'lu,�n Zip:�f��`� Expiration Date:
Phone: �7��- `�»` ��"" Alternate Phone;
❑ Insurance—Current:
1
MECHANICAL SYSTEMS BEING INSTALLED
HEATING SYSTEMS
Quantity:
Make:
Model:
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOL[NG SYSTEMS
Quantity:
Make:
Model:
Tons:
H. Power
FIREPLACES
,� Gas Factory Fireplace
❑ Wood Burning Fireplace
❑ Wood Stove
❑ Wood Stove With Flue
Brand Name: !f r•.+ •� G�� Model No.: �L�� -' 1-�� `I��
VENTILATION
� Na Kitchen Exhaust duct recirculating _ cfm
❑ No. Bath Exhaust(must have duct outside) cfiii
❑ No. Other Fans Locations cfin
FUEL STORACE(MUST BE APPROVED BY FIRE MARSHALL)
❑ [nstallation ❑ Removal
Fuel OiL• gallons ❑ Underground ❑ Inside ❑ Outside
LP Gas: gallons
Other:
GAS LINE ONL1�
❑ Outdoor Grill ❑ Other/List What&Where:
2
� � PERMIT FE�E 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 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 tixture ar appliance: and
3. Is improved,installed or replaced by the homeowner or licensed contractor.
Skip next section, if this applies; Cost of Permit $ 15.00
State Surcharge $ .50
Mail-In Fee(If Applicable) $ L50
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 contract price with a(Minimum Fee of$35.00)
� U�'
3�1��5 � X .o�zs $ f��—
(convact price) (miniinum$3�00)
2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(Minimum �ec ofS.50)
� � �
3�>`�s X.000s $ �
(contract price) (minimum$ �0)
3. POSTAGE&HANDLING(Only on Mail-[n Applications) $ 1.50
�y �
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 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 rec�uest 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 APFLICATION 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.
A licant's Si nature: � �� Date: � �/ p
PP g
Reset Form
3
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�C�UN TRYS 1 D E/Fl REPLA C E
CREATI ON S
PERIVIIT APPLI CATON N OTl CE
H QME OINNER : �� 1'�j���"�'Uc��-�7���.
ADDRESS : ���`� �Q���s�,�?ry� L�'7U�
C1Tl' • �,O! - J
PNONE # HOME :�cS-�— �70� —(�S�S� CELt : _ �Dl�it— �S�°— cS�?(�
WORK : �cSc�( — cS��i-- r;((' )� PAGER :
�Q B #: ��/��' � CUSTOMER NUIVIBER : _���O v/ ��
EQUlPlOiIENT (1��lODEt;S1ZE,QUANT1T1�:���,�—�j�-- ��) jC i
�.��Y? ��� I�L�D�'� �`' U�U I Irv�'�
WORK TO BE �ONE : -L;���C�L_ �� �-���c� , ��;�/�
�u�u ��� �,�,�„�
PE�.M1T APPLiED FOR BY: �
TO�'AL J OB AM;OUNT : $ C��j�Jr
DA� : �'a� � DATE OF 1N SPECTI ON(S):
S/24/04 PH