HomeMy WebLinkAbout2006-P10434 - gas fireplace PERMIT
CITY OF ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: P10434
Crystal Bay, fv�innesota 55323 Permit Type: Mechanical Permits
(952) 2�'�9-4600 Date Issued:
10/10/2006
SITE ADDRESS: 965 Forest Arms La Unit#
Mound, MN 55364
PID: 07-117-23-12-0020
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: $ 2,000.00
State Surcharge Fee: $ 1.00
TOTAL FEE: $ 36.00
APPLICANT: Practical Systems OWNER: Herbert Olson Etal
4342B Shady Oak Rd. 965 Forest Arms La
Hopkins,MN 55343 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.
� `„���� � r�" � ,< ' ;� ���7 �1�� I ✓�'� '
APPLICANT PERMITEB SIGNATURE ISSUED E3Y SIGNATURE
Copies: 1-File(Sigriatures Required), l-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
. ' FOR CITY USE O�LI'
''� 0 City of Orono
- �� �� P.O.Box 66 Datc Kcceivcd: Pcrniit#
�� ��� 2750 Kcllcy Parkway -
� a i R� �;j Crystal Bay,MN SS323 Approvcd By: � Amount$:
�* ' ��n�,r,u'„' (952)249-4h00 --
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CITY OF ORONO—MECHANICAL PERMIT
(All Commcrcial pem�its must bc approvcd by thc Building OYficial or I�spcctor ancllur Firc Marshall)
GENERAL INFORMATION
L You may a�ply for mechanical permits by mail or in person at the City offices. Applications will
be reviewed and a perrnit will be issued within two working days.
2. Permit cards will be sent by return mail after a review is completed. PERMITS ARr NOT
VALID 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
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.
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
Check All That A 1 )
�esidential ❑ Commercial(Approval Required)
❑ New �Additional ❑ Repairs ❑ Replace
Job Site/Owner Information:
Site Address: ���1��}- �S �
Owner:� ,��.�-�-� ��� Mailing Address: ��'�'
City: ����1(l l� Zip: �`.7�� �
Home Phone:���- `1 /�-��� Alternate Phone:
Contractor Infonnation:
Contractor: ;on:
- Kline Corp.
Address: DBA: Practica�Oak Road .
— 4342B Shady
Hopkins, MN 55343
City: — 952-933-1868 �te:
Phone: Alternate Phone:
❑ Insurance—Current:
1
' MECHANICAL SYSTEMS BE11VG 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 Burning Fireplace
❑ Wood Stove
❑ Wood Stove With Flue
Brand Name: � W��� � `-'`'�
(�t� (.� Model No.: L� � � --__—
VENTILATION
❑ Na 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:
2
PERMIT FEE CALCULATION(S)
� BASED OFF - 2002 STATF, STATUE
❑ Yes,this section applies
The replacement of a Residential fixture ar 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 5500.00 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 � I5.00
State Surcharge � .50
Mail-In Fee(If Applicable) S 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 I.25%of contract price with a(Minimum Fee of$35.00)
�G�C� X .���zs� .��. ��
(contract price) (minimum$35.00)
2. STATF,SURCFIARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee ot$.50)
_ x.0005 �_ / 6 "
(contract pricc) (minimum$ SO)
3. POSTAGE&HANDLING(Only on Mail-fn Applications) $ I.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, labar,profit, and other tixed costs. ]t 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 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 undersi�ned 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: ( S Date: �D'��` ��
Reset Form
3
�/� �rl�C/ DATE TIME
CITY OF ORONO �" � � CAL�ED IN �`l�`_�G
INSPECTION �E� � SCHEDULED /o�//�O� ! Z�
PERMIT NO. COMPLETED
ADDRESS �S T��� �--
OWNER ��� �r �NTR.
TELEPHONE NO. ` -SO� 7` � � r � �'� �
� DESCRIPTION ��' \ / �� � / � ��-f'
ly� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
Q 03 INSULATION 24/25 WOOD BURNER/FIREPIACE 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 COMPL4INT
� 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
� COMMENTS:
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GW WORK SATISFACTORY:PROCEED V PROJECT COMPLETE
� ❑ CORRECT WORK&PROCEED �ISSUE CERTIFICATE OF OCCUPANCY
W
Ou CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. C PHOTOTAKEN
INSPECTOR WILL RETURN
!-7 CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the ne t inspection 24 hours in advance. (952� 249-4600
OwnerlContract i e:
Inspector.
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