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Home My WebLink About2008-P11785 - gas fieplace ` � PERMIT CITY OF ORONO Permit Number: 2750,Kelley Parkway- PO Box 66 P11785 Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits (952) 249-4600 Date Issued: 1/4/2008 SITE ADDRESS: 2690 Fox St Unit# Wayzata,MN 55391 PID: 04-117-23-42-0003 DESCRIPTION: Proposed Use: Residential Permit Class: General Permit Typr. Mechanical Permits Permit Sub-rype(s): Gas Fireplace DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: PermitFee: $ 75.00 Valuation: $ 6,000.00 State Surcharge Fee: $ 3.00 TOTAL FEE: $ 78,00 APPLICANT: Owner/Self OWNER: Rodney Moore MN 18140 Zane Street NW Elk River, MN 55330 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. �� C�� C �� /? �y� �r �-� /�� A I CANT PGRM[TEB SIGNATUR[ ISSUE I3Y SIGNATURG Copies: 1-File(Signatures Require�!), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Scptic, 1-Septic) Page 1 ' . � �t,��"� �`� � ,� City of Orono G�G� .� � FOR C1TY USE ONLY P.O.Box 66 ---`, �. Date Received. Permit# ��,,,.�, � 2750 Kelley Parkway �� • � �'��e?�- � Crystal Bay,MN 55323 � �� Approve�By: Amount$: � ��.�o` (952)249-4600 i � �asyiae Giv� - CITY OF ORONO —MECH I AL PERMIT (All Commercial permiCs must be approved by the Building Official or Inspector and/or Fire Marshall) GENERAL 1NFORMATION 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 two working days. 2. Pernut cards will be sent by return mai] after a review is completed. PERMITS ARE NOT VALID UIv'TIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTTL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Desi�ns—Complete calculations, details and specifications are required for each heating, ventilarion, 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 finai. TYPE OF PERMIT (Check All That Apply) �Residential ❑ Commercial(Approval Required) J �New ❑ Additional ❑ Repairs ❑Replace Job Site/ Owner Information: . Site Address: �(,�(7 �c7 X S/�� Owner: ��dn�K �;,�h ��e Mailing Address: IS/yO �,n ��.�1� City: �� t v�� Zip: S J`� �j _ �. Home Phone: Alternate Phone: (o/Z�3�8��33�' Contractor Information: Contractor: (�V`?� . Contact Person: Address: State Bond #: City: Zip: Expiration Date: Phone: Alternate Phone: ❑ Insurance— Current: 1 � . � MECHANICAL SYSTEMS BEING 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: �G I� ` `�C�. Model No.: S�- 7�� C�-(G�-� �� fh�J4� �J VEl�TILATION � 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 ❑ Under�round ❑ Inside ❑ Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill ❑ Other/List What&Where: 2 � . �. � PERMIT FEE CALCULATION(S) , • BASED OFF - 2002 STATE STATUE ❑ Yes, this section applies The replacement of a Residenrial 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$500.00 or less; excludinQ 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 $ 15.00 State Surcharge $ .50 Mail-In Fee(If Applicable) $ 1.50 Total Permit Fee $ PERMIT FEE CALCULATION(S)—JOBS OVER $500.00 T� If above does not apply; follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$35.00) �' �� x .0125 $ contract price) (minimum$35.00) 2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(Minimum Fee of 5.50) x.0005 $ (contract price) (minimum� .50) 3. POSTAGE&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 perniitted 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 request the submission of a signed copy of the actual contract. ■ ** The STATE SURCAARGE is .0005 of the Building Department at(952)249-4600 for the 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: � —�"'d � v 3 G� DATE TIME � CITY OF ORONO CALLED IN INSPECTION N TICE Q SCHEDU�ED �-' -� % PERMIT NO. �� 7U S COMPLETED ADDRESS��D �� f' OWNER s -P�� /�dUY�- CONTR. TELEPHONE NO. �� C� 9��5 � DESCRIPTION �� T � ❑ FOOTING � MECHANICAL RI ❑ EXCAV/GRADING/FILLING y ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS O ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP � ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL � ❑ P�UMBING FINAL ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � � O >. � O � ti � Q � Z W � W � j d W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK 8 PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR C INSPECTIONREQUIRED.CAILTOARRANGEACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-46�� OwnerlContractor 't�: Inspector. White Copyllnspector's Fil Canary Copy/Site Notice