HomeMy WebLinkAbout2006-P10049 - gas fireplace PERMIT
' CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: p10049
- Crystal Bay, Minnesota 55323 Permit Type:
Mechanical Pernuts
(952) 249-4600 Date Issued:
6/28/2006
SITE ADDRESS: 3555 Frederick St Unit#
Wayzata, MN 55391
PID: 20-117-23-12-0017
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: Pernut Fee: $ 37.50 valuation: $ 3,000.00
State Surcharge Fee: $ 1.50
TOTAL FEE: $ 39.00
APPLICANT: Counhyside Heating&Cooling OWNER: Timothy&Lynn Brady
6511 Hwy 12 3555 Frederick St
Maple Plain,MN 55359 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 BUILD(NG CODE REQUIREMENTS.
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PP R IT E SIGNATURE ISSUED BY SIGNATURE
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Copies: 1-File(Signatures Reguired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
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O¢D�Q City of Orono
N O_Boa 66 Date Received- Permit#
27�0 Kelley Parkwa��
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�� � Crystal Ba�_MN»3�3 I Approved 13y_ Amount$: i
�t ��": ; v�` 19�2}249--3G00 �
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CITY OF ORONO—MECHANICAL PERMIT
(All Commercial pennits must be approved by the[3uildine Official or lnspector und/or I�ire:vlarshall)
GENERAL INFORMATION
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. PER_M[TS ARE NOT
VALID UNTIL YOU RECEIVE A PERMIT. WORK Ml!ST NOT [3EGIN 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,desi;n temperatures,equipment ratings and identitication as to
type, manufacturer and model. Data sl�all 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(9�2)249-4600.
(24-48 hour notice required)
7. House Heating Test Record must be submitted before final.
( TYPE OF PERMIT
(Checic All That Apply)
`�Residential ❑ Commercial(Approval Required)
�New ❑ Additional ❑ Repairs ❑ Replace
Job Site/Owner information:
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Site Address: � J J . `. t.a�.��K S r. r� -�>^ � N'� >
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Owner: j . r".�, )� ry ,� i Mailing Address: - -
City: �, r�, ,� �; Zip: ;'S �9 J
Home Phone: �"�� ��-`''' � ��� � Alternate Phone:
Contractor Information:
Contractor: �"��-������ s�� �t•- Contact Person: �=�''� �'�-• ' -`. � '` '
Address: �%1� l�"'� ° � State Bond #:
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City: �'41'1� ,�Iti��^ Zip: ��� �� Expiration Date:
Phone: ���- "� ' " �f '" Alternate Phone:
❑ Insurance—Current:
1
� MECHANICAL SYSTEMS BEING INSTALLED �
HEA"CING SYS"CEMS
Quantity:
Make:
Model:
Fuel:
Flue Siae:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H. Power
FIItEPLACES
� Gas Factory Fireplace
❑ Wood Burning Fireplace
❑ Wood Stove
❑ Wood Stove With Flue
,--� �r-
Brand Name: 1�� • r •� [. /J Model No.: � � � � y
VENTILATION
❑ No. Kitchen Exhaust duct recirculating cfm
❑ No. Bath Exhaust(must have duct outside) cfin
❑ No. Other Fans: Locations cfin
FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHALL)
❑ Installation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑ Inside ❑ Outside
LP Gas: gallons
Other:
GAS LINE ONLI'
❑ Outdoor Grill ❑ Other/List N'hat& Where:
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� PE�RMIT FEE CALCULA"CION(S)
BASF.,D OFF -2002 STATE STATUE
❑ Yes,this section applies
The replacement of a Residential fixture or appliance that meets all three ofi the following requirements:
l. 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 Surcharge $ .�0
Mail-In Fee(If Applicable) $ 1.�0
Total Permit Fec $
PERMIT FEE CALCULATIDN(S -JOBS OVER $500.00
[f above does not apply; follow guidelines below:
l. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$35.00)
, J� .
��`' `� x .01?5 $ ��i i
(contract price) (minimum$3�_00)
2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(�linimum I�ec of'$.i0)
� � %�-
��-��' � x .0005 $ �� —'�
(contract price) (minimum$ -�0)
3. POSTAGE& HANDL[NG(Only on Mail-In Applications) $ 1.50
4. TOTAL PERMIT FEE(Add Lines l-3 Above) $ % � �
■ * CONTRACT PR[CE 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 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 hei�eby applies to the City for issuance of a Mechanical Pecmit, 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.
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Applicant's Signature: � Date:
Reset Form
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���� f� �� DATE TIME�
CITY OF ORONO �� CALLED IN __1���
INSPECTION N TIC SCHEDULED GXp�
PERMIT NO. i � COMPLETED
ADDRESS .���� �/���/C�- �
OWNER CONTR. �IaC.c.d? ��/
_ zJY�f=-�4'n f:'�
TELEPHONE NO. ��0 3 y 7� —l�o C)�
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� DESCRIPTION �'�"� f /%���
l� 01 FOOTING �QIECHANICAC F3D 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL r A 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:�YES_NO
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� COMMENTS:
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W ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
� ❑ CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY
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0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. _; pHOTOTAKEN
INSPECTOR WILL RETI}RN
❑STOPORDER POSTED.CA�I INSPECTOR ❑ CITATION ISSUED
C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� 249-4600
OwnerlContractor on site
Inspector.
White Copyllnspector's File Canary CopylSite Notice