HomeMy WebLinkAbout2004-P08268 - gas fireplace . �
PERMIT
C��TY O F O RO N O Permit ►vumber:
275� Kelley Parkway - PO Box 66 Pos26s
� Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued: i2i�i2ooa
SITE ADDRESS: 1220 Garden Ct
Mound,MN 55364
PI D: 07-117-23-32-0045
DESCRIPTION:
Proposed Use: Residenrial
Pernut Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Gas Fireplace
DETAILS:
Approved per resolution#:
Separate pernuts required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 35.00
Valuation: $ 1,000.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 35.50
APPLICANT: Guyers Builders Supply OWNER: RVC Homes, Inc.
13405 15th Aven North 62 Hamel Rd.
Plymouth,MN 55441 Hamel,MN 55340
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN SI'RICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLICANT PERMITEE SIGNATURE SSUED BY S ATURE
Cooies: 1-File(SiQnitures Required), 1-Aovlicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1
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- CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
GENERAL 1NFORMATION
1. You may apply for mechanical permits by mail or in person at the City offices. Applications will be
reviewed and a pennit will Ue issued within two working days.
2. Permit cards will Ue sent by return mail after a review is completed. PERMITS ARE NOT VALID
UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEG1N 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-dehumidification, and air conditioning installation including heat loss/heat
gain calculation, design temperatures, equipinent ratings and identification as to type,inanufacturer and
model. Data shall Ue presented on form provided. Identification of and specifications for water heating
equipment shall also Ue provided.
4. When any new construction or remodeling is involved, a separate building permit must be obtained.
5. All work must Ue done in accordance with the Uniform Mechanical Code/State Building Code
requirements.
6. All worlc must Ue inspected (rough-in and final). Call (952) 249-4600. 24-hour notice required.
7. House IIeating Test Record must Ue submitted Uefore final.
Instructions
Coinplete all items on this applicatioi�. Compute the permit fee. Sign and date the certification.
INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call
(952) 249-4600.
Please check on : New ❑ Addition ❑ Repair ❑ Replace �Residential ❑ Commercial
JOB SITE: ,��0 �� r •�i ' T Zip:
Owner's Name: Phone Number:
Mailing Address: City: Zip:
Contractor's Name: , c�G� �' Ui � �YPhone Number: 7103 ��� ,fG<i :3
Mailing Address: �3 OS'/S"�'�' �✓ � City: �GY<����Tt4- Zip: 5.5��/
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SYSTEM DESCRIPTION ' _
HEATIIVG SYSTEMS
Quantity:
Make:
Model:
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H.Power
FIREPLACES GAS LINE ONLY
�/,� Gas factory fireplace ❑ Installing a Gas Line Only
❑ Wood burning factory fireplace with flue
❑ Wood Stove
❑ Wood stove with flue
Brand Name,�'�.o�i���4���� Model No. ,� .��� v� `�l '3-�
VENTILATION
No. Kitchen Exhaust duct recalculating cfm
No. Bath Exhaust(must have duct outside) cfm
No. Other Fans: Locations cfm
FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL)
❑ Installation or ❑ Removal
❑ Fuel oil: gallons ❑ underground ❑ inside ❑outside
❑ LP Gas: gallons
❑ Other Gas opening
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PERMIT FEE CALCULATION(S)
2002 State Statute ❑ 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; excludinQ the cost of the fixture or appliance:
and
3) Is improved, installed or replaced Uy the homeowner or licensed contractor.
Skip next section; Cost of Permit $ 15.00
State Surcharge $ .50
Mail-In Fee $ 1.50
If aUove does not apply, follow guidelines Uelow:
1. Contract Price* is .0125% of joU with a Minimum Fee of($35.00)
' ' `�� x .0125 $
(contract price) (minimum�35.00)
2. State Surchar�e. ** Add the State Building Code Division a Minimum Fee of($ .50)
x .0005 $
(contract price) (minimum$.50)
3. Postage and Handlin� (Oirly�iiai[-i�i applicatior�s) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 aUove) $
*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 installation is 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 contract price under�1,000,000 or$.50-whichever is greater.For valuations over
$1,000,000 call the Department of Inspectional Services for the price.
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 Minnesota State Building Code,and certifies that all statements made on this
application are complete,true and correct.
Applicant's Signature: �����'� Date: Z �7
Approved By: Date:
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