HomeMy WebLinkAbout2001-P04248 - gas fireplace �
� PERMIT
C I TY O F O RO N O Permit Number:
2750 Kelley Parkway - PO Box 66 Po424g
Crystal Bay, Minnesota 55323 Pe►'mit Type: Mechanical Permits
(952) 249-4600
Date Issued: si2si2ooi
SITE ADDRESS: 3710 Livingston Ave
Wayzata, MN 55391
P I D: 17-117-23-3 4-0060
DESCRIPTION:
Proposed Use:
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: $ 1,000.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 35.50
APPLICANT: Guyers Builders Express OWNER: Eaglecrest N.W.
13405 15th Avenue N P.O. Box 47333
Plymouth, MN 55441 Plymouth,MN 55447
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPEC�'IED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND
STATE OF MINNESOTA BiJII,DING CODE REQUIREMENTS.
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P I A RMIT SIG ATURE ISSUEDBYSIGNATURE
Copies: 1-File(Signitures Required), 1-Applicant, 1-MonthlyReports, 1-Assessing, 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 INFORMATION
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 2 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 NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON
THE JOB SITE.
3. Mechanical Desiens - 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. Identification of and specifications for water heating equipment
shall also be 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 249-4600. 24-hour notice required.
7. House Heating Test Record must be submitted before final.
Instructions Complete all items on this application. Compute the permit fee. Sign and date the certification.
INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questiens, call 249-4600.
Please check one: �New Addition Repair Replace
� Residential �Commercial
JOB SITE:�7/O L/�//.t/C�S'�D/� Zip:
Owner's N'ame: � Telephone Number:
Mailing Address: City: _ Zip:
Contractor's Name�c�i�25 � ��;� n�.�s _ �y Telephone Number: �� �g5/'�1�� 3
Mailing Address:i35�U� /S�- ��s �/o, City:f�y�yvUTd� Zip: s S-y�,/�
SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity:
Make:
Model: �
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM: ;�
COOLING SYSTEMS :�
Quantity: �
Make: #
..$
Nlodel: �
Tons: �
H. Power
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FIREPLACES
� Gas factory fireplace
Wood burning factory fireplace with flue
Wood Stove
Wood stove with flue
Brand Name �v��`72/cfi� Model No. �/��vO C�'`-l� `�
VENTILATION
No. Kitchen Exhaust ducted recirculating cfm
No. Bath Exhaust (must be ducted outsidz) cfm
No. Other Fans: Locations cfm
FUEL STORAGE (MUST BE APPROVED BY FIRE �L�RSHAL)
Installation Removal
Fuel oil: gallons underground inside outside :}�
LP Gas: gallons
Other Gas opening
PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($3�.00)
,' UDO. °" x .012� $
(contract price)
� 2. State Surchar�e. ** Add the State Building Code Di�-ision
'; Surcharge to each permit. x .000� $
or $.50, whichever is greater (contract price)
3. Posta�e and Handlin� (Only mail-in applications i $ 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 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 inst.!lation are furnished by the owner, tenant or
any other party the reasonable market value of such items m��.�.�: be added to the estimated cost or contract
price for permit fee purposes. In the event that there is a dispu:e 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 S1,000.000 or $.50 - whichever is greater.
For valuations over $1,000,000 call the Department of Inspec:ional Ser��ices for the price.
The undersigned hereby applies to the City for issuance of a �Iechanical Permit, agrees to do all
work in strict accordance with the ordinances of the Cin and the regulations of the Minnesota
" State Building Code, and certifies that all statements made on this application are complete, true
��� and correct.
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Applicant's Signature:/'- �-�� � Date: �7 �
Approved By: Date:
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s _ : �,
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTIC [� Q' SCHEDULED �.---zf--�— �`: 30 —
PERMIT N0. �`I O COMPLETED ^'� �� ��
ADDRESS__ �� I C) L ( U t/1 G ST� (1
OWNER CONTR. �-(� Q l��' :S�i�
TELEPHONE NO. ! �� C�C y �(P�o�'
� DESCRIPTION 1�� �(� �
� Ot FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FR,4MING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 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 O6 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 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� �YWORKSATISFACTORY:PROC� �ROJECTCOMPLEfE
W� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
O STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-46�0
OwnedContractor on site:
Inspector./���r�C,��'c.c c--�,�
White Copyll�spector's File Canary Copy/Sfte Notice