HomeMy WebLinkAbout2001-P04580 - gas fireplace CITY OF ORONO PERMIT
2750 Kelley Parkway - PO Box 66 Permit Number: Po4sso
Crystal Bay, Minnesota 55323 Pei'mit Type: Mechanical Permits
(95�� 249-4600 Date Issued: llili2ooi
SITE ADDRESS: 3720 Livingston Avenue
Wayzata,IvIl�155391
PID: 17-117-23-34-0056
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: $ 1,000.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 35.50
APPLICANT: Guyers Builders Express OWNER: EaglecrestN.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 SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLICA RMIT IGNATURE ISSU DBYSIGNATURE
Copies: 1-File(SiQnitures Reauired). 1-Aoplicant. 1-Monthlv Reports, 1-Assessine. 1-Finance Page 1
CITY OF ORONO APPLICATION FOR MECHA1vICAL PERMIT
Box 66 (2750 Kelley Parkway)
Cry,;,tal Bay, MN 55323
GENERAL INFORMATION
1. You may apply for mechanical permits by mail or in person at the Ciry offices. Applications will be
reviewed and a permit will be issued within 2 working days.
2. Permit cards will be sent by retum mail after a review is completed. PER��IITS 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 conditioninQ installation including heat loss/heat gain
calculation, design temperatures, equipment ratings and identificacion as to rype, manufacturer and model.
Data shall be presented on form provided. Identification of and specifications for water heating equipment
sh:]1 also be provided.
4. �L::�.:, 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). Ca11249-4600. 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 questions, call 24J-4600.
Please check one: � New Addition Repair Replace
Residential Commercial
JOBSITE:��e� (%G�//1/l-����Jr'Y l�1, Zip:
Owner's Name:�.��Q�7 Telephone 1\'umber:
Mailing Address: City: Zip•
Contractor's Name�2�y�� iL,p� ��,e��' Telephone Number:��.3 �,g�y��
Mailing Address:��/D�/� =� � . City: � .'l/�'�r�'1—�'Lip: g�s�1�/�
SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity:
Make:
Model:
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H. Power
FIREPL CES
Gas factory fireplace
Wood burning factory fireplace with flue j
Wood Stove �
Wood stove with flue
Brand Namg' /����'jd� Model No. 1�,�,�� ���
VENTILATION
No. Kitchen Exhaust ducted recirculating cfm
No. Bath E�aust (must be ducted outside) cfm
No. Other Fans: Locations cfm
FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL)
Installation Removal
Fuel oil: gallons underground inside outside
LP Gas: gallons
Other Gas opening
PERMIT FEE CALCULATION
L 1.25% of Contract Price* or Minimum Fee ($35.00)
� i���� x .0125 $
(contract price)
2. State Surchar�e. ** Add the State Building Code Division
Surcharge to each permit. x .0005 $
or $.50, whichever is greater (contract price)
3. Posta�e and Handlin� (Only 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 permitted
work including materials, labor, profit, and o[her fixed costs. It is the amount to be charged to the customer
for the work done. If any material, equipment, labor, or installation 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[he 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 �uilding Code, and certifies that all statements made on this application are complete, true
and correct.
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Applicant's Signatur :�� Date: �� �1
Approved By: Date: