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HomeMy WebLinkAbout2001-P04663 - gas fireplace � . CITY OF ORONO PERMIT 2750 Kelley Parkway - PO Box 66 Permit Number: Po4663 Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits (952) 249-4600 Date Issued: 1 i�2�i2ooi SITE ADDRESS: 3722 f,ivingston Avenue \��u��z.i�a. MN 55391 PID: 17-117-23-34-0055 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 I�cc: $ 35.00 Valuation: $ 1,000.00 Statc Sw�charge Fee: $ 0.50 TOTAL FEE: $ 35.50 APPLICANT: Guyers Builder� Gxpress OWNER: EaglecrestN.W. 13405 15th nvcn�ie N P.O. Box 47333 Plymouth, MN >j441 Plymouth,MN 55447 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEIv�NTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE RI:QUIREMENTS. �C�' `-����� �� �/��� L.i-i''?1�,,;� �'1,Y�2�-/ APPLICANT PERMITEC.�I<�A.�IURG ISSUEDBYSIGNATURE Copies: 1-File(SiQnitures Reauii�ecl�. I-Aqqlicant,1-Monthlv Renorts, ]-Assessin¢. 1-Finance Page 1 - � � 3�',�' c� � c��3 � CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT Box 66 (2750 Kelley Parkway) Crystal Bay, NIN 55323 GENERAL IlVFORMATION 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 cazds 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 conditioninQ installation including heat loss/heat gain calculation, design temperatures, equipment ratings and identification as to rype, manufacturer and model. Data shall be presented on form provided. Identification of and specifications for water heating equipment shall also be provided. 4. Vb"l�en 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 249-4600: Please check one: �New Addition Repair Replace _� Residential Commercial JOB SITE: ��7aa ��.�����s;_o� z�P: Owner's Name�.,`F�'��; Telephone 1\`umber: Mailing Address: = City: Zip: Contractor's Name• ' � � �n L Tele�,hone Number: � Mailing Address:/ ' a '' s'�'�� � City: �c1r��ovT/d Zip: s3:=��/ SYSTEM DESCRIPTION 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 factory fireplace with flue Wood Stove Wood stove with flue Brand Name�����i"�Q��.- _ Model No. /�/� ��'i("1 VENTILATION No. Kitchen Exhaust ducted recirculating cfm No. Bath Exhaust (must be ducted outside) cfm No. Other Fans: Locations �� FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL) - Installation � Removal � Fuel oil: . gallons underground inside o�tside LP Gas: T gallons Other Gas opening PERMIT FEE CALCULATION - 1. 1.25% of Contract Price* or Mi 'mum Fee 35.00 , � l,��; 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 other 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 estunated 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. ' �.���%�C�, . Arrlicznt's Signature:�� � - Date: % Approved By: Date: l �� DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTIC,E SCHEDULED �30 (����� /n ��i PERMIT NO. L�IYG� COMPLETED ADDRESS � �7.� L/�!>.��f��/1 OWNER CONTR.��,r.L/P/l S ��c,��"S�. TELEPHONE NO. �� � ��'7 y �D�.� � DESCRIPTION /� � � � � � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATIGN 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 � 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/CONTRACTORTOMEETYOU:_YES O � COMMENTS: a S/�t-�` ��� � c-/�-��- � s.� o � ���� �.. ` - � 0 � W � Q � 2 W � W � � d W� ❑WORKSATISFACTORY:PROCEED ❑ PFOJECTCOMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. O PHOTOTAKEN INSPECTOR WILL RETURN �ST ORDER POSTED.CALL INSPECTOR �CITATION ISSUED , SPECTION RE�UIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 2a hours in advance. (952� 249-46�� OwnedContractor sit : Inspector. White Copyllnspector's File Canary Copy/Site Notice