HomeMy WebLinkAbout2001-P04662 - gas fireplace � �
CITY OF ORONO PERMIT
2750 Kelley Parkway - PO Box 66 Permit Number: Poa662
Crystal Bay, Minnesota 55323 Permit Type: lvtechanical Permits
(952) 249-4600 Date Issued: 11i2��2oot
SITE ADDRESS: ��24 Livingston Avenue
Wa��rata,MN 55391
P1D: 17-117-23-34-0054
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
TOTAI. FEE: $ 35.50
APPLICANT: Guyers Builders Gxpress OWNER: EaglecrestN.W.
13405 15th Avcnue N P.O. Box 47333
Plymouth, MN �5441 Plymouth,MN 55447
THE UNDERSIGNED HEREBY RGQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
ANDAGREES TO DO ALL WORK IN STRICT COMPLIANCE WITHALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODL RI;QUIREMENTS.
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APPLICANTPERMITGESIGNi�TURE ISSUEDBYSIGNATURE �
Cooies: 1-File(SiQnitures Reauiredl. 1-Aoplicant. 1-Monthlv Reoorts. 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 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 cazds will be sent by retum mail after a review is completed. PERNIITS ARE NOT VALID UNTIL
YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON
THE JOB SITE.
3. Mechanical Designs - Complete calculations, details and specifications are required for each heating,
ventilation, humidification-dehumidification, and air conditionins installarion 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"hcn any new construction or remodeling is involved, a separate building permit must be obtai.ned.
5. All work must be done in accordance with the Uniform Mechanical Code/Scate Building Code requirements.
6. All work must be insgected(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 quesuons, ca11249�600:
Please check one: /� New Addition Repair Replace .
�. Residential Commercial
JOBSITE:�.����?l,/1�GJit/C �S'/'-0/�/ ZiP:
Owner's Name: �,�� ��,���'�� Telephone 1\'umber:
Mailing Address� City: Zip:
Contractor's Name• �s-�s `,�,�-� �-''�t� Tele hone Number:
Mailing Address:/��0� /�r .¢1� �_CitY= ��.r��t'7'/v'ZiP.,��-''`�'��//
SYSTEM DESCRIPTION
HEATING SYSTEMS �
Quantity:
Make:
ModeL•
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
- CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
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 �2�/�C��1 a�- Model No. f�,�s�k'�
VENTILATION
No. Kitchen Exhaust ducted recirculating cfm
No. Bath Exhaust (must be ducted outside) cfin
No. Other Fans: Locations ��
FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL)
Installation • Removal
Fuel oil: . gallons underground - inside outside
LP Gas: T gallons
Other � Gas opening
PERMIT FEE CALCULATION �
1. 1.25% of Contract Price* or M'nimum Fee 35.00 �
� QD 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 - (concract price)
3. Posta��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 chazged 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 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 Pernut, agrees to do all
work in strict accordance with the ordinances of the Ciry 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. ��,v��.L Date: %/ � �/
Approved By: Date:
��a
DATE TIME
CITY OF ORONO CALLED IN �
INSPECTION NOTI SCHEDULED � ✓�
PERMIT N0. � COMPLETED
ADDRESS 3�� �i� ^ �
OWNER C NTR. S
TELEPHONENO. �L� c3 �P9' y Y��� �
� DESCRIPTION �� I— �
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLINC,
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WAIL 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
i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENT3:
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� ❑WORKSATISFACTORY:PROCEED ❑PROJECTCOMPIETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WOFlK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
O CITATION ISSUED
�fNSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the n xt inspecti n 24 hours in advance. (952) 249-46�0
OwnerlContrac n '
Inspect �
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