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HomeMy WebLinkAbout2001-P04753 - gas fireplace . .,� - PERMIT CITY OF ORONO Permit Number: "� 2750 Kelley Parkway - PO Box 66 Po4�s3 Crystal Bay, Minnesota 55323 Pef1111t Typ@: Mechanical Permits (952) 249-4600 Date Issued: 12i2s�2ooi SITE ADDRESS: 3733 Livingston Ct Wayzata,MN 55391 P I D: 17-117-23-34-0074 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. � �"��• , GTY�'ti- L{_, "' �,����.� �` �� APPLICANTPE ITEESIGNATURE ISS EDBYSIGNATURE Copies: 1-File(Signitures Reauired). 1-Aoplicant, 1-Monthlv Reoorts, 1-Assessine, 1-Finance Page 1 � r . C1TY OF ORONO .APP'L�GATIO�T FOR MECSANICAL PERiVmT Box 66 (275o Kelley Parkway) � , . c,rys��y, Nnv ss3� s IIVF'ORMATION . . • i_ Yon maY applY for mr.c�+An;��+� p�irs By ma7 or m persoa ac she Ciry offices. Applicadons wlll be reviewed and a permit will be issued within 2 worl�g days. ' a_ ����u���►���a���►���a. PEI2MITS ARfi NO'I'YAr,.ID UNT1Y, YOU x�vE A p�Mrr_ wox�c Hr[rsr No�r aEanv vrrl�THE P�rr CARb rs posrEn oN �J4B s�r�, 3. Mecb�D�i�ns - Comple�e calculations� details aud specificazions are requi=ed for ea�'hea�mg, ventiladoan, humidificadon-dehumidtf'uca[ian, ead air oonditionins i�statlauoa mcludi�g heac losa/heat ga�n calailat3oa,design�e�,e4uipmeat ratmgs snd ide�ntlficatioa as to�typa��mamifacntrer and model. Data sball be pr�vn faa.m pravided.. Identification of and sperSficarions for warer�g equipmcn� ' shall also be prwided. • • • • . . . ' , � 4_ R'�ra any a�w c�ons�or remod�elmg is iawlved, a�rn bnildia8 Permit mn�c be abcsiaed. � S. . All work must be d�e in�ordance with the ZJ�m M�I CodelSrar;�B!'��Code req�- .- 6. . .•All vPo��ast be inspacoed(rongh in aad fmal). �'a11.249�600.�24�to���dce reiluired. • .� • . . 7. . A�ousg Heating Test R�rnd most be sub�tbad bef�ie'Sua�: .. ' ,' : ,; : • . • . , � • ' .. . Instr� `Camplete a]1 icems on'this sppiicatio��•Compute�e pe�it fee.. Sign aad.date•th�e•.certtflcc�tion: ', INCON�'I.tiTE APPLiCAT�ONS WII.L NOT B'Tc�tOCFSSFD.'If yoa ba've qu�est[ons,ca1124�4600: '' Please check on�e: �New •� Addidon .�Re�a�r�. Rtplas;e ' . . . '•' ' • - • . .•. . • . • ' � • Residemial _�._; Com�rclal� .• . . . • • . ' • . ' , . • • ' � '. . aos�sr�r�: :�?3� = -- � ri�� � . . . z�: . � ' � . � . Owner's Nsme: ��/,'�,t�'•� ;� S'i-• . °. .Te�ephane�l�''umber: � � . . ' ���• • � • .L • . .. . 1:� ,>'�• • � :• • • ' . :, CfEy:w., . . ��:•�- Z�p:�• . � . � :�a�bo�'�Napie: �� �S �J�� - �neN�ber:� �-�.� .< �_�l� 3� .. . � M�lingAddresss�3�5��.���—`ri�✓: >f��/'m�� � _City.�:..�rf'irneari�7.�P: ,..'��;��� . . . �,�. . . . . • . . . � . .� . � D�SCRIP'1'ION �. .. . � , ' . . � . .:•��'-� : . • . . '� . - �.��: � � . , - ' .. .. . , . . � . . . . � ' , , . .. . .. • .. . . . ' AF.ATII�Tt�SYSTEMS ' � ' .� . � � � . � ' � . ' ' � � , //�� • i �•• •• . . ' . ' �. • . . r.. , , r. . . , � . � .�.'� ' � ' . . . . , . • 's� • • � + :w. . . . . 1•�Y.}�., 4 � � • •1 -�, • • • � , • • • � • • ' . • • ' • . . Moclel:� � . , . . - . ' � _ . ..,'. � , .. _ � � � . � . Fue1: � . . . . . . . . , , , . Flue Size: � ' � Input BTUs: � � - � � ' . Output BTL�s: , � � . � CFM: . . . . . •. . . .. . . . � . . , . . .. . , . ,-,�:�:-� , . . � . . . , , . . . . . .•�� . -.; . s.;. ,.( .�... .•. .. . ., ,— . . ��. ,•e ;>�••:. �•,•:� . -,;:, . . ' '":•� . . . :... . . COO�NG SYSTEMS' . � �� � �� � . � ' .� . . . '. . � � . ' , , . .. � ' . Quarnity: Mak,e: � Model: Tons: � ► . � . H. Power �00 f�J �i'IddR5 52I�Q'IIf1S 52I�if19 L8�005�E9L %F�3 Cb�OT TO/LZ/Zt � . , PZ,AC . � . (3�aas �actory fireplaee � � • . Wood butning �bo�ry fireplace with flue ' �'Vvod Stove � Wood stove with flue � . Brand N P Model Na �� �G'/�!!/+� VENrILA1'XON . � No. Kitchen Exhaust � ducted rec,irc�ilating cfm ' No. Bath Exbaust (must be ducted oufside)�• � � �cfm � . . No. Other Fans: Locations� � � � � � � � cfim� � , FUEL STORAGE� (MUST�BE APFROYFi�:BY.T�Il2E MAR.SHAI.) . �- _' � : . . , : ,' • �1°�� ' ' �a 1�G171��'• • ':���:Ftir•tiJ`V2'n ir.r'!•;•Y' .. .a•. . �:• .. '.' ' , , . , , . , � ' . .�' ' • � y ' � ' ' � ' '�?11E1 Oil: . ' - .gall.OnS ':`;.• . . • �nside '` `.OulSi,d�e . •. • • � ViW� ��/j41 • • •^� • �• � • . .r� , ' ••�� 11_.i�Y�� • . . • � � . . . '.�• � � • •. • _ • ♦ �.I.J.t: �'t}-/f: ' � � �1• ,�•�•• �,���T•.� . .. . • s �y'•�� .�'�Q ..^ -�--�y. ' ., , , , . . .. , . . . '• .L''r�i,: , . . �•� • • • � • P'ERIVIIT.I�E�CAT:[`iTr.ATtON. .:;:•' .'•.;�;'•:}¢�:�;�sia.:tif• : , • '�.j ::r•.,..,.:: ' . _. -, • {-.�';�`;:+'. . � .ti •i: , : �. �' Y A", . �I . . � s � , .' 1. ' ' �.?.5�'Of CO�#L'SCt PYI.c�� Ot, �•�T+ � _ . .. , �',. ;'� ' . • ' . � • , ' ' '� •. :�:..: ;.. •`�+ : '.>. • '••.;�•r::-.• � .,.,;� � ', ��:Q / °':1:,.;�:��;�:•�r�° •�x .0125� � .$' '�n � � : _'' � � ' . • `. . ,',,: . . <: �:: �.•�.�.. .� . . •. . � . . ..�.: , • .'r.ia:::' a"-. -i. • �, ��•• ' � '�� l��l.:.�t.�„•: . • •r:' �.;�.,i�� ' :•,, : . . �•� �� •' • •�'`.•' t'• • : . �'.• :' ' • • -'• • . � , 2. � S1afie�S�l��gg,, Add tl�e S`t$be��ild�ng;�ode•Diyisiou;r:;; �.:,�;;=_;:';;=f;�.::;,>�.s;.:;;s�•::. . � . . , • , '�- �* , .C;i:,;:'� .�:ia•:i+ � .�/�/� .: rr: . .r. • \ '- ,•� Y"r'�`�"�:"' ' ! .�:: 'v•t) '*, ° '��� "'•'•�a�•.. _ • _— � . . �:� . .Ss �a:,�,?�e.p�'JSr�.�: P.. '4�-"�" .'rWV� 1.r t ise, ��• ' ' . • ..� i. .t`. r.�,-,!�'i��, ...Lw��'�!�'�,: .415 , ••ir:A�.:i..=• y, ,,,••• ••, �� . �y�. !�• ) .� , , `� ,w�F3;�/L�i•, , f i',. . . ._ . . .1. • �Y""�,•.',r= � •r ` ' • .VY�.�0 .�f/+++wa+v�W..L7.�1 i :,�a .tiXr�!N� ;t�. �.�t��: p �' `�r� � �; , • . '1`,,- ' • � • • . . . ,r�I•.•"r�%�.:. . � . ' r , `�• . iQu..a`�.�ilFi� (�y . " •. •,-�`^a�rN!av"", ' . , •� •`. `:w: �l'.JQ • . ,, ' .���a -:�.:.�i.^ e . . �. 4: � .TO�AL"PF'itt►�7't'�FF.� � �(Add Iia�s.x�3 afioiie) ';�_ , � � ' . • �;:$ :;�: : . . . ..• ��`l.'•: .•, . .. ' � . .. . :,�' :tir.�.:r': :� .��6�:.•'�.. .i .. • ..(,�`�' •�•` ' • � . . . , �. •s' �••i •• • S �i' _�•: • •• • '� � ' ' . . . .�. . � . * �•cori�i�,c7r`�tc�or JOB,cosr�s�6a�as�o=��ouar amoiio�'cbar�oa�r a�e�imiaea . � . . . � . �.`. �.��Y��•��� ,v�•����•Yi L1��•�W�WY�iV�,JY���w!rr'� . • � ♦ NNaa. ; i ♦ ,.T; , , . . .. .fOR'ibB WOIk�...If 8�/��C��lOX��t,,�8iC�11ID�S�.�ly'�B: ,'OW��OC �. ... • '. . ��i p�Gf p8t'Lyl'i1101�SOD8b�C ID�,d�1C Of SI1G�1'�IDS n1USL bC,��Cd.t�tbC.�COS«I�'� . . . � price for pei�mi�fe�purposes. In t�e'eve�oit�fis't m�ere is a dis�nite oa�e amorum't of ine job cosc,t1�e�ty may :. . requesc the submissiv�of a sig�aopy of the actasl eamtr•ux. ' . , • . • . . *'� The STA'I'E SURCHARGfi Ls.0005 of tHe eomract prlce uader$1,000�000 or $.50=wYiicflever u greatar. . . ,.,•.�,... , .:,.,�,�rFor•valit�tlous.Aver•$1,000,000 pll the,D�epa�[„��Impectional.Se�ic��fo�,�he_,Pri�ce::�:a.a��,rr-�`�-�•: ..,>.. , • . _ . .� . . � , . •i,�.;;F....�lr 1�;:ti:J�uit'C,"'.'i:!.� . + ' . ..�:i?'s••_. �era��. .� .21:�':.. , . . � • . �, . . . . � � :����,�F�1'he�under's�gned�he�bY$PPlies tio the:C�ty,for;issuance��,a.Mechaaicai�mit,,.ag�s.r.n•do all , : � work in strict accordance with the ordSma�ces of tl�e�Ciry and the regi�ations of the�M'mmesota � State Building Code, and cexti�ies that all statements made ori this application are complebe, tcue and correc� r Applicant's S�gnatute• � Date: Z g' � Approved By: Date: 500�j 1�'Iddf15 S?I�Q'lIf1S 52��if19 Lg80C$9C9L %V3 Et��OT TO/LZ/Zi ^ CITY OF ORONO APPLICATIOV FOR MECHANICAL PERMIT Box 66 (2750 Kelley Parkway) Crystal Bay, MN 55323 GENERAI,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 retum 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 inciuding 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. V4'tien 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�600. 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: ���'� L'.jG�C,�'�'rJr /i�j�C r Zip: Owner's Name: �'�¢�.,�� ��,�i Telephone lti'umber: Mailing Address: � City: Zip: Contractor's Name• _ � s s � Telephone Number: Mailing Address:�3�D� l�T � � Cit3':/��tr'�v:� ZiP:S�Z��/ SYSTEM DESCRIPTION HEATING SYSTEMS Quantity: Make: ModeL• Fuel: Flue Size: Input BTUs: Output BTUs: CFM: _ COOLING SYSTEMS � Quantity: Make: Model: Tons: H. Power r FIREPLACES � Gas factory fireplace Wood burning factory fireplace with flue Wood Stove Wood stove with flue Brand Name c��/,�'�'y�--ll�"l� Model No.,�/���� �-�1�� VENTILATION No. Kitchen Elchaust ducted recirculating cfm No. Bath Exhaust (must be ducted outside) cfrn 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 Minimum Fee ($35.00) , � x .0125 $ - (contract price) 2. State Surcharge. ** Add the State Building Code Division � Surcharge to each pernut. x .0005 $ or $.50, whichever is greater - (contract price) 3. Posta�e and Handlin� (Only mail-in applications) $ 1.50 4. 3'OTAL 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 mazket value of such items must be added to the estimated cost or contract price for pernut 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:/ � �1i11-� Date: � 1 e� Approved By: Date: