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HomeMy WebLinkAbout2001-P04752 - gas fireplace . .� CITY OF ORONO PERMIT 2750 Kelley Parkway- PO Box 66 Permit Number: Poa�s2 Crystal Bay, Minnesota 55323 Pe�mit Type: Mechanical Permits (952) 249-4600 Date Issued: iz�2si2ooi SITE ADDRESS: 3735 Livingston Ct Wayzata,MN 55391 PID: 17-117-23-34-0075 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. �5��� APPLICANT PE TEE SIGNATURE ISS DBYSIGNATURE � Conies: 1-File(SiQnitures Reauired). 1-Anplicant, 1-Month(v Renorts, 1-Assessins, 1-Finance Page 1 . _, • . , , " • crrYOFORorro ,�.rc�,�ov�oR�cgalv�cAt,r�nrr �c 66 (2?50�elley Parkway) � � . c��y, Mav ss.�� . � �75� . � GI�NFRAL II�TFORMATION . . • . i. You maY app1Y fiox mecbaa�cal pexm�ts by mail or i�a person a[ che Ciry offices. Applicatioa9 will be reviaaed and a peimit will be iss�ed withi�a 2 wacking'days. , 2. Permie cards w�l be seat by return mait after a revlew is cvm�leoe� PERMITS ARE NOT VALID UNTII, YOU RECEIVE A PERNQT. WORK MUS'P Ndf BBGIN UN1B,_IHE�ERMIT_CARD IS POSTEb ON , 'IHE JOB S1TE. 3. Mechamcal D - Complete calcttIations, daa�ss and spxjficatiu� are required for each'heating, v�tilation,hum�dlfication-deh�midific�rioa,s�ud air c.oadiaoning installarioa includ�ag haat loss/heat gaui . cal�ilar3na, design�. equiPment ratiqgs and id��.as en�rype.'man�er a�model. Data sl�all be pre�ed on fiorm pm�vided.. Ydead6cadan of a�d spec�ficadons foz water beal�ag�ent ' sba]1 also be pmvided. � � • • ' � ' ' . � 4_ R:�ca s�y new c�cdon or remodel�ag is iavolved. a sepuaoe bu�ldmg Permic mn�t bc obtaiaed. 5. ,All work must be done ia accordanoe wlth fhe Unifo�m Mecbsnical Code/Srate B�ilding Co&requmrenne�is. .- 6. . . All wozk miust be insp�ad(roof,h ia and�mal).•'f,a11249-0G00: 24hour.aotioe reqni�ed. : . : , . • 7. . Hous�'Heatmg Te�c•Re�ord m�st be submit�S befoi�e•�aal: • . • . '.- . � . .' •. • • " > , • . . • • . • . • . �nstivctions�'Cam�plete all;tcros on'this appli�fuon.••,Compate'the pecmnic fee_ Si��and date�the�: ' iNCOMPLE!'6 AYPLICATIQNS WII.1.NOT BB PROCE53B�.'If yaa have qaesttoas, ca11249-dG00: �' • Please che�k one: �New • •' 'Addition � • • • �Repair � ' Replace ' ' . , • • - • . _ .. •: •: �, . •. . �tesidr,atiel ' Comu�ezaal='•: °•'�:..• ' '• ' • � � '--�. _ _._ , . . , , • . . . • . . JOBS�;TE�..�'�5�7�✓.��= � �N. 'G�r3`�i�!• =��:.�� i ,� � � .Zi�p: ' � • _ . ' . . � Owner's Name:� � 'C.�s S'�' � ���'��' .�Tele�hone l�umber: � � � . � . � Mailing�Address: . . . .•, . � � =•_'• � (�ty:':=:� - �.,��. 7,�p:,�... � � " . �. � �'��'s.Nanie: ''y � � � oneNmnbecr:���.�:���,i�S�f�� 3 ' • .MaiHng Addt+ees:/�g�'./�Fy�f v���t'/`st�':, •(�ty:� �' � J�7�p: '��.Tl�/ ' ,� ' _ - . � , . . . . ._ . . . . . .. � . .�- - � � � � � � . � . • . � • ' • . :'f;'% , ::.�'• :::;•e ' , , ' �, ', ' •�'. • . . ' , ' . _-'.r,; ,`- � - . i . . ' . . . �?�; • ' . . > • • , •... . . .. . �EATIl�?G.S'YSTEMS � � � - . � . �-. :� . : . . � " .. . . ' :`_-+�� ' .- S . .. 1 . � ' .. .• . . •.Ri.� � .:.�� . • . . • � ' � • • . � J -�� �� ��w� � . . � j�� . , • ' ' •. • • . � r . t • • ' ' . •� � � . . . ...� . Mode1: � ,- - . � _ . � � .. . - . , . • - . .. , £vel: � � . � � � � � . � • ' . - Flue Size: . . . ' Input BTUs_ � � . . . � � . Output B1'Us: . � . . -' �!ak+.+•'�•'..: : _, ; ••;'� "'•��':„•' • ' .. . . . }�• �•+;••' :Nr�:•.y•;pi: •:� � ' � i N•' ;.l. :.r...., i . :' ' • ': •. .,s• .�/.�: �r. .,yr: .r LOOI_�IrtT•S11JaJii�iS � � • � " � .. . ;. . •�'�'::w:::':i�'��.� . ' ' �. , .. . , ��.�Y:�+:i° • . . . Q��Y- Make: . Model: Toris: _ � . � . H_ Power 900 C�j 1i'Iddf15 5�I�Q'IIRg 52I�f19 L�80C55C9L %�3 �b�Oi TO/LZ/Zi � - . . _ P • ' . � . Gas facwry firepla,ee � . " � ' Wood b"� factAxy fireplace with flue Wood Stove � . Wood stove with flue � � Bz�an�d Nam����/D,� —_ Model�o.��.� �O�'�/�9/�/ VENTII.ATION . Na. Kitchen Exbaust � ducted recirculating �cfm � . No. ' Bat��Exhaust '(must be dwct�d.outside)'. � ' cfm � � . , � No. Other Fans: Locations� . . . � � cfm . . . . �'[JEL ST�RAGE� (MUST�Bfi APPROVSU:BY.F�tE MARSHAL) ,��, : � � . � �- , _ . : " . ., .,.. � - . _ . � ....�i�l�lVlL • 1 �' yw�V�''� .�,��.fl��r��'vf1�ji�.:,v. . 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'J:�'''� ti � � : 4: �.'�O'TAI:�PEL�NIl��FEE ��(Add lii�es.;:�3�Lbo.�ej � . . .. �.� �t.`��;;;;.` , � • .• ' , ' . 1�.�.:�' . . , ' I • ' ' . ' • �'.".:' , ��'�;�e�Y� ::y' ' . :.�.. :•r�=�f�-'-'�'-•. . � • . .• �� . , • , � rt • �\.. � . ��,• . .. •Zf•�!Y�^�!'Y,•^ '-���-� �.�� .• ♦ ; '• � .�.��=r ' . . � • • • ' � �° 'CONTR�►CT PRICE ar.30B.COST m�ns dr�:�xnal'��dollu af�umt cbarged;fnr'die pecmtued • • , ' � ' ' + �•aor]�i�elniling a�ial�s;l�nb�,PmBt,`�:�'r•�iyed�cosrs.It is�e amn�i�o be chazged'stia`�ffiie''�aioo�r.;. . � a• � r� . . 3'a• y r k..'•+.-.d. . •r' i . -. • .fOI�:.W�[�C�. :��►�,�Q�;��'�,mS�IDII,2�P.�II1SbEd��O�s':Ti2�1�L Ot . . . , � ' 8II�/Of�f pfl![3►�ICeSO�b1C�Y�IIC'.Of 3aC�'7�S'mIISt bC 8�Q LO�L�'�COSt�t'�'�, ' , . . • ptkss-for permit fee purpoees. Txt the'Cverit t]iat�e is a dispate on�die amount a�'tl�e 3ob cost;th's taty may . requesc rlue snbmissio�of a sig,wed c�y of rh�acnial comaacc. , ' ' � , •, • , . ** The STATE SURCHARGE is.0005 of the eontraa price vader 51,400,000 or $.50=whi�chever Is�c- -. .'�r '•ti• �;..�..i�FO['11�.OVCt$1�����.C'd�'s�P'--�...��t`.�M",'�"'���'�.a�.^�:�?:��'F-��*h ' "�'s'r'-'•�"•' . .. •".. �p�,� .k,. ,..- .? a . •i �'Sn. • _ :n• , . .. , • . . . .. • •k•—::i�'.:A:`'�;'t'�}�-'?"'i����• , ... ' • • f.'�i�"r�i'�•:!T{`�' .-.Gl.\:�':... ,r . • ; - ';'''The ufldeTsig]O�ed heteby app]ieS t0 d�e t�ty,•:forvis5ua�ce•of.a M.Pr.hA,,;c��µ�;,:. ,.agne�g�,x,0.dp.all,,.;.;.,,�,;. � work in sdrict'accordancx with the ordi�oances of�e�City and the regula6ons��of'tlie�lV�ia�ne'sota ' State Building Code, and certifies that all statem�nts made ori this applXcarion arc complete, txue and correct. APPlacan�'s Signacure: Date: � � ¢' � Approved By: Date: L00 f�jj �i'IddR5 5iI�Q'IIf1S SiI�lifi9 LS80C5SC9L YV3 bi��OT t0/LZ/ZT CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT Box 66 (2750 Kelley Parkway) Crystal Bay, NIlv 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 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 Desi�ns - Complete calculations, details and specifications are required for each heating, ventilation, humidification-dehumidification, and air conditionina 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. V6 h�n 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 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 questions, ca11249-4600: Please check one: �New Addition Repair Replace � . Residential Commercial JOB SITE: ° �j� /it/ _ ,d;� � Zip: Owner's Name: %� � '� Telephone Number: Mailing Address: City: Zip: Contractor's Name y�,es �zr��s �,,o,a� Telephone Number: Mailing Address:/ Q �!S'! ��: �1 o City: �������i`—iK Zip: �'S��� 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 Nam���/D.� Model No. �/��-���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 F1RE 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 , (contracc price) 3. Postage 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 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 Permit, agrees to do all work in strict accordance with the ordinances of the City and the regulations of the Mirinesota State Building Code, and certifies that all statements made on this application are complete, true and correct. � � Applicant's Signature: ���4��=�'� � C— �C�-��� Date: � l�� Approved By: Date: , �'� Z z�`� �G/G ��r,�.�y