HomeMy WebLinkAbout2002-P05541 - gas fireplace - PERMIT
CI�Y OF ORONO Permit Number:
2750 Kelley Parkway - PO Box 66 P05541
Crystal Bay, Minnesota 55323 Per'mit Type: Mechanical Pernuts
(952) 249-4600 Date Issued: gi26i2oo2
SITE ADDRESS: 3751 Livingston Ct
Wayzata,MN 55391
P I D: 17-117-23-34-0082
DESCRIPTION:
Proposed Use: Other
Pernut Class: General
Pernut Type: Mechanical Pernuts Pernut Sub-type(s): Gas Fireplace
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 35.00 Valuation: $ 1,000.00
State Surcharge Fee: $ 0.50
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TOTAL FEE: $ 35.50
APPLICANT: Guyers Builders Supply OWNER: EaglecrestN.W.
13405 15th Aven North 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 SI'ATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLICANT PERMITEE SIGNATURE IS ED BY S[GNATURE �
Copies: 1-File(SiQnitures Required), 1-Applicant. 1-Monthlv Reports, 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
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GENERAL INFORMATION
1. You may apply for mechanical permits by mail or in person at the City offices. Applications will be
reviewed and a pernut will be issued within two working days.
2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID
UNTIL YOU RECENE 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 conditioning installation including 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. When any new construction or remodeling is involved, a separate building pernut 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). Call (952)249-4600. 24-hour notice required. e'
7. House Heating Test Record must be submitted before final.
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Instructions
Complete all items on this application. Compute the permit fee. Sign and date the certification.
INCOMPLETE APPLICATIONS WII,L NOT BE PROCESSED. If you have questions, call
(952) 249-4600.
Please check one: �New ❑ Addition ❑ Repair ❑ Replace [�Residential ❑ Commercial
JOB SITE: ���� �d/'N�.S��'�✓ ��' Zip•
Owner's Name: Phone Number:
Mailing Address: City: Zip:
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Contractor's Nam����s�dr���s ,oRy Phone Number: ��i.3 ���7��'
Mailing Address: /��5' /��'/9�' /� City: ���j��� Zip:
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SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity:
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Make: �
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ModeL•
Fuel:
Flue Size:
�: Input BTtls:
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�.'�' Output BTUs:
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�. CFM:
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� COOLING SYSTEMS
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� Quantity:
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Make: a
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Model:
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Tons:
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FIREPLACES GAS LINE ONLY
� Gas factory fireplace ❑ Installing a Gas Line Only
❑ Wood burning factory fireplace with flue
❑ Wood Stove
❑ Wood stove with flue
Brand Nam��i�C�i� Model No. /�� .���-D�l�.C/
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��'` VENTILATION
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F No. Kitchen Exhaust duct recalculating cfm �
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��", No. Bath Exhaust (must have duct outside) cfm
No. Other Fans: Locations cfm -�
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� FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL) �
a'� ❑ Installation or ❑ Removal
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n; ❑ Fuel oil: gallons ❑ underground ❑ inside ❑outside
;�� ❑ LP Gas: gallons
_ ❑ Other Gas opening
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PERMIT FEE CALCULATION(S)
2002 State Statute ❑ Yes This Section Applies `-
The replacement of a Residential fixture or appliance that meets all three of the following requirements:
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1) Does not require modification to electrical or gas service.
2) Has a total cost of$500.00 or less; excluding the cost of the fixture or appliance:
and
3) Is improved, installed or replaced by the homeowner or licensed contractor.
Skip next section; Cost of Permit $ 15.00
State Surcharge $ .50
Mail-In Fee $ 1.50
If above does not apply, follow guidelines below: �
1. Contract Price* is .0125%of job with a Minimum Fee of($35.00) �z
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/1�(�) �" x .0125 $ '
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(contract price) (minimum$35.00)
2. State Surchar�e. ** Add the State Building Code Division a Minimum Fee of($.50)
x .0005 $
(contract price) (minimum$.50) ;<�
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, y�
equipment,labor,or installation is fumished by the owner,tenant or any other party the reasonable market value of such items °s'
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'ob cost the Cit ma re uest the submission of a si ed co '�''
J � Y Y 9 gn py of the actual contract.
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**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 �
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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.
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Applicant's Signature: � � Date: ��Y' a`� �
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Approved By: Date: �`
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� �ATE TIME
CITY OF ORONO / CALLED IN
INSPECTION NOT � SCHEDULED "�
PERMIT NO. COMPLETED �- ` �
ADDRESS__ ���� � ��t�� �-i' •
OWNER CONTR. �"�► (.c�(�P�S
TELEPHONENO. � �D�,(���— �LD (.A �
� DESCRIPTION �C�,GQ�
� 01 FOOTING 11 MECHANICAL RI 18 EXCA4/GR DING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL 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
J 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/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W lVORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
��CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOfi REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
O STOP ORDER POSTED.CALL INSPECTOR
O INSPECTION REDUIRED.CALLTO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. (g52) 249-46��
Owner/ConUactor sit .
Inspector.
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