HomeMy WebLinkAbout2002-P04939 - gas fireplace �
CITY OF R N PERMIT
� � � Permit Number:
2750 Kelley Parkway- PO Box 66 P04939
Crystal Bay, Minnesota 55323 Permit Type: Mech��at Per�ts
(952) 249-4600 Date Issued: 3�s�2oo2
SITE ADDRESS: 2684 Lydiard Ave
Excelsior,MN55331
PID: 21-117-23-23-0032
DESCRIPTION:
Proposed Use: Residenrial
Pernut Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Gas Fireplace
DETAILS:
Approved per resolution#:
Separate pernuts required:
NOTICES/REMARKS:
Total dba: Creative Fire Places
FEE SUMMARY: Pernut Fee: $ 35.00 Valuation• $ 1,500.00
State Surcharge Fee: $ 0.75
TOTAL FEE: $ 35.75
APPLICANT: Total Air Inc. OWNER: ��ew&Caroline Milne
1923 W Burnsville Pky 2684 Lydiard Ave
Burnsville,MN 55337 Excelsior MN 55331
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.
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APPLICANT PERMITEE SIGNA RE ISSUED BY SIGNATURE
Copies: 1-File(SiQnitures Required), 1-Anulicant, 1-Monthlv Renorts, 1-Assessin¢, 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 two working days.
2. Permit cards 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 T`HE PERMIT CARD IS
POSTED ON THE JOB SITE.
3. Mechanical Desi r�is-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. Identifica.tion of and specifications for water heating
equipment shall also be provided.
4. When any new construction or remodeling is involved, a separate building permit must be obtained.
5. All work must be done in accardance 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.
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
(952) 249-4600.
Please check one: ❑ New �Addition ❑ Repair ❑ Replace ❑ Residential ❑ Commercial
JOB SITE: Z6�S'� L �ic�'v� � Zip:
Owner's Name: % h� Phone Number:
Mailing Address Sa�e City: �a/-�n� Zip:
7��/,�r�
Contractor's Name: �'�.,�i'v� t-.� S Phone Number: �S��- �3G �-9,�3 3
Mailing Address: /�'2 3 G�/�tir�sv://�' �'i�.«�v City: /��,�-��s���% e Zip: �5�,3 7
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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��1'�'��r Model No. !� � (��C��
VENTILATION
No. Kitchen E�chaust duct recalculating cfm
No. Bath E�chaust(must have duct outside) cfm
No: Other Fans: Locations cfm
FiTEL STORAGE(MUST BE APPROVED BY FIRE MARSHAL)
❑ Installation or ❑ Removal
❑ Fuel oil: gallons ❑ underground ❑ inside ❑outside
❑ LP Gas: gallons
❑ Other Gas opening
2
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PERMIT FEE CALCULATION(S)
2002 State Statute ❑ Yes This Section Applies
The replacement of a Residential fixture or avpliance that meets all three of the following requirements:
1) Does not require modification to electrical or gas service.
2) Has a total cost of$500.00 or less; excludin�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)
�� ��'�� x .0125 $
(contract price) (minimum$35.00)
2. State SurcharEe. ** Add the State Building Code Division a Minimum Fee of($ .50)
x .0005 $
(contract price) (minimum$.50)
3. Postage and Handling(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, fabor,or installation is 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 Minnesota State Building Code,and certifies that all statements made on this
application are complete,true and correct.
Applicant's Signature: Date:
Approved By: Date:
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOT,I�,E SCHEDULED
P�RMIT NO. ��b�3� COMPLE ED oZ- I S OG�
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ADDRESS a
OWNER CONTR.
TELEPHONE NO.
� DESCRIPTION
� 01 FOOTING 11 MECHANICAL RI 16 WELL TEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING
� 03 INSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS
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Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FINAL 13 METER SET/TURN ON 17 SITE INSPECTION
� 07 DEMO—SITE ��'�WER HOOK-UP 06 PROGRESS
v 07 DEMO—FINAL ��27 SEPTIC MAINT. 21 COMPLAINT
= 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
J 10 PLUMBING FINAL 23 SEPTIC FINAL
Q OWNERICONTRACTOR T ME YO :_YE NO
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O ❑ CORRECT WORK,CALL FOR RE�NSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. - pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR - CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73�J7
OwnerlContracto n s' e:
Inspector.
White Copyllnspector's File Canary CopylSite Notice
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J DATE TIME
CITY OF dRONO � CALLED IN
INSPECTION TICE SCHEDULED �'(� �'u
PERMIT N0. � COMPLETED �� �1
ADDRESS L ��G..�C� � �
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OWNER CONTR. �311 c-t %�c. i�
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TELEPHONE NO. �'S "'� '3 G� y -).���
� DESCRIPTION � I� �/�(/G-- p�- S I fr�i,/C
� 01 FOOTING 11 MECHANICAL RI 18 EXCA�I/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q O5 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
? 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUM8ING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU: YES_NO
� COMMENTS:
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�ORKSATISFACTOAY:PROCEED ❑PROJECT COMPLETE
❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORFiECT WORK,CALL FOR REINSPECTION TEM PORARY
V BEFORE COVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION RE�UIRED.CALL TO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. �95Z� Z49-46��
OwnerlContractor ite-
Inspector
White Copy/lnspector's File Canary CopylSite Notice