HomeMy WebLinkAbout2004-P07270 - gas fireplace .,
PERMIT
1"Y OF ORONO Permit Number:
.i0 Kelley Parkway - PO Box 66 Po�2�o
ystal Bay, Minnesota 55323 P2ft711t Typ@: Mechanical Permits
�52) 249-4600 Date Issued: 3ili2oo4
iITE ADDRESS: 525 McCulley Rd
Maple Plain,MN 55359
PID: 31-118-23-24-0012
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 Supply OWNER' Kenneth Turnham Etal Trustee
13405 15th Aven North � 525 McCulley Rd
Plymouth,MN 55441 Maple Plain,MN 55359
TT�UNDERSIGNID HIItEBY REQUESI'S PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIEED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND Sf ATE OF
MINNESOTA BUII.DING CODE REQU�TS.
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APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE
Conies: 1-File(SiAnitures Reauiredl. 1-Anplicant, 1-Monthlv Renorts. 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 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 BEG1N UNTIL THE PERMIT CARD IS
POSTED ON THE JOB SITE.
3. Mechanical Desi ris -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 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). Call (952)249-4600. 24-hour notice required.
7. House Heating Test Record must Ue suUmitted before final.
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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: ��/���v�L��i ��_ Zip:
Owner's Name:6���,�,�N lf��.- Phone Number:
Mailing Address: City: Zip:
Contractor's Name���it�s �i��,�r��d.�y Phone mber: ,�G,� ��5�����
Mailing Address:i �d S� /S��'�✓�/: City: acr��- Zip: ,S��S//
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SYSTEM DESCRIPTION •
HEATING SYSTEMS
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Quantity: �''
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s= Make:
Model:
� Fuel: �;
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'75:
�>., Flue Size:
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Input BTUs: '�
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Output BTUs: :t'_
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CFM: :t�
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COOLING SYSTEMS �
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Quantity:
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Make:
Model:
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J FIREPLACES GAS LINE ONLY ��
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'�'' Gas factory fireplace ❑ Installing a Gas Line Only `�a
� Wood burning factory fireplace with flue
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�; ❑ Wood Stove
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`°' Wood stove with flue
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Brand Name�1/ �cr�2!D�— Model No. � �Q
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F VENTILATION
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- No. Kitchen Exhaust duct recalculating cfm
'�"�" No. Bath Exhaust(must have duct outside) cfm
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�������. No. Other Fans: Locations cfm �
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FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL)
❑ Installation or ❑ Removal
❑ Fuel oil: gallons ❑ underground ❑ inside ❑outside r�'
�. ❑ 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:
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 $
r
(contract price) (minimum$35.00)
2. State Surcharge. ** Add the State Building Code Division a Minimum Fee of($ .50)
x .0005 $
(contract price) (minirnum$.50)
3. Posta�e and Handling (Only mnil-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 perrnitted 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 is fumished 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: 3 /
Approved By: Date:
3
✓
DATE TIME
CITY OF ORONO CALLED IN 3 _3 �`/(/
INSPECTION NOTICE ,.,y SCHEDULED � ��I-Cy'7 �T��
PERMIT NO.�["� �Z�Cl COMPLETED
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ADDRESS `� � ;'✓�� C c,��� ; � .l
OWNER CONTR. �J�-e i `� i-- C�
TELEPHONE N0. ��" _�7 (�- <<� 7/� r. ��
� DESCRIPTION ��
ly 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 19 LAKESHORE/WETLANDS
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Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 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
� OWNERICONTRACTOR TO MEET YOU:_YES�1V0
� COMMENTS:
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W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
� ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
O STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
O INSPECTION REOUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (95Z� Z49-46��
OwnerlContr o �ite:
Inspector. ���
White Copy/lnspector's File Canary Copy/Site Notice