HomeMy WebLinkAbout2005-P09286 - gas fireplace PERMIT
CITY�OF ORONO
273� Kelley Parkway- PO Box 66 Permit Number: P09286
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Pernuts
(952)249-4600 Date Issued:
10/11/2005
SITE ADDRESS: 2605 North Shore Dr Unit#
WAYZATA,MN 55391
P��� 09-117-23-42-0002
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Pemut Type: Mechanical Perxnits Pemut Sub-type(s): Gas Fireplace
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 61.25 valuation: $ 4,900.00
State Surcharge Fee: $ 2.45
Misc.Fee: $ 1.50
TOTAL FEE: $ 65.20
APPLICANT: River City Sheet Metal Inc. OWNER: J D JEROME&S K JEROME
8290 Main St.NE 2605 NORTH SHORE DR
Suite 39 WAYZATA MN 55391
Fridley,MN 55432
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK 1N STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLICANT PERMITEE SIGNATURE SUED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
.
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� EOit CITY USE'ANLY
f%"'��'�,,,0,� City of�rono
P.O.Box 66 Date Received: Permit�
'�� ��`�' 2750 Kefley Parkway
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�a ,�y'+>X r.� CrVstal Bay,MN 55323 Approved By Amount$[
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CITY OF ORONO—MECHANICAL PERMIT
(All Commercial permits must be approved by the Build�ng Official or Inspector and/or Fire Marshall)
GENERAL INFORMATION
1. You may apply for mechanical permits by mail or in person at the City offices. Applications will
be reviewed and a permit will be issued within two working days.
2. Permit cards will be sent by retum mail after a review is completed. PERMITS ARE NOT
VALID UNTIL YOU RECENE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERMIT CARD [S POSTED ON THE JOB SITE.
3. Mechanical Desi�ns—Complete calculations,details and specifications are required for each
heating,ventilation,humidification-dehumidification,and air conditioning instailation including
heat loss/heat gain calculation,design temperatures,equipment ratings and identification as to
type,manufacturer and model. Data shall be presented on form provided.
4. When any new construciion or remodeling is involved,a separate builcling permit must be
obtained. '
�. All work must be done in accordance with the Uniform Mechanical Code/State Building Code
requirements.
6. All work must be inspected(rou'gh-in and final). Call(952)249-4600.
(24-48 hour notice required)
7. House Heating Test Record must be submitted before final.
TYPE OF PERIVIIT '
'` (Check All That A lv -
�Residential ❑Commercial(Approval Required)
❑ New �Additional {���t/t►4�OLi ❑Repairs ❑Replace
Job Site/Owner Information:
Site Address: �� 0 5 No rc,+h �?0124 �(L�
Owner: �01�r� .�2�A►'�7C� Mailing Address: SArn �
City: C�/�p n c� Zip:
Home Phone: 9 S�— �� 5 -31 ay Alternate Phone:
'Contractor Infortnation:
Cor�q�rCity Sh�t Metai, InC. Contact Person: C h t'� S�Wpp
8290 Main St. N.E., Suite 39
Address:Ffldl , State Bond#:
�)754-2199 Fax (763)75�0$ Expiration Date:
Phone: Alternate Phone:
❑ Insurance—Current: VJ e - SE'CtA.6���'l{-
1 �c\a,�los — �t�a��o(o a
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1 � ' '����`.' �..„.;.���i,,,�` *����f�,�"�s�€��.1J'�� �.+����� ���%'� X�::;
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HEATING SYSTEMS
Quanrity:
Make:
Model:
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H.Power
FIREPLACES
�a� ,� Gas Factory Fireplace � 'n S p�t S
❑ Wood Buming Fireplace
❑ Wood Stove
❑ Wood Stove With Flue
�a� Brand Name: �A� Model No.: LK ��U V 30 R F�V
VENTTLATION
❑ No. Kitchen Exhaust duct recirculating cfin
❑ No. Bath Exhaust(must have duct outside) cfm
❑ No. Other Fans: Locations cfm
FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHALL)
❑ Installation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑ Inside ❑ Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill ❑ Other/List What&Where:
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❑ 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,if this applies; Cost of Permit $ 15.00
State Surcharge $ .50
� Mail-In Fee(If Applicable) $ 1.50
Total Permit Fee $
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�. ,-f; '• 2 :TQB�:`�J �����,.-� ����:
v 4:� a. � �, � .
If above does not apply;foilow guidelines below:
1. CONTRACT PRICE *is 1?5%of contract price with a(Minimum Fee of$35.00)
y9oo , oo X.o��S $ (� �� a�
(contract price) (minimum$35.00)
2. STATE SURCHARGE **Add the State Bldg Code Div.Surcharge(Minimum Fee of�.50)
y�ba, o � X.000S $ a. �5 �
(conuact price) (minimum$ .50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ � s �a�
■ * 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 installations 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 ofthe Building Department at(952)249-4600 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 State of
Minnesota, and certifies that all statements made on this application are complete, true and
correct.
Applicant's Signature: � Date:��G�D.j
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CITY OF ORONO CALLED IN �
INSPECTION TIC SCHEDULED '
PERMIT NO. � � � COMPLETED
ADDRESS o��pOJ� /U�'7�l S�Z� �1v _
OWNER CONTR.
TELEPHONE NO. 7�.3 7�7' Z� [ �
� DESCRIPTION II� ��T � � v'�X �Y► ��
ty 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 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 ING FINAL 36 FOUNDATION/REMOVAL
� O NERI NTRACTOR TO MEET YO : YES NO
y MENTS:
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W ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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� O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
�NSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Caii for the next inspection 24 hours in advance. (952) 249-4600
OwnerlContractor o ' e.
Inspector. �
White Copyllnspector's File Canary CopylSite Notice
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j�� �,���f DATE TIME �
�CITY OF ORONO �� CALLED IN ( g
INSPECTION NOTICE SCHEDULED �1 Z ' �_��d
PERMIT NO.P(')`j'��'� COMPLETED � - � �
ADDRESS � ��-�� ,� �/�
OWNER CONTR. j "
TELEPHONE NO. ��� �3� ' ���
� DESCRIPTION � �(�.�-� �����a-� .�l/IS�1��S
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/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 05 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
� 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU: YES_NO
� COMMEN S: ��
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�✓��ORK SAT�SFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑ ORRECT WORK&PROCEED r ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. �; pH0T0 TAKEN
INSPECTOR W{LL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
C INSPECTION REQUIRED.CALLTOARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� 249-46QQ
OwnerlContractor on ite:
Inspector. �,! � �
White Copyllnspector's File Canary Copy/Site Notice