HomeMy WebLinkAbout2002-P05010 - gas fireplace CITY F R N PERMIT
O O O � Permit Number:
275Q,Kelley Parkway- PO Box 66 Posoio
Crystal Bay, Minnesota 55323 Pe�mit Type: Mechanical Pernuts
(952) 249-4600 Date Issued: aisi2oo2
SITE ADDRESS: 2685 North Shore Dr
Wayzata,MN 55391
P I D: 09-117-23-42-0004
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Mechanical Permits Pernut Sub-type(s): Gas Fireplace
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 42.16 Valuation• $ 3,373.00
State Surcharge Fee: $ 1.69
TOTAL FEE: $ 43.85
APPLICANT: �'oodland Stoves&Fireplaces OWNER: lames&Sharon Walker
1203 Washington Ave. S. 2685 North Shore Dr
Minneapolis,MN 55415 Wayzata MN 55391
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.
APPLICANT PERMITEE SIGNATURE IS SIGNATURE
Copies: 1-File(Si�nitures Required), 1-Atmlicant, 1-Monthlv Renorts, 1-Assessine, 1-Finance Page 1
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CITY OF ORONO APPLICATION FOR MECHANICAL PEI2NIIT `
Box 66 (27�0 Kelley Parkway) ��
Crystal Bay, MN 5�323 � ����
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GENERAL INFOR1�iATION `
1. You may apply for mechanical permits by mail or in person at the City offices. Applications will be
re��iewed and a permit will be issued wichin 2 working days.
2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID UNTIL
YOC`RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON
THE JOB SITE.
3. Nlechanical Desians - Complete calculations, details and specitications are required for each heaCin�,
ventilation, humidification-dehumidification, and air conditioning installa[ion including heat loss/heat gain
calcula�ion, design temperatures, equipment ratings and identification as [o rype, manufac[urer and model.
Da�a shall be presented on form provided. Identification of and specitications for water heating equipment
shall also be provided.
4. When any new construction or remodelin' is involved, a separate building permit must be obtained.
�. Ail work must be done in accordance wi[h the Uniform Mechanical Code/State Building Code requirements.
6. All work must be inspected (rough-in and final). Call 249-4600. 24-hour notiGe required.
7. House Hea�ing Test Record must be submined before final.
Instructions Compiete all items on this application. Compute the permit fee. Si;n and date the certifica[ion.
INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call 249-4600.
Please check one: New Addition Repair Replace
Residential Commercial
JOB SITE: � R /��,��_S�I,f�2.Q_�JZ . V I`�0 i1,h Zip:
Owner's Name: ��,��{.�p� elephone Number:
11-Iailing Address: City: Zip:
Contractor's Name: .�� �.�, Telephone Number: (pj�—3 3�- o(pU�p
NlailingAddress: /a,p"3 ��" �r-E S City: 1'h,,�� Zip: 55�f/�
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SYSTENI DESCRIPTION
HEATING SYSTEMS
Quantity:
Make:
Model:
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H. Power
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FIREPLACES
� Gas factory fireplace
Wood burning factory fireplace with flue
Wood Stove +
Wood stove with flue
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Brand Name �� ,3'���,�� �C Model No. �7(� ,j , �r'Ir"�h'�
::i-��� �t�X 3��7�'v L�-C � �'u-���='���,��- � u� i�-�r� v"�L�� � m
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VENTILATION
No. Kitchen E�aust ducted recirculating cfm
No. Bath Exhaust (must be ducted outside} cfm
No. Other Fans: Locations cfm
FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL)
Installation .Removal
Fuel oil: gallons underground inside outside
LP Gas: gallons
Other Gas opening
PERI�IIT FEE CALCULATION
l. 1.25% of Contract Price�` or Minimum Fee ($35.00)
� ���� X .o12s � y�-�� � ��_
(contract price)
2. State Surchar�e. �`* Add the State Building Code Division '
Surcharge to each permit. ��37`�j x .0005 $ � , (p q
or $.50, whichever is greater �concrac�price)
3. Postaae and Handlin� (Qnly mail-in applications) $ �_�
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ �����
* CONTRACT PRICE or JOB COST means [he actual or estima�ed dollar amount charged for the permitted
work incluuing 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 parry 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, [he City may
request the submission of a signed copy of the actual contract.
'��` The STATE SURCHARGE is .0005 of[he 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 stater�ents made on this application are complete, true
and correct.
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Applicant's Signature: Date: �� �J��
Approved By: Date:
� DATE TIME
CITY OF ORONO CALLED IN � �
INSPECTION NOTI _ �(� SCHEDULED
PERMIT N0. COMPLETED
ADDRESS � S� I� � � P
OWNER CONTR. �F'Z� �' �
TELEPHONE NO. �II�, � ��`�f— �I �I ��
� DESCRIPTION �l 1�� ����,° 1 � Tl-�—
� 01 FOOTING i t MECHANICAL RI 18 EXCA�//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 O5 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
� OWNERICONTRACTOR TO MEET YOU:�YES_NO
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W RKSATISFACTORY:PROCEED ❑ JECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ISSUE IFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEM ARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDEFI POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARFANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-46��
OwnerlContractor n site:
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ite Copy/lnspector's File Canary CopylSite Notice
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NO ICE SCHEDULED ; '� /I%34�rG1
PERMIT NO. COMPLETED
ADDRESS ��8� � � _-rt �S�o�e.
OWNER CONTR. ��7u.r'cc� . QC-�.
TELEPHONE N0. �C� �J Cv��' cI/�/
� DESCRIPTION �/ �/e� %C�;�=J�'
� Ot FOOTING 7�IofECHANI I 18 EXCA�//GRAD�NG/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 05 FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPIAINT
v 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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� �/AORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
W�CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN ❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours' dv . (g52 49-46��
Owner! tractor on site:
Inspector.
Whit Copyllnspector's File Canary CopylSite Notice