HomeMy WebLinkAbout2002-P05471 - gas fireplace � � PERMIT
CITY JF ORONO Permit ►vumber:
275C+ Kelley Parkway - PO Box 66 Pos4�i
Crystal Bay, Minnesota 55323 Permit Type: Me�hani�al Pe�ts
(952) 249-4600 Date Issued: si6i2oo2
SITE ADDRESS: 3400 North Shore Dr
Wayzata,MN 55391
PID: 08-117-23-43-0016
DESCRIPTION:
Proposed Use: Residential
Pernut Class: General
Pernut Type: Mechanical Permits Permit Sub-type(s): Gas Fireplace
DETAILS:
Approved per resolution#:
Separate pernuts required:
NOTICES/REMARKS:
FEE SUMMARY: PermitFee: $ 35.00 Valuation: $ 875.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 35.50
APPLICANT: Automatic Garage Door&Fireplace OWNER: Kenath&Donna Stein
9210 Wyoming Ave.No. 3400 North Shore Dr
Brooklyn Park,MN 55445 Wayzata MN 55391
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 SfATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPUCANT PERMITGE SIGNATURE ISSUED BY SIGNATURE
Copies: 1-File(Sienitures Required). 1-Applicant, 1-Monthlv Reports, 1-AssessinQ, 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 BEGIN UNTIL THE PERMIT CARD IS
POSTED ON THE JOB SITE.
3. Mechanical Designs -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 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
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JOB SITE:3�OC3 ��> ���, ���.-� Zip: ��� I _
Owner's Name: �)��-���,_,,.,,oi c,� Phone Number: 1�,�/- �/S"/-9�3� � �
Nlailing Address: }�.p,Q,p� �gcjqq City•(ti3. S�-_Pa� Zip• �s�� �
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Contractor's Name: � f � Phone Number: 7Lo3-v/S-7S-U13
Mailing Address:��/O �J�p�.�;T.L?�,.P ,V City; �,c��,,�,h Zip: �SSyS�� .R'
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SYSTEM DESCWPTION
HEATING SYSTEMS
Quantity:
Make:
ModeL•
Fuel:
Flue Size:
Input BTUs:
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Output BTUs: "
CFM:
COOLING SYSTEMS
Quantity:
Make:
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Model:
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Tons:
H.Power
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"`'` FIREPLACES GAS LINE ONLY
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F,>Y:
� Gas factory fireplace ❑ Installing a Gas Line Only
Wood burning factory fireplace with flue
❑ Wood Stove
❑ Wood stove with flue
Brand Name Model No. �c���
VENTILATION
No. Kitchen Exhaust duct recalculating cfm
No. Bath Exhaust(must have duct outside) cfm
No. Other Fans: Locations cfm
FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL)
❑ Installation or ❑ Removal
❑ 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:
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)
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��7� x .0125 $
(contract price) (minimum$35.00)
2. State Surchar�e. ** Add the State Building Code Division a Minimum Fee of $ .50
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x .0005 $
(contract price) (minimum$.50)
3. Postage and Handlin� (Only mail-in applications) $ 1.50
4. TOTAL PERitiIIT 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,labor,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 Ciry 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: �—c� ��n'''�� Date:����✓� �
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Approved By: Date: `#
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTION TICE SCHEDULED
PERMIT NO. 7 COMPLETED
ADDRESS��� � � �,�"` /,��`
OWNER_�`j��I � CONTR.
TELEPHONE NO. '����Z I'— �7��
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� DESCRIPTION ��
� 01 FOOTING CHANICAL RI 18 EXCA�//CaRADING/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-SIT 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DE -FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
? LUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YE�_NO
� COMMENTS:
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W� ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
�CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALLTO ARFi�4NGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
OwnerlC tractor or�site:
Inspector. -
te Copyllnspector's Flle Ca ry CopylSite Notice