HomeMy WebLinkAbout2002-P05907 - gas fireplace CITY OF ORON PERMIT
� Permit Number:
2750 Kel��y Parkway- PO Box 66 P05907
Crystal Bay, Minnesota 55323 Permit Type: Mechanicai Permits
(952) 249-4600 Date Issued: 12�i3i2oo2
SITE ADDRESS: 3440 North Shore Dr
Wayzata,MN 55391
PID: 08-117-23-43-0019
DESCRIPTION:
Proposed Use: Residenrial
Permit Class: General
Perxnit Type: Mechanical Permits Permit Sub-type(s): Gas Fireplace
DETAILS:
Approved per resolurion#:
Separate permits required:
NOTICES/REMARKS:
Gas Line Only
FEE SUMMARY: Permit Fee: $ 71.56 Valuation: $ 5,725.00
State Surcharge Fee: $ 2.86
TOTAL FEE: $ 74.42
APPLICANT: Indoor Comfort Systems,Inc. (See Comme OWNER: David&Paula Lindberg
21646 Thames St NE 3440 North Shore Dr
Wyoming,MN 55092 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.
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APPLICANT PERMITEE SIGNATURE ISSUED BY SIG TURE
Conies: 1-File(SiQnitures Required), 1-Aunlicant, 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 pernuts by mail or in person at the City offices. Applications will be
reviewed and a permit will be issued within two working days.
2. Pernut 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 UNTII,THE PERMIT CARD IS
POSTED ON THE JOB SITE.
3. Mechanical Desiens-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
JOB SITE: ��� rVd�'�1 S�0 �'� C.��� Zip:
Owner's Name: �,.�;a-- Il� �,� Phone Number:
Mailing Address: City• Zip•
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Contractor's Name:��������'l��� ��S�p one Number: ��� `��� `p2g�C�
Mailing Address: �?/!o�{vT/�c1,vu..� �-- City: G-t/ c� � Zip: ���i��
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SYSTEM DESCRIPTION ' �
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HEATING SYSTEMS �
Quantity:
��;� Make:
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�: Model:
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Fuel:
�;:
, Flue Size: �
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� - Input BTUs:
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� ' Output BTUs: ;€
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_ CFM:
R.�� �
� COOLING SYSTEMS
Quantity: <�
Make:
�,; Model:
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Tons: �
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�:t; H.Power
k%.
'� FIREPLACES GAS LINE ONLY
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�Gas factory fireplace � Installing a Gas Line Only
.. ❑ Wood burning factory fireplace with flue
❑ Wood Stove -�
❑ Wood stove with flue ,;�
Brand Name Model No.
�� VENTILATION
rQt.y-.
$;":;
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��` 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) �I
�i
❑ Installation or ❑ Removal �
❑ Fuel oil: gallons ❑ underground ❑ inside ❑outside �
❑ LP Gas: gallons ��P
❑ 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; excludine 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 Pri�e* is .0125%of job with a Minimum Fee of($35.00) :,�
��,��� at� ��c�- �r� � �
S C�a- �„�,�,�.��� �rr��� /� � ���� X .oi2s $
�J�"- I • ( �,,l.,>l,'v Q �I,�i�4L'e-� a'YI(�Y'c3CE��- (contract price) `� ,,.{-t�/��imu�ty$31vLt�.
r Y'�(, 'ta �l'"�"' �' ,� ��`'1'�� �\,��5 tS � %'�'k'r�I r' K�c� E-�e
�;� �a 5 2. State Surchar�e. ** Add the State Building Code Division a Minimum Fee of($.50)
x .0005 $
(contract price) (minimum$.50)
3. Posta�e 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 V
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.
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**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 Deparhnent 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 NO CE SCHEDULED _����! ��/�.� � �'L�
PERMIT NO. G COMPLETED
ADDRESS ���G /U ,l�I ��
OWNER CONTR. �Yl��%D/" �C%n�{�r�f
TELEPHONE N0. _ ��( — o�� 1 — /� (Q a
� DESCRIPTION --- I��"�� Y/!'�{�Q � � S -� �yE
� 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 OS FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
W 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J10 PLUMBING FINAL ^ 36 FOUNDATIOWREMOVAL
� OWNERICONTRACTOR TO MEET YOU�YES_NO �
� COMMENTS: � � ` .f7n(
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� WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. O PHOTOTAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call forthe ne t inspection 24 hours in advance. (9152� 249-46��
OwnerlConUac n te:
Inspector.
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