HomeMy WebLinkAbout2005-P08340 - gas fireplace PERMIT
CITY OF ORONO
2750 Kelley Parkway- O Box 66 Permit Number: P08340
Crystal Bay, Minnesota 5323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued: 1/4/2005
SITE ADDRESS: 565 Orono Oaks Dr
ng Lake,MN 55356
PID: 35-118-23-33-0008
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: Pe 't Fee: $ 35.00 Valuation: $ 1,500.00
Stat Surcharge Fee: $ 0.75
Misc.Fee: $ 1.50
TOAL FEE: $ 37.25
APPLICANT: Westair Inca OWNER: John Dalbec
11184 River Road N.E. 1565 Orono Oaks Dr
Hanover, 55341 Long Lake MN 55356
THE UNDERSIGNED HEREB REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL we RK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING COD REQUIREMENTS.
ii.d. VA ,e,, ernt.d.,. .. ile
APPLICANT PERMITEE S GNATURE IdSUED BY SIGNATUREIII
Conies: 1-File(Sisnitures Reciuir ), 1-Applicant, 1-Monthly Reports, 1-Assessine, 1-Finance Page 1
CITY OF,ORONO APPLICATION FOR MECHANICAL PERMIT
Box 66 (21750 Kelley Parkway)
Crystal Bay, MN 55323
GENERAL F RMATION
1. You ma apply for mechanical permits by mail or in person at the City offices.Applications
will be viewed 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 RECEIVE A PERMIT.WORK MUST NOT BEGIN UNTIL THE
PERM4 CARD IS POSTED ON THE JOB SITE.
3. Mech. 'cal Desi i s-Complete calculations,details and specifications are required for each
heating, entilation,humidification-dehumidification,and air conditioning installation
includin_heat loss/heat gain calculation,design temperatures,equipment ratings and
identification as to type,manufacturer and model.Data shall be presented on form provided.
Identific;tion of and specifications for water heating equipment shall also be provided.
4. When . new construction or remodeling is involved,a separate building permit must be
obtained
5. All wor i must be done in accordance with the Uniform Mechanical Code/State Building Code
require -nts.
6. All work must be inspected(rough-in and fmal).Call(952)249-4600.24-hour notice
required.1
7. House Hating Test Record must be submitted before final.
Instructiois
I
l
Complete aitems on this application. Compute the permit fee. Sign and date the
certificatio . INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you
have questi ns,call(952)249-4600.
Please chec one: 45 Addition Repair Replace
sidential Commercial
JOB SITE: ‘905 D 1 I 1 Q at> Zi-:
Owner's Na I.e: MO t qA , (Fotc Phone Number: 1 b - 32-3—1 319 3—
Mailing Ad. ess: City: Zip:
Contractor' Name:\NVn
--- PhoneNumber: 1,b3' b- bI
Mailing Add ess: t 1g & . City: zip: ►-t'r
SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity:
Make: j ir
WV
Model:
Fuel: t
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H.Power
FIREPLACES
IGas flictory fireplace
Wood burning factory fireplace with flue
Wood Stove
Wood stove with flue
r l
Brand Name 4P�'f n- l,1 l 0 Model No. S—
VENTILATI I N
No. i 'tchen Exhaust duct recalculating cfm
No. :ath Exhaust(must have duct outside) cfm
No. a ther Fans:Locations cfm
FUEL STO' GE(MUST BE APPROVED BY FIRE MARSHAL)
Installatio or Removal
Fuel oil: gallons underground inside or outside
LP Gas: gallons
Other Gas opening
PERMIT l'EE 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;excluding 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)
Ii k)C) x.0125 $ 36 , Du
(contract price) (minimum$35.00)
2.State SurcIaree.**Add the State Building Code Division a Minimum Fee of($.50)
ISUO x.0005 $ . '1c
(contract price) (minimum$.50)
3.Postaee and Handling(Only mail-in applications) $ 1.50
4.TOTAL PRMIT FEE (Add lines 1-3 above) $ � I
*CONTRACT P CE or JOB COST means the actual or estimated dollar amount charged for the permitted work
including materia ,labor,profit,and other fixed costs.It is the amount to be charged to the customer for the work
done.If any mate 'al,equipment,labor,or installation is furnished by the owner,tenant or any other party the
reasonable marked 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 S RCHARGE 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 h-reby applies to the City for issuance of a Mechanical Permit,agrees to do all work in strict
accordance with - : • 1:•ces of the Ci :•• i -gulations of the Minnesota State Building Code,and certifies that
all statements mad•on this appli •'.n:: - complete, ,i • • correct ii 111-1
n J,
Applicant's Si: -ture: I1A ,gb,M1I 1 / Date: 1, 1 U—
Approved By: Date:
7
D•TE TIME
CITY OF ORONO CALLED IN'/ _ 655
INSPECTION NOTI((SS� pp u SCHEDULE d�/V5- .co
PERMIT NO. C .� ''/ r' ��O COMPLETED
ADDRESS / V5iC U O--k S
OWNER CONTR. A.4,54-470.
TELEPHONE NO.
DESCRIPTION Rs -4-- 41/Z
W 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
U..
Q 02 FRAMING 13 MECHANICAL FIN 19 LAKESHORE/WETLANDS
Q03 INSULATION 24/25 WOOD B NER/FIREPLACE 34 TREE REMOVAL
• 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
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
IQ 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
o COMMENTS
cc
L„, "Pt,iefracie, --- ( 0 K
cc
o
cc
a
IL
LIJ
CC
Q
W
Z
W
IZ
d
W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
CCW
❑ CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
c BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. LI PHOTO TAKEN
INSPECTOR WILL RETURN
ElSTOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for thext inspection 24 hours in advance. (952) 249-4600
Owner/Contr� site:
Inspector. Gl t,(/1
White Copy/Inspector's File Canary Copy/Site Notice
CITY OF ORONO CALLED IN I- IY-05—
DATETIME
INSPECTION NOT Ep,, SCHEDULED /i9-o� /O'30
PERMIT NO. O p✓�0 COMPLETED �1
ADDRESS /37o5 Oeacio I2-k.S
OWNER CONTR. (/"LS ea-
TELEPHONE NO71 &!9' toTi!
DESCRIPTION eL MQ2(1/7l.Qr/C_P"
• 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
h 03 INSULATION 24/25 WOOD BURN 34 TREE REMOVAL
• 04 WALL BD. 12 WATER HOOK-U• 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
IL 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
OWNERICONTRACTOR TO MEET YOU: YES_NO
ccl• COMMENTS:
cc
j
®4
cc
W
cc
cc
d
W: WORK SATISFACTORY:PROCEED PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
C ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORE COVERING
PERMANENT
O CORRECT UNSAFE CONDITION WITHIN HOURS. 0 PHOTO TAKEN
INSPECTOR WILL RETURN
0 CITATION ISSUED
0 STOP ORDER POSTED.CALL INSPECTOR
0 INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call forth t inspection 24 hours in advance. (952) 249-4600
OwnedContr o ite:
Inspector.
White Copyllnspector's FiI Canary CopylSite Notice