HomeMy WebLinkAbout2004-P07291 - gas fireplace ♦ �
PERMIT
CITY OF ORONO Permit Number:
2750 Kelley Parkway - PO Box 66 Po�291
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued: 3i9i2oo4
SITE ADDRESS: 2655 Pheasant Rd
Excelsior,MN55331
P I D: 21-117-2 3-2 3-0005
DESCRIPTION:
Proposed Use: Residenrial
Perniit Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Gas Fireplace
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 35.00 Valuation• $ 2,600.00
State Surcharge Fee: $ 1.30
TOTAL FEE: $ 36.30
APPLICANT: DJ'S Heating&Air Conditioning OWNER: James&Cheryl 7ohnson
6060 Labeaux Ave 2655 Pheasant Rd
Albertville,MN 55301 Excelsior,MN 55331
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN SI'RICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPL[CANTPERMITEESIGNATURE � ISSUEDBYSIGNATURE
Copies: 1-File(SiQnitures 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 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 UNTIL THE PERMIT CARD IS
POSTED ON THE JOB SITE.
3. Mechanical DesiQns -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 Ue inspected(rough-in and final). Call (952)249-4600. 24-hour notice required.
7. House Heating Test Record must Ue suUmitted Uefore 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 ❑ Replac�"Residential ❑ Commercial
JOB SITE:��;' /�hfJs��v-� I��. Zip: .5�'333 i
Owner's Name: Cy ,-�/ ,�';h.�5'C��t/ Phone Number: qs�..y��_j��,��
Mailing Address: ahs� Ph�v.sv-�.� R� City: �J,f;,.-v� Zip: ��3;i
Contractor's Name: 17�'j N f;� - :. / Phone Number: 7,{3--yy�-�;���
Mailing Address: ��,«�,.�/�f�L� . ,,� City: �rG�r���;/I • Zip: 553���
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SYSTEM DESCRIPTION •
HEATING SYSTEMS
Quantity:
Make:
Model:
k: Fuel:
�:�,
Flue Size:
Input BTUs:
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� Output BT[Js:
;�;;;
�';i:_: CFM:
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COOLING SYSTEMS
Quantity:
Make:
�;� Model:
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Tons:
H.Power
FIREPLACES GAS LINE ONLY
C� ��Gas factory fireplace G��5 �S ❑ Installing a Gas Line Only
"' ❑ Wood buming factory fireplace wrth flue
'i:'"" ❑ Wood Stove
❑ Wood stove with flue
;�;;.'
Brand Name ���f�sa.� Model No. L</- G�
;;�
%;: VENTILATION
;,:
No. Kitchen Exhaust duct recalculating cfm
No. Bath Exhaust(must have duct outside) cfm
'�' No. Other Fans: Locations cfm
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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)
�.f,c�c.`�-� x .0125 $
(contract price) (minimum$35.00)
2. State SurcharEe. ** Add the State Building Code Division a Minimum Fee of($ .50)
x .0005 $
(contract price) (minimum$.50)
3. Posta�e and Handling (O�zly niail-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
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 fumished 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 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 Signatur���, �C�i�.,��.Gz./ �- Date: �%��
Approved By: Date:
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DATE TIME
CITY OF ORONO CALLED IN =^�� �
INSPECTION IC SCHEDULED
PERMIT NO. I CpMPLETED
ADDRESS a�7`7 f�,�u�r� /c�1�
OWNER CONTR. OJ S
TELEPHONE NO. 7!0 3 `� '�'1 7 �o(o I
� DESCRIPTION rP '
� 01 FOOTING 1 ECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 ECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 4/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP O6 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 PLUMBING FINAL 36 FOUNDATIOWREMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
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W� WORK SATISFACTORY:PROCEED PROJECT COMPLEfE
W ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORREG�T WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ppHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Ca11 for the n xt inspection 24 hours in advance. (g52) 249-4600
OwnerlCont��r n ite:
Inspector.
White CopyMspector's ile Canary Copy/Sfte Notice