HomeMy WebLinkAbout2002-P04936 - gas fireplace ventilation - PERMIT
L I TY O F O RO N O Permit Number:
2750 Kelley Parkway - PO Box 66 P04936
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Pernuts
(952) 249-4600 Date Issued: 3ili2oo2
SITE ADDRESS: 2660 Pheasant Rd
Excelsior,MN 55331
PID: 21-117-23-23-0022
DESCRIPTION:
Proposed Use: Residential
Pernut Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Gas Fireplace
Ventilation
DETAILS:
Approved per resolution#:
Separate pernuts required:
NOTICES/REMARKS:
make up air far cooktop exhaust/relocate misc hh runs for remode
FEE SU��MARY: Permit Fee: $ 35.00 Valuation: $ 1,500.00
State Surcharge Fee: $ 0.75
TOTAL FEE: $ 35.75
APPLICANT: Practical Systems OWNER: Gregory&Gayle Hayhurst
14226 Norden Dr 2660 Phesant Rd
Rogers, MN 55374 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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APPLICANT PERMITEE SIGNATURE ISSU BY S[GNATURE
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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 PERNII'I'
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
GEti`ERAL 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 2 working days.
2. Pernut 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 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 heatina equipment
shall also be provided.
4. When any new construction or remodeling is involved, a separate building permit must be obtained.
�. 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 473-7357. 24-hour notice required.
7. House Heating Test Record must be submitted before final.
Instructions Complete all items on this application. Compute the pemut fee. Sign and date the certification.
INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call 473-7357.
Please check one: New �� Addition Repair Replace
_� Residential Commercial
JOB SITE: # �; ��C"�� � �+ ;<<.{Zip:
Owner's Name: c�� �� :;t Telephone Number:
Mailing Address: City: Zipr
Contractor's Name: J'r u��{,c��t s y r>r,,�s Telephone Number: 7�.� �i��'� �d'��
Mailing Address: /��,.�,�6 /1r,i�;Qp:, C�� City: 0��'c�� �-.- Zip: S S .3��/
SYSTEM 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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t.'r
�ry� WOOD BURNING EQUIPMENT
Wood stove with flue
Wood combination or add-on
Factory fireplace with flue
Factory Fireplace (s) Freestanding Masonry �
Wood Stove (s) Franklin, other ~'�
Brand Name Model No. �'�
;�:r
Mfgr's Min., Clearances, side , rear , min. flue dia.
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VENTILATION
No. � Kitchen Exhaust � ducted recirculating �i%� cfm
�' No. Bath Exhaust (must be ducted outside) cfm '�'
No. Other Fans: Locations cfm
` L��': l� �J�' .Zr� S 1`� ��,':i: �'�c: (<<� �-/' /�; � 1z� C.���-�< `rc�, ��'/���°��
FUEL STORAGE (MUST BE APP�OVED BY FIRE MARSHAL)
`�'�'� Installation Removal
'���`' Fuel oil: gallons underground inside outside
LP Gas: gallons
�� Other Gas opening
PERMIT FEE CALCULATION
1. 1.25%o of Contract Price* or Minimum Fee ($35.00) �
�,�`�•�; x .0125 $
(contract price)
2. State Surchar� ** Add the State Building Code Division
Surcharge to each permit. x .0005 $
or $.50, whichever is greater (contract price)
3. Posta�e and Handlin� (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 dollaz 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 are 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 pernut 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
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State Building Code, and certifies that all statements made on this application are complete, true
`c� and correct.
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Applicant's Signature: .� , Date: � .� � ��
Approved By: Date:
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOT CE SCHEDULED `���� ' [.c�-�-�,y�
PERMIT N0. � COMPLETED �._
ADDRESS ��U ��C��SCc.� ��
OWNER CONTR. /''�c- �`c��/ S 'S' .
TELEPHONE N0.__ �[..�� .3 `��� ��v� C�
� DESCRIPTION � �
� 01 FOOTING 1 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
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
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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W��WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WIIL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALI INSPECTOR
❑ INSPECTION RE�UIRED.CALLTO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. (952� 249-46�0
Owner/Contra r on site:
Inspector. ��� ������
While Copy/lnspector's File Canary Copy/Site Notice
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTION TIC SCHEDULED -� �✓
PERMIT NO. O 3 COMPLETED '- '� �� �
ADDRESS � �
OWNER CONTR.
TELEPHONE NO. �Cc 3 �-�.S �2 �Io
� DESCRIPTION
lt� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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Q 03 INSULATION 24/2 RFI�R/FIREPLACE 34 TREE REMOVAL
Z 04 WAU.BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 OEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATIOWREMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
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W� ❑WORKSATISFACTORY:PROCEED �PROJECTCOMPLEfE
,�ORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
�
� O CORFiECT WORK,CALI FOR REINSPECTION TEMPORARY
V BEFORECONERING PERMANENT
❑CORRECTUNSAFECANDITIONWITHIN HOURS. O PHOTOTAKEN
INSPECTOR WILL REfURN
�STO�P ORDER POSTED.CALI INSPECTOR
O CITATION ISSUED
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-460�
OwnerlCon c r on site:
Inspector ����r/C
White Copyllnspector's Ffle Canary CopylSite Notice