HomeMy WebLinkAbout2007-P11632 - gas fireplace • �" PERMIT
CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: pi 1632
Crystal Bay, Minnesota 55323 Permit Type:
Mechanical Permits
(952) 249-4600 Date Issued: 10/30/2007
SITE ADDRESS: 2660 Pheasant Rd Unit#
Excelsior,MN 55331
P��� 21-117-23-23-0022
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Mechanical Pernuts Permit Sub-type(s): Gas Fireplace
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
Installing two(2)gas fireplaces
FEE SUMMARY: Pernut Fee: $ 57.50 valuation: $ 4,600.00
State Surcharge Fee: $ 2.30
TOTAL FEE: $ 59.80
APPLICANT: Practical Systems OWNER: Gregory&Gayle Hayhurst
4342B Shady Oak Rd 2660 Phesant Rd
Hopkins,MN 55343 Excelsior,MN 55331
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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PLICANT P RMI IGNAT[JRE ISSUED BY SIGN
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
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NOR CITY USE O�ILY
`p A�,.,, City of Orono � /� (�
/���1;' `�`Q�� P.O.Box 66 Date Reccived:�1.�:_.l t%i Pcrnlit.n ���
� ��� 2750 Kcllcy P�rkway �� �ti,� (;'�'7 �
.� i x� Crystal Bay,MN 55323 Approvcd By: �i��f Amount$:,_,� �
�r ' y r '., v�/I (952)249-4600
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CITY OF ORONO—MECHANICAL PERMIT
(All Commcrcial permits must bc approvcd by thc Building Official or Inspcctor and/or Firc Marshall)
GENERAL INFORMATION
I. You may apply for meehanical permits by mail or in person at the City of�ces. Applications will
be reviewed and a permiY 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
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Mechanical Desi�rns—Complete calculations,details and specifications are required for each
heaYing,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.
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.
(24-48 hour notice required)
7. House Heating Test Record must be submitted before final.
TYPE OF PERMIT
(Check All That A 1
�esidential ❑Commercial(Approval Required)
❑ New �dditional ❑Repairs ❑Replace
Job Site/Owner Information:
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Site Address:
Owner: , C Mailing Address: �.(,�Q
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City: Zip: ����
, 7 — /(C�/CJ
Home Phone: ' Alternate Phone:
Contractor Information:
Con Kline Corp. Contact Person:
DBA: Practical Systems
Adc 4342B Shady Oak Road �tate Bond#: 1�?j �.J�(�
Hopkins, MN 55343
City 952-933-1868 ?xpirarion Date:
Phone: Alternate Phone:
❑ Insurance—Current:
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� � � MECHANICAL SYSTEMS BEING INSTALLED �
HEATING SYSTEMS
Quantity:
Make:
Model:
Fuel:
Flue Size:
Input BTUs:
Output BTUs: __ _
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H. Power
F[REPLACES
� Gas Factory Fireplace �.
❑ Wood Burning Fireplace
❑ VVood Stove
❑ Wood Stove With Flue �
Brand Name: �� �� _ Model No.: L � � v,�D ��I
_ �
VENTILATION � C. �1J�,3O1`��r
❑ No. Kitchen Exhaust duct recirculating cfm
❑ No. Bath Exhaust(must have duct outside) cfin
❑ No. Other Fans: Locations cfm
FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHALL)
❑ Installation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑ Inside ❑Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill ❑ Other/List What&Where:
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PERMIT P�EE CALCt1LATION(S)
BASED OFF - 2002 STATE STATUE
❑ Yes,this section applies
The replacement of a Residential fixture or a�pliance that meets all three of the following requirements:
l. 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 contraetor.
Skip next section, if this applies; Cost of Permit $ 15.00
State Surcharge $ .50
Mail-1n Fee(If Applicable) $ 1.50
Total Permit Fee $
PERMIT F'EE CALCULATI{�� S .-.,��B°�.C������t1�A0
If above does not apply;follow guidelines below:
1. CONTRACT PRICE *is 1.25%of ntract price with a(Minimum Fee of$�S�)
� 5 5�
' x.0125$
�ontract price) (minimum$35.00)
2. STATE SURCHARGE **Add the tate Bldg Code Div. Surcharge(!�tinimum Fee of$50)
/ �,�j�,
x .0005 $ ,� � �j..J"�
(contractpricc) (minimum$ .�0)
3. POSTAGE&HANDLING (Only on Mail-In Applications) $ 1.5Q
�- y� �1
4. TOTAL PERMIT FEE(Add Lines I-3 Above) $ �'��l/ ���� � �
• * 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 installations 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 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 sib ed copy of the actual contract.
■ **The STATG SURCHARGE is.0005 of the Building Department at(952)249-4600 for the price.
MECHANICAL PERMIT APPLIGATI(JN AGREEMENT
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 State of
Minnesota, and certifies that all statements made on this application are complete, true and
correct.
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Applicant's Signatu � Date: � V�
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Reset Form
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� CITY OF ORONO CALLED IN ,l J ".��"l �I��
INSPECTION I� E SCHEDULED ► �' ' ��
PERMIT NO. COMPLETED
ADDRESS �� �r ►�d� �
OWNER CONTR.��� ����
TELEPHONE NO. Q�Z `'�3� L b �0
� DESCRIPTION �
� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE
❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
� ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
? 0 PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
� ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W WORK SATISFACTORY:PROCEED PROJECT COMPLETE
� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. OPHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALIINSPECTOR
❑ INSPECTIONREOUIRED.CALLTOARRANGEACCESS.
Cail for the next' spection 24 hours in advance. (952� 249-46�0
Owner►Contra n it :
Inspector.
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