HomeMy WebLinkAbout2007-P11290 - gas fireplace A _ PERMIT
CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: p11290
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued:
8/2/2007
SITE ADDRESS: 2680 Pheasant Rd Unit#
Excelsior,MN 55331
P��: 21-117-23-23-0020
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Pernut 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: $ 800.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 35.50
APPLICANT: Pracrical Systems OWNER: Matthew&Kathy Dolliff
4342B Shady Oak Rd. 2680 Pheasant Rd
Hopkins,MN 55343 Excelsior,MN 55331
THE UNDERSIGNED HERfiBY 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 RE UIREMENTS.
ANT PE EE SIGNATURE ISSUED BY SIGNAT
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
� � FOR CITY USr:ONLI'
' �j�� City of Orono
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��Q �,� P.O.Box 66 L)atc Rcceivai: _ Pcrmit#
�� 2750 Kcllcy Parkway
.� �'• �- �� Crystal Bay,MN 55323 Appro�ed By: Amount$:
�r�� �r�.o��� (952)249-4600 -- --
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CITY OF ORONO—MECHANICAL PERMIT
(All Commcrcial permits must hc approvcd by thc Building O�cial or lnspcctor a�nd/or Firc Marshall)
GENERAL INFORMATION
1. You may apply for mechanical pern�its by mail or in person at the City offices. Applications will
be reviewed 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 BECIN UNTIL THE
PERNI[T CARD IS POSTED ON THE JOB SITE.
3. � Mechanical Designs—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.
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 Apply)
�esidential ❑Commercial(Approval Required)
❑New ❑Additional ❑ Repairs ❑Replace
Job Site/Owner Information: �
i) //fc-�� � � � ,()
Site Address: v1�-l�l�.J _ � �}� �(�(,�.�L�" �(�.
Owner: ��A Mailing Address:
City: Zip:
Home Phone: Alternate Phone:
Contractor Information:
Contracto~� '�'��`3ct Person:
Kline Corp.
DBA: Practical Systems �/� rj �" ;J {, ��((�
Address: 4342B Shady Oak Road Bond#: r(,
Hopkins, MN 55343
City: g52-933-1868 3tion Date:
Phone: Alternate Phone:
❑ Insurance—Current:
1
� �
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
FIREPLACES
; ' Gas Factory Fireplace
❑ Wood Burning Fireplace
❑ Wood Stove
❑ Wood Stove With Flue
Brand Name: �.�.n� Model No.:_ ���
VENTILATION
❑ No. Kitchen Exhaust duct recirculating cfm
❑ No. Bath Exhaust(must have duct outside) cfm
❑ 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:
2
,
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PERMIT FEE CALCULATION�(S) �
BASED OFF - 2002 STATE STATUE
❑ Yes,this section applies
The replacement of a Residential fixture or ap�liance 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, if this applies; Cost of Permit $ 15.00
State 5urcharge $ .50
Mail-In Fee(If Applicable) $ I.50
Total Permit Fee $
PERII�T FE�CALCULATION S -JOBS QVER$SQt�� � �'�
If above does not apply;follow guidelines below:
I. CONTRACT PRICE * is 1.25°/o of contract price with a(Minimum Fee of$35.00)
�.(J � x.�125$ ��. �
(contract pricc) (minimum$3�.00)
2. STATE SURCHARCE **Add the State Bldg Code Div. Surcharge(Minimum Fec of 5.50)
---�� x .0005 $ •�� --
(contract pric�c) (minimum$ SO)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $
5, ~ �
• * 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 fumished by
the owner, tenant or any other party, the reasonable market value of such items must be added to the
estimated cost ar 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 STATF,SURCHARGF,is .0005 of the Building Department at(952)249-4600 for the price.
MECHANICAL PERMIT A�'F���:�"�`���.��r������t�' '. V.:::
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.
Applicant's Signature: � Date: g� a' ��
Reset Form
3
GY'� JY� OA TIME V
CITY OF ORONO cALLED IN �
INSPECTION N TICE SCHEDULED - -� �
PERMIT NO. �)D COMPLETED
ADDRESS ��0 ���'"'�
OWNER CONTR. /1�-�� ��''yl�
TELEPHONENO. �ia a3g ` z.�C�
� DESCRIPTION � �� '� S
� 01 FOOTING 11 MECHANICAL RI 8 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 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FO�LOW-UP
� 09 PLUMBING RI 23 SEPTIC FINA� 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEEf YOU:_YES_NO
v�, COMMENTS:
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W WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR W4LL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTIONREQUIRED.CAL�TOARRANGEACCESS.
Call for the n t inspection 24 hours in advance. (952) 249-4600
OwnedCon o ite:
Inspector.
White Copyllnspector's le Canary CopylSite Notice