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Home My WebLink About2005-P08963 - gas fireplace CITY CaF ORONO PERMIT 2750 Kelley Parkway- PO Box 66 Permit Number: p08963 Crysta�Bay, Minnesota 55323 Permit Type: Mechanical Permits (952) 249-4600 Date Issued: 7/15/2005 SITE ADDRESS: 2725 Pheasant Rd Unit# Excelsior,MN 5533] P�� 21-117-23-23-0024 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: Permit Fee: $ 35.00 valuation: $ 1,523J6 State Surcharge Fee: $ 0.76 TOTAL FEE: $ 35.76 APPLICANT: Owner/Self OWNER: Thomas&Daryl Seifert MN 2725 Pheasant Rd 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. � ,� ��-<_ �� Cel� � r APPLICANT PE SIGNA ISSUED BY SIGNATURE Copies: 1-File(Signatures Required), 1-Applicant, I-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 / FOR CITY USE ONLY ,�` City of Orono ' � 4��`►' P.O.Box 66 Date Received: Permit# ��;, � � 2750 Kelley Parkway � � � ;�j'�.'��i-= � Crystal Bay,MN 55323 Approved By: Amount$: � �^ "��!�,�.�a (952)249-4600 �'sexo� � CITY OF ORONO`—MECHANICAL PERMIT (All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall) GENERAL INFORMATION 1. You may apply for mechanical pernuts by mail or ui person at the City offices. Applications will be reviewed and a pernut 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 RECEIVE A PERMIT. WORK 1VIUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Desi�ns—Complete calculations, details and specifications are required for each heating, ventilation,humidification-dehunudification, and air conditioning instaliation 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 consriuction or remodeling is involved, a separate building pernut 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) �.Residential ❑ Commercial(Approval Required) ❑ Ne�v ❑ Additional ❑ Repairs ❑ Replace � Job Site/ Owner Information: Site Address: °Z � a S (/ � p 4 s 4 " t �o c� G� Owner:�f7 v u+ *s �- �< <� T�`' � Mailing Address: City: �v- o t� v Zip: j � 3 � / Home Phone: C/ �2 —�I� �� e y Alternate Phone: � /� � �� — �6Q / Contractor Information: Contractor: Contact Person: Address: State Bond#: City: Zip: Expiration Date: Phone: Alternate Phone: ❑ Insurance—Current: \ 1 � ki , �� -�;:,. . :,. .. ,. .�� _ , \ MECHANICAL SYSTEMS BElNG 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 Naine: !j �C s �� Model No.: �v �� K �� VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfm ❑ I`To. 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: � , I ' � �, . PERMIT FEE CALCULATION(S) . BASED OFF - 2002 STATE STATUE ❑ Yes, this sectioi7 applies The replacement of a Residential fixture or appliance that meets all three of the following requirements: 1. Does not require modification to elecn�ical or gas seivice. 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 conn-actor. Skip next section, if this applies; Cost of Pernut $ 15.00 State Surcharge $ .50 Mail-In Fee(If Applicable) $ 1.50 Total Pernut Fee $ PERMIT FEE CALCULATION(S)—JOBS OVER $500.00 If above does not apply; follow guidelines below: 1. CONTRACT PRICE *is 1.25%of connact price with a(Minimum Fee of$35.00) � � � � . � 6 X.oi2s � (contract price) (minimum 535.00) 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50) / 1 � � • 7� x.0005 $ � (contractprice) (minimum$ .50) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ■ * CONTRACT PRICE or JOB COST means the achial or estimated dollar amount charged for the pernutted work including materials, labor,profit, and other fixed costs. It is the amount to be charged to the customer for tl�e 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 pernut fee puiposes. 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 .000� of the Building Department at(952) 249-4600 for the price. MECHANICAL PERMIT APPLICATION AGREEMENT The undersigned hereby applies to the City for issuance of a Mechanical Pernlit, 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 a�plication are complete, true and correct. Applicant's Signature: ` Date: � � � /� � / 3 � � Yi �� '',�� ✓ ��,��ll DAJ�r�. TIME CITY OF ORONO CALLED IN �� INSPECTION NC�,T,I��3 SCHEDULED 7-7 L-�D.� O' PERMIT NO. � COMPLETED ADDRESS � 7a. s lT��'C ^� OWNER ��'►1 tS'�'`�-�`- CONTR. TELEPHONE NO. ��Z 33� �(�D� o�F'tce� �''�j2 `�7� —D�D� � DESCRIPTION �� r�' �``� L� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS ti Q 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 06 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 FOUNDAT�ON/REMOVAL � OWNERICONTRACTOR TO MEET YO : YES NO � COMMENTS: � W a � J O � � O � W � Q � Z W � W � � d W WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE � ❑CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the nex 'nspection 24 hours in advance. �952� 249-4600 Owner/Con it : Inspector. � White Copy/lnspector's File Canary CopylSite Notice E/� ✓ ��DATj�/J TIME CITY OF ORONO CALLED IN �� INSPECTION N IC Q SCHEDULED b � �� PERMIT NO. D i COMPLETED ADDRESS �° OWNER� CONTR. TELEPHONE NO. C� l �� DESCRIPTION l� 01 FOOTING 1 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TFEE REMOVAL Z 04 WALI 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 SEPT INAL 35 HARD COVER REMOVAL J 10 P MBING FINAL `( 36 FOUNDATION/REMOVAL � WNE CONTRACTOH TO MEET Y U:r Y _NO � � COMMENTS: � L�JY•G( /��P11�?` � J O >. � O � W � Q � Z W � ti k � d W WORKSATISFACTORY:PROCEED PROJECTCOMPLETE � O CORRECT WORK&PROCEED �i ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN � CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next i spection 24 hours in advance. (952� 249-460� OwnerlCon c r on ite Inspector. White Copyllnspector's File Canary CopylSite Notice