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Home My WebLink About2003-P06345 - gas fireplace � � ' PERMIT CITY OF ORONO Permit tvumber: 2750 Kelley Parkway- PO Box 66 P06345 Crystal Bay, Minnesota 55323 Permit Type: Mechanical Pemuts (952) 249-4600 Date Issued: 5/22/2003 SITE ADDRESS: 250 Ruann Rd Wayzata,MIV 55391 PID: 36-118-23-32-0002 DESCRIPTION: Proposed Use: Residential Pernut Class: General Permit Type: Mechanical Permits Permit Sub-type(s): Gas Fireplace DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: PermitFee: $ 35.00 Valuation• $ 1,100.00 State Surcharge Fee: $ 0.55 TOTAL FEE: $ 35.55 APPLICANT: Allied Fireside OWNER: Paul&Kay Studebaker DBA:Fireside Hearth&Home 250 Ruann Rd. 2700 Fairview Wayzata,MN 55391 Roseville,MN 55113 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. �� J APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE Couies: 1-File(SiQnitures Required), 1-Avalicant, 1-Monthlv Reuorts, 1-Assessin�, 1-Finance Page 1 � -� 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 pernut 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 RECENE A PERMIT. WORK MUST NOT BEG1N UNTIL THE PERMIT 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. 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 wark must be inspected(rough-in and final). Call (952)249-4600. 24-hour notice required. 7. House Heating Test Record must be submitted before 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: j� New ❑ Addition ❑ Repair ❑ Replace ❑ Residential ❑ Commercial it JOB SITE: �$� ,�.W,n /C� Zip: Owner's 1�'ame: L (�tc�,,,c.t Ci:� . Phone Number: Mailing Address: City• Zip• Contractor's Name: A,,;y,ied��,a�+o,,,, Phone Number: Mailing Address: '-""raiN2009O°" Ci -�,�o��F�wJve tY� Zip: RoeevlMe,MN 65119 851/633-2581 � , �S � 1 K �►► � , � �:i;; �� :�' SYSTEM DESCRIPTION - HEATING SYSTEMS Quantity: Make: :; Model: Fuel: .� Flue Size: Input BTCJs: Output BTUs: CFM: COOLING SYSTEMS Quantity: , Make: Model: Tons: '�9 � '`'" H.Power � FIREPLACES GAS LINE ONLY ,i��-i '�, � Gas factory fireplace ❑ Installing a Gas Line Only ,.�; �� Wood burning factory fireplace with flue � "� ❑ Wood Stove ';� �,� ❑ � Wood stove with flue � r�_+ N�x �9� �;` �t� Brand Name ��t /�-� C�� Model No. �-�Z�'T �; � � ;�', � VENTILATION x�:; �.: ��1 ' No. Kitchen Exhaust duct recalculating cfm �"' No. Bath Exhaust(must have duct outside) cfm � �"' No. Other Fans: Locations cfm � FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL) �' �� ;�ry ❑ Installation or ❑ Removal � ��;' ❑ Fuel oil: gallons ❑ underground ❑ inside ❑outside �:�; ❑ LP Gas: gallons ' �" Other �..: ❑ Gas opening �:_ 2 � , b, .. . , �, . _ "`,+i;` � ,y�9 �r.' _ . � �.$' : . :zrkr._: - , �h . _ ti ., � � � (� 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 ar gas service. �' 2) Has a total cost of$500.00 or less; excludinQ the cost of the fixture or appliance: :�: and 3) Is improved, installed or replaced by the homeowner or licensed contractar. 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� �' � x .0125 $ ��,�_� :� (contract price) (minimum$35.00) � �� 2. State Surchar�e. ** Add the State Building Code Division a Minimum Fee of($ .50) � � �I�'�' c�: x .0005 $ S% .� (contract price) (minimum$.50) ''' :� 3. Postage and Handling(Only niail-in applications) $ _ � � � 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ -��3 '�`� `�� *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 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 signed copy of the actual contract ;�� w� **"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[he 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 Signature: — � ` �-- Date: �= d� o� � `:� Approved By: Date: � 3 � �� .. , ; � �. �� ,\ 1 � F � �. �� i � •�I� .. 1 . . r � � ..j r . h�� 4 % ' i_ �.k , . �, . .,._. ,. _.__ i � . : . , _. . ,.�,_ .�� _ M� _...,. .�.�.�.ae. d..�o-.�. ,�.K . 5.,,�._ �_�� .�.ay,aws�„s�:'��`'.��,r�"r�"s'a��.�`