HomeMy WebLinkAbout2005-P08794 - gas fireplace PERMIT
CITY•�F ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: p08794
Crystal Bay, Minnesota 55323 Permit Type:
Mechanical Pernuts
(952) 149-4600 Date Issued: 6/1/2005
SITE ADDRESS: 1675 Shadywood Rd Unit#
Wayzata,MN 55391
PID: 17-117-23-21-0004
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: Pernut Fee: $ 45.00 Valuation: $ 3,600.00
State Surcharge Fee: $ 1.80
TOTAL FEE: $ 46.80
APPLICANT: Hearth&Home Technologies Inc. OWNER: Mr. &Mrs. Richard Norum
DBA: Fireside Hearth&Home 1675 Shadywood Rd
2700 Fairview Ave 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.
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APPLICANT PERMITEE SIGNATURE S UED BY SIGNATURE
Copies: 1-File(Signatures Reguired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
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FOR CITY USE ONLY `�
p City of Orono Q '"�
• , ~ O� �O P•0.Box 66 Date Received: Permit# ��7_`
�, 2750 Kelley Parkway � �'
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pi �;�1r � Crystal Bay,MN 55323 Approved By: Amount$:�_ �_
�� ��j��;�.�o` (952)249-4600
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CITY OF ORONO —MECHANICAL PERMIT *
� (All Commercial permits must Ue approved by the Building Official or[nspector and/or Fire Marshall) �'
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GENER.AL INFORMATION �
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1. You inay apply for mechanical peinuts by mail or in person at the City offices. Applications will '�
be reviewed and a permit will be issued within t�vo 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 t"''
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PERMIT CARD IS POSTED ON THE JOB SITE.
3. Mechanical Desi�ns—Complete calculations, details and specifications are required for each ��rz�
heating,ventilation, humidificatioii-dehumidification, and air conditioning installation including ���
heat loss/heat gain calculation, design temperatures,equipment ratings and identification as to �y�
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type,manufacturer and model. Data shall be presented on foim provided. <;�
4. �Vtren any new construction or remodeling is involved,a separate building pemut must be `�u-
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 fii1a1). Call(952}249-4600. �
(24-48 hour notice required) ;'
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7. House Heating Test Record must be subinitted before finaL �
' TYPE OF PERMIT "�
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(Check All That A ly) ;q
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�Residential �
❑ Coinmercial(Approva]Required) �F
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❑ New ❑Additional �
❑Repairs ❑Replace �-,�+�;
Job Site/ Owner Information: �
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Site Address: � ��-5 S ���I w��
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Owner: �-in���o. `J��u�r,��•►� s MailingAddress: ��`7S� S�<<�-�w��� ��(. v�`'''� �
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City: C� r o�� zip: --��5 3 // ,�,
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Hoine Phone: S5 �� Alternate Phone: �
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Contractor Infornlation: �
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Contractor: Contact Person:
•Mio�T �, f�
�AM fl�l�MMr1h�� `�
Address: ���to6t�p State Bond#: _'�
R�wilh.MN SS113 �
Clty: ���33-2581 Zip: Expiration Date:
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Phone: Altei-nate Phone: �
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❑ Insurance—Cun-ent: �
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�''- MECHANICAL SYSTEMS BEING 1NSTALLED ,
HEATING SYSTEMS
Quantity: I ,
Make: �.ctA�('G. �� � -� �
Model: �� 3 /o �
Fuel: � � •
!� :F:-
Flue Size: r'�/
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Input BTUs: � ��
Output BTUs � 7���
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H.Power
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FIREPLACES
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� � Gas Factory Fireplace
�= ❑ Wood Burning Fireplace
� ❑
Wood Stove
� ❑ Wood Stove With Flue
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ik-:.
� ; Brand Name: Model No.:
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�:;> VENTILATION
P_
� ❑ No. Kitchen Exhaust duct recirculating cfm
r,:
�;M' ❑ No. Bath E�chaust(must have duct outside) cfm
`��``' ❑ No. Other Fans: Locations cfm
�;;.:
��,' FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHALL)
�'' ❑ Installation ❑ Removal
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�-:.:
`� ., �t
� ;i Fuel Oil: gallons �`",�r,�}'{�ti�w�Outside
' LP Gas: gallons ��E►� � �"-�
s �
��� Other: . e� .1Ai tM1'`;n
,...
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�=F GAS LINE OtiLY
�=r
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`��" ❑ Outdoor Grill ❑ Other/List What&Where:
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92,',�
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` PERMIT'FEE CALCULATION(S) ��
BASED OFF — 2002 STATE STATUE �¢
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❑ Yes,this secrion applies �`��
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The replacement of a Residential fixture or appliance that meets all three of the following requirements: �
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1. Does not require modification to elect��ical or 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 l�omeowner or licensed connactor. �'
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Skip next section,if this applies; Cost of Pernut $ 15.00 ��
State Surcharge $ .50 ;�
Mail-In Fee(If Applicable) $ 1.50 �
Total Permit Fee $
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PERMIT FEE CALCULATION(S)—JOBS OVER $500.00 '�
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If above does not apply; follow guidelines below: ��?
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1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$35.00) '<-�
���ijDO.D D x.0125 $
M;�(contract price) (minimum$3�.00) ;;;,
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2. STATE SURCHARGE **Add the State Bldg Code Div. Stu'charge(Minimum Fec of$.50)
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x.0005 $ ��
(contract price) (mii�imum$ .50) z�
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3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50 �a
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¢.:
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4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ `�
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■ * 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 the work done. If any material, equipment, labor or installations are furnished by '���d
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 �'x
amount of the job cost, the City may request the submission of a signed copy of the actual conn�act. �k`
■ ** The STATE SURCHARGE is .0005 of tl�e Building Department at(952)249-4600 for the price. z'
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� �� � � MECHArIICAL PERMIT APPLICATION AGREEMENT ��
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The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all ,'.�
work in sh-ict 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. F�
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Applieant's Signature• �� Date: � D S� �
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�DP�TE TIME
CITY OF ORONO LL IN �
INSPECTION N SCHEDULED - �:�
PERMIT NO. �g COMPLETED
ADDRESS 75 S
OWNER ONTR. l 1"���
TELEPHONE NO. ��� � � GI Z� 7�--
� DESCRIPTION �P r �T � �� � �'�
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FIL�ING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPIACE 34 TREE REMOVA�
Z04 WA�L 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 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Z OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ppHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP OROER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIREO.CALL TO ARRANGE ACCESS.
Call for the inspection 24 hours in advance. (g52) 249-4600
OwnerlCon s te:
Inspector.
White Copyllnspector's File Canary CopylSlte Notice