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HomeMy WebLinkAbout2003-P07021 - gas fireplace • = � PERMIT CITY OF ORONO Permit Number: 2750 Kelley Parkway- PO Box 66 Po�o2i Crystal Bay, Minnesota 55323 Permit Type: Meot��i�ai Pe�ics (952) 249-4600 Date Issued: iiii9i2oo3 SITE ADDRESS: 2166 Shadywood Rd Wayzata,MN 55391 PID: i�-ii�-23-a2-ooii DESCRIPTION: Proposed Use: Residenrial Permit Class: General Permit Type: Mechanical Permits Permit Sub-type(s): Gas Fireplace DErAILS: Approved per resolurion#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Pernut Fee: $ 35.00 Valuation: $ 2,400.00 State Surcharge Fee: $ 1.20 TOTAL F'EE: $ 36.20 APPLICANT: Allied Fireside OWNER: Scott&Deah Udell DBA:Fireside Hearth&Home 2166 Shadywood Rd 2700 Fairview Wayzata MN 55391 Roseville,MN 55113 T'HE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENT'S SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. � � �� LICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE Covies: 1-File(SiQnitures Required), 1-Atmlicant 1-Monthlv Renorts, 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 permits 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 AIZE NOT VALID UNTIL YOU RECENE A PERMIT. WORK MUST 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-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�vork must be inspected(rough-in and final). Call (952)249-4600. 24-hot�r 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: �New ❑ Addition ❑ Repair ❑ Replace ❑ Residential ❑ Commercial JOB SITE: ���� � � �� � � Zip: Owner's Name: � �� Phone Number: ���, ��F= - ��L�, Mailing Address: City: Zip• Allied Pireside Contractor's Name: t�nseN20090911a� Phone Number: Mailing Address: 2�o0N.FairviewAve. Ctt ncseufHo IAN5S113 y• Zlp: �S1i833•2581 1 � � , SYSTEM DESCRIPTION - HEATING SYSTEMS Quantity: Make: Model: FueL• Flue Size: Input BTUs: Output BTUs: CFM: COOLING SYSTEMS Quantity: Make: Model: Tons H.Power FIREPLACES GAS LINE ONLY �x Gas factory fireplace ❑ Installing a Gas Line Only ❑ Wood burning factory fireplace with flue ❑ Wood Stove ❑ Wood stove with flue Brand Name � Model No. ����,1� VENTILATION 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) ❑ Installation or ❑ Removal ❑ Fuel oil: gallons ❑ underground ❑ inside ❑outside ❑ LP Gas: gallons ❑ Other Gas opening 2 , � � 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 or gas service. 2) Has a total cost of$500.00 or less; excluding the cost of the fixture or appliance: and 3) Is improved, installed or replaced by the homeowner or licensed contractor. 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) �?O�� x .0125 $ ��� (contract price) (minimum�35.00) 2. State Surchar�e. ** Add the State Building Code Division a Minimum Fee of($ .501 � x .0005 $ � _�� (contract price) (minimum� .50) 3. Posta�e and Handling (O�tly mail-in applicatio�ts) $ ��' 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ ��. ,u., *CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted work inciuding materials,]abor,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 fumished by the owner,tenant or any other party the reasonable market value of sucti 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. **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 the 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 appiication are complete,true and correct. Applicant's Signature: % c�. Date: -/ �� Approved By: Date: 3 � DATE TIME � CITY OF ORONO CALLED IN INSPECTION I SCHEDULED �� ID•�dO PERMIT NO. � � COMPLEfED ADDRESS � �"� OWNER CONTR. TELEPHONE NO. �S� �3�� � DESCRIPTION �� �'"� � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 05 FINAL 14 SEWER HOOK-UP O6 PROGRESS � 07 DEMO-SITE 27 SEPTIC AAAINT. 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 FOUNDATIOWREMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO ti COMMENTS: � a � � 0 � � 0 � W � Q � 2 W W � � d � ORKSATISFACTORY:PROCEED ❑PROJECTCOMPLEfE W ❑CORRECT WORK 8 PROCEEO ❑ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT O CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURIJ ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑INSPECTIONRE�UIRED.CALLTOARRANGEACCESS. Ca11 forthe next inspection 24 hours in advance. (g52) 249-4f)00 Owner/ConVacto te: � Inspector. White CopyMspector's File Canary CopylSite Notlee