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Home My WebLink About2007-P11617 - gas fireplace ., PERMIT CITY OF ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: p11617 Crystal Bay, Minnesota 55323 Permit Type: Mechanical Pernuts (952) 249-4600 Date Issued: l0/25/2007 SITE ADDRESS: 2248 Shadywood Rd Unit# Wayzata,MN 55391 PID: 17-117-23-43-0126 DESCRIPTION: Proposed Usc: 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 va�uation: $ 1,700.00 State Surcharge Fee: $ 0.85 TOTAL FEE: $ 35.85 APPLICANT: Hearth&Home Technologies OWNER: Jeff&Sandy Thole DBA: Fireside Hearth&Home 2248 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. �j �-�_ ��.� � L�.C�r� /ti� v PLfCANT PERMITEE SIGNATURE ISSUED BY SIGNATURE Copies: 1-File(Signatures Xequired), 1-Applicant, 1-Monthly Reports, 1-Asscssing,(If Septic, 1-Septic) Page 1 � FOR CITY USE O'�LV' � '�� City of Orono �� P.O. Box 66 Date Received: Pemtit� i� ' �� 2750 Kelley Parkway �.� �� ': F�) Crystal Bay,'�1N 5>323 �PProved By: Amount$: ��1��s�u` (9�2)249-�600 �o CITY OF ORONO—NIECHANIC�L PERMIT (nll Commercial permits must be approved by the Buildine Official or Inspector and'or Fire tilarshall) GENERAL INFORMATION 1. You may apply for mechanical permits by mail or in person at the City offices. Applications will be reviewed and a perntit will be issued within two working days. ?. Permit cards will be sent by return mail after a review is completed. PERM[TS ARE NOT VALID UNT[L YOU RECEfVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PER�IIT CARD [S POSTED ON THE JOB SITE. 3. Mechanical Desians—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. �. 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) N �:�Iew ❑ Additional ❑ Repairs `�C��❑ Replace ./ �-Q�� Job Site/ Owner Information: � L ,� Site Address: � �`� � � Owner: � J �'lo�� Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor Information: NwM+a Mo�.T.M� Inc. r , Contractor: �FM�M f�� Contact Person: i c, W1 I �T00 N. fahvi�w Aw. Address: �,�;,u;�� State Bond#: City: Zip: Expiration Date: Phone: Alternate Phone: ❑ Insurance—Current: 1 MECHANICAL SYSTEMS BEING INSTALLED HE:�TI1G SYSTE�IS Quantity: _ Make: Model: Fuel: Flue Size: Input BTUs: Output BTUs: CFM: COOLING SYSTENIS Quantity: Make: Model: Tons: H. Power FIREPLACES �� Gas Factory Fireplace Wood Burning Fireplace ❑ Wood Stove ❑ Wood Stove W ith Flue Brand Name: Model No.: C)Z��^ Q�/�� VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfm ❑ No. Bath Exhaust(must have duct outside) cfm ❑ No. Other Fans: Locations cfm FL'EL STOR.aGE(N1UST BE APPROVED BY FIRE MARSHALL) ❑ Installation ❑ Removal ��'��'�i�� atnOM 1 AHMMI �btia�sti;� sc�t� O�O�t �I�+!s�� + Fuel Oil: gallons ❑ Und��in�d�'i[]S` Outside LP Gas: Qallons 'tL�L i�RA e+4;wss^.-� � ,A2� ►;�`:�� Other: GAS LINE ONLY ❑ Outdoor Grill ❑ Other i List What&Where: 2 � � .. , PERMIT FEE CALCULATION(S) � � BASED OFF -2002 STATE STATUE ❑ Yes,this section applies The replacement of a Residential fi�:ture 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; 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 Surcharge $ .50 Mail-In Fee (If Applicable) $ 1.50 Total Permit Fee $ PERMIT FEE��CLFLATT�N(S)—JOBS OVER$500.00 - ��,�'°��_;` If above does not apply; follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$35.00) / U ( � C� �J X .�I25 $ (contract price) (minimum$35.00) 2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(Minimum Fee of�.50) x.0005 $ (contract price) (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 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 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. ■ **The STATE SURCHARGE is .0005 of the Building Department at(952)249-4600 for the price. MECHAI�IICAL PERMIT APPLICATION AGREEMENT The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all wark in strict accardance 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: /�-- � S o 7 3 DAT -� TIME / C, TY OF ORONO CALLED IN � �`� �� INSPECTION N ICE SCHEDULED _��7 -Z�- PERMIT NO. 1 � � COMPLETED ADDRESS � �" l�-�C � OWNER CONTR. TELEPHONENO. ' � I "�� . �'�,�`��,�"d�✓ . � DESCRIPTION ��'� � � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADI /FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE Q ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP ? 0 PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOH TO MEET YOU:_YES_NO � COMMENTS: � W a � � O � � O � W � Q � Z W � W � � a W WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CAIL INSPECTOR ❑ INSPECTIOfV REQUIRED.CALL TO ARRANGE ACCESS. Call forthe n t inspection 24 hours in advance. (952� 249-4600 , OwnerlCo� a r n ite: Inspector. ` White Copyllnspector's ile Canary CopylSite Notice