HomeMy WebLinkAbout2008-P11825 - gas fireplace t- �
PERMIT
CITY OF ORONO Permit Number:
2750 Kelley Parkway- PO Box 66 P11825
Crystal Bay, Minnesota 55323 Permit Type:
Mechanical Pernuts
(952) 249-4600 Date Issued: 1/22/2008
SITE ADDRESS: 2248 Shadywood Rd Unit#
Wayzata,MN 55391
P��� 17-117-23-43-0126
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Mechanical Pernuts Permit Sub-type(s): Gas Fireplace
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 35.00 valuation: $ 1,600.00
State Surcharge Fee: $ 0.80
TOTAL FEE: $ 35.80
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.
__._,_�
APPLIC T PERMITEE SIGNATURE ISSUED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
r .
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FOR CITY L'SE ONLY
' �,�` City of Orono
O¢ `rO P•O.Box 66 Date Received: Permit#
� 2750 Kelley Parkway
a �y'� � Crystal Bay,MN 55323 Approved By: Amount$:
��"����'�o (952)249-4600
8
CITY OF ORONO—MECHANICAL PERMIT
(All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall)
GENERAL 1NFORMATION
L You may apply for mechanical permiYs by mail or in person at the City offices. Applications will
be reviewed and a permit 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 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.
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 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)
�
❑ New ❑ Additional ❑ Repairs ❑ Replace
Job Site/ Owner Information: .
Site Address: �,��� � ���� �j-� �r�-�, c/� �t�
Owner: -5�^n��`� �l� c r � Mailing Address:
City: � �v n O Zip:
Home Phone: �n I�- '7�l- 7`/�7 Alternate Phone:
Contractor Information:
Contractor: H�qM#�»t���
Contact Person:
� Z061�0�0
Address: 2�N•�'�'��� State Bond#:
aS1/d33-2'��
City: Zip: Expiration Date:
Phone: Alternate Phone:
❑ Insurance—Current:
1
. T
�
MECHAI�TICAL SYSTEMS BE1NG INSTALLED '
HEATING SYSTEMS
Quantity:
Make:
Model:
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H. Power
FIREPLACES
� L°_� ,-.. ,
Gas r
Wood Burning Fireplace
❑ Wood Stove
❑ Wood Stove With Flue
Brand Name: �������(��p Model No.: �=���i� �
VENTILATION
❑ No. Kitchen Exhaust duct recirculating cfm
❑ No. Bath E�aust(must have duct outside) cfm
❑ No. Other Fans: Locations cfm
FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHALL)
❑ Installation ❑ Removal ��� i�T��,��.,,,.,
+�t►k# ���tr�
f b':{;
Fuel Oil: gallons ❑ j�y� � �+�5�de ❑ Outside
LP Gas: allons �'��h� �t'
g �.�iv«:..,
Other: r.�;�;E rr;:�,.
GAS LINE ONLY
❑ Outdoor Grill ❑ Other/List What&Where:
2
. .
❑ Yes,this section applies
The replacement of a Residential fixture or ap lin ance 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;excludine 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 Pernut $ 15.00
State Surchaxge $ .50
Mail-In Fee(If Applicable) $ 1.50
Total Permit Fee $
If above does not apply;follow guidelines below:
1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$35.00)
/�P� -� x.0125$
(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 Applicarions) $ 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
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 installarions 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 pernrit 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 Depariment at(952)249-4600 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 State of
Minnesota, and certifies that all statements made on this application are complete, true and
correct.
Applicant's Signature: ��/�^�----�=— Date: ,2 O �
3
C� � D TIME V
CITY OF ORONO CALLED IN ���
INSPECTION N IC SCHEDULED �
PERMIT N0. �����S COMPLETED
ADDRESS aG��g S �
OWNER NTR. /"V.�-L� �.��-CG-w�-.�
TELEPHONE NO. �O�?� �03� �J' .3/77 /U�c�-'��c�-
� DESCRIPTION I^ � �I l� �S� -�C�s L/�t� /���n
� ❑ FOOTING � MECHANICAL RI ❑ EXCAV/GRADING/FILL�__"`t
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE
❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
J ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
_ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J ❑ PLUM8ING FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
� CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
C; INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Ca11 for the next'nspection 24 hours in advance. (952� 249-46��
OwnerlContr o
Inspector.
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