HomeMy WebLinkAbout2004-P07937 - gas fireplace PERMIT
CIT� OF ORONO Permit Number:
2T50 Kelley Parkway - PO Box 66 Po�93�
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued: 9i13i2ooa
SITE ADDRESS: 2745 Shadywood Rd
EXCELSIOR,MN 55331
PID: 21-117-23-31-0003
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Pernut Type: Mechanical Pernuts Permit Sub-type(s): Gas Fireplace
DETAILS:
Approved per resolution#:
Separate pernuts required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 35.00 Vatuation: $ 2,800.00
State Surcharge Fee: $ 1.40
TOTAL FEE: $ 36.40
APPLICANT: Allied Fireside(See Comments) OWNER: 7AMES E ZIMMERMAN
DBA:Fireside Hearth&Home 2745 SHADYWOOD RD
2700 Fairview EXCELSIOR MN 55331
Roseville,NIN 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
MINNESOTt�BUILL)ING CC���REQUIREMENTS.
� / �
j /f �/ / � - > , ,/
�. �. _ �� ,'� � � �� � �%
� '" �-�fi- �� �Z✓
A�PLICANT PERMITEE SIGNATURE ISSUEDBY SIGNATUR6
'
Conies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessin�, 1-Finance Page 1
�
' r �
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 Uy mail or in person at the City offices. Applications will be
reviewed and a�ennit will Ue issued within two working days.
2. Permit cards will Ue sent Uy 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 rls -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, equipinent 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 inust be done in accordance with the Uniform Mechanical Code/State Building Code
requirements.
6. All work must Ue inspected (rough-in and final). Call (952) 249-4600. 24-hour notice required.
7. House Heating Test Record must Ue suUmitted Uefore final.
Instructions
Coinplete 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 �esidential ❑ Cominercial
i /�
JOB SITE:� � ,..� GLJC��'� � � /�' Zip:
Owner's Name: � �rJ��r�/I1t-=�?/1�0,1�,� Phone Number: �j•_-� - y)Q �- �����
Mailing Address: ,�—,r�,�,4Sj�-�, City: Zip: P'"'��
� ���,��- � �r���Cc� ���
Contractor s Name: ,- Phone Number:
Mailing Address: City: Zip:
1
. . �
.-
_ :�
-,
, .
�,��.�,.��--_-�._
�
<, _ �
r , ` ,�g
_k:
SYSTEM DESCRIPTION • �
HEATING SYSTEMS
Quantity:
"'y Make:
a�'�:
�ifr Model:
:3Y�e
S,
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
'"�' CFM:
1,,-_'
��;
t' COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H. Power
FIREPLACES GAS LINE ONLY
�Gas factory�i�l�s�—/%J�4�i�� ❑ Installing a Gas Line Only
❑ Wood Uurning factory fireplace with flue
❑ Wood Stove
❑ Wood stove with flu
Brand Name / /—'� � L�U Model No. v�1 ��Z��,� /� T
,
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
�
, , ` -
'
� , . `, �:,
,
, 1
PERMIT FEE CALCULATION(S)
2002 State Statute ❑ Yes This Section Applies
The replacement of a Residential fixture or a�pliance 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 Uy 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 joU with a Mi�um Fee of($35.00)
�
; - ��� x .0125 $
( ontract price) (minimum�35.00)
2. State Surcharge. ** Add the State Building Code Division a Minimum Fee of($ .50)
x .0005 $
(contract price) (minimum$.50)
3. Postage and Handlin� (Orily rnai[-irt applicatio�ts) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 aUove) $
*CONTRACT PR[CE 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 fumished 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
thejob 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 lnspectional 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 in�esota State Building Code,and certifies that all statements made on this
application are complete,trueatid ect � "' � - �
�' � i
Applicant's Signature: � � Date:
Approved By: Date:
3
I
, , ,
C� DATE TIME �
CITY OF ORONO CALLED IN �������
INSPECTION NOTICE SCHEDULED /�a7-OSL L/:6�
PERMIT NO. �c� 79 3� COMPLETED
ADDRESS o�7�S ����
OWNER CONTR. o
TELEPHONE NO._,�n� a- .�tp 3 a� ?J�
� DESCRIPTION I�C��'/ifx-�°-Q � �� " "`-�
� 01 FOOTING 11 MECHA AL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINA� 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP O6 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
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
�
W
a
�
�
O
�
�
O
�
W
�
Q
�
Z
W
�
W
�
�
d
W� WORKSATISFACTORY:PROCEED ROJECTCOMPLETE
W ❑ CORRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY
p ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN
INSPECTOR W{LL AETURN
�_� CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Cal1 for the nex inspection 24 hours in advance. (J52� 24J-4GOO
OwnerlContractor
Inspector. �
White Copyllnspector's File Canary CopylSite Notice