HomeMy WebLinkAbout2003-P06520 - gas fireplace �ITY OF OR PERMIT
�'V� Permit Nu ber:
2750 Kelley Parkway- PO'Box 66 Po6s2o
Crystal Bay, Minnesota 55 23 Permit Typ : Mechanical Permits
(952) 249-4600 Date Issue : 7/9/2003
SITE ADDRESS: 213� Shevlin Dr
Wa}uata,MN 55391
P I D: 03-117-23-34-0004
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DESCRIPTION:
Proposed Use: Residenrial
Permit Class: General
Pernut Type: Mechanical Perxnits Permit Sub-type(s): Gas Fireplace
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 38.75 Valuation• $ 3,100.00
State Surcharge Fee: $ 1.55
TOTAT�FEE: $ 40.30
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APPLICANT: Allied Fireside ' OWNE : Eric&Jennifer Martinuzzi
DBA:Fireside�iearth&Home 2135 Shevlin Dr
2700 Fairview Wayzata,MN 55391
Roseville,MN 55113
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL OF ORONO ORDINANCES AND SfATE OF
MINNESOTA BUILDING CODE R$iQUIREMENTS.
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APPLIC T PERMITEE SIGN TURE ISSUED BY SIGNATURE
Conies: 1-File(SiQnitures ReQuired), 1-Auvlicant, 1-Monthlv Renorts. 1-Assessin�, -Finance Page 1
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CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323 � � � � � :�
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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 ARE NOT VALID
UNTIL YOU RECENE A PERMIT. WORK MUST NOT BEGIN UNTII,THE PERMIT CARD IS
POSTED ON THE JOB SITE.
3. Mechanical Designs -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.
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6. All work must be inspected(rough-in and final). Call (952)249-4600. 24-hour notice required.
7. House Heating Test Record must be submitted before final. ��
Instructions
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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
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JOB SITE:_� � '35'' S ��v � �.-. �f. fo n c� Zip: �5'3 y ►
Owner's Name: ,�r,'� �✓1 c.�•f;`n��z,z�� Phone Number: _�S`:�- ,�5"s��-�7G y �
Mailing Address: �� 3s sti�,,�:� d�^ , City: C'��,� v Zip: ���
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Contractor's Name: Phone Number:
Mailing Address: ^����� City: Zip:
LlcentSe R'10080911
2700 N.FakNew Ave
� Y Rosevple.MN 55173
, � 65f/833 2561 I
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SYSTEM DESCRIPTION - �
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HEATING SYSTEMS �
Quantity: � r
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_ Make: t'G��r �jL�: #�
Model: �y Z� %'t'(�'
� FueL• �
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Flue Size:
Input BTUs: LrZ'��
Output BTUs: ?��
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CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H.Power
FIREPLACES GAS LINE ONLY
'; ,�Gas factory fireplace '^'/ C���s I��� ❑ Installing a Gas Line Only
� ❑ Wood burning factory fireplace with flue
❑ Wood Stove
❑ Wood stove with flue
Brand Name �-�f'c;��- � (., �r� Model No. _ (�L`Z����c� �
VENTILATION
No. Kitchen Exhaust duct recalculating cfm
No. Bath Exhaust(must have duct outside) cfm
No. Other Fans: Locations cfm
,g FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL)
�'' ❑ Installation or ❑ Removal
� ❑ Fuel oil: gallons ❑ underground ❑ inside ❑outside
F'} ❑ LP Gas: gallons
❑ Other Gas opening
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PERMIT FEE CALCULATION(S) ' ' .�
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2002 State Statute ❑ Yes This Section Applies - �
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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; excludine the cost of the fixture or appliance: '"
and `�
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3) Is improved,installed or replaced by the homeowner or licensed contractor. ��
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Skip next section; Cost of Pernut $ 15.00
State Surcharge $ .50
Mail-In Fee $ 1.50 ��
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If above does not apply, follow guidelines below: ��
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1. Contract Price* is .0125% of job with a Minimum Fee of($35.Q0) ��
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_ � ( L'�`� x .0125 $ �a
� ` contract rice �`�
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2. State Surchar�e. ** Add the State Building Code Division a Minimum Fee of($ .501 ±�
x .0005 $ �;:
(contract price) (minimum$.50) �
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3. Postage and Handling (Only mail-iii applications) $ 1.50 "-
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4. TOTAL PERMIT FEE (Add lines 1-3 above) $ �
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*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 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 perrnit fee purposes. In the event that there is a dispute on the amount of �3
the job cost,the City may request the submission of a signed copy of the actual contract. ''
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**The STATE SURCHARGE is.0005 of the contract price under S 1,000,000 or$.50-whichever is greater.For valuations over �
$I,000,000 call the Department of Inspectional Services for the price.
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The undersigned hereby applies to the City for issuance of a Mechanical Permit,agrees to do all work in strict accordance with t
the ordinances of the City and the regulations of the Minnesota State Building Code,and certifies that all statements made on this F
application are complete,true and correct. �.
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Applicant's Signature: '� �i� Date: � l � ` �
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Approved By: �;
Date:
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DATE IME
CITY OF ORONO CALLED IN
INSPECTION N TI E�, SCHEDULED 7-22-b3 �D o
PERMIT N0. COMPLETED
ADDRESS a135 S �h�
OWNER CONTR.
TELEPHONE NO. �� � � a� �
� DESCRIPTION �S �� r � � �r� �
ty 01 FOOTING 1 E NICAL RI 18 EXCAV/GRADI G/FILUNG
� 02 FRAMING ME ICAL FINAL 19 LAKESHOR ETLANDS
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O 03 INSULATION 24/25 OD BURNER7FIREPLACE 34 TREE REMOV
Z 04 WALL BD. 12 WA ER HOOK-UP 17 SITE INSPECT N
Q 05 FINAL 14 R HOOK-UP 06 PROGRESS
� 07 OEMO-SITE 27 SE IC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEP'TIC INSTALL. 22 FOLLOW-UP
� 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVE REMOVAL
J 10 ING FINAL 36 FOUNDATIO EMOVAL
� WNER/ ONTRACTOp TO MEET YOU:�YES_NO
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� ]�WORKSATISFACTORY:PROCEEd ❑PROJECTCOMPLEf
W �O�CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE F OCCUPANCY
0 O CORRECT WORK,CALL FOR REINSPECTION TEMPO Y
V BEFORECOVERING PERMAN NT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR W{LL RETURN
�STOP ORDER POSTED.CALL IN$PECTOR ❑CITATION ISSUED
�INSPECTIONRE�UIRED.CALLYOARRANGEACCESS.
Call for the next iryspection 24 hours in advance. (952) 49-46�0
OwnerlCon r n sitet
Inspector. '
YVhNe CopyAnspec�or's ile Canary CopylSite N ice
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A TIME
CITY OF ORONO CALLED IN
INSPECTION NO ICE SCHEDULEGl�7, ���
PERMIT NO. COMPLETED
ADDRESS �l 3 C� J�'l�I C1�/ /'1 �� •
OWNER CONTR.__,�-��/ .-�'��_
TELEPHONE N0. �r'����
� DESCRIPTION ��� (l �� � �� C�� ��
� 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
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 SEPTI FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATIOWREMOVAL
� OWNERICONTRACTOR TO MEEf YOU: YES_NO /�
� COMMENTS:�� ��-'���� �� �` �
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W� WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL AETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the nex inspection 24 hours in advance. �95Z� Z49-46�0
OwnerlContr n i :
Inspector.
White Copyllnspector's File Canary Copy/Sfte Notice