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HomeMy WebLinkAbout2002-P05662 - gas fireplace � CITY OF ORONO PERMIT 2750 Kelley Parkway- PO Box 66 Permit Number: P05662 Crystal Bay, Minnesota 55323 Permit Type: Me�n��al Pe�i� (952) 249-4600 Date Issued: 9/25/2002 SITE ADDRESS: 1420 Shoreline Dr Wayzata,MN 55391 PID: ii-ii�-23-22-oois DESCRIPTION: Proposed Use: Residenrial Permit Class: General Pernut Type: Mechanical Permits Pemut Sub-type(s): Gas Fireplace DETAILS: Approved per resolution#: Sepazate pernuts required: NOTICES/REMARKS: FEE SUMMARY: Pernut Fee: $ 130.88 Valuation• $ 10,470.00 State Surcharge Fee: $ 5.24 TOTAL FEE: $ 136.12 APPLICANT: Fireside Corner OWNER: David Feldshon 2700 N Fairview Lane 1420 Shoreline Dr. Roseville,MN 55113 Wayzata,MN 55391 Tf�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 SfATE OF MINNESOTA BUILDING CODE REQUIREMENTS. --_____,... � e���� APPLICANT PERMITEE SIGNATURE I SUED BY SI ATURE Conies: 1-File(SiQnitures Required), 1-Anplicant 1-Monthlv Renorts, 1-Assessins, 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 pernut 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 UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Desi c�is-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 pernut 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-hour 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 'H (952) 249-4600. Please check one: [�New ❑ Addition ❑ Repair ❑ Replace ❑ Residential ❑ Commercial JOB SITE: � t r-c. Zip: Owner's Name: ��-�-,,, � C,2:u<<�u�=�� Phone Number: Nlailing Address: City: Zip• Contractor's Name: Aliied Fireside phone Number: ��a Firesi�e Coraet Mailing Address: License#20090911 City: Zip: � 2700 N.Fairview Ave. Rosevilie,MN 5511� 651/633-256I `- ,:`:� � : 4 ;s� i; . ; 1 - SYSTEM DESCRIPTION HEATING SYSTEMS Quantity: ' Make: • Model: Fuel: Flue Size: Input BTLTs: Output B'I`[Js: CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H.Power � FIREPLACES GAS LINE ONLY ,� Gas factory fireplace �C�� ❑ Installing a Gas Line Only ❑ Wood burning factory fireplace with flue ❑ Wood Stove ❑ Wood stove with flue �/lQ�/� /js�.�.� 5� Brand Name � �(,: Model No. � �°-D �e� � VENTILATION �Y-' :: 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 MAR$HAL) .���� , ❑ Installation or ❑ Removal � � ry� � ❑ Fuel oil: gallons ❑ underground ❑ inside ❑outside ❑ LP Gas: gallons ❑ Other Gas opening ,. S ; 2 � r. , ' � ' ,~ � ' � . ,� _ PERMIT FEE CALCULATION(S) 2002 State Statute ❑ Yes This Section Applies The replacement of a Residential fixture or anpliance 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; Cost of Pernut $ 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) /L.�/�.% .�� x .0125 $ ��, ,{'� (contract price) (minimum$35.00) 2. State Surcharge. ** Add the State Building Code Division a Minimum Fee of($ .50) l�%`9'��,c�_> x .0005 $ �5.�.�-cJ (contract price) (minimum$.50) 3. Posta�e and Handling(Only mai[-in applications) $ ��� 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ _ f�(��, /„Z "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 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 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 sh-ict accordance with the ordinances of the City and the regulations of the Minnesota State Building Code,and certifies that all statements made on this application are complete,true and correct. , � 7 Applicant s Signatur�e: �c�- c� Date: � �� �e: Approved By: Date: 3 . '� ;� t �; � DATE TIME CITY OF ORONO CALLEO IN INSPECTION_ TIC SCHEDULED _3� � PERMIT N0. 4 �COMPLETED ADDRESS l�vZ� OWNER CONTR. f�� ��� TELEPHO NO. t��S—f�J�3 —�J� � � DESCRIPTION ��'�-- � 01 FOOTING 1 MECHANICAL RI ' 18 EXCAV/GRADING/FIILING Q 02 FRAMING L 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 MAINT. 21 COMPLAINT `� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL v 10 PLUMBING FINAL 36 FOUNDATIOWREMOVAL 2 OWNER/CONTRACTOR TO MEET YOU:_YES_NO ti COMMENTS: � a � J 0 a � 0 � W � Q � W � W � � d W� �WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE 0 �❑ RRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY RRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT OCORRECTUNSAFECONDITIONWITHIN HOURS. ppHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED �INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (g52) 249-46�� OwnerlContractor on site: Inspector. White CopyMspector's Ffle Canary CopylSite Notice DATE TIME CITY OF ORONO CALLED IN INSPECTION TICE SCHEDULED �_ :�• 3�J PERMIT NO. �' � COMPLEfED ADDRESS ��.-� U �-�-I�L,R-zL����-���^^-�_�,� OWNER CONTR. �/�'L�Z�� TELEPHONE NO. � DESCRIPTION ��" ��, �� �� � 01 FOOTING MECHANICAL RI 18 EXCAV/GRADING/FIILING Q 02 FRAMING MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WAIL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPIAINT v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: W a �(' ,�S � � O �. � O � W � Q � 2 W � W � � d W� WORK SATISFACTORY:PROCEED ❑PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY p ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITION WITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Cail forthe nex inspection 24 hours in advance. (952) 249-4600 OwnerlContra �n it : Inspector. � White Copylinspector's File Canary CopylSHe Notice