HomeMy WebLinkAbout2007-P10680 - gas fireplace ' PERMIT
CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: P10680
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Pernuts
(952) 249-4600 Date Issued:
1/10/2007
SITE ADDRESS: 920 Brown Rd S Unit#
Wayzata,MN 55391
PID: 10-117-23-12-0002
DESCRIPTION:
Proposcd 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: PermitFee: $ 189.50 valuation: $ 15,160.00
State Surcharge Fee: $ 7.58
Misc.Fee:
TOTAL FEE: $ 197.08
APPLICANT: Hearth&Home Technologies Inc. OWNER: Jay Hulbert
DBA:Fireside Hearth&Home 920 Brown Rd S
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.
� ��-
A PL[CANT PERMITEE SIGNATURE UED BY SIGNATURE
Copies: 1-File(Sigiiatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
f
.
��TY OF OR.Q:e1Q APPLI�ATIOI`1 ��R I�✓[E�H<�NICAL PER�fIT
Box 66 (2750 Kelley Parkwayj
Crystal �ay, TvII�1 3�323
GE�IERAL�VFORMATION
1. You may apply for mechanical permits by mail or in person at the City offices. Applications will be
reviewed and a permit wiil be issued within two working days.
2. Pernzit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VAI.ID
LT;TIL YOU RECEIVE A PERIv1IT. «'ORK I�1UST NOT '3EGIiv Ui�1TIL THE PERMIT CARD IS
POSTED ON THE JOB SITE. �
3. Mechanical Desi�ns - Compiete ealculations, details and specifications are required for each heating,
ventilation, humidification-dehumidification, and air conditioning installation including heat Ioss/heat
gain calculation, desib temperatures, equipment ratings and identification as to type,manufacturer and
model, Data snall be pr;.sented 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 perrnit must be obtained.
�. All work must be done in accordance with the Uniform Mechanical CoderState Building Code
requirements.
6. All �vork must be inspected (rou�h-in and final). Call (9�2) 249-4600. 24-hour notice required.
7. House Heating Test Record must be submitted before final.
Instr�ctions
Complete all items on this application. Compute the permit fee. Sib and date the certification.
INCOiVIPLETE APPLICATIOi�tS `�'ILL NOT BE PROCESSED. If you have questions, call
(952) 249-4600.
Please check one:�New� ❑ Addition ❑ Repair ❑ Replace ❑ Residential ❑ Coinmercial
.��� s���: ���G `�r�Y-, �Z,�C� S�� �r�:
�wen�r's 1°d��ne; �1;��.,•�a� �J���`�, Pbone loturr�be�-: ���,1 - �-I�1- %'���
l�r'Iaileng 4�c��-es�: C'ity: �ip:
��nt.actofl-'s �'a;r�ae: Phmn� l�iurraber:
:��aiEic�g �d�flress: C�ty: Zip:
•� � OOLZ Fiwrlh�Mortw T��Mc.
dDa Finsid� Hprth i H��
�11 '��li�l I.icsns� 20S/20d0
.�•�pppuwtfli MMH �,_,� 2700 N. Faini�w Avs.
Rosevills,MN 55113
d51f633-2561
1
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S�'S'�'EN� i)�SC'RI�°"�'lON �
HEATIN�SYSTE�IS
Quantity: 1 ( _L_ �
I�1ake: � f�l V�Cj -Q.,t �L'�U ` � IT�. ht�Uk 1`��si�li
i�lodel: �t.i�l10."�`�' J`..`�jT�<-- ��UU�� ��C3i1t�G��JL
`7
Fuel: � ���5 �j�`�V�� i� � . C��
�—
Flue Size:
Input BTlis:
Output BTlis: ��� C��� � --� � � Q
CF'�S:
�04I,ING SYS'I'E�IS
Quantity:
l�fake:
Model:
Tons:
H. Power
�I12EP�.!���5 ��S I,�_`v� ��iLY
�
Gas factory fireplace � ❑ Instailing a Gas Line Only
Wood burning factory fireplace with flue �
`Vood Stove
❑ Wood stove with fiue
c
Brand Name �!Z k����` k�— ?Vlodel No.
�%���1'��.�.TI�?!`
No. Kitchen Exhaust duct recalculating cfm
No. Bath Exhaust (must have duct outside) efm
No. Other Fans: Locations cfm
FLJEL S'TO�AGE (MUST BE APPROVED BY FIRE MARSHAL)
❑ Instailation or ❑ Removal �J�4�3-iM1
❑ Fuel oil: �rt+ �p�,��� � inside �y�p�i����!
❑ LP Gas: "�i�s��� ���+� sdb r�� �/50��
obQ4 eatl� �rc!rse�iJ AM kNN�4M � ! �IaY�
❑ Other ;,r� W�,,,.,a� w nnen Gas ope
'r t''. ,,,` . .,,q 1�r�i�u�w,►�CytoO�"�.
� .i8
2
�'ER�l�TI'F FE� �ALCULATIO�(S)
2002 Stat� StatutQ ❑ I'es This Section Applies
The replacement af a Residential fixture ar appliance that meets all three of the followin�requirements:
1) Does nat require modification to electrical or gas service.
2) Has a total cost of$�00.00 or less; excludina 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 Pertnit $ 1�.00
State Surcharge $ .50
Mail-In Fee � 1.�0
If abo�-e does not apply, follow guidelines below:
1. Conta aet Price* is .012�% �f jo'o with a:!'�inimum Fee o�($35.0�
� � �5`� •��
i�� '�U• C.%<' x .0125 �
(contract price) (minimum$35.00)
2. State SurcharQe. *� Add the State Buildin�Code Division a�Iinimum Fee of($ .50)
I� � I�% � � �� x .000� � �� ��S-
(contract price) (minimum S .50)
3. PostaQe and �Iandlin� (Ortdy mai!-i�t appliecztio��s) $ �
4. 'TO'�'AL P�a�:�IIT �'�� (Add lines 1-3 above) � I � � .0 �
*COtiTRr1CT PRICE or JOB COST mear.s the actual or estimated dollar anlount charged for the permitted work includin;
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 vafue 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 oi a signed copy of the actual contrac'..
**Tne STATE SURCHARGE is.0005 of the contract price under$I,000,000 or$.�0-whichever is greater. For valuations over
$1,000,OQ0 call the Department of Inspectional Services for the price.
The undersi;ned hereby applies to the Ciry for issuance of a Mechanicai Perniit,agrees to do al]work in strict accordance w-ith
the ordinances of the City and the regulations of the Minnesota State Building Code,and certifies that all statements made on this
application are compiete,true and correct.
.�,._`._ �
Applicant's Sib ature: �` � ,Q ��'�'� Date: 1 — ' � v�
Approved By: Date:
3 '
�� yTE�. `f TIME V
CITY OF ORONO LLED IN � �' //� !
INSPECTIONNOTICE SCHEDULED �(�.,��
PERMIT NO. g� COMPLETED
ADDRESS GI c�O �� C,L�{� S •
OWNER CONTR. f"`//'E'S /Q�SL.
TELEPHONE N0. �n �� ` �. � �"�"eC�c rf�7 �
�'Y�L
� DESCRIPTI�T `�_�/ /������ � �—'
l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y
O 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 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
i09 PLUMBING RI 23 SEPTI FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTHACTOR TO MEET YOU: YES_NO
� COMMENTS:
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W WORK SATISFACTORY:PROCEED G PROJECT COMPLETE
� CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ,J PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUEU
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next nspection 24 hours in advance. (952� 249-46��
OwnerlContracto i :
Inspector.
White Copyllnspector's File Canary CopylSite Notice