HomeMy WebLinkAbout2003-P06534 (mechanical-gas fireplace) � � �� PERMIT
C ITY O F O RO N O Permit ►vumber:
2750 Kelley Parkway - PO Box 66 P06534
Crystal Bay, Minnesota 55323 Permit Type: Me�na�icai Pe�its
(952) 249-4600 Date Issued: ��11�2003
SITE ADDRESS: 2715 Caroline Ave
Wayzata,MN 55391
P I D: 20-117-23-24-0007
DESCRIPTION:
Proposed Use: Residential
Pernut Class: General
Pernut Type: Mechanical Pernuts Pernut Sub-type(s): Gas Fireplace
DETAILS:
Approved per resolution#:
Separate pernuts required:
NOTICES/REMARKS:
FEE SUMMARY: PermitFee: $ 35.00 Valuation: $ 1,100.00
State Surcharge Fee: $ 0.55
TOTAL FEE: $ 35.55
APPLICANT: Allied Fireside OWNER: Mr. &Mrs.Rejzer
DBA: Fireside Hearth&Home 2715 Caroline Ave
2700 Fairview 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.
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APPLICANTPERMITEESIGNA RE [SSUEDBYSIGNATURE
Conies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1
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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 BEG1N UNTIL THE PERMIT CARD IS
POSTED ON THE JOB SITE.
3. Mechanical Desi�ns-Complete calculations, details and specifications are required far 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 pemut 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
(952) 249-4600.
Please check one: � New ❑ Addition ❑ Repair ❑ Replace ❑ Residential ❑ Commercial
JOB SITE: j5 �C<;�;�u,.L C(,�-�-. Zip:
Owner's Name: '� �,� Phone Number:
Mailing Address: City: Zip•
Allled Firesfde
dba Flreside H88rth 8 HOftle
Contractor's Name: ����'2°°9°9" Phone Number•
2ie6nl rsirvie�rA�+9
Mailing Address: �oseville.MN55113 City: Zip•
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SYSTEb1 DESCRIPTION -
HEATING SYSTEMS
Quantity:
Make:
Model:
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H.Power
FIREPLACES GAS LINE O\LY
'�] Gas factory fireplace ❑ Installing a Gas Line Only
❑ Wood burning factory fireplace with flue
❑ Wood Stove
❑ Wood stove with flue
Brand Name C�c.42� �ti� Model Na ��L� ��-,��
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
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PERMIT FEE CALCULATION(S)
2002 State Statute ❑ Yes This Section Applies
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; excludin�the cost of the fixture or appliance:
and
3) Is improved, installed or replaced by the homeowner or licensed contractar.
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 job with a Minimum Fee of($35.00)
/ 'L'C,'.:'�� x .0125 $ ��_�.:���
(contract price) (minimum$35.00)
2. State Surchar�e. ** Add the State Building Code Division a Minimum Fee of($ .50)
����% > X .000s $ ,s�-
(contract price) (minimum$.50)
3. Posta�e and Handling (Only mail-i�: applications) $ �.��
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ __�S��'3'
*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 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.
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**The STATE SURCHARGE is.0005 of the contract price under 51,000,000 or$.50-whichever is greater.For valuations over
$1,000,000 call the Department of Inspectional Services for the price.
The undersiened 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 Minnesota State Building Code,and certifies that all statements made on this �
application are complete,true and cor t.
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Applicant's Signature: — -l� �� — ti��� Date: �//�/�.3
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Approved By: Date:
3
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DATE TIME
CITY OF ORONO CALLED IN �/��
INSPECTION NOTICE SCHEDULED �� �/:1�a
PERMIT N0. 3 COMPLETED
ADDRESS c���SS L.'�-d�t^'� J���
OWNER CONTR. ��L�:dG�P
TELEPHONENO. ��� ��� z-�` �
� DESCRIPTION � ��
t� 01 FOOTING 11 ECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING MECHANICAL FINAL 19 LAKESHORE/WETLANDS
H
O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAI
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP 06 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
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W� WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
O INSPECTION REQUiRED.CALLTO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. �952� 249-46QQ
OwnerlContrac n e:
Inspector. �
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