HomeMy WebLinkAbout2004-P08290 - gas fireplace � PERMIT
CITY OF ORONO Permit Number:
2750 Kelley Parkway - PO Box 66 Pos290
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Pernuts
(952) 249-4600 Date Issued: i2ii4i2oo4
SITE ADDRESS: 2765 Casco Point Rd
WAYZATA,MN 55391
PID: 20-117-23-23-0019
DESCRIPTION:
Proposed Use: Residential
Perniit Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Gas Fireplace
DETAILS:
Approved per resolution#:
Separate pernuts required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 35.00 Valuation: $ 2,300.00
State Surcharge Fee: $ 1.15
TOTAL FEE: $ 36.15
APPLICANT: Allied Fireside(See Comments) OWNER: Mr. &Mrs. Putnam
DBA: Fireside Hearth&Home 2765 Casco Point Rd
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 BUI�;I�NG CODE REQUIREMENTS.
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APPL[CANT PERMITEE SI TURE � ISSUED BY SIGNATURE
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Copies: 1-File(SiQnitures Required), 1-Anplicant 1-Monthlv Renorts, 1-Assessin�, 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 1NFORMATION
1. You may apply for mechanical permits Uy mail or in person at the City offices. Applications will be
reviewed and a pei-mit 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 DesiQns - Complete calculations, details and specifications are required for each heating,
ventilation, humidification-dehumidification, and air conditioning installation including heat loss/heat
gain calculation, design teinperatures, equipinent ratings and identification as to type, manufacturer and
inodel. Data shall Ue presented on form provided. Identification of and specifications for water heating
equipment shall also Ue provided.
4. When any new construction or remodeling is involved, a separate Uuilding permit must Ue obtained.
5. All work must Ue done in accordance with the Uniform Mechanical Code/State Building Code
requirements.
6. All worl:must be inspected (rough-in and final). Call (952) 249-4600. 24-hour notice required.
7. House IIeating Test Record must Ue submitted Uefore 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
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JOB SITE: ;���S 1 Zip:
Owner's Name: % � �^ tr. Phone Number: %s'�- y�/-C7T�r�
Mailing Address: City: Zip:
Contractor's Name: Phone Number:
Mailing Address: City: Zip:
Allied Fireside
dba Fireside Corn�
License#20U9091!
2700 N.Fairview A�ro.
Rosevillc,MN $5113
652/633-2361
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SYSTEM DESCRIPTION '
HEATING SYSTEMS
Quantity: �
Make:
fvtodel:
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOL(NC SYSTEMS
Quantity:
Make:
Model:
Tons:
H. Power
FIREPLACES GAS LINE ONLY
� Gas factory fireplace G�,� STZ�v� ❑ Installing a Gas Line Only
❑ Wood Uurning factory fireplace with flue
❑ Wood Stove
❑ Wood stove with flue
Brand Name �X(JrrcQTc� �r'e-- Model No. _s����✓Li�f�--
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 Y ` �"��
❑ Other Gas opening � � i
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PERMIT FEE CALCULATION(S)
2002 State Statute ❑ Yes This Section Applies
The replacement of a Residential fixture or appliance that ineets all three of the follo�ving requirements:
1) Does not require modification to electrical or gas service.
2) Has a total cost of�500.00 or less; e�cludin�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 aUove does not apply, follow guidelines below:
1. Contract Price* is .0125% of joU with a Minimum Fee of($35.00)
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i %'l;�% � " x .0125 $
(contract price) (minimum 53�.00)
2. State Surchar�e. ** Add the State Building Code Division a Minimum Fee of'($ .50)
x .0005 $
(contract price) (minimum$ .50)
3. Posta�e and Handlin� (O»ly��iai!-iii applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $
*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,laUor,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. [n 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 tnspectional 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 Minnesota State Building Code,and certifies that all statements made on this
application are complete,true and correct.
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Applicant's Signature: � Date: �L�
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Approved By: Date:
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CIT�OF ORONO �����v CALLED IN DAT�� TIME
INSPECTION TICE SCHEDULED ��1 � ` ��'�'
PERMIT NO ' COMPLETED
ADDRESS �'��J S� �C/,S�CL�
OWNER CONTR. iC-�J�1
TELEPHONE NO. ��">"' ZZ�f_ � ��U
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� DESCRIPTION _ ��/�7//'1G9 ��(�������lC'�� �/15Q(�C�/C/`7
� 01 FOOTING 11 M HANICAL RI� 18 EX AV/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 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
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� ❑CORRECT WORK&PROCEED = ISSUE CERTIFICATE OF OCCUPANCY
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O ❑Ct�RRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN � CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL O ARRANGE ACCESS.
Call for n ection 24 hours in advance. (J52� 249-4600
OwnerlContra 't :
Inspector.
White Copyllnspector's File Canary CopylSite Notice
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTION N SCHEDULED a .� -OS ' �•�
PERMIT NO. COMPLETED
ADDRESS a7�5 �� �� ��
OWNER �uiP ll�r�.� CONTR.IJ 1��"�
TELEPHONE N0. ��a T 7/ ��J[�OZ�
� DESCRIPTION ��ri-�-C �� ��
l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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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
� 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:
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0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. C PHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
� INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next spection 24 hours in advance. �952� 249-46QQ
OwnerlContr n s :
Inspector.
White Copyllnspector's File Canary Copy/Site Notice