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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. ' � `, _.. \ -� /F ., _ i � � � � � j � ;� � �_____ y r z' APPL[CANT PERMITEE SI TURE � ISSUED BY SIGNATURE �.� Copies: 1-File(SiQnitures Required), 1-Anplicant 1-Monthlv Renorts, 1-Assessin�, 1-Finance Page 1 � # � 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 � 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 1 4 � ti 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 ,�,. �.��,S .. . . �z; �.:r. :� � , � _, � . . 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) � '� � 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. _ , .______._ �� Applicant's Signature: � Date: �L� / Approved By: Date: 3 /�'f GSii -�!f'r( �" � �1 V 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 � � 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: � W a � � O � � O � W � Q � 2 W � W � j d W WORK SATISFACTORY:PROCEED C i PROJECT COMPLETE � ❑CORRECT WORK&PROCEED = ISSUE CERTIFICATE OF OCCUPANCY W 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 . ✓ 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 � 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: � W a � J O � � O � W � Q � Z W � W � � a W WORKSATISFACTORY:PROCEED PROJECTCOMPLETE � ❑CORRECT WORK&PROCEED '- ISSUE CERTIFICATE OF OCCUPANCY W 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