HomeMy WebLinkAbout2007-P11481 - gas fireplace PERMIT
CITY'OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: p11481
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Pernuts
(952) 249-4600 Date Issued:
9/24/2007
SITE ADDRESS: 2874 Casco Pt Rd Unit#
Wayzata,MN 55391
PID: 20-117-23-31-0020
DESCRIPTION:
Proposed Use:
Permit Class: General
Permit Type:
Mechanical Permits Permit Sub-type(s): Gas Fireplace
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 35.00 valuation: $ 2,800.00
State Surcharge Fee: $ 1.40
TOTAL FEE: $ 36.40
APPLICANT: Hearth&Home Technologies Inc. OWNER: Penny Saiki
DBA:Fireside Hearth&Home 2874 Casco Point Rd
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.
`�
� , Z._ ����I/Y�lrl �,�M 1�
APPLICANT P RMITEE SIGNATURE ISSUED BY SIGNATURE
Copies: 1-File(SignaturesRequired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septiq 1-Septic) Page 1
` FOR CITY USE ONLY
p� City of Orono ��Q.�� n �ln�'
. O4O`rO P.O.Box 66 Date Received:��'v "�t— Permit#`I" `r�
� � ��_,,� 2750 Kelley Parkway �/�
a '��`�y-' � Crystal Bay,MN 55323 Approved[3y: � Amount$:r�(,J. �
d 1���`�,�-
a^(��ti ;��.�o (952)249-4600
��Koe
CITY OF ORONO —MECHANICAL PERMIT
(All Commercial pern�its must be approved by dle Building Official or Inspector and/or Fire Marshall)
GENER.AL INFORMATION
1. You may apply for mechanical pernZits by mail or in person at the City offices. Applications will
be reviewed and a permit will be issued within two working days.
2. Perrnit cards will be sent by return mail after a review is completed. PERMITS ARE NOT
VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Mechanical Desi�ns—Coinplete 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 sl�all be presented on form provided.
4. When any new consmiction or remodeling is involved, a separate building permit 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.
(24-45 hour notice required)
7. House Heating Test Record inust be subnutted before final.
TYPE OF PERMIT
(Check All That A pl )
�Residential ❑ Commercial(Approval Required)
❑ New ❑Additional ❑ Repairs ❑ Replace
Job Site/ Owner Information: .
Site Address: � �i �� � C' �� 5 e- �+ �'� . � Gl .
,� , ,
Owner: ' t' � �� 5 �i � �� � Mailing Address: �' K �-•��'
City: � ��' � ��� v Zip: S�'�` � c��
Home Phone: �� � Z � �l "1 I -� �1 � 7 Z-- Altemate Phone:
Contractor Information:
�'y `.T � .... ��
Contractor: � r �e s i �e �� P� • ��� Contact Person: � � � �� �,
Address: 2 'I U v )ti�. {- � � ,�v; � ,,..�State Bond #:
City: �ti o S� v'�, � � Zip:`� ��1 �Expiration Date: �
Phone: L 5 (— � '-3 `5�-- �� Lj "L Alternate Phone: `�1 5 Z -- � `� �`���� �`1 l
❑ Insurance— Current:
1
MECHANICAL SYSTEMS BEING 1NSTALLED -
. �
HEATING SYSTEMS
Quantity:
Make:
Model;
Fuel:
Flue Size:
Input BTUs:
Output BTUs
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H. Power
FIREPLACES
� Gas Factory Fireplace
Wood Burning Fireplace
❑ Wood Stove
❑ Wood Stove With Flue
Brand Name: 1� —�`1 �-�o Model No.: � � � '^ �'9 � �
VENTILATION
❑ No. Kitchen Exhaust duct recirculating cfm
❑ No. Bath Exhaust(must have duct outside) cfm
❑ No. Other Fans: Locations cfm
FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHALL)
❑ Installation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑ Inside ❑ Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Gri11 ❑ Other i List�Vhat&Where:
2
.
� PERMIT FEE CALCULATION(S)
BASED OFF -2002 STATE STATUE
❑ Yes, this sectiou applies
The replacement of a Residential fixture or appliance that meets all tlu�ee of the following requirements:
1. Does not requu�e modification to electrical or gas service.
2. Has a total cost of$500.00 or less; excludin2 the cost of the fixture or appliance: and
3. Is improved, installed or replaced by the homeowner or licensed contractor.
Skip next section, if this applies; Cost of Pernut $ 15.00
State Surcharge $ .50
Mail-In Fee(If Applicable) $ 1.50
Total Permit Fee �
PERMIT FEE CALCULATION(S) —JOBS OVER$500.00 `-�
If above does not apply; follow guidelines below:
1. CONTRACT PRICE *is 1.25%of conh-act price with a(Minimum Fee of$35.00)
c �
� �S � � -- x .0125 $
(contract price) (minimum�35.00)
2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of�.50)
x .0005 $
(contract price) (minimum$ .50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50
4. TOTAL PERMIT FEE (Add Lines 1-3 Above) $
■ * CONTR.ACT PRICE or JOB COST means the actual or estimated dollar amount charged for the
permitted wark 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 installations are fiirnished 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 puiposes. In the event that there is a dispute on the
amount of thc job cost, the City may request the submission of a si�ned copy of the achial contract.
■ ** The STATE SURCHARGE is .0005 of the Building Department at(952)249-4600 for the price.
MECHANICAL PERMIT APPLICATION AGREEMENT
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 State of
Minnesota, and certifies that all statements made on this application are complete, true and
correct.
,_ L'
Applicant's Signature: /��� ��.� � �,-;U� ,---�Date: � � �Z�U`�
. ,,
�
DATE TIME
CITY OF ORONO CALLED IN �-� ' �� �
INSPECTION NOTI SCHEDULED � l�F Q
PERMIT NO. � ��l�� COMPLETED
ADDRESS �� -��� �
OWNER CONTR.
TELEPHONE NO. ��/ — ������
� DESCRIPTION
� 01 FOOTING 11 MECHANI AL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 19 LAKESNOFE/WETLANDS
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTtON
Q 05 FINAL 14 SEWER HOOK-UP O6 PFOGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FtNAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
�
W
a
�
J
0
a
�
0
�
W
�
Q
�
Z
W
�
W
�
�
d
��ORK SATISFACTORY:PROCEED u PROJECT COMPLETE
W ❑ CORRECT WORK 8 PROCEED r, ISSUE CERTIFICATE OF OCCUPANCY
� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. - pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ! CITATION ISSUED
❑ INSPECTION REQUIRED.CALI TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerfContract n s�rC$:
.
,.
Inspector.� • P��j y�'� ` �
��
White Copyllnspector's File Canary CopylSite Notice
C� ��j ��� ,/
�.� \t/— � DPT�j � TIME
C�TY OF ORONO CALLED IN �/ O �
INSPECTION NO CE SCHEDULED 7 �
PERMIT N0. �� COMPLETED
ADDRESS �_� �Y (_ �,C� � L� 7� �Ll'
OWNER ��11-e.. • CONTR. l—/ /�f�c.�..
TELEPHONE N0. � �� � ����•
� DESCRIPTION / � �C�L--�
� ❑ FOOTING � MECHANICAL RI ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE
Q ❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
_ ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
? ❑ PLUMBING RI ❑ SEPTIC NAL ❑ HARD COVER REMOVAL
v ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU: YES_NO
� COMMENTS:
�
W
C
�
J
O
>.
�
O
�
W
�
Q
�
Z
W
�
W
�
�
� /
d ✓
W� WORK SATISFACTORY:PROCEED ROJECT COMPLETE
W ❑CORRECT WORK&PROCEED c ISSUE CERTIFICATE OF OCCUPANCY
� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL RETIJRN ❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTfON REQUIRED.CALLTO ARRANGE ACCESS.
Call for the n t inspection 24 hours in advance. (J52� 249-46��
OwnerlContr r 'te:
Inspector.
White Copyllnspector's Fi Canary Copy/Site Notice