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Home My WebLink About2008-P12141- gas fireplace PERMIT �ITYh OF ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: p12141 Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits (952) 249-4600 Date Issued: 6/5/2008 SITE ADDRESS: 108 Chevy Chase Dr Unit# Wayzata,MN 55391 PID: 36-118-23-41-0034 DESCRIPTION: Proposed Use: Residential Permit Class: General Permit Type: Mechanical Perniits Permit Sub-type(s): Gas Fireplace DETAILS: Approved perresolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Pernlit Fee: $ 56.25 Valuation: $ 4,500.00 State Surcharge Fee: $ 2.25 Misc.Fee: $ 1.50 TOTAL FEE: $ 60.00 APPLICANT: Hearth&Home Technologies OWNER: Mark D Williams DBA: Fireside Hearth&Home 108 Chevy Chase Dr 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. t l_�.r.i.G..� LY�, APPLICANT PERMITEE S]GNATURE I UED BY SIGNATURE Copies: l-File(SignaturesRequired), 1-Applicant, 1-MonthlyReports, 1-Assessing,(IfSeptic, 1-Septic) Page 1 , � FOR CITY LSE O�LY i �� City of Orono � ' 4 �� P.O. Box 65 Date R�cei�ed: Pz�n�� \ „�0 Kelley Parkway i I� '��r �.'� Crystal Bav.�S��>;'; Approved By� �mount�: �y, �� F � �r a;� o`� (9.Z)2a9-a600 \��A�OB� CITY OF ORONO — NIECH�NICAL PERL�IIT (�ll Commercial pern�its must be approved by the Buildin�Official or[nspector and/or Fire�(arsha(fl � GE'�1ERAL I�iFOR:�i�TIO�i � 1. You may app(y for mechanical permits by mail or in person at the City offices. .applications will be reviewed and a pzrmit will be issued within two working days. 2. Permit cards will be sene by return mail after a review is complet�d. PEEL�([TS aRE NOT �'.-�LID Lti`TIL Y"OU RECEIVE A PER:titIT. WORK�tUST YOT BEGI� L'�TIL T'HE PER�iIT CaRD [S POSTED O�� THE JOB SITE. 3. �Iechanical Desisns—Complete calculations, details and specifications are required for each heating, ventilation. humidification-dehumidiTication, and air condi�ionin� installation includin� heat loss,heat�ain calculation, desi�n temperatures, equipment ratin�s and identitica�ion as to tvpe, manufactur�r and model. Data shall be presented on form providzd. 4. When any new construction or rzmodeling is invo(ved, a separate building permit must bz obtained. �. .-�Il work mwt be done in accordance with the [.'niform�izchanical Code S�a�e Buiidin�Code requirements. 6. All work must be inspected(rough-in and final). Call (9��)2�39-4b00. (?-4-48 hour notice required) House Heatin�Test Record must be submitted before final. �, TYPE OE PER:�IIT �I '� (Check Al1 That applvl � �sidential ❑ Commercial (Appro�ai EZequired) � �ew ❑ :�ddi�ional ❑ R�pairs ❑ Replace �, Job Site i Owner Information: � Site Address: � ' �'� �'I � �. Owner: �lailing Address: City: Zip: I�ome Phone: �lternate Phone: � Contractor Information: Fl�utl�d Hortw Technologies,in� � � � �u Contractor: ��' �rth a Home Contact Person: �-� 2700 N. Faitvi�w Aw. �� State Sond #: �ddress: �,�,,,a��*-�R., City: Zip: Expiration Date: Phone: Alternate Phone: ❑ Insurance — Current: 1 I�iECH�NICAL SYSTE�TS BEI�;G PvSTALLED , HE.aT[�G S�STEtiiS Quanrity� �Iake: ModeL FueL Flue Size: [nput BTlis: Outpuc BT L'�: CF�t: coo��c sti srE��s Quan�i�y� �Iake: �fodeL Tons: H. Po��r F[REPL.aCES � Gas Factory Fireplace — 7� � ❑ Wood Burning Fireplace ❑ Wood Stove ❑ W'ood Stove With Flue � � Brand�1ame: � ,��y–�-�l� Model No.: �� -J..�'S VENT[L.aTION ❑ No. Kitchen Exhaust duct recirculating cfm ❑ No. Bath Exhaust(must have duct outsidel cfm ❑ No. Other Fans: Locations cfm FL'EL STOR.�GE('�IliST BE APPROVED BY FIRE Nt�RSH.-�LL) ❑ (nstallation ❑ Removal "�'tJer�'�� ,;�,,;�� a nrisN+ .b��ni�l aeb FuelOil: ;allons ❑ Undergrou ��de LP Gas: aallons Other: � '�S-tCMt� G.aS LINE O�LY ❑ Outdoor Grill ❑ Other List What& `�'here: 2 '�, PER��IIT' FEE CALCULATIO'�(S) � BaSED OFF - 2002 STATE ST�TtiE j ❑ Yes, this section app(ies The replacement of a Residentiaf fixture or appliance that meet; all thr�e of the followin�requirements: 1. Does not rzquire moditication to electncai or�as service. 2. Has a total cost of 5�00.00 or less; excludino the cost oPthe tixture or appliance: and 3. [s improved, instaied or replaced by the homeownzr or licensed contractor. Skip next szc�ion, if�his applies; Cost of Permit � 1�.00 State Surchar�e � .�0 tiiail-[n Fee(If.�pplicable) $ 1.�0 Total Permit Fee � �� PER:��IIT FEE C�LCULATIO�(S)- JOBS 0�'ER$�00.00 If abo��e does not apply; foilow guidelines below: 1. COrTR_�CT PRICE * is 1.2�°ro of contract pnce with a(�[inimum Fee of�3�.00) Ll �C�U . �:� x.oi�s � � �C� � � �co�ltract pncej (rninirnum 335 00) ?. ST.aTE SC`RCH.-1RGE ** Add the State Bld,Codz Div. Surchar�e(tilinimum Fee of�.�0) ��_ �57�� , G� x .000� � o C� � (con�rsct�nee} ;�-unimum� �0) 3_ POSTAGE & Et.�VDLNG(Only on �Iail-In Applications) � 1.�0 �. TOTaL PE2�[[T EEE (.-�dd Lines 1-3 Above) � � � , ■ * CONTRACT PRICE or JOB COST mzans the actual or estimated dollar amoun[ char�ed for the permitted work includin� matenals, labor, profit, and other fixed costs. [t is the amount to be char;ed to the customer for the work done. If any matenal, equipment, labor or installations are furnished by the owner, tenant or any other party, the reasonable market value of such items must be added to the zstimated cost or contract pnce 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 si�ned copy of the actual contract. � **The ST.�TE SURCHARGE is .040� of the Buildin� Departmen�at(9�Z)249-�3600 for the pnce. � NIECHANICAL PER�'�IIT APPLICATION AGREEtiIENT � The undersigned hereby applies to the City for issuance ot a ��techanical Permit, a�rees to do all work in strict accordance with the ordinances of the City and the re�ulations oT the State of �Iinnesota, and certifies that all �tatements made on this application are completa, true and correct. ' .-� � �i .applicant's Si�natur� j�. Da�e: -' 3 �.� � DATE TIME � CITY OF ORONO CALLED IN ��(�� INSPECTION NO IC SCHEDULED PERMIT N0. cOMPLETED ADDRESS IDI� C_��P–C�.[ �� , OWNER CONTR. �L%LP1!-eGL�Q TELEPHONE NO. �Q''�'� �� L-- z�� 9�� DESCRIPTION /—/ F�-� � � ❑ FOOTING � MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a o ��/�'�,��-S � 0 � W � Q � Z W � W � � �/� GW/�{WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W��❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR W4LL RETURN ❑STOP ORDER POSTED.CAL�INSPECTOR !� CITATION ISSUED ❑ INSPECTIOfV REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952� 249-4600 Owner/Contractor on site: Inspector. t, � White Copyllnspector's File Canary CopylSite Notice