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Home My WebLink About2008-P12099 - gas fireplace � � PERMIT CITY OF ORONO Permit ►vumber: 2750 Kelley Parkway- PO Box 66 P12o99 Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits (952) 249-4600 Date Issued: 5/22/2008 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 Permits Permit Sub-type(s): Gas Fireplace DETAILS: Approved perresolution#: Separate permits required: NOTICES/REMARKS: Install Gas Fireplace FEE SUMMARY: Permit Fee: $ 47.50 valuation: $ 3,800.00 State Surcharge Fee: $ 1.90 TOTAL FEE: $ 49.40 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 MWNESOTA BUILDING CODE REQUIREMENTS. APPLIC T PERMITEE SIGNATURE ISSUED BY S[GNATURE Copies: 1-File(Signatures Reguired), 1-Applicant, 1-Monthly Reports, l-Assessing,(If Septic, l-Septic) Page 1 FOR CITY'L'SE O�L1' �� City of Orono �� V P.G. Box 66 Da[e R�cei�ed�. Pemii�� „�0 Kelley Parkwa,� ,� � �� _� �� Cr stal Bay.MN>j3_3 approved By Amount 5: � ` `' :'' r ��, o,' (9,�1=�9-4600 ,��'R�_,� CITY OF ORONO — 1�IECH�NIC:�L PER�IIT' (:�Il Commercial pemlir mus[be approved by[he Buildin�Official or Inspector and-or Fire�tarshalll GENERAL I�i FORIVIATIOIV' 1. You may apply for mechanical permits by mail or in person at the City offices. �pplications will be re��iewed and a permit will be issued within two working days. 2. Permit cards will be sent by return mail after a review is completed. PER�VIITS ARE NOT V:�LID L�1TIL YOU RECE[VE .A PER:titIT. WORK ;�IUST NOT BEGIV CNTIL �I'HE PER:�IIT C�RD [S POSTED O�i THE JOB SITE. 3. Mechanical Desi�ns—Complete calculations, details and specifications are required for each heating, ventilation, humidification-dehumidifieation, and air conditionin� installation including heat loss;"heat�ain caleulation, design temperatures, equipment ratings and identification as to type, manufacturer and modeL Data shall be presented on form providzd. 4. W'hen any new construction or remodeling is invoived, a separate building permit must be obtained. 5. All work must be done in accordance with the Uniform�techanical Code,State Buildin�Code requirements. 6. All work must be inspected(rou�h-in and final). Call (9�?)249-4600. (24-48 hour notice required) 7. House Heatin�Test Record must be submitted before final. TYPE OF PER�tiIIT (Check All That Apply) �Residential ❑ Commercial(Approval Required) ; ew ❑ Additional ❑ Repairs ❑ Replace Job Site / Owner Information: Site Address: � Owner: tilailing Address: C ity: Z ip: Home Phone: Alternate Phone: Contractor Information: FN�M b Ho�rt�s T�cfKwlopNs�I� i ` Contractor: u a Finsid� H�arth � Hom� Contact Person: ` W� �� 2700 N. FaUvi�w Aw. Rosevilh.MN 55113 State Bond t: Address: e�.,,_,�e, City: Zip: Expiration Date: Phone: Alternate Phone: ❑ Insurance — Current: 1 ! i�1ECH�MC�L SYSTE�15 BEI�G I'_�ST�LLED � HE.aTI�G S�'STE:�IS Quantit�: titake: :�lodel: FueL Flue Size: Input BTUs: Output BT[Js: CF�i: COOL[NG S�'STE�IS Quantity: Make: Model: T'ons: H. Powzr FIREPL.aCES � Gas Factory Fireplace ❑ Wood Burning Fireplace ❑ Wood Stove ❑ W'ood Stove With Flue Brand Name: � � ti�iodel No.: �SC-°`��-� �� VENT[L.aT'[ON ❑ No. Kitchen Exhaust duet recirculatin� efm ❑ No. Bath Exhaust(must have duct outside) cfm ❑ No. Other Fans: Locations cfm FC'EL STORaGE (�IliST BE .�PPROVED BY FIRE Nt�RSH.�LL) ❑ [nstallation ❑ Removal "��y,�„j��sH ��so�� c�� F�'Q ,. Fuel Oil: gallons ❑ Undergrou��,q��j�side LP Gas: gallons �''td2 ►�M ,QF��reac,� Other: �a�� eF��•�ra G.aS L[�E O�LY ❑ Outdoor Grill ❑ Other List What& �'here: 2 . • . �, PER�ti�tIT FEE CALCUL��TION(S) � B�SED OFF - 2002 STATE STATUE ❑ Yes, this section applies The replacement of a Residential fi�ture or appliance that meets all three of the following requirements: 1. Does not require modification to electrical or�as service. 2. Has a total cost of��00.00 or less; excludino the cost of the fixture or appliance: and 3. Is improved, installed or replaced by the homeowner or licznsed contractor. Skip next section, if this applies; Cost of Permit � 1�.00 State Surchar�e $ �0 I�tail-In Fee�If Applicable) � 1.50 Total Permit Fee � � PERI�IIT FEE CALCULATION(S) —JOBS OVER $�00.00 If abo�e does not apply; follow guidelines below: l. CONTR.aCT PR[CE * is 1.2�°io of contract pnce with a(1�tinimum Fee of�3�.00) 3�� - C�2� X .oizs � � 7� � (co�itract price) (minimum$35 00) 2. ST.aTE S[."RCH.aRGE ** Add the State Bldg Code Div. Surcharge(�Iinimum Fee of$.�0) 3��—�� x .0005 $ � f � � (contract price) (minimum� .50) 3. POSTAGE & HANDLING(Only on !�1ai1-In Applications) $ 1.�0 4. TOTAL PER�I[T FEE (Add Lines 1-3 Above) � ��` �� ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted work including matenals, labor, profit, and other fixed costs. It is the amount to be charged to the customer for the work done. If any matzrial, equipment, labor or installations are furnished by the owner, tenant or any other party, the reasonab(e market value of such items must be added to the estimated 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 signed copy of the actual contract. ■ **The ST:�TE SURCH:�RGE is .000� of the Buildin; Departme�t at(9�2) 249-d600 for the price. MECHAi�'ICAL PERMIT APPLICATION AGREEti1ENT The undersigned hereby applies to the City for issuance of a i�lechanical Permit, agrees to do all work in strict accordance with the ordinances of the City and the regulations of the State of �Iinnesota, and certifies that all statements made on this application are complete, true and correct. Rpplicant's Si�nature: �Z � Date: 5�� -� � 3 �� T . ^- TIME CITY OF ORONO J��ryJ, CALLED IN �� . �- INSPECTION NOT � /1 SCHEDULED �y� �� PERMIT NO. COMPLETED ADDRESS � �� L��L� L/� �� OWNER CONTR. �,�'f� �� I/l/ � �} �h TELEPHONE NO. �' I� - �4� � _ / ��7� J � DESCRIPTION ��- �� /G�-�'-��- � ❑ FOOTING ❑ MECHA ICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE fNSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT � ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPT FINAL ❑ HARD COVER REMOVAL � ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU: YES_NO Y , � COMMENTS: � � W a � J O a � � J r� �� +�, '� . � W � Q � z W � W � � d W WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE � ❑ ORRECT WORK&PROCEED n ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952� 249-460� OwnerlContractor on site: Inspector. ��i--r� j��,� White Copyllnspector's File Canary Copy/Site Notice