HomeMy WebLinkAbout2003-P07101 - gas fireplace ' PERMIT
C ITY O F O RO N O Permit Number:
'��50`Kelley Parkway- PO Box 66 Po�ioi
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Pernuts
(�52) 249-4600 Date Issued: i2ii�i2oo3
SITE ADDRESS: 3220 Bohns Pt La
Wayzata,MN 55391
P I D: 08-117-23-44-0006
DESCRIPTION:
Proposed Use: Residential
Pernut Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Gas Fireplace
DETAILS:
Approved per resolution#:
Separate permits required:
\
NOTICES/REMARKS:
FEE SUMMARY: Pernrit Fee: $ 35.00 Valuation: $ 1,800.00
State Surcharge Fee: $ 0.90
TOTAL F'EE: $ 35.90
APPLICANT' Allied Fireside OWNER: Albert Trapenese
� DBA:Fireside Hearth&Home 3220 Bohns Pt La
2700 Fairview Wayzata,MN 55391
Roseville,MN 55113
TI�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.
P IC ERMITEESIGNATURE ISSUEDBYSIGNATURE
Copies: 1-File(Sirrnitures ReAui�ed),1-Apvlicant,1-Monthlv Revorts, 1-AssessinQ, 1-Finance Page 1
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µ CITY OF O�tONO APPLICATION FOR MECHANICAL PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, IvIl�155323
GENERAL IlVFORMA.TION
1. You rnay apply for mechanical permits by rnail or in person at the City offices.Applications will be
reviewed and a permit will be issued within two working days.
2. Permit cards will be sent by 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 Desi ns-Complete 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 shall be presented on form provided. Identification of and specifications for water heating
equipment shall also be provided.
4. When any new construction 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-hour notice required.
7. House Heating Test Record must be submitted before final.
Instruc�aons
Cornplete 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: �f New ❑ Addition ❑ Repair ❑ Replace[]Residential ❑ Comznercial
JO� �gTE: �� �M.s P-� � Zi :
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Owner°s IVame: Phone I�Tu�abe�°
l�ai�ing Acidress• �ity: �ip:
Allled Flreelde
Contractor's l�ayne: �Fl��H��'�� Phone l�umber:
I6'Iailing Address: ���.��n�. �i�,; �gP:
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SYSTEM DESCRIPTION - `
�iEAT�NG SYS�'�NiS
Quantity:
Make:
Model:
Fuel:
Flue Size:
Input BTiJs:
Output BT'CJs:
CFM:
COOLING SYS'�EMS
Quantity:
Make:
Model:
Tons:
H.Power
�IItEPLt�.C�+S GAS I.Y1�TE ONY��'
� Gas factory fireplace ❑ Installing a Gas Line Only
❑ Wood burning factory fireplace with flue
❑ Wood Stove
❑ Wood stove with flue
Brand Name � _ Model No. �� -�
v���r��.��ao�r
No. Kitchen Exhaust duct recalculating cfm
No. Bath E}chaust(must have duct outside) cfm
No. Other Fans: Locations cfm
FiJEL STOR�.GE (MUST BE APPROVED BY FIItE MARSHAL)
❑ Installation or ❑Removal
❑Fuel oil: gallons ❑ underground ❑ inside ❑outside
❑LP Gas: gallons
❑ Other Gas opening
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PERMIT FEE CALC�ILATION(Sl
2002 State Statute ❑Yes This Section Applies
�
The replacement of a Residential fixture or a�pliance that meets all three of the following requirements:
1) Does not require modification to electrical or gas service.
2) Has a total cost of$500.00 or less;excludins the cost af the fixture or appliance:
and
3) Is irnproved,installed or replaced by the homeowner or licensed contractor.
Skip next section; Cost of Permit $ 15.00
State Surcharge$ .50
Mail-In Fee $ 1.50
If above does not apply, follow guidelines below:
1. Con4-�act Price* is .0125%of job with a l�inimum Fee of($35.OQ1
�, Q� x .0125 $ -_- .3s'�
(contract price) (minimum$35.00)
2. State Surcharge. **Add the State Building Code Division a Minimum Fee of($.50�
Q x .0005 $ .S�
(contract price) (minimum$.50)
3. i'os�age and I�andline(O�ady mail-in applicatio�zs) $ C�
4. 'I'O'Y'AL,PE�IIT'I'EE (Add Iines 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,labor,or installation is fumished by the owner,tenant or any other party the reasonable market value of sucti items
must be added to the estimated cost or contract price for permit fee purposes.In 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$I,000,000 or$.50-whichever is greater.For valuations over
$1,000,000 call the Department of Inspectional 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: I � 0,3
Approved By: �
Date:
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3 �
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NO CE SCHEDULED �- -
PERMIT NO. � COMPLETED �< <
ADDRESS ��O �l�l�.�s �, L-a�v�.
OWNER CONTR. �re��_
TELEPHONE N0. C�5 l �.��'� �C� l
� DESCRIPTIORI 1
� 01 FOOTINO 1 MECHANICAL RI 18 IXCAV/GRADING/FILLING
Q 02 FRAMIN(3 13 19 LAKESHORE/WETLANDS
O03 INSULATION WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HQOK-UP 17 SITE INSPECTION
Q Oa` FlNAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= Q9 PLUMBING RI 23 SEPTIC FINAL : 35 HARD COVER REMOVAL
J 10 PLUMBINO FINAL 36 FOUNDATION/REMOVAL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
h COMMENTS:
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W RKSATISFACTORY:PROCEED �PROJECT COMPLEfE
W ❑CORRECT WORK 8 PROCEED p ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR 1MLL RERJRN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. (g52) 249-46��
Owner/Contractor ' e:
Inspecto
White Copyilnspector's Fite Cenary Copy/Slte Notice