HomeMy WebLinkAbout2004-P07163 - gas fire place . PERMIT
CI`TY OF ORONO Permit Number:
2750 Kelley Parkway - PO Box 66 Po�163
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued: i�i4�2ooa
SITE ADDRESS: 162s sohns Pt Rd
Wayzata,MN 55391
PID: 17-117-23-11-0003
DESCRI PTION:
Proposed Use: Residential
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: $ 60.00 Valuation: $ 4,800.00
State Surcharge Fee: $ 2.40
TOTAL FEE: $ 62.40
APPLICANT: Allied Fireside OWNER: Roger&Carol Rovick
DBA:Fireside Hearth&Home 1625 Bohns Pt 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 BUILDING CODE REQUIREMENTS.
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APPLICANT PERMITEE SIGNATURE [SSUED BY SIGNATURE
Copies: 1-File(SiQnitures Required). 1-Applicant, 1-Monthlv Reports, 1-AssessinQ, 1-Finance Page 1
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CITY OF ORONO APPLICATION FOR I�IECHANICAL PERMIT
Box 66 (27�0 Kelley Parkway)
Crystal Bay, tvfN 55323
GENERAL INFORMATION
1. You may apply for mechanical permits by mail 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 RECEIVE 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 Ue 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-hot�r notice required.
7. House Heating Test Record must be submitted before final.
Ins�ructions
romplete all items on this application. Compute tr�e permit fee. Sig�� 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: �- ' ' , �,,,� � /Z�� Zip:
Owner's Name: Phone Nuralber:
1!'Iailing Address: City: ��p;
�atlied Pireside
Contractor's l�ame; �baFiresideH88rthiMp110
a��«��� Phone PrTumber•
1Vlaiiim4 Address: Z��N.Fairview Ye.
b �p�a�riika MN55113 �(ty; �IT1�
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SYSTEM ll1GSCRIPTION �
HEATING SYSTEMS
Quantity:
Make:
Model:
FueL•
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H.Power
FIR�PLACES GAS LI?�'E ONLY
� Gas factory fireplace � ❑ Installing a Gas Line Only
� Wood burnino factory fireplace with flue �
Wood Stove
❑ Wood stove with flue
Brand Name I�J-��.f /� G� Model No. �%�-�%��l2— Oc� ��==�S )
v�N��L�sTroN ��t: �.� (t,�..�`1
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No. Kitchen Exhatist duct recalculating cfm
No. Bath Exhaust (must have duct outside} cfm
I�1o. Other Fans: Locations cfm
FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL)
❑ Installation or ❑ Reinoval
❑ Ftiel oil: gallons ❑ underground ❑ inside ❑outside
❑ LP Gas: gallons
❑ Other Gas opening
2
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PERMIT FEE CALCULATION(S)
2002 State Statute ❑ Yes This Section Applies
The replacement of a Residential fixture or appliance 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; excludin� the cost of the fixture or appliance:
and
3) Is improved, installed or replaced by the homeowner or licensed contractor.
Skip next section; Cost of Permit $ 1�.00
State Surcharge $ .50
Mail-In Fee $ 1.50
If above does not apply, follow guidelines below:
1. Contract Price* is .0125% of job with a Minimum Fee of($35.00)
���'C'.�� x .0125 $ ���, o�
(contract price) (minimum$35.00)
2. State Surchar�e. ** Add the State Building Code Division a Minimum Fee of($ .50)
_ �f�c�,�:� x .000s � �. y�
(contract price) (minimum$ .50)
3. Posta�e and Handlin�(O�ily mai!-irt applicatiorts) $ ���
4. TOTAL PER'l�IIT FEE (Add lines 1-3 above) � �,� y.`�
*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 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. In the event that there is a dispute on the amount of
thejob 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 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 al]statements made on this
appiication are complete,true and correct.
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A licant's Si at � -_� � �� �
rr gn ure: � a.�- �-E.� Date: _ � �_� c:�j
Approved By: Date:
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTI E SCHEDULED � � �C3` `� �.�G
PERMIT N0. G�7��� COMPLETED
ADDRESS � �'J�J �c� �<(S �'�_,
OWNER CONTR. , ��•" �-l�c- s .
TELEPHONE N0. ���� C��
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� DESCRIPTION �-'� . � � /'/ (1e�` f� ���C-�--�� ' -� T��^-�--
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PIUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W� WORKSATISFACTORY:PROCEED ❑PROJECTCOMPLEfE
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL AETURN
O STOP ORDER POSTED.CALL INSPECTOR
❑CITATION ISSUED
❑ INSPECTION RECIUIRED.CALLTOARRANGE ACCESS.
Call forthe next i spection 24 hours in advance. �95Z� 249-46QQ
OwnedContra s�
Inspector. ���` .
White Copyll�spector's File Canary CopylSite Notice
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DATE TIME
CITY OF ORONO CALLED IN ��
INSPECTION N IC SCHEDULED �-� "O a:0 D
PERMIT NO. � � 3 COMPLETED
ADDRESS 1�OZS BO h� �'� �-C�.
OWNER CONTR. �/LQ/J I� ��" �
TELEPHONE NO. ��� � � 3 3 Z�lP I
� DESCRIPTION F� ��
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 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
� OWNERICONTRACTOFi TO MEET YOU:_YES_NO
� COMMENTS:
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W� WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPIETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
❑CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call forthe next ins ction 24 hours in advance. (g52) 249-46�0
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White Copyllnspector's File Canary CopylSHe NoUce
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