HomeMy WebLinkAbout2005-P09241 - gas fireplace � � PERMIT
CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: P09241
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued: 9/29/2005
SITE ADDRESS: 1265 Bracketts Point Rd Unit#
Wayzata, MN 55391
P��� i1-117-23-32-0010
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Pem,it Type: Mechanical Permits Permit Sub-type(s): Gas Fireplace
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 42.50 valuation: $ 3,400.00
State Surcharge Fee: $ 1.70
TOTAL FEE: $ 44.20
APPLICANT: Hearth&Home Technologies Inc. OWNER: Roger O'Shaughnessy
DBA: Fireside Hearth&Home 10562 Estate Drive
2700 Fairview Ave Eden Prairie,MN 55347
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 B SICiNATURE
Copies: 1-File(Signatures Reguired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page l
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��TY �F �ROI�C? �PPLI�A'�I�I`1 �OR 1���IANICAL�'ERIviIT
Box 6b (2750 Kelley Parkway)
Crysfal �ay, IvIl�T 55323
GENERAL II�TFORMATION
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. Pernut cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID
LJ.�VTIL YOU RECEI�'E A PERIvIIT. WORIC MUST NOT BEG1Iv'UNTIL THE PERMIT C�RD IS
POSTED Oi�? THE JOB SITE.
3. Mechanical Desie.ns- Complete calculations, details and specifications are required for each heating,
ventilation, humidification-dehumidification, and air conditioning installation including heat loss/heat
gain calcutation, design temperatures, equipment ratinbs and identification as to type, manufacturer and
model. Data shall be presented on form pravided. Identification of and specifications for water heatinQ
equipment shall al.so be provided. '"
4. VJheiz any new construction or remodelir_g is involved, a separate buildii�g�pennit must be obtained.
5. All work inust be done in accordance with the Uniform Mechanica] Code/State Building Code
requirements.
6. All work must be inspected (rou�h-in and final). Call (9�2)249-4600. 24-hour notice required.
7. House Heating Test Record must be submitted before final.
��r���-aac�i�a�s
Complete a1I itezns on this application. Coi�lpute the parnait fe�. S�igr? and date the certif cation.
INCOii/IPLETE APPLICATIOl\TS WILL IV�T BE pFtOi ESSED. If you have questions, call
(952) 249-4600.
Please check one: �] I�Tev� ❑ Additiol� ❑ Repair ❑ Replace ❑ Residential ❑ Cotnmerci.ai
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HNAh�Hoir»T�dmolopbs M�C.
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i���ti�g �.c��r°ess: _210�N. F�Irviwr Av� �a�Ya ��p:
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Quantity:
Make:
Model:
FueL•
Flue Size:
Input BTUs:
Output BTUs:
CF'.VI:
�OOLIIVG S�'S�d'�IiZS
(�uantity: _
Make:
Model:
Tons:
H.Power
�'�IZ��'L.��;;�5 ��.5 I,F''�t� �N�,�'
� Gas factory fireplace ❑ Installing a Gas Lir�e �nly
❑ Vdood burning factoiy fireplace witl7 flue
❑ ��ood Stove
❑ Wood stove with fiue
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F3rand IVame��'�� /�= �� �-= 11Rode1 No. � �i t
���1�'�'8�1�`�'��I�' �
No. Kitchen �xhaust duet recalculatin� cfin
No. �Bath Exhaust(must have duct outside} cfm
No. C7ther Fans: Locations ���` � '-� m �} � '
, .� .. . , .. � ,. .
,z" ,+' .,:4� +;�Fite�•!
F�J�L S'I'�IgAG� (MUST BE APPROVED BY FIRE MARSHAL)*'"�.�"'�""""� `� ���•`�`''
t ����MI�M .�+t)trw:r��,�
r+�.�S :,v.....:;;�
❑ Installation or ❑ Removal
❑ Ftiel oil: gallons ❑ underground ❑ inside ❑outside
❑ LP Gas: gallons
❑ Other Gas opening
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PEIZl��I'�' �'�E �ALCULATIO�(S)
2,002 Sfate Sta#ute ❑ Yes This Sec�ion Appiies
The replacement of a Residential fixture or appliance that meets all three of the foIlowing 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 Pennit � 15.00
State Surcharge $ .50
Mail-In Fee $ I.50
If above does not apply, follow gurdelinec belew:
1. �'an�c-ae� I'r-i�eX is .0125°io of job with a l��incrn�m �'ee of(�3�.0�
���E�c�� c�r� � .ol�s � ��. �-�
(contract price) (minimum$35.00)
2. State �urchar�e. **Add the State Buildin�Cade Division a lOBir�imum Fee o��($ .501
� ��1�'�'. �t� x .0005 $ � � ��`
! �'`
(coi�tract pi-ice) (minimum� .50)
3. Pos�a�e and �andlin� (O�zly nzai!-i�a ap�dic�tio�is) � �—
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4� `�'��'�� ���'�'��`�' ��� (Add lines 1-3 above) � �
�`CONTRACT PRIC�or JOB COST means the actual or estimated dollar amounc chareed for the pem�itted work including
n�a�erials,labor, profit,and oYhcr fixed costs. It is the amount to be char�ed to the customer for the work done.If any ma[erial,
ec�uipment, labor,or ir�stallation 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 tnc arnount of
the job cost,the City may request the submission of a signed copy of the actual contract.
**Thc STATE SliRCHARG�is.0005 of the contract price under$1,OU0,000 or 5.50-whichever is greatar. For valuations over
$],000,000 cal(the Department of Inspectional Services for the price.
The undersigned hereby applies to the City for issuance of a Mechanical Pern�it,agrees to do afl wark in strict accordance with
the ordinances of the City and the regulations of the Mimlesota State Buildin�Code,and certifies that all statements made on this
application are complete,true and correct.
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Applicant's Sign ure: E�r,c,��L �J �� D C, ' � -
,_, atc: � �s
Approved By: � Date:
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