HomeMy WebLinkAbout2008-P11820 - gas fireplace , PERMIT
CiTY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: p11820
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 24�<4600 Date Issued:
1/18/2008
SITE ADDRESS: 1280 Bracketts Pt Rd unit#
Wayzata,MN 55391
PID: 11-117-23-32-0019
DESCRIPTION:
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: � 35.00 valuation: $ 1,065.00
State Surcharge Fee: $ 0.53
Misc. Fee: $ 0.53
TOTAL FEE: $ 36.06
APPLICANT: Hearth&Home Technologies OWNER: Robbin&Kristine Johnson
DBA: Fireside Hearth&Home 1280 Bracketts Pt Rd
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.
PPLICANT PGRMITEE SIGNATURE S UED BY SIGNATURIS
Copies: 1-File(Sig�iatures Required), 1-Applicant, ]-Monthly Reports, 1-Assessing,(If Scptic, 1-Septic) Page 1
, � ti ' � FOR C(Tl'I,SE O�LY'
�p�� City of Orono
� `r��� P.O. Box 66 Date Received: _ Peimit�
j/�: � ' ,?;0 Ke(ley Parkway
�a,� �Il ����`� ''�� G}stal Bay.:�1���3'3 Approved By: -�mount�:
�'���R��o`" (9��}249-=�600
CITY OF ORONO — NIECHANICAL PER�IIT
(:all Commercial pem�its mus�be approved by the Buildin�Official or[nspector and/or Fire�tarshalll
GENERAL INFORLZAT'ION
1. Y"ou may apply for mechanical permits by mail or in person at the City offices. Applications 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. PEIZtitITS ARE NOT
VAL[D U:�IT[L YOU RECE[VE A PERNIIT. WORK tiIUST NOT BEGIv C'NTIL THE
PER:�IIT CARD [S POSTED ON THE JOB SiTE.
3. Mechanical Desi�ns—Complete caiculations, details and specifications are required for each
heating, ventilation, humidification-dehumidification, and air conditioning installation including
heat loss;heat�ain calculation, design temperatures, equipment ratings and identification as to
type, manufacturer and modeL Data shall be presented on form provided.
4. w'hen any new construction or remode(ing is invoived, a separate building permit must be
obtained.
5. All work must be done in accordance with the Uniform�techanical CodeiState Building Code
requirements.
6. �ll work must be inspected(rough-in and final). Call(9�2)249-4600.
(24-48 hour notice required)
?. House Heating Test Record must be submitted before final.
TYPE OF PERIVIIT
(Check All That Apply)
�esidential ❑ Commercial (Approval Required)
❑ New �dditional ❑ Repairs ❑ Replace
Job Site / Owner Information:
Site Address: �� ����C��� �1� � ��
. �
Owner: ������ �...����'` � ailing Address:
City: Zip:
Home Phone: ��:� ����S����' Alternate Phone:
Contractor Information:
Contractor: �� Techndog�.�^�• Contact Person:
dba Firesid� Heart► oma
Lic•nse 20512060 State Bond ,#:
�ddress: N. Fairview Ave.
Rosevil e,
851 I633-2561
City: Zip: Expiration Date:
Phone: Alternate Phone:
❑ Insurance—Current:
1
r � � +
I �IECH�NICAL SYSTENiS BEING II��STALLED �
HE.�T[1G SYSTEIIS
Quantity:
i�take:
titodel:
Fuel:
Flue Size:
Input BTlis:
Output BTIJs:
CF�i:
COOLI�G SY'STENIS
Quantity:
Make:
tiiodel:
Tons:
H. Power
FIREPL�CES
� Gas Factory Fireplace
Wood Burnin� Fireplace
❑ Wood Stoce
❑ Wood Stove VVith Flue
Brand�1ame: �/L�� Model No.: � �' —�`��
�'EtiTIL.aT[ON
❑ No. Kitchen Exhaust duct recirculating cfm
❑ No. Bath Exhaust(must have duct outside) cfm
❑ No. Other Fans: Locations cfm
FL`EL STOR.aGE(MUST BE APPROVED BY FIRE 1�I:�E2SHALL)
❑ [nstallation ❑ Removal ,�, :,���
;.� ,
; �+,�e�w
Fuel Oil: �allons ❑ Underground ���,InsiC��,.��'Outside
LP Gas: gallons ;.; ;
Other: � , y �..� , ,_�.;i
...i'�:.1�i ....�t.
1'.�S
GAS L[�E O'�LY
❑ Outdoor Gril1 ❑ Other i List What& Where:
2
� 1 . .
,
PEI�ti�IIT FEE CALCULATION(S)
� BASED OFF - 2002 STATE STATliE
❑ Yes, this section applies
The replacement of a Residential fi.rture or appliance that me�ts all three of the following requirements:
1. Does not require modification to electrical or gas service.
2. Has a tota( cost of$�00.00 or less; excludino the cost of the fixture or appliance: and
3. Is improved, insta(led or replaced by the homeowner or licensed contractor.
Skip next section, if this applies; Cost of Permit � 1�.00
State Surcharge $ .�0
[��1ail-[n Fee([f Applicable) � 1.50
Total Permit Fee �
�� PERMIT FEE CALCULATION(S)—JOBS OVER $500.00
If above does not apply; follow guidelines below:
I. COrTR.�CT PR[CE * is 1.2�°io of contract price with a(:�Iinimum Fee of$35.00)
�'�� �
� x .O12� $ �-� ._
(contract price) (minimum$3�.00)
2. STATE S[;RCH.aRGE ** Add the Stat�Bldg Code Div. Surcharge(tilinimum Fee of�.�0)
��� � � x .0005 $ ' � �
(contract price) (minimum� .50)
3. POSTAGE & HANDLING(Only on i�tail-In Applications) � �
�
4. TOTaL PER�t[T FEE (�dd Lines 1-3 Above) � �- ��
■ * CONTEZACT PRICE or JOB COST means the actuaL or estimated dollar amount char�ed for the
permitted work includin� materials, labor, profit, and other fixed costs. [t is the amount to be charged
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
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.
■ **T'he ST,aTE SURCH.�.RGE is .000� of the Building Departme�t at(9�2)2�9-4600 for the price.
MECHANICAL PERIVIIT APPLICATION AGREEMENT
T'he undersi�ned hereby applies to the City for issuance of a i��lechanical Permit, a�rees to do all
work in strict accordance w-ith the ordinances of the City and the re�ulations of the State of
�Iinnesota, and certifies that a11 statements made on this application are complete, true and
correct.
. �. i r�` . 1� I � ��`,
�pplicant's SiQnature: 1/'�.�� �` Date: I
3
AT9E TIME �
CITY OF ORONO CALLED IN ���O ��
INSPECTION NOT)C SCHEDULED �L� /-'Or� ��
PERMIT NO. ` D COMPLETED
ADDRESS l al � �� ��'�=e� �T �
OWNER CONTR. L�
TELEPHONE NO. /��'✓ • �l/�—��� �O7�f �`"l
� DESCRIPTION � 4-�� �� _�v�
� ❑ FOOTING � MECHANICAL RI ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORENVETLANDS
y ❑ 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
� ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
? ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
� ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� �,?'1NORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
W r�7 CORRECT WORK&PROCEED l ISSUE CERTIFICATE OF OCCUPANCY
� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CQRRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOA � CITATION ISSUED
❑ INSPECTION REQUIRED.C�ALLTO ARRANGE ACCESS.
Call for the nextljnspection 24 hours in advance. (952� 249-46��
OwnerlContra�cfe�r�on sit�e:
��
Inspector. ' '
White Copyllnspector's File ' Canary Copy/Site Notice