HomeMy WebLinkAbout2006-P10426 - gas fireplace � ' PERMIT
CITY OF ORONO
Permit Number:
2750 Kelley Parkway- PO Box 66 P10426
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued:
10/6/2006
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: Pernut Fee: $ 35.00 Valuation: $ 400.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 35.50
APPLICANT: Hearth&Home Technologies Inc. OWNER: Rob 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 REQUIREMEN S.
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APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
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C�'T'Y �F OI2(�I°�O AI'�'�,ICA'�"IGI`��C7R. l�✓IE��IC�L PERie�I'I'
�ox 66 (2750 Kelley Parkway)
Crystal �ay, I�155323
�ENERAL II�TFORMATION
1. You may apply for mechanical permits by mail or in person at the City offices. Applicarions will be
reviewed and a permit will be issued within two working days.
2. Perniit cards will Ue sent by return mail after a review is completed. PERMITS ARE NOT VALID
LJNTIL YOU RECEIVE A PERMIT. WORI�MUST P10T BEG1N iJI�'TIL THE PERI��IT CA12D 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 fonn provided. Identification of and specifications for water heating
equipment shall. also be previded.
4. ��,Then any new construction or remodeling is involved, a separate building pei7nit must be obtained.
5. All work inust be done in aceordance with tl�e Uniform Mechanical Cocie/Stat�e Building Code
___ requirements.
6. All �vork must be inspected (rou;l�-in ai�d final). Call (9�2} 249-4600. 24-hour notice required.
7. House Heating Test Record i��ust be submitted before final.
�a��t�-a�ctiQ�s
Coznplete all items on �1�is a�plieation. C�oz�lpute the�ern�it fee. S�ign and date the certi�ication.
INCOlVIPLETE�PFLICATIONS WILL 1`��T BE I�I�OCESSED. If yotz have questions, call
(952} 249-4�00.
�Iease c?�aelt on.e: [�'�,Tew ❑ Additiol� ❑ Repair ❑ Re�Iace ❑ I�esidential ❑ Commercial
��� ����: ��o -,���:�s ���,� ,2�.��%� �f�o
����r'� 1������a ����__ �'on�s��, �'�o�� l�a�a��e��o —
1�'�ai���Fg �c�e��-e�;�o _ �zty: ���;
'earth 8 Hortte TeChflotOpiN.MC.
�����-�����`� �T���: _ba Fireside HsaRh d� HofM �'hot�e i�������e�:
������b ����.L��. ;icense 205120�---- —
��t3'� �ip:
Rosevlll�, MN SSi 13
851/633-28�1
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SZ'S'�'ENb I)ESCI2IF�'�'lQ1V �
HEATING SYSTEMS
Quantity:
Make:
Model:
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
CC10LI'NG S�'S'�'EMS
Ouanti±y: __ ._
Make:
Model:
Tons:
H. Power
�'�I'.L�'�,A�'�S ��S I,Il'�F O:�rLY
�� Cras factory fireplace ❑ Installing a Gas Line Only
❑ Wood burning factoiy firep;ace with flue
❑ Wood Stove
❑ ood stove with flue �'
���/��l:i�� ��1 S-;��,.v 6 �- l('� �"L/�c.r'
Brand Name R�fodel Zdo.
�I�Fd'�'����.'�'��?'vT
No. _ ICitcl�en Exhaust duct recalc�.�latin� cfm
No. Bath Exhaust (must have duct outside) cfm
No. Other Far1s: Locations ���' � ;,: � ��
,;, � �«�: . ., .
;.�3r;. . ,:, .,-
�'L1EI� S��F2��E (1VIUST BE APPROVED BY FIRE MARSHALj'�M. +wof'•�'a s � i��`..
�•��2 r�nr ���;;,,, ..:r
°Zii•;..;>:4'. :
❑ Installation or ❑ Removal
❑ Ftiel oil: gallons ❑ underground ❑ inside ❑outside
❑ LP Gas: gallons
❑ Other Gas opening
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�'EI2MI'd' FEE �'E�LCLIL�'�'�ON(S)
20(}2 Staf� Stataate ❑ �'�s 'I'h,is Sec�ion�ppdies
The replacement of a Residential fixture ar appliance that meets all three of the following requirements:
1) Does not require modification to elech-ical 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 $ I 5.00
State Surcharge $ .50
Mail-In Fee $ 1.�0
If above does not apply, follow duidelines below;
�. �'«�a��•�et �'�•ice* �s .0125°io of job wi1:h a l�i�����lurrt �+ec of��35 00�
c-��, c�� _x .0125 y "' — -
.� 1 �JJ
(contract price) (minimu�T��35.00}
2. Sta#e ��rcilar�e. ** A.dd the State Building Code Division a l��inima�rra �'e,e Qf(3� �Q�}
��� � x .0005 $ ���
(contract price) (nui�imum$ .50)
3. UQstaQe a�d ����adlar� (Otidy maif-irr ap�Zications) � ����
4. '�C3��L P��I���' ��� (Add ]ines 1-3 above) � _>� �"ti
*COT�TP.ACT PRICE o�.JOB COST mear.s the actual or estimated dollar amount charged for[ne pem�itted work including
materials,labor, profit,and other fixed costs.1C is the amount to bc charged to The cus(omer for the work clone. If any material,
equipment, l�bor,or ir�stallativn is furnished by thc owner,tcnant or any other party the reasonaLle marlcet value of sucti items
must�be�dded to the estimated cost or contract price for permit fee purposes. In the event that t�here is a dispute on the aimount of
thejob eost,the City may request the submission oi a si�ned eopy of the actual contract. �
**The STATE SURCI-IARGE is.0005 of the contract price under S 1,000,000 or$.50-whichever is greater. For valuations over
a 1,000,000 call the Department of Inspectional Services for the price.
The undersi�ned hereby applies to the City for issuance of a Mechanical Pern�it,agrees to do all work in strict accordance with
the ordinances of che City and the regulations of the Minnesota State Building Code,and certifies that all statements made on this
appiication are complete,true and correct.
� Applicant's Signaty�e: �-1�-�� ;,� Date:
Approved By: � Date:
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