HomeMy WebLinkAbout2004-P07388 - gas fireplace � �- PERMIT
CITY OF ORONO Permit Number:
2750 Kelley Parkway - PO Box 66 Po�3gs
Crystal Bay, Minnesota 55323 Pe►'mit Type: Mechanical Permits
(952) 249-4600 Date Issued: 4�i3i2oo4
SITE ADDRESS: 3329 Crystal Bay Rd
Wayzata,MN 55391
P I D: 17-117-23-41-0019
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Mechanical Permits Permit Sub-rype(s): Gas Fireplace
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 38•75 Valuation: � 3,100.00
State Surcharge Fee: $ 1.55
TOTAL FEE: $ 40.30
APPLICANT: Allied Fireside(See Comments) OWNER: Sevie Lanning
DBA: Fireside Hearth&Home 3329 Crystal Bay Rd
2700 Fairview Wayzata, MN 55391
Roseville,MN 55113
THE LJNDERSI NED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AG DO ALL WORK IN STRICI'COMPLIA WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MII�Pd�SOTA L G E UIREMENTS.
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APPL.IC NTPERMITEESIGNATURE ISSUEDBYSIGNATliRE
Conies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1
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CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 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 Uy return mail after a review is completed. PERMITS ARE NOT VALID
UNTIL YOU RECENE A PERMIT. WORK MUST NOT BEGIN UNTII, THE PERMIT CARD IS
POSTED ON THE JOB SITE.
3. Mechanical Desi rg�is-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 Ue obtained.
5. All work must Ue done in accordance with the Uniform Mechanical Code/State Building Code
requirements.
6. Al] work must be inspected(rough-in and final). Call (952)249-4600. 24-hour notice required.
7. House Heating Test Record must be suUmitted before final.
Instructions
Complete 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: ❑ New ❑ Addition ❑ Repair ❑ Replace ❑ Residential ❑ Commercial
JOB SITE: �� � �. S�/�L� �� �� Zip:
Owner's Name. =iOi,���� ��o,s.rrsoy Phone Number:���- 7�� •����`-%
Mailing Address• City: Zip:
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Contractor's Name: Phone umber: � 5 ��3�—/��/�
Mailing Address�?� /,Q�l.�� City:���1���,� Zip: S��i/
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SYSTEM DESCRIPTION •
HEATING SYSTEMS
Quantity:
Make:
Model:
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H.Power
FIREPLACES GAS LINE ONLY
�Gas factory fireplace ❑ Installing a Gas Line Only
❑ Wood burning factory fireplace with flue
❑ Wood Stove
❑ Wood stove with e
Brand Name �i�/-��T'� Model No. 1/1-�- /7`�� ���
VENTILATION
No. Kitchen Exhaust duct recalculating cfm
No. Bath Exhaust(must have duct outside) cfm
No. Other Fans: Locations cfm
FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL)
❑ Installation or ❑ Removal
❑ Fuel oil: gallons ❑ underground ❑ inside ❑outside
❑ LP Gas: gallons
❑ Other Gas opening
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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 Pernut $ 15.00
State Surcharge$ .50
Mail-In Fee $ 1.50
If above does not apply, follow guidelines below:
1. Contract Price* is .0125% of joU with a Minimum Fee of($35.00)
�� x .0125 $
(contract price) (minimum$35.00)
2. State Surchar�e. ** Add the State Building Code Division a Minimum Fee of($ .50)
x .0005 $
(contract price) (minimum$ .50)
3. Postage and Handlin� (Ortly�nail-i�i applicatioiis) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $
*CONTRACT PRICE or JOB COST means the actual or estimated doltar 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
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�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 th Ci f t.issuance of a Mechanical Perenit,a ees to do all work in strict accordance with
the ordinances of the City a fie�e ulati ns o h in esota S Building d ,and certifies that all statements made on this
application are complete rue and c ec
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Applicant's Signature: Date: � �
Approved By: Date:
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