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Home My WebLink About2008-P11950 - gas fireplace PERMIT CITY�OF ORONO Permit Number: 2750 Kelley Parkway- PO Box 66 P11950 Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits (952) 249-4600 Date Issued: 4/1/2008 SITE ADDRESS: 3359 Crystal Bay Rd Unit# Wayzata,MN 55391 PID: 17-117-23-41-0025 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 va►uation: $ 2,800.00 State Surcharge Fee: $ 1.40 TOTAL FEE: $ 36.40 APPLICANT: Hearth&Home Technologies OWNER: Rick Luzaich DBA: Fireside Hearth&Home 3359 Crystal Bay 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. -i��--�� B7�-� APPLICANT PERMI"1I?P;SIGNA"1'URF S liED BY SIGNATliRE Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 FOR CITY USE ONLY � ,�` City of Orono 4O`�' P.O.Box 66 Date Received: Permit# ��" � 2750 Kelle Parkwa '�`,c.,,�. Y Y a ��4i��r � Crystal Bay,MN 55323 Approved By: Amount$: �� '�,�y��i�v..�o` (952)249-4600 ��Ko4 CITY OF ORONO —MECHANICAL PERMIT (All Commercial pcnnits must be approved by the Building Official or Inspector and/or Fire Marshall) GENERAL INFORMATION 1. You may apply for mechanical pernuts by mail or in person at the City offices. Applications will be reviewed and a pernut 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 YOli RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Designs—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 form provided. 4. When any new construction or remodeling is involved, a separate building permit must be obtained. 5. All work mu�t 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. (24-48 hour notice required) 7. House Heating Test Record must be submitted before final. TYPE OF PERMIT (Check All That Apply) �Residential ❑ Commercial(Approval Required) ❑ New ❑Additional ❑ Repairs ❑ Replace Job Site/ Owner Information: . Site Address: 33S`1 C r-(s��.� Qh-� h�c�- Owner: ��n�`��`�r �r�.� Mailing Address: City: (�t`o �o zip: 553 �j 1 Home Phone: �c� �- ,3��- `�7 U / Alternate Phone: Contractor Information: Contractor: He��'+�T�io1o��"°' Contact Person: u�.�. zoa�2oeo Address: 27�N• ��^��'"�'~' State Bond#: ss��-2se� City: Zip: Expiration Date: Phone: Alternate Phone: ❑ Insurance—Current: 1 MECHANICAL SYSTEMS BElNG INSTALLED j ' ' HEATWG SYSTEMS Quantity: Make: Model: Fuel: Flue Size: Input BTUs: Output BTUs: CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H. Power FIREPLACES � Gas Factory Fireplace Wood Burning Fireplace � I I /,, (� ❑ woodstove ( nSt�\l V�S �� r`P��`C �/v � S r ' ~ � ❑ Wood Stove With Flue � Brand I�Tame: N�ti� �(�I v Model No.: J� ��T�M e-x T VENT�LATION ❑ Na Kitchen Exhaust duct recirculating cfm � No. Bath E�aust(must have duct outside) cfm No. Other Fans: Locations cfm FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHALL) ❑ Installation ❑ Removal �"�� ''��•;'��:''"�'-" �;��,�W B:�r��.-��-. eas��a�ro : .,�.. . �; 'lb,�g�,+ r: +;:.!s!c'rG' s Fuel Oil: gallons ❑ I�de�c� �;�iiside ❑ Outside LP Gas: gallons ��' '�'� ��'J► .�th��r; Other: ' "•'�r et:� GAS LINE ONLY ❑ Outdoor Grill ❑ Other/List What&Where: 2 , . � � � � PERMIT FEE CALCULATION(S) �� '� � BASED OFF - 2002 STATE STATUE ; ❑ Yes,this section applies The replacement of a Residential fixture or a�pliance 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, if this applies; Cost of Permit $ 15.00 State Surcharge $ .50 � Mail-In Fee(If Appiicable) $ 1.50 Total Permit Fee $ PERMIT FEE CALCULATION(S)-JOBS OVER $500.00 � If above does not apply; follow guidelines below: L CONTRACT PWCE *is 1.25%of contract price with a(Minimum Fee of$35.00) � � �� x .012� $ (con[ract price) (minimum$35.00) 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50) x .0005 $ (contract price) (minimum$ .50) 3. POSTAGE&HAI��DLING(Only on Mail-In Applications) $ 1.50 4. TOTAL PERMTT FEE (Add Lines 1-3 Above) $ ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the pernutted 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 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 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 Building Department at(952)249-4600 for the price. ` _ MECHAI�ICAL PERMIT APPLICATION AGREEMENT 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 Ciry and the regulations of the State of Minnesota, and certifies that all statements made on this application are complete, true and correct. Applicant's Signature: Date: � 3 - - � D TIME v CITY OF ORONO CALLED IN �.��.��, INSPECTION TI SCHEDULED -�``�� -a� PERMIT NO. � �� COMPLETED AbDRESS��/ ��( � OWNER CONTR. ��_ �� TELEPHONE NO. �� V O � �7� � � DESCRIPTION �� -� � �'�'P �� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE O ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT J ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP ? ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOH TO MEET YOU:_YES_NO � COMMENTS: � W C � 3� o's .�. � - f�� - �, g 0 � ��-�S �,�ti� ��s% 0 � °` � -� � Q - , � Z W � W � J d W� �WORK SATISFACTORY:PROCEED C PROJECT COMPLETE W'�OORRECT WORK&PROCEED !- ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑ CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN INSPECTOR WILL RETURN �STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� Z49-46QQ OwnerlContractor on site: Inspector. ,�" � White Copylinspector's File Canary CopylSite Notice