HomeMy WebLinkAbout2004-P08106 - gtas fireplace �
r
ITY F R N PERMIT
C � � � � Permit Number:
2750 Kelley Parkway - PO Box 66 Posio6
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued: io�2i�2oo4
SITE ADDRESS: 3445 Crystal Bay Rd
Wayzata,MN 55391
PID: 17-117-23-43-0121
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Gas Fireplace
DETAILS:
Approved per resolution#:
Separate pernuts required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 41.25 Valuation: $ 3,300.00
State Surcharge Fee: $ 1.65
TOTAL FEE: $ 42.90
APPLICANT: Allied Fireside(See Comments) OWNER: Fred Johnson
DBA: Fireside Hearth&Home 3445 County Road 44
2700 Fairview Minnetrista,MN 55364
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.
� \
r
�' �
- , � -
�-
PLIC NT PERMITEE SIGNATURE ISSUED BY SIGNATURE
Copies: 1-File(Si�nitures Repuired), 1-Applicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1
t' _ �� �"l�cr�
I
���'� �F' ��Z�I'�� ���'LI�A'�'I��v� FOR I�EC�I°�ICA�, I'ERMIT
�ax 66 (275� Kelley Parkway)
�rystal �ay, I`✓�I� �5323
�EhTERA�IIVF�RI�✓L�1T�ON
L �'ou may apply far mechanical pennits by mail or in person at the City offices. Applications will be
reviewed and a permit will be issued w�ithin two working days.
2. Pei-mit cards will be sent by retutn mail after a review is completed. PERMIT5 ARE�10T VALID
L'N 1 IL YOli RECENE A PERIV[IT. WORI�IvIUST NQT BEGII�t U'�1TIL THE PERMIT Cl�I�D IS �
POSTED ON THE JOB SITr.
3. Mechanical Desi�s- Com�lete calculations, details and specifications are required for each heating,
ventilation, humidification-dehumidification, and air conditioning installation including heat loss/heat
garn calculation, design temperatures, equipment ratings and identif cation as to type, manufacturer and
model. Data snall be presented on fonn provided. Identification of and specifications for water heating
equi�ment shall also be prov�ided.
4. 'vVhen a1�y new construction or reinodeling is involved, a separate building permit must be obtained.
5. All work must be done in accordauce with the Uniform Mechanical Cocie!State Building Code
requirements.
6. Al1 work must be inspecteci (rou�h-ii� and final). Call (9�2) 249-4600. 24-hour notice required.
7. House Heating Test Record lnust be subn�itted before final.
��s�re�c�io�s
Con�plete all items an tlais application. Compute the pernzit fee. Si�n and date the certification.
IlVCOMPLETE �'pLICl�TIOI�IS Vb'ILL NaT BE �I�OCESSED. If you have ciuestions, �all
(952) 24�-4�00.
�lease checlt orie: 1'v�ev� ❑ Atdditic�x�� ❑ �epair ❑ l�epl�ce [] Resic�entiial ❑ Coznmercial
��� ����,: �3 f� s �,�� ��
��' �r�o
������`� �'A���e� �.;� '�� �� ���e�e; I�1s��a��;�-: �
l�aa�Ilr�g .�,d�a•esso _ �i�y: �'i
��
4!iied Fireside
dba Finside Hearth i HOmp
�.�B�S�����Q'�"�.�ro �''i�S�PEo _ licenseN20090911 --- ��E�$�� ]`�b@Fi��?e£':
Ii��iE�a�g �c��e•e�s: ao�a���ia.�,n,ss,��� �a�yo �ip:
1
. �
. ,
�1'S'�'E1V�I)ES�RI�''9'I��r' .
HEA'I'flP+�'f;S��"S'�Ir'kS
Quantity:
1Vlalce:
I�lodel:
FueL•
Fiue Size:
Input BTUs:
Outnut BTUs:
CF?�4:
�OOLING�1'S'�'Et`�'bS
Quanti±y:
R�ake:
Model:
Tons:
H. Power
�'�1a�i'I���;�:� �r�S I,Il�E �31�'�,�'
❑ Gas factory fireplace k Z. ❑ Installing a Gas Line ��nly
Wood burning factory�replace with flue
❑ Wood Stove
❑ Wood stove w�ith flue
Brand T�Iam�–��' C�'— ��iodel No. ����`17Z- ,Tili�
E���'7t'��.�'�'��h�
No. Kitchen Exhaust duct recalcuiatine cfm
No. Bath Exhaust (must have duct outside) cfm
No. Other Fans: Locations cfm
FIJEL S�'�RAG� (MUST BE f�PPROVED BY FIRE MARSHAL)
❑ Installation ot ❑ Retnoval
❑ Fuel oil: �-allons ❑ underground ❑ inside ❑outside
❑ LP Gas: gallons
❑ Other Gas'opening
, �
_• _
�'E�Z1��I'Z' FE� �ALCLTLA i I�?�(S)
�002 �ti�t� Slat�aSe ❑ �'es '�'his �ec�ion�i.ppdies
The replacement af a P.esidential f.:ture or appliance that meets all tnree of the following requirements:
l) Does not requir�modification to elecn-ica] or gas sen�ice.
2) Has a total cost of�500.00 or less; excludin� the cost of the fixture or applianee:
and
3) Is improved, installed or replaced by the homeowner or licensed contractor.
Slcip next section; Cost of Pennit $ I 5.00
Staie Surcharge $ .50
Mail-In Fee � 1.�0
If above does not apply; foilow auideiines below:
�• ��ata�p'��t ��'a�e'� is .0125°io ofjob with a l�'�b���mum �+ee �f(��Se001
;�7���<�C�,� � .O l 25 $ �'�.��S
(contract price) (minimum$35.00)
2. �ta�e �«rck��r��e. �°* Add the State Buildin�Code Divi.sion a I�ir�Btz��rn �'ee �$'(� 5d}
���'�� `:' X .���J � �� ��
(contract price) (minimum� .50)
3. �"Qs�aae anc��andliia� (��aly rrzrcet-irt ap�Iications) � _.�
�• �'����� ���'���"�'�'�� (Add Iines 1-3 above} � �f,� �;
*CONTRACT PRiCB�or JOB COST means the actual or esCimated dollar amount ch�rged for the permitied wori<including
materirils,labor, profit,and other fixed cosCs. It is the amount to be charged ro the customer for the work donc. If any mat�rial,
equipment, labor,or insCallation is furnished by the owner,tenant or any other party t}�ie reasoi�able market value of sucta items
must be added to tne estimat:ed cost or contract price for permit fee purposes. In tne event that there is a dispute on the amount of
thejob cost,the City may request the submission oi a si�ned copy of the actual contract.
**Thc ST,ATE SURC}-IARGE is.0005 of the contract price under$1,00U,000 or 5.�0-whichever is greater. For valuation;over
�I,OG0,000 call the Departmcnt of Inspectional Services for the price.
The undersigned hereby appli�s to the Ciry for issuance of a Mechanical I'et�i�it,a�rees to do afl worl<in strict accordance with
the ordinances of the Ci?y and the regulations of the Minncsota State t3uilding Code,and certifies that al]statements made on this
application are complete,true and c ect.
Applicant's Signature: -- ��, C Date: 1�/C ��
�-
Approved By: Date:
� � �
DATE TIME �
CITY OF ORONO CALLED IN �d-30-d
INSPECTION IC SCHEDULED / '3-U� ���
PERMIT NO. COMPLETED
ADDRESS �
OWNER CONTR.
TELEPHONE NO. �/��--�,�� � Z��O �
� DESCRIPTION � �/ —' �`"� ,S
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBING FINAL ,/ 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES`6'NO
� COMMENTS:
W \
�
�
�
O
�
�
O
�
W
�
Q
�
Z
W
�
W
�
�
d
W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
� ❑CORRECT WORK 8 PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
W
� O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITNIN HOURS. ❑ pH0T0 TAKEN
INSPECTOR WILL RETUFiN ❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� 249-Q6QQ
Owner/Contractpr6� �e:
Inspector. '
White Copyllnspector's File Canary CopylSite Notice