HomeMy WebLinkAbout2000-P02321 - fireplace PERMIT
C,ITY. OF ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: Po232i
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(612) 249-4600 Date Issued: 4i�2i2oo
SITE ADDRESS: 395 Ferndale Rd 1v
WAYZATA,MN 55391
P I D: 36-118-23-41-0001
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Mechanical Permits 1'ermit Sub-type(s): ��replace
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
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FEE SUMMARY: Permit Fee: $ 35.00 Valuation: $ 1,600.00
State Surcharge Fee: $ 0.80
Misc. Fee: $ 1.50
TOTAL FEE: $ 37.30
APPLICANT: The Fireplace Center OWNER: DAMIAN& ROSEMARIE TOPOUSIS
12460 Wayzata Blvd 395 FERNDALE RD N
Minnetonka, MN 55305 WAYZATA MN 55391
THE UNDERSIGNED HEREBY REQUESTS PERM[SS10N TOMAKE 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.
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APPLICANT PERMITEE SIGNATURE ISS D BY SIGNATURE
Copies: City,Applicant,Assessor, Finance Page 1
PERMIT
C�I TY4 O F O RO N O Permit Number:
2750 Kelley Parkway - PO Box 66 Po2321
Crystal Bay, Minnesota 55323 Permit Type: lv�echanical Permits
(612) 249-4600
Date Issued: 4�t2i2oo
SITE ADDRESS: 395 Ferndale Rdr1
WAYZATA,MN 55391
PID: 36-118-23-41-0001
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Fireplace
DETAILS:
Approved per resolution #:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: � 35.00
Valuation: $ 1,600.00
State Surcharge Fee: $ 0.80
Misc. Fee: $ 1.50
TOTAL FEE: $ 37.30
APPLICANT: The Fireplace Center OWNER: DAMIAN&ROSEMARIE TOPOUSIS
12460 Wayzata Blvd 395 FERNDALE RD N
Minnetonka, MN 55305 WAYZATA MN 55391
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE TI-�E REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND
STATE OF MINNESOTA BU[LD[NG CODE REQUIREMENTS.
APPLICANT PGRMITEG SI NATURE ISSUED BY SIGNATURG
Copies: City, Applicant,Assessor, Finance Page 2
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CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
GElr'ERAL 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 2 working days.
2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID
UNTIL YOU 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. Identification of and specifications for water heating equipment
shall also be prov�ded.
4. When any new construction or remodeling is involved, a separate building pemut must be obtained.
5. All work must be done in accordance with the Uniform Mechanical Code/State Building Code
requirements.
6. All work must be inspected (rough-in and final). Call 473-7357. 24-hour notice required.
7. House Heating Test Record must be submitted before final.
Instructions Complete all items on this application. Compute the pernut fee. Sign and date the certification.
INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call 473-7357.
Please check one: New Addition Repair Replace
Residenti� Commercial
JOB SITE: j � � ,�,�,�..,�,�f� Zip:
O«ner's Name: /�;�;zr,�}{;�,.,�,v�a Telephone Number:
Nlailing Address: City: Zip:
Contractor's Name: �(,�� ,; ; Telephone,Number: j';��- 1 J� 7
Mailing Address: i.�2�!ia� �� J � - CILy: i���c. Zip: �s 3�-�
SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity:
Make:
Model:
FueL•
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H. Power �
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WOOD BURNING EQUIPMENT
Wood stove with flue
Wood combination or add-on
C Factory fireplace with flue
Factory Fireplace (s) Freestanding Masonry
Wood Stove (s) Franklin, other
Brand Name }!''��,,�.,����f; �� Model No. "� /-� /'� �/' �
Mfgr's Min., Clearances, side , rear , min. flue dia. ,�'
VENTILATION
No. Kitchen E�aust ducted recirculating cfm
No. Bath Exhaust (must be ducted outside) cfm
NO. Ot�1FT Fan_s: Lo�ations cfm
FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL)
Installation Removal
Fuel oil: gallons underground inside outside
LP Gas: gallons
Other Gas opening
PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00)
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' j (y���>; i�;i; x .0125 $ 7 �, CJ�J
(contract price)
2. State Surcharge. ** Add the State Building Code Division
Surcharge to each permit. j G�CX== ��; x .0005 $ 'f �-'
or $.50, whichever is greater (concract price)
3. Posta�e and Handlin� (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ � 7. ~ `-'
* CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted
work including materials, labor, profit, and other fixed costs. It is the amonnt to be chazged to the
customer for liie work done. If arry material, eyuipmer.t, labor, or instal'.atie^are �:zrnished '�y the ownPr,
tenant or any other party the reasonable market value of such items must be added to the estimated cost
or contract price for pernut 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 the City for issuance of a Mechanical Permit, agrees to do
all wark in strict accordance with the ordinances of the City and the regulations of the Minnesota
State Building Code, and certifies that all statements made on this application are complete, true
and correct. /
Applicant's Signature: ' _y`, � � Date: '� 7 ��
Approved By: Date:
DATE TIME�
CITY OF ORONO CALLED W �/?- °`' /�. �`u
INSPECTION NQTIC � SCHEDULED 5�-/� Uc� O,_3 �
PERMIT NO. �G. �:� COMPLETED ��� /�-!• S�j
ADDRESS � c�� f-Q'�����Q—� ���.,�,
OWNER � -'1�-'�'Z- CONTR.�� �i{.�y��R ���-
TELEPHONE NO. � `7"`��� 7� 7
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� DESCRIPTION �( =-�:-a-t'-�--- -, '� �/ C��.�C.SCC
LL 01 FOOTING � 1 MECHANICAL RI 18 EXCAV/GRADWG/FILLING
� 02 FRAMING �`T3-NfECHATIICAL FINAL 19 LAKESHORE/WETLANDS
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03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
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Q 05 FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
4Qi 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
= 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
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Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
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d WORK SATISFACTORY:PROCEED PROJECT COMPLETE
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� [�CORRECT WORK R PROCEED ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ' CITATION ISSUED
C, INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-4600
OwnerlContr or on site:
Inspect, �� 7
White Copyllnspector's File Canary CopylSite Notice