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Home My WebLink About2008-P11921 - gas fireplace � � PERMIT CITY OF ORONO Permit Number: 2750 Kelley Parkway- PO Box 66 P11921 Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits (952) 249-4600 Date Issued: 3/13/2008 SITE ADDRESS: 395 Ferndale Rd N Unit# Wayzata,MN 55391 P�� 36-118-23-41-0001 DESCRIPTION: Proposed Use: Residential Permit Class: General Permit Type: Mechanical Permits Permit Sub-type(s): Gas Fireplace DETAILS: Approved per resolution#: Separatc permits required: NOTICES/REMARKS: FEE SUMMARY: Pernut Fee: $ 42.50 valuation: $ 3,400.00 State Surcharge Fee: $ 1 JO TOTAL FEE: $ 44.20 APPLICANT: Hearth&Home Technologies OWNER: Damin&Rosemarie Topousis DBA: Fireside Hearth&Home 395 Ferndale Rd N 2700 Fairview Ave Wayzata MN 55391 Roseville,MN 55113 THE UNDERSIGNED HEREE3Y 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 REQU[REMENTS. APPLICAN PERMITEE SIGNATURE ISSUED BY SIGNATURE Copies: 1-File(Signatures Reguired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 � � 4 � FOR CITY USE ONLY ,�� City of Orono O F O P•O.Box 66 Date Received: Permit# �;�;,;,,� 2750 Kelley Parkway a ��'1�;_ � Crystal Bay,MN 55323 Approved By: Amount$: ��" '�� i��o (952)249-4600 t'iR�Ko CITY OF ORONO—MECHANICAL PERMIT (All Commercial permits 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 permit will be issued within two warking days. 2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECENE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD 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 installa�ion 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 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(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: 3 !`-S /yo/'�� C��o(,c��e. Owner: �4�'. �r. 7op orti<,�c Mailing Address: ,3 f S �/. �,,,,�,(q ) � city: C�ro�o z�p: 5�3� � Home Phone: ��- </o y- ��G S Alternate Phone: Contractor Information: Contractor: Contact Person: Hearth 8 Home Technol�.�• Licensa 2061ZOe0 Address: State Bond #: Ra,��ti�� 8St/�53-25dt City: Zip: Expiration Date: Phone: Alternate Phone: ❑ Insurance—Current: 1 r � � MECHANICAL SYSTEMS BEING 1NSTALLED � HEATING 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 ❑ Wood Stove ❑ Wood Stove With Flue Brand I`Tame: �C�*}'� ��O Model No.: f Q •�j �r,�,n� VENTILATION ❑ No. Kitchen Ehhaust duct recirculating cfin ❑ No. Bath Exhaust(must have duct outside) cfm ❑ No. Other Fans: Locations cfm FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHALL) []_,. Installation ❑ Removal ;,,:;►+ �r •.� e ah �e�.- �#'�t' uelOil: allons �y�y,;�} ,�,, g ❑ Underground ❑ Inside ❑ Outside t1 t��{ .��,�Gas: gallons ?��a E:£�thCt. GAS LINE ONLY ❑ Outdoor Grill ❑ Other/List What&Where: 2 � PERMIT FEE CALCULATION(S) � BASED OFF - 2002 STATE STATUE ❑ 1'es, this sectio�i applies The replacement of a Residential fixture ar 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, if this applies; Cost of Pernut $ 15.00 State Surcharge $ .50 Mail-In Fee(If Applicable) $ 1.50 Total Permit Fee $ PERMIT`FEE CALCULATION(S}—JOBS OVER $500.00 '—� If above does not apply; follo�v guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a (Minimum Fee of$35.00) 3S/rrv. `� X .o�2s$ (contract 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&HANDLING(Only on Mail-In Applications) $ 1.50 4. TOTAL PERMIT 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 Departrnent at(952)249-4600 for the price. MECHANICAL PERMIT APPLICATION AGREEMENT I 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 City 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 � � � / DA TIME CITY OF ORONO CALLED IN INSPECTION N JG SCHEDULED D � PERMIT NO. �� COMPLETED ADDRESS /1/ OWNER CONT Gi�1!�ifL� TELEPHONE NO. �- lv`�—J��O 3 — �P?T � DESCRIPTION � Q�- � ❑ FOOTING ❑ MEC ANIC L RI EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE Q TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q�FINAL ❑ SEWER HOOK-UP ❑ PROGRESS i � ��EMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT Q � DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTHACTOR TO MEET YOU:_YES_NO � � COMMENTS: � w a � J O a � O � W � Q ti Z W � W � � d W ORKSATISFACTORY:PROCEED Cl PROJECTCOMPLEfE � ❑CORRECT WORK&PROCEED ' ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR W{LL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. �952� 249-46�� Owner/Contractor o site: - Inspector. �,( 1 j White Copyllnspector's File Canary CopylSite Notice