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Home My WebLink About2008-P12079 - gas fireplace � t PERMIT CITY OF ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: pi2079 Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits (952) 249-4600 Date Issued: 5/16/2008 SITE ADDRESS: 980 Ferndale Rd W Unit# Wayzata,MN 55391 PID: 02-117-23-44-0019 DESCRIPTION: Proposed Use: Residential Permit Class: General Permit Type: Mechanical Permits Permit Sub-typc(s): Gas Fireplace DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: Gas Insert FEE SUMMARY: Permit Fee: $ 50.00 valuation: $ 4,000.00 State Surcharge Fee: $ 2.00 TOTAL FEE: $ 52.00 APPLICANT: Hearth&Home Technologies OWNER: Jack Safar DBA:Fireside Hearth&Home 980 Ferndale Rd W 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. �' � J � l�L/ ��—__ % PPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE Copies: ]-File(Sig�iarures Required), 1-Applicant, l-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 �" ' FOR CITY USE ONLY ,�p�, City of Orono P.O.Boa 66 Date Received: Permit#� ��'�,,,,,� � 2750 Kelley Parkway ��'�� Crystal Bay,MN 55323 Approved By: Amount$: \��" ��f:'$�o� (952)249-4600 t�Ko CITY OF ORONO—MECHANICAL PERMIT (All Commercial permits must be approved by the[3uilding Official or Tnspector and/or Fire Marshall) GENERAL INFORMATION 1. You may apply for mechanical percnits 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 by return mail after a review is completed. PERMITS ARE NOT VALID UI�'TIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Desiens—Complete calculations, details and specifications are required for each heating, ventilarion, humidification-dehumidification, and air condirioning 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 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: � � �-' � �' � �� c�� r V�� ' S � Owner: �� c l� � r,� -{�, � Mailing Address: � b � fi �' � ri � � I� t'`'- City: (�, v � �v� � Zip; �`� � j�l � Home Phone: 1 � � y � � — � �� '`� Alternate Phone: Contractor Information: � , �- t � , t� � Contractor: �} �' �� L � �-}� �e Contact Person: (J/ V 1 � � �' Address: "Z 7 U u N � . ��'��,-� �-- State Bond#: �� City: '�� 5 F' `�" � �� - Zip: ��3) �Expiration Date: Phone: G � � "��3' I'� y 2 Alternate Phone: ❑ Insurance—Current: 1 • MECHANICAL SYSTEMS BEING INSTALLED HEATING SYS TEMS Quantity: Make: 1� N � �0 Model: � U, ' �/YS �nS � �--�" Fuel: �G�� Flue Size: Input BTUs: " � G D D 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 Name: }� � �� Model No.: � � ^ � �� VENTILATION ❑ Na Kitchen Exhaust duct recirculating cfm ❑ No. Bath Exhaust(must have duct outside) cfm ❑ No. Other Fans: Locations cfm FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHALL) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑ Inside ❑ Outside LP Gas: galions Other: GAS LINE ONL Y ❑ �utdoor 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 ap lip �ance 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; excludins the cost of the fixture or appliance: and 3. Is improved,installed or replaced by the homeowner or licensed contractor. Skip next secrion,if this applies; Cost of Permit $ 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; follow buidelines below: l. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$35.00) �� ` X .oi2s $ (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 Department at(952)249-4600 for the price. MECHANICAL 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 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: ��i�-v� �� d-�� °��— Date: � � � � �' � �� 3 �� _ AoT�E DQ' TIME 1j CITY OF ORONO CALLED IN � O/ " INSPECTION N TICE 7 SCHEDULED O D� � PERMIT NO.�� D` COMPLETED ADDRESS 98� � � OWNER CONTR. ��'(�/k�' �1��.�� TELEPHONE NO. ° � 37� � � DESCRIPTION � � ❑ FOOTING � MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FR,qMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE Q ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT J ❑ DEMO-FINAL ❑ SE TIC INSTAIL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SE�TIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � w a 0 3 r� f s� .�,Y- ��s �- '� h ' � -- cv �G G� �l � 0 � W � Q � Z W � W � � d � ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CO RECT WORK&PROCEED !-' ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALI INSPECTOR ��' CITATION ISSUED ❑ INSPECTION REQUIRED.CALI TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. �952� 249-46QQ OwnerlContractor on site: Inspector. w � White Copylinspector's File Canary CopylSite Notice