HomeMy WebLinkAbout2005-P09119 - gas fireplace PERMIT
CITY OF�ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: p09119
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Pernuts
(952) 249-4600 Date Issued:
8/29/2005
SITE ADDRESS: 2235 French Creek D�GZ � Unit#
Wayzata,MN 55391
PID: 10-117-23-32-0005
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: $ 41.25 Valuation: $ 3,300.00
State Surcharge Fee: $ 1.65
TOTAL FEE: $ 42.90
APPUCANT: Hearth&Home Technologies Inc. OWNER: Anthony L Patterson
DBA: Fireside Hearth&Home 2235 FRENCH CREEK CIR
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 STR[CT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLICANT PERMITEE SIGNATURE . ISSUED BY SIGNATURE
Copies: l-File(Signatures Reguired), 1-Applicant, 1-Monthly Reports, 1-Assessing,([f Septic, 1-Septic) Page 1
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SYS"i'EVI t)�SC�2IP'FION �
I�EATI1�dG Sl'STEIVIS
Quantity:
Ivlake:
Model:
FueL•
Flue Size:
Input BTUs:
Output BTUs:
CFM:
�O�E,IIVG Sl'S'd'�1VIS
Quantity: _
Make:
Model:
Tons:
H.1'o���er
��A�IIi�LJ��F�I.� �3.�5 JLJY!V� VLr1AJJl
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� Gas factory fireplace ❑ Installing a Gas Line Only
�'ood burning factoiy fireplace with flue
❑ `v�'ood Stove
❑ Waod stove with ue
Brand 1'�ame ��� � � �� ��---
Modei No. �����(��,ti
�'�1`d'�'��,A.'�'I�Pti
lVo. Kitchen Exhatist duct reealcuIatino cfin
No. Bath Exhaust (must have duct outside} cfm
No. Other Fans: Locations �p,,�,�,�,;.
�+�+ A �t+aN+� si�esrr:^� �r+:;
�'�JLL S�'Q�RAG� MUST BE APPROVED BY FIRE MARSH �`����� ��`�+•,'�={
( �i►�.�►�� ��+ . � c
rrr��;�rtM :�4«,; .. ,
❑ Installation or ❑ Removal T�'�
❑ F.�el oil: gallons ❑ underground ❑ inside ❑outiside
❑ LP Gas: gallons
❑ Other ' Gas opening
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C�T�' C3F �RONC? AI�PLI�A.'F'IDi�1 FOR l�✓iE�HAIVICAL�'ERIv�IT
Box 66 (27�0 Kelley Parkway)
�rystal �ay, 11�N 55323
GEIvERAL INFORMATION
1. You may apply for mechanical permits by mail or in person at the City offices. Applicatioi�s will be
reviewed and a permit will be issued within two working days.
2. Permit cards will be sent by return mail afier a review is completed. PERMITS ARE NOT VALID
LP_VTIL YOU RECEIVE A PERIvIIT. WORI�MUST NOT BEG1N UNTIL THE PERMIT CA1ZD IS
POSTED ON THE.10B SITE.
3. Mechanical Desi�ns - Complete calculations, details and specifications are required for each heating,
ventilation, numidification-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 provided.
4. When any new construction or remodeliz�g is involved, a�eparate building pennit must be obtained.
5. Al1 work must be done in accordance with the Uniform Mechanical Code/State Building Code
requirements.
6. All work must be inspected (rou�Th-ir� and finai). Call (952) 249-4600. 24-hour notice required.
7. House Heating Test Record inust be submitted before final.
�as��rzctio�s
Complete all ite�i�ns on this application. Compute the permit fee. S�ign and date the certification.
IivTCOMPLETE APFLICATIONS WILL NaT BE PROCESSED. If you have questions, eall
(9S2) 249-4600.
I'lease checic one: ❑ I�ev,� ❑ Addition ❑ Repair ❑ Replace ❑ Residential ❑ Catnn�ercial
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��I3 �I'�'�:_���-� � ,���� �'?�C�2 C�tc�c
�$�;
�e�r��r's I�T��tae: �hone 1��ra�be�:
l�r'��ailir€g 4ddress: �^ity: �ip;
�c�nt�ae�or•'s ��r�e: ���f�T�•� �)h�a�e Nuanber:
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?°v�a�ting �.d�ress: uc�na lOitf�O ���J'� �ip:
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Ros�viiN,MI�Sd/1s �
S51/833-2Sdi
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PERIVTIT 1�EE �ALCIJLATION(S)
2002 ��ate Statute ❑ �'es This Sec�ion A.ppties
The replacement of a Residential fizture or appliance that meets all three of the foIlowing requirements:
l} 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, instalted or replaced by the homeowner or licensed contractor.
Skip next section; Cost of Pernzit $ I5.00
State Surclzarge � .50
Mail-In Fee $ I.50
IL above does not apply, follo��guideiines belew:
1. �an�F'a�t ��-i���� :s .0125% of job w�ith a;�inem�€m �'ee�f(�35 pp�
�i�-��� - x .0125 � ��� ���
(contract price) (minimum�35.00)
2. �tate Sureharae. *� Add the State Buildin�Code Division a�ir�irrat�m �'ee of($ .S�l
"� - �
.�__� ����� c�� x .0005 � �_ ,,,.)'
(co��tract price) (minimum$ .50)
3. Postage and ��ndiina (F'Ssily nirrit-ifi ap�lic�atio�a�s) � �-
��
4• 'I'�`�'!�� F�P.i�'II�' �]C� (Add lines 1-3 above) � ��,�, �j��;
*CO?JTRACT PRICG or 10B COST means the actual or estimated dollar amount chareed for the permitted work includ�ng
n�aterials,]abor, profit,and other fxed costs. It is the amount to be charged to the customer for the work done. If any material,
equipi�ient, labor,or installation is furnished by the owner,tenant or any other party the reasonable mar]cet value of sucti items
must be added to the estimaced cost or contract price for pem�it 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 STAT�SliRCHARG�is.0005 of the contract price under�1,000,000 or$.50-whichever is greater. For valuations over
�1,000,000 ca(I the Department of Inspectional Services for the price.
The undersiened hereby applies to the City for issuance of a Mechanical Perniit,agrees to do all work in strict accordance with
the ordinances of the City and the regulations of the tvlinnesota State Building Code,and certifies that all statements made on dlis
application are complete,true and c�rec[.
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Applicant's Signature: /� C� � . �--- _ � �'
G� Date: -��,5_��
Approved By: Date:
3 '
�/�� DATE TIME �
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C%" CITY OF ORONO CALLED IN �'`
INSPECTION NOTI E SCHEDULED --��1T��s�S --'�—
PERMIT NO. COMPLETED
ADDRESS �/�'�-L�
;
OWNER CONTR.
TELEPHONENO. �OJ`�� ' CF��3 .3 -o��C� /
� DESCRIPTION I�- � ��
l� 01 FOOTING 11 MECH NICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMUVAL
Z 04 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
v 10 PLUMBING FINAL � 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS: 1 Q�ih'_!��
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W _ WORKSATISFACTORY:PROCEED f_; PROJECTCOMPLETE
W {1 CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY
� ❑ CORRECT WORK,CALL FOR REiNSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. �; pHOTO TAKEN
INSPECTOR WILL RETURN � CITATION ISSUED
❑STOP ORDER POSTED.CAIL INSPECTOR
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the ext inspection 24 hours in advance. (952� 249-4600
OwnerlCo site:
Inspector.
White Copyllnspector's File Canary CopylSite Notice