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HomeMy WebLinkAbout2003-P07059 - gas fireplace ° � PERMIT CITY OF ORONO Permit Number: 2750 Kelley Parkway - PO Box 66 Po�os9 Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits (952) 249-4600 Date Issued: i2�3�2003 SITE ADDRESS: 1510 Green Trees Rd Wayzata,MN 55391 PID: ��-��7-23-23-0015 DESCRIPTION: Proposed Use: Residential Pernut Class: General Permit Type: Mechanical Pernlits 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 APPLICANT: Allied Fireside OWNER: George&Nancy Danko DBA:Fireside Hearth&Home 1510 Green Trees Rd 2700 Fairview Wayzata MN 55391 Roseville,MN 55113 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN SI'RICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. [ ,_',� , /� � '� �2 I) � ✓ _-�t t/�j'�,�����'.� � - APPL[CANT PERMITE IGNATURE ISSUED BY SIGNATURE Copies: 1-File(SiQnitures Required), 1-Apnlicant, 1-Monthlv Reoorts. 1-Assessine, 1-Finance Page 1 � �. CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT Box 66 (2750 Kelley Parkway) Crystal Bay, MN 55323 GENERAL 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 two working days. 2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID UNTII,YOU RECENE A PERMIT. WORK MUST NOT BEG1N 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 provided. 4. When any new construction or remodeling is involved, a separate building permit must be obtained. 5. All w�ork must be done in accordance with the Uniform Mechanical Code/State Building Code requirements. 6. All �vork must be inspected (rough-in and final). Call (952) 249-4600. 24-hour notice required. 7. House Heating Test Record must be submitted before final. Instructions Complete all items on this application. Compute the permit fee. Sign and date the certification. L�CO�IPLETE APPLICATIONS �i�,L NOT BE PROCESSED. If you have questions, call (952) 249-4600. Please check one: 1�'New ❑ Addition ❑ Repair ❑ Replace ❑ Residential ❑ Commercial JOB SITE: � �"l� l�`2�Fr�-�'lf2�t= %�c,( z;p: �� 3� � Owner's Name: G�o. ,4�v It� - Phone Number: fl.�,�-- '��� -/�'�1 nlailing Address: ��,� City: Zip: Contractor's Name:��ZC-S,tJ� h��/-/�� a����Phone Number: '�lS� 5�f S~ 3 7 y7 I�Iailing Address: � City: Zip: 1 .� � PERMIT FEE CALCULATION(S) 2002 State Statute ❑ Yes This Section Applies The replacement of a Residential fixture or appliance that meets all three of the followin�requirements: 1)�l� Does not require modification to electrical or gas ser�zce. 2) Has a total cost of$500.00 or less; excludinQ the cost of the fixture or appliance: and 3) Is improved, installed or replaced by the homeowner or licensed contractor. Skip next section; Cost of Permit $ 15.00 State Surcharge $ .50 Mail-In Fee $ 1.50 If above does not apply, follow guidelines below: 1. Contract Price* is .0125%of job with a Minimum Fee of($35.00) ��?�(>U`� s .O 125 � (contract price) (rr.inimum�35.00) 2. State Surchar�e. ** Add the State Building Code Division a Minimum Fee of($ .50) x .000� $ (contract price) (minimum$.50) 3. Postage and Handling (Only mail-i�: applications) $ 1.50 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ *CONTRACT PRICE or JOB COST means the actual or estimated dollar amount chareed for the permitted w�ork 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 installation is furnished by the owner,teaant or any other party thz reasonable market�21ue of such items must be added to the estimated cost or contract price for pemut fee purposes. In the e�ent that there is a dis�ute 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 S 1,000,000 or 5.50-whichever is grea[er_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\fechanical Permit,agrees to do all work in strct accordance with the ordinances of the City and the regulations of the Minnesota State Building Code,and certifies that all stszements made on this application are complete,true and conecG----� � Applicant's Signature: ;�����������z%�%2� Date: f � �J � / � Approved By: Date: 3 � � SYSTEM DESCRIPTION - HEATING SYSTEMS Quantity: J Make: ��G��6�/"Zlk�r?u� `-l(�`�5� Model: �V% 3 v -- Fuel: (� � tr Flue Size: o� -3 Input BTUs Z �� � -r� Output BTUs: Z�/�� � CFM: /� COOLING SYSTEMS Quantity: Make: Model: Tons: H.Power FIREPLACES GAS LINE ONLY � Gas factory fireplace ❑ Installing a Gas Line Only ❑ Wood burning factory fireplace with flue ❑ Wood Stove ❑ Wood stove with flue Brand Name�.�.GG� Model Na �!�� 3c' — VENTILATION No. Kitchen Exhaust duct recalculating cfm No. Bath Exhaust(must have duct outside) cfm No. Other Fans: Locations -cfm FUEL STOR-�GE (MUST BE APPROVED BY FIRE MARSHAL) ❑ Installarion or ❑ Removal . ❑ Fuel oil: gallons ❑ underground ❑ inside ❑outside ❑ LP Gas: gallons ❑ Other Gas opening 2 � DATE TIME CITY OF ORONO CALLED IN � � 3 U3 INSPECTION NOTICE SCHEDULED 1�--y-D_3 �=��c� PERMIT NO. �G 7C7�� COMPLETED ADDRESS �S 1ti C� ��'�r��;k��S �c� OWNER CONTR. �!� .c� TELEPHONE N0. CtS Z `�-IS �3 7�1�7 � � DESCRIPTION ly 01 FOOTING 11 MI�At 18 EXCAV/GRADING/FILLING � 02 FRAMING 19 LAKESHORE/WETLANDS Q _. y 03 INSULATION —,Z4�26-yyOQ[�BURNER/FIREPLACE 34 TREE REMOVAL Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q OS FINAL 14 SEWER HOOK-UP O6 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT � 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATIOWREMOVAL Q OWNERICONTRACTOR TO MEET YOU:_�ES_NO Z_----.__._. . - � COMMENTS: � W � , �� O � � O � W � Q � Z W � W � � d WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITION WITHIN HOURS. � pHOTOTAKEN INSPECTOR WlLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next ins ction 24 hours in advance. (Q52� 249-4600 OwnerlContract r��n te: Inspector. � ` White Copyllnspector's File Canary Copy/Site Notice