HomeMy WebLinkAbout2004-P07984 - gas fireplace PERMIT
CIT��' C��� ORONO Permit Number:
2750 Kelley Parkway - PO Box 66 P07984
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued: 9i23i2oo4
SITE ADDRESS: 1510 Green Trees Rd
Wayzata,MN 55391
PID: 11-117-23-23-0015
DESCRIPTION:
Proposed Use: Residential
Pernut Class: General
Pernut Type: Mechanical Pemuts Pernut Sub-type(s): Gas Fireplace
D�AILS:
Approved per resolution#:
Separate pernuts required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 40.00 Valuation: $ 3,200.00
State Surcharge Fee: $ 1.60
TOTAL FEE: $ 41.60
APPLICANT: AlliedFireside(See Comments) 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 AG . TO DO A WO STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND SI'ATE OF
MINN�S`'�OT UILD G C E REQ REMENTS.
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APPLI A�'� ERMITEE SIGNATURE [SSUED BY SIGNATURE �
Cooies: 1-File(Si�nitures Required), 1-Anplicant, 1-Monthlv Reoorts, 1-Assessine, 1-Finance Page 1
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CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT
Bo�: 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
GENERAL INFORMATION
1. You may apply for mechanical permits Uy mail or in person at the City offices. Applications will be
reviewed and a pennit will be issued within two working days.
2. Permit cards will Ue sent Uy return mail after a review is completed. PERMITS ARE NOT VALID
UNTIL YOU RECENE A PERMIT. WORIL 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,huinidification-dehuinidification, and air conditioning installation including heat loss/heat
gain calculation, design temperatures, equipment ratings and identification as to type,manufacturer and
model. Data shall Ue presented on form provided. Identification of and specifications for water heating
equipment shall also Ue provided.
4. When any new construction or remodeling is involved, a separate building pennit must Ue oUtained.
5. All work must Ue done in accordance with the Unifonn Mechanical Code/State Building Code
requirements.
6. All worl:must Ue inspected (rough-in and final). Call (952) 249-4600. 24-hour notice required.
7. House Heating Test Record inust Ue subinitted Uefore final.
Instructions
Coinplete all items on this application. Coinpute the pennit fee. Sig�l and date the certification.
INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call
(952) 249-4600.
Please check one: ❑ New ❑ Addition ❑ Repair ❑ Replace�sidential ❑ Commercial
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JOB SITE: , � � _ ``�' Zip:
Owner's Name: � " ;.= � Phone Number: fS 2— -jil'-�/-,,���'�
Mailing Address: ��'�����; City: Zip: � �'
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Contrac o's Na e: ������/-'�L/ Phone Number: _ � ;�` �"�,�3 -/O�/�
Mailing Address: ���=�.��I�� City: Zip: ��l/ �
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SYSTEM DESCRIPT[ON •
HEATING SYSTEMS
Quantity:
Make:
Model:
Fuel: � /¢� ���'
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H. Power
FIREPLACES GAS LINE ONLY
Gas factory fireplace ❑ Installing a Gas Line Only
Wood buming factoiy fireplace with flue
❑ Wood Stove
❑ Wood stove with flue
Brand Name � � '�� Model No. �,�` L.`��iy�-�,�
VENTILATION ����� �� ��� S ����.�
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No. Kitchen Exha�zst duct recalculating cfm
No. Bath Exhaust(must have duct outside) efm
No. Other Fans: Locations cfm
FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL)
❑ Installation or ❑ Removal
❑ Fuel oil: gallons ❑ underground ❑ inside ❑outside
❑ LP Gas: gallons
❑ Other Gas opening
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PERMIT FEE CALCULATION(S)
2002 State Statute ❑ Yes This Section Applies
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The replacement of a Residential fixture or ap�liance 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 Uy the homeowner or licensed contractor.
Skip next section; Cost of Pernzit � 15.00
State Surcharge $ .50
Mail-In Fee $ 1.50
If aUove does not apply, follow guidelines Uelow:
1. Contract Price* is .0125% of joU with a Nlinimum Fee of(�35.00)
��.��� � x .0125 $
(contract price) ' (minimum�35.00)
2. State Surchar�e. ** Add the State Building Code Division a Minimum Fee of($ .50)
x .0005 $
(contract price) (minimum S .50)
3. Posta�e and Handlin� (O�ily mail-in applicatio�is) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 aUove) $
*CONTRACT PR(CE 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 amount to be charged to the customer for the work done. If any material,
equipment, labor,or installation is fiirnished 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 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 work in strict accordance with
the ordinances of the City and th ns of Mi State Building Code,and certifies that all statements made on this
application are complete,t and cor ct. �
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Applicant's Signature: _ Date: � �� ��j
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Approved By: Date:
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