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Home My WebLink About2008-P12102 - gas fireplace PERMIT CI�Y OF ORONO 2�50 Kelley Parkway- PO Box 66 Permit Number: p12102 Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits (952) 249-4600 Date Issued: 5/27/2008 SITE ADDRESS: 235 Hollander Rd Unit# Wayzata,MN 55391 P�� 25-118-23-43-0026 DESCRIPTION: Proposed Use: Residential Permit Class: General Pernut Type: Mechanical Pernuts Pernvt Sub-type(s): Gas Fireplace DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: � FEE SUMMARY: Permit Fee: $ 40.00 Valuation: $ 3,200.00 State Surchazge Fee: $ 1.60 TOTAL FEE: $ 41.60 APPLICANT: Hearth&Home Technologies OWNER: David&Cheryl Kelsey DBA:Fireside Hearth&Home 235 Hollander Rd 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. APPLIC T PERMITEE SIGNATURE S D BY SIGNATURE Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 � � � FU�C1`�'Y�USE�(�NL�' O,¢��O City of Orono ' P.O.Box 66 Date Reae�uad ' 'Aerri»t# 2750 Kelley Parkway , � �, � Crystal Bay,MN 55323 ApproKed By� Amounf$ �_ ` (952)249-4600 ��mao*�' CITY OF ORONO—MECHANICAL PERMIT (All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall) �'r��TEI�.�1L Il�TFO�IATION . 1. . You may apply for mechanical pemuts 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 UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Desiens–Complete calcularions, details and specificarions aze required for each heating,ventilation,huxnidification-dehumidification,and air condirioning installation including heat loss/heat gain calculation,design temperatures,equipment ratings and idenrification as to type,manufacturer and model. Data shall be presented on form provided. 4. When any new conslruction 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 QF.PERMI� � ` (Check A�1 T'liat A 1 j x � �Residential ❑Commercial(Approval Required) v — ❑ New ❑Additional ❑Repairs ❑Replace 7ob Si�e/;Ovvi3er�for�nation `. Site Address: 0�3 � /�o��an�et lel� Owner: �a�� Ke�s �-� Mailing Address: City: �f o/� c9 Zip: ��,3 `� / Home Phone: f�a- y7.3 • 2 9 $[P Alternate Phone: Cor�trac�or Iuforn2ation: " Contractor: Contact Person: db�a FiraiNd� Ii�rM��o� Uc�ns� 2700 N. FdrvNw Aw�. Address: State Bond#: • Rossv�o�.MN sstta City: Zip: Expiration Date: Phone: Alternate Phone: ❑ Insurance—Current: 1 f • � � � � ' HEATING SYSTEMS Quantity: Make: Model: Fuel: Flue Size: Input BTiJs: Output BTUs: CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H.Power FIREPLACES Gas Factory Fireplace +� �(>G�S ��''� �' � Wood Burning Fireplace ❑ Wood Stove ❑ Wood Stove With Flue Brand Name: �Gl.�.�n(�� Model No.: F Q '�^ N VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfm ❑ No. Bath Exhaust(must have duct outside) cfin ❑ No. Other Fans: Locations cfin FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHALL) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑Inside ❑ Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill ❑ Other/List What&Where: 2 .- � ❑ Yes,this section applies The replacement of a Residential fixture or ap,pliance 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;excludine 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 Permit $ 15.00 State Surcharge $ .50 Mail-In Fee(If Applicable) $ 1.50 Total Permit Fee $ If above does not apply;follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$35.00) 3 2�� ' �� x.0125$ (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 pernut 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. 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: j � �_ 3 ��I <CTV/ AT \ TIME ✓ CITY OF ORONO CALLED IN INSPECTION N IC SCHEDULED S 3�3D PERMIT NO. � `� COMPLETED ADDRESS ��S ,17T/�l4-`?�2%�/� f� OWNER CONTR.�� D �� TELEPHONE NO. �` �`�!�`�3 ��i� � � DESCRIPTIONI.OQSLLvt Q, . � ��! ,l •�� ❑ FOOTING �MECHANICAL RI ❑ EX AV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHOREM/ETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT � ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO c�., COMMENTS: � W � o �� C7 �S�_ �� 0 � W � Q � z W � W � � � �/��WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORREC7UNSAFECONDITION WITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALLTOARRANGE ACCESS. Call for the next inspection 24 hours in actvance. (g52) 249-46�� Owner/Contractor on site: Inspector. / ]� . . . White Copyllospector's File Canary CopylSite Notice