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Home My WebLink About2004-P08029 - gas fireplace ' ' PERMIT CITY OF ORONO Permit Number: 2750 Kelley Parkway - PO Box 66 Pogo29 Crystal Bay, Minnesota 55323 Per-mit Type: Mechanical Permits (952) 249-4600 Date Issued: io�si2oo4 SITE ADDRESS: 290 Hollander Rd Wayzata,MN 55391 P��: 25-118-23-43-0011 DESCRIPTION: Proposed Use: Residenrial Pernut Class: General Permit Type: Mechanical Permits Permit Sub-type(s): Gas Fireplace DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: PermitFee: � 38.75 Valuation: $ 3,100.00 State Surcharge Fee: $ 1.55 TOTAL FEE: $ 40.30 APPLICANT: Allied Fireside(See Comments) OWNER: Dale&Susan Mahaffy DBA: Fireside Hearth&Home 290 Hollander Rd 2700 Fairview Wayzata MN 55391 Roseville,MN 55113 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO�O-ALL�D�tK IN SI'RICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESO A B LDIN CODE REQUIREMENTS. � /-� �' \� f� � ��/ � `. � ; - �l� <�� ICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE Conies: 1-File(SiQnitures Required). 1-Anplicant, 1-Monthlv Reports, 1-AssessinQ, 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. Pernlit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEG1N UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Desi�ns - 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 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 permit must Ue obtained. 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 must be submitted before final. Instructions Complete all items on this application. Compute the pennit fee. Sign 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 Residential ❑ Commercial JOB SITE: ��' �� tiD� �'il,�l� Zip: :S� ��/ Owner's Name: - - ,� �' Phone Number: y>��-��T=Jj/l��.G Mailing Address: City: j�qyz�¢T� Zip: �-/,Q�s��= � �-��c�.-n� � Contractor's Name: Phone N,�mber: �s/-�_3�' - lG��.2 Mailing Address: ��f�O �/,P��,�=�Zi City: ��%S�v'��h Zip: S�//� 1 _ _ �,!, � � � SYSTEM DESCRIPT[ON • NEATING SYSTEMS Quantity: Make: — � /��C�-�lJ Model: ��, ' ' �/I�.� (.� S .�t?%S�/Qi� �� "�s Fuel: Flue Size: Input BTUs: Output BTUs: CFM: COOLINC SYSTEMS Quantity: Make: Model: Tons: H. Power FIREPLACES GAS LINE ONLY � Gas factory-€r�e�ce_LiL,�`�� j ❑ Installing a Gas Line Only ❑ Wood burning factory fireplace with flue ❑ Wood Stove ❑ Wood stove with flue Brand Name Model No. VENTILATION No. Kitchen Exhaust duct recalculating cfm No. Bath Exhaust(must have duct outside) cfm 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 2 r . . 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 following requirements: 1) Does not require inodification 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 Pernlit $ 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 Minimum Fee of($35.00) ��i'U x .0125 $ (contract price) (minimum$35.00) 2. State Surcharge. ** Add the State Building Code Division a Minimum Fee of($ .50) x .0005 $ (contract price) (minimum�.50) 3. Postage and Handlin� (O�ily�i:ail-i�c applicatio�is) $ 1.50 4. TOTAL PERMIT FEE (Add lines 1-3 aUove) $ *CONTRACT PRICE 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 furnished Uy 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. �n 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 accual contracc. **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 the regulations of the Minnesota State Building Code,and certifies that all statements made on this application are complete,true r eC " " � � '� � � Applicant's Signature�� Date: l� �.5�U Approved By: Date: 3 i � DA`T� �/ TIME CITY OF ORONO CALLED IN '•2y�l' INSPECTION NOTICE SCHEDULED �y � PERMIT NO.�-�O�'Do� COMPLETED ADDRESS � `/Q�/��-�` c.�-v!� �� OWNER CONTR. �%-S i�-�.� TELEPHONE NO. �%�o� ��:� oZ G� �-� � DESCRIPTION � ty 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILIING � 02 FRAMING 13 MECHANICAL FIN 19 LAKESHORE/WETLANDS h O 03 INSULATION 24/25 WOOD BUR ER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-U 17 SITE INSPECTION Q OS 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 J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOH TO MEET YOU:_YES_NO v�i COMMENTS: � W a � � O a � O � W � Q � 2 W � W � � � d W ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the n xt inspection 24 hours in advance. (952) 249-4600 OwnerlCo r site: Inspector. White Copyllnspector's Fi Canary CopylSite Notice