HomeMy WebLinkAbout2003-P06984 - wood/gas fireplaces �---' �' PERMIT
C ITY O F O RO N O Permit Number:
2750 Kelley Parkway- PO Box 66 P06984
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Pernuts
(952) 249-4600 Date Issued: lii6i2oo3
SITE ADDRESS: 2870 Little Orchard Way
Wayzata,MI�T 55391
PID: 09-117-23-21-0008
DESCRIPTION:
Proposed Use: Residenrial
Permit Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Wood Fireplace
Gas Fireplace
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUI111MARY: Pernut Fee: $ 72.50 Valuation: $ 5,800.00
State Surcharge Fee: $ 2.90
TOTAL FEE: $ 75.40
APPLICANT: Allied Fireside OWNER: Steven&Elizabeth Bohl
DBA:Fireside Hearth&Home 825 Brown Rd S
2700 Fairview Long Lake,MN 55356
Roseville,MN 55113
THE UNDERSIGNED HEREBY REQUESI'S PIItMISSION 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.
1 syG%
' �- �����
APPLICANT PERMITEE SIGNATU ISSUED BY SIGNATURE
Couies: 1-File(SiQnitures Required),1-Apvlicant, 1-Monthlv Renorts, 1-Assessin¢, 1-Finance Page 1
f �� y
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 RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS
POSTED ON THE JOB SITE.
3. Mechanical Desi ris- 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 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-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.
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: , 0 �r • � �Q Zip:
Owner's Name: 'c�c� ,�.�- � Phone Number:
Mailing Address: City• Zip•
�Ilied Fireside
Contractor's Name: dbaFiresideHearthiHOme Phone Number•
Mailin Address� License
g 2��N.Fa�ry�W A�e. c►ty: z�p:
Roseville,MN/55 9
�51i&33•258±
1
ar 'J� t
SYSTEM DESCRIPTTON -
HEATING SYSTEMS
Quantity:
Make:
Model:
FueL•
Flue Size:
Input BTUs:
Output BT`Us:
CFM:
COOLING SYSTEMS
Quantity:
Make:
ModeL•
Tons:
H.Power
FIREPLACES GAS LINE ONLY
Gas factory fireplace k z ❑ Installing a Gas Line Only
Wood burning factory fireplace with flueh �
❑ Wood Stove
❑ Wood stove with flue
��;.r ti..i�c� �u,,,� — Ga�
Brand Name ��ti Model Na --L��> H - ���=��
�i`�c���L�� �iis'��� �' G��
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
f.
y . ! �
PERMIT FEE CALCULATION(S)
2002 State Statute ❑ Yes This Section Applies
The replacement of a Residential fixture or a 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; excludin� 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 Pemut $ 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)
�<�CC%c� x .0125 $ �,��Z�
(contract price) (minimum$35.00)
2. State Surchar�e. ** Add the State Building Code Division a Minimum Fee of($ .50)
5�E'�.�-� x .0005 $ o�.��t�
(contract price) (minimum�.50)
3. Posta�e and Handling (Only mail-in applications) $ �
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ f�s'y�
*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 fumished by the owner,tenant or any other party the reasonable market value of suct� 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 the regulations of the Minnesota State Building Code,and certifies that all statements made on this
application are complete,true and c rrect.
Applicant's Signature: �%J��- �.� , �-
Date: � �3
Approved By: Date:
3
1�
DATE TIME
CITY OF ORONO CALLED IN � '�'O
INSPECTION N0�4CE�O�3 SCHEDULED � �ad
PERMIT N0. �''0 COMPLETED
ADDRESS � ��� � I�. D �
OWNER CONTR. �" ������
TELEPHONE NO. ' � S�
� DESCRIPTION
� Oi FOOTING 11 M ANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANI L FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE FiEMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINL 21 COMPIAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FlNAL 36 FOUNDATIOWREMOVAL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
ti COMMENTS:
�
W
a
j
O
�
�
O
�
W
�
Q
�
W
�
W
�
�
d
W� WORKSATISFACTORY:PROCEED ❑PROJECTCOMPLEfE
W ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFOREC0IIERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL REfURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTIONREQUiRED.CALLTOARRANGEACCESS.
Cail for the next inspection 24 hours in advance. (g52) 249-4600
Owner/Contr site:
Inspector.
WhNe CopyMapect File Canary Copy/Site Notice
DATE� „ TIME
�
CITY OF ORONO CALLED IN - �ri
INSPECTION NO ICE SCHEDULED
PERMIT NO. CAMPLETED
ADDRESS ��7D C / ��� �i�c�0�cz�c=�P �a�
OWNER CONT � C�a �«
TELEPHONE N0. � —
� DESCRIPTION ��/�i'� 0�-�� f���j!`� S"�'
� Ot FOOTING 11 HANICAL R 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
O03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 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
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PIUMBING FINAL 36 FOUNDATIOWREMOVAL
� OWNERICONTRACTOR TO MEEf YOU:_YES_NO
� COMMENTS:
�
a
j
o J�
�
0
�
W
�
Q
�
2
W
�
W
�
�
d
� WORKSATISFACTORY:PROCEED ❑PROJECTCOMPLEfE
W ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOH REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
O STOP ORDER POSTED.CALL INSPECTOR
�INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-4600
OwnerlContractor o ite:
Inspector.
White Copyllnspector'a F e Canary CopylSite NoNcs