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Home My WebLink About2005-P09261 - gas fireplace PERMIT CITY OF ORONO 2750 Ke�l::y Parkway- PO Box 66 Permit Number: po9261 Cryst:�l Bay, Minnesota 55323 Permit Type: Mechanical Permits (952) 249-4600 Date Issued: 10/5/2005 SITE ADDRESS: 30 Myrtlewood Rd [Init# Wayzata,MN 55391 PID: 36-118-23-33-0011 DESCRIPTION: Proposed Use: Residential Permit Class: General Permit Type: Mechanical Pernuts Permit Sub-type(s): Gas Fireplace DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Pernut Fee: $ 40.00 va�uation: $ 3,200.00 State Surcharge Fee: $ 1.60 TOTAL FEE: $ 41.60 APPLICANT: Hearth&Home Technologies Inc. OWNER: Bruce&Lori Paulson DBA: Fireside Hearth&Home 30 Myrtlewood 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. ��`-- - -' �`�.-� C (' C `�'I'I ��t' � �7� APPLICANT PERMITEE SIGNATURE SSUED BY SIGNATURE Copies: 1-File(Signatures Reguired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 � , FOR CITY USE ONLY City of Orono 4O�� P.O.Box 66 Date Received: Permit# ��` � 2750 Keile Parkwa . �h,br:�..,t Y Y q�'�'`� Cr stal Ba Approved By: Amount$: Il',._„� -- ,�' Y Y,MN 55323 ��+ �(�}��..�o~ (952)249-4G00 �esaoa CITY OF ORONO —MECHANICAL PERMIT (.All Commercial permits must be approved by the Buildin�Otticial or Inspector and/or Fire Marshall) GENERAL 1NFORMATION 1. You may apply for mechanical peimits by mail or in person at the City offices. Applications will be reviewed and a pernut�vill be issued within two working days. 2. Pernut cards will be sent by retum 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 calculations, details and specifications are required for each heating, ventilation, hunudification-dehunudification, and air conditioning iitstallation iuclnding heat loss/heat gain calculation, design temperatures, equipment ratings and identification as to type, manufacturer and model. Data shall be presented on form provided. 4. When any new construction or remodeling is involved, a separate building pernut must be obtained. 5. Ail work must be done in accordance with the Uniform Mechanical Code/State Building Code requirements. 6. All work must be inspected(rough-in and fii1a1). Call(952)249-4600. (24-48 hour notice required) 7. House Heating Test Record must be subinitted before final. TYPE OF PERMIT (Check All That Apply) �esidential ❑ Conunercial(Approval Required) ❑ New ❑ Additional ❑ Repairs ;,[�Replace Job Site / Owner Information: SiteAddress: �G /ny,-'•��r �-�� :� - Owner: L_e�: • pc�.�1S e.�� Mailing Address: 3U /'n��1 i�,��t�� R c� City: C�t �;��% Zip: �S� `i I Home Phone: �5�-� 7.3 D.,�� Alternate Phone: Contractor Infornzation: Contractor: Contact Person: 1MM N1e, Address: �k��!�'o�N�� State Bond #: es�RO 833 iseN ss��3' City: Zip: Expiration Date: Phone: Altei�late Phone: ❑ Insurance— Cui-rent: 1 � , MECHANICAL SYSTEMS BEING INSTALLED HEATING SYSTEMS Quantity: Make: Model: Fuel: Flue Size: Input BTUs: Output BTUs: CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H. Po�ver FIREPLACES �— Gas Factory Fireplace v��'� ��,s � ,, � ❑ Wood Burning Fireplace ❑ Wood Stove ❑ Wood Stove With Flue Brand Name: �-�� - S�� Model No.: �t�.�- f\� VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfm ❑ No. Bath Exhaust(must have duct outside) cfm ❑ No. Other Fans: Locations cfm FtiEL STORAGE(MUST BE APPROVED BY FIRE:v1ARSHALL) ❑ Installation ❑ Removal FuelOil: gallous ❑ ��tside LP Gas: gallons �t1S P�s:�: ��'='f` Other: �rr� ur��'s►a.�, p ppo� t>>r�� NM .Nliww� a?,, c�r�s.r�s� GAS LINE O�LY ❑ Outdoor Grill ❑ Other/List��hat&Where: 2 f • PERMIT FEE CALCULATION(S) � BASED OFF - 2002 STATE STATUE ` ❑ Yes, this se�ction applies The repiacement of a Residential fixture or appliance that meets all tlu�ee of the following requirements: 1. Does not require modification to elech�ical 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, if this applies; Cost of Pernut $ 15.00 State Surcharge $ .50 Mail-Iiz Fee(If Applicable) $ 1.50 Total Permit Fee � PERMIT FEE CALCULATION(S)-JOBS OVER$500.00 If above does not apply; follow guidelines below: 1. CONTRACT PRICE * is 1.2�%of contract price with a(Minimum Fee of�35.00) 3��.�=� �: .oi?s $ (conh�act}�rice) (minimum$35.00) 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50) x .0005 $ (contract price) (minimum S .�0) 3. POSTAGE&HANDLII�TG(Only on Mail-In Applications) $ 1.50 4. TOTAL PERMIT FEE (Add Lines 1-3 Above) $ ■ 'k 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 installations are furnished by the owner, tenant or any other party, the reasonable inarket value of such items must be added to the estimated cost or contract price for pernut fee puiposes. 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 conn-act. � ** The STATE SURCHARGE is .0005 of flle Building Department at(952)249-4600 for the price. MECHANICAL PERMIT APPLICATION AGREEMENT The undersi�ned hereby applies to the City for issuance of a Mechanical Permit, ab ees to do all ��orlc in strict accardance 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, n-ue and con-ect. Applicant's Signature: i�'v � �— Date: %D��S' � 3 �� CG�C i] /oD E TIME V CITY OF ORONO �CALLED IN � �g INSPECTION N TIC SCHEDULED 9•_3� PERMIT NO. �o� COMPLETED ADDRESS �D /►�1,��''G�2wlJ-CXJC� , OWNER CONTR. __ TELEPHONE NO. �� .��Q�O� � � DESCRIPTION L"(�(�' �T ��(��i � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLWG Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT � 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP T09 PIUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � O a � O � W � Q � Z W � W � � d W WORKSATISFACTORY:PROCEED PROJECTCOMPLETE � ❑CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CAIL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next'n pection 24 hours in advance. �95Z� Z49-4600 OwnerlContrac r sit Inspector. — White Copyllnspector's File Canary CopylSite Notice