HomeMy WebLinkAbout2007-P11628 - gas fireplace PERMIT
CITY-OF ORONO
Permit Number:
2750 Kelley Parkway- PO Box 66 P11628
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Pernuts
(952) 249-4600 Date Issued:
10/29/2007
SITE ADDRESS: 3180 North Shore Dr Unit#
Wayzata,MN 55391
PID: 09-117-23-32-0009
DESCRIPTION:
Proposed Use: Residenrial
Permit Class: General
Permit Type:
Mechanical Pernuts Permit Sub-type(s): Gas Fireplace
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
Set&Vent Only-Gas Line&Hookup by others
FEE SUMMARY: Pernut Fee: $ 60.00 Valuation: $ 4,800.00
State Surcharge Fee: $ 2.40
Misc.Fee: $ 1.50
TOTAL FEE: $ 63.90
APPLICANT: Woodland Stoves&Fireplaces OWNER: Jon&Janene Heidorn
2901 E.Franklin Ave. 3180 North Shore Dr
Minneapolis,MN 55403 Wayzata,MN 55391
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.
�,Z%� Li'L/ ��r1'v�-�-�
APPLICANT PERMITEE SIGNATURE SSLTED BY SIGNATURE �
Copies: 1-File(SignaturesRequired), 1-Applicant, 1-MonthlyReports, 1-Assessing,(IfSeptic, 1-Septic) Page 1
. EOR CITY[rs�CINLY
�-' p City of Orono `
� � '���: P.O.Box 66 T3.'it�R�CeI€�ei1� ' Fetmit#
+�� ��'� 2750 Kelley Parkway �
:� �t �� �.�' Crystal Bay,MN 55323 t1pp4�rYet#�Y ^�,�Pil'�uxtE�:
�"�,y,�✓�;£ (952)249-4600
��`,���e�►,,:
CITY OF QRONO—MECHANICAL PERMIT
(All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall)
�����. ����T�� E 3 �
� � � € €
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 UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED ON THE JOB SIT�.
3. Mechanical Desi�—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 precented on form 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.
(24-48 hour notice required)
7. House Heating Test Record must be submitted before final.
��� ��������
�
�y ` ��+�������
�Residential ❑Commercial(Approval Required)
❑New ❑Additional ❑Repairs ❑Replace
.TO�f��tC�'.�'If��`;�it�t?2`�Y����y
Slte AdC�TeSS: 3180 North Shore Drive
Owner: Janene Heidorn Mlillrig AdCll'eSs: 3180 North Shore Drive
C�Ty: Orono Zip: 55391
Home Phone: �952)472-4206 Alternate Phone: �6�2�s i s-�1�o
C��tr�tqr Tnf�rrri��ia�t:
COritI'aCtOY: Woodland Stoves&Fireplaa Contact Person: Cindy
AddTOSS: 2901 E Franklin Ave State Bond#: 2sss
City: MPLs Zlp; 55406 Expiration Date: l0�20�0�
PhOrie: �612)338-6606 Alternate Phone:
❑ OS/26/08
Insurance—Current:
1
HEATING SYSTEMS
Quantity:
Make:
Model:
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H.Power
FIREPLACES
� Gas Factory Fireplace
❑ Wood Burning Fireplace
❑ Wood Stove
❑ Wood Stove With Flue
Brand Name: Set&vent onl Montigo Model No.: �ZDFN
� L
VENTILATION � � ��' .�L�4 �
❑ No. Kitchen Exhaust duct recirculating cfm
❑ No. Bath Eachaust(must have duct outside) cfm
❑ 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 Gril� ❑ Other/List What&Where:
2
❑ Yes,this section applies
The replacement of a Residential fixture or appliance 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;excludinQ 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)
4,800.00 x.0125 $ 60.00
(contract price) (minimum$35.00)
2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50)
4,800.00 x.0005 $ Z•40
(contract price) (minimum$ .50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50
63.90
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $
■ * 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 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 Building Department at(952)249-4600 for tne 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.
R
y ,
A licant's Si nature: ��� � `'�'� Date: I� a� 0���
PP g
,.. �,..,,,,o y .,,,.,,
3
�j '`� �� � � � � �=e �✓
I ATE TIME
� CITY OF ORONO CALLED IN �� � Q
INSPECTION N TICE p� SCHEDULED < �- �-. 07 /D.'L7d
PERMIT NO. / � COMPLETED
ADDRESS Dl� O j'�. �
OWNER CONTR.
TELEPHONE NO�L��CI"� �� � �`�O - Le�4l S
� DESCRIPTION ��� — �
� ❑ FOOTING ❑ MECHA L RI ❑ EXC /GRADING/FILLING
y ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORENVETLANDS
Q ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE O SEPTIC MAINT. ❑ COMPLAINT
� ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
_ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
v ❑ PLUMBiNG FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
�
W
a
� . �V i�dt C 1�� ��S�
0
a
�
0
�
W
�
Q
�
z
W
�
W
�
�
W� ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
W ❑C RRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ PHOTOTAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-46��
OwnerlContractor on site:
Inspector. �t/ `'✓�
White Copyllnspector's File Canary Copy/Site Notice