HomeMy WebLinkAbout2003-P05948 - gas fireplace • y
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PERMIT
CITY 'OF ORONO Permit Number:
2750 Kelley Parkway - PO Box 66 P05948
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued: vg�2oo3
SITE ADDRESS: 3264 North Shore Dr
Wayzata,MN 55391
P I D: 08-117-23-44-0001
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Gas Fireplace
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: PermitFee: $ 35.00 Valuation: $ 1,100.00
State Surcharge Fee: $ 0.55
TOTAL FEE: $ 35.55
APPLICANT: Fireside Corner OWNER: Russell Norum
2700 N Fairview Lane 3264 North Shore Dr
Roseville,MN 55113 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.
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APPLICANT PERMITEE SIGNATURE ISSUED BY S[GNATURE
Copies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1
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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 2 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 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 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 fmal). Call 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 249-4600.
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Please check one: New Addition Repair Replace
Re$idential Commercial
JOB SIT'E• '�:�(��i' ��'��l�.'Ci; �,:if��. ���c:�:� Zip:
Owner's Name: Telephone Number:
Mailing Address: City: Zip:
Contractor's Name: Allied Fireside Telephone Number:
Mailing Address: a iresi e omer City: Zip:
2700 N.Fairoiew Ave.
SYSTEM DESCRIPTION Rosevil(e,MN 55113
651/633-2561
HEATING SYSTEMS
Quantity: �
Make: Ca� i�-� �t=
Model: Cv�'���n..
� Fuel: C�-t s
Flue Size: -
Input BTUs: -� `����,
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H. Power
. -
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FIREPLACES
�/� Gas factory fireplace
Wood burning factory fireplace with flue
Wood Stove
Wood stove with flue
BrandName �����_f N �G�, ModelNo. �'��E'�`��rz-
VENTILATION
No. Kitchen Exhaust ducted recirculating cfm
No. Bath Exhaust (must be ducted outside) cfm
No. Other Fans: Locations cfm
FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL)
Installation Removal
Fuel oil: gallons underground inside outside
LP Gas: gallons
Other Gas opening
PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00)
// c�„ ��� x .0125 $ __ '
,-
(contract price)
2. State Surcharge. "" Add the State Building Code Division
Surchar e to each ermit. � ' �� � -���-
g P ����.�__�� x .0005
or $.50, whichever is greater (contract price)
3. Postage and Handlin� (Only mail-in applications) $ �-
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ -��Slo�
* 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 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 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 correct.
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Applicant's Signatu�e�: 2�i��'Q ��,,y��;�_ Date: / � � o �
Approved By: Date:
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CITY OF ORONO PERMIT
2750 Kelley Parkway - PO Box 66 Permit Number: Pos94g
Crystal Bay, Minnesota 55323 Permit Type: Me�hani�al Pe�ts
(952) 249-4600 Date Issued: i�si2oo3
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SITE ADDRESS: 3264 North Shore Dr ,�,� � I �,�n�2�
Wayzata,MN 55391
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PID: 08-117-23-44-0001
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Gas Fireplace
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
A second fireplace added on 1/28/03 -Ok'd by Lyle
FEE SUMMARY: Permit Fee: � 35.00
Valuation: $ 1,100.00
State Surcharge Fee: $ 0.55
TOTAL FEE: $ 35.55
APPLICANT: AlliedFireside OWNER: RussellNorum
DBA: Fireside Hearth&Home 3264 North Shore Dr
2700 Fairview 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.
APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE
Copies: 1-File(SiQnitures Repuired), 1-Applicant, 1-Monthlv Reoorts. 1-AssessinQ, 1-Finance Page 1
nDATE � ,TIME
CITY OF ORONO ` ED�N `
INSPECTtON NOTICE CHEDULED �,..�� _
PERMIT NO.�� ����J� COMPLETED �
ADDRESS _ _��-�� i� N J�v�-� F�
OWNER CONTR. t-� l��';�r�
TELEPHONE NO. �� � I ��,�-� ��,(o J
� DESCRIPTION � y� � ��/"�� jCc:<��
� 01 FOOTING 11 MECHANICAL RI 18 EXCA�//GRADI G/FILLING `�
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 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 SE TIC FINAL 35 HARD COVER REMOVAL
J 10 PLUM8ING FINAL ' 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTORTOMEETYO YES 0
� COMMENTS:
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W� ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
O CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Ca11 for the next nspection 24 hours in advance. (J52� 249-46��
OwnedContr 't :
Inspector. �
White Copy/lnspector's File Canary Copy/Site Notice