HomeMy WebLinkAbout2005-P08471 - gas fireplace PERMIT
CITY.JF ORONO Permit Number:
2750 Kelley Parkway - PO Box 66 Po84�i
Crystal Bay, Minnesota 55323 Pet'mit Type: Mechanical Permits
(952) 249-4600 Date Issued: zi28i2oos
SITE ADDRESS: 4215 North Shore Dr
Mound,MN 55364
P I D: 07-117-23-43-0006
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: Permit Fee: $ 35.00 Valuation: $ 2,000.00
State Surcharge Fee: $ 1.00
TOTAL FEE: $ 36.00
APPLICANT: Allied Fireside(See Comments) OWNER: Douglas Waldoch
DBA:Fireside Hearth&Home 4215 Narth Shore Dr
2700 Fairview Mound MN 55364
Roseville,MN SSll3
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 ISSUE BYSIGNATURE
Cooies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Reoorts. 1-Assessine, 1-Finance Page 1
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���'� dF C���i°�C) f�,�'��,��C-�.�'I�I� FC7R �C�I`�TI��.� �'��I����`
F�o7: 66 (27�0 Ke11ey Parkway�
Ctystal �ay, �I�I �5323
�E?O�EFAI,:�Q���ATIo,'.�
l. You may apply for mechanical permits by mail or in person ai the City offices. Applications will be
reviewed and a perniit will be issued within two�x�orking days.
2. Pern�it cards will be sent by return �nail afier a.review is completed. PERMITS ARE NOT VALID
UNTIL YOU RECEIVE A PERIVIIT. W'rJkK IvIC,TST NC?T BEGIiv U1�iTIL THE PERMIT C�IZD IS
POSTED ON THE.TOB SI�'F.
3. Ivlechanica] Desi�ns - Complete calculations, details and specifcations are required for eacn heating,
ventilatron,humidification-dehumidification, and air conditioning installatian including heat loss/heat
gain calculation, design tei��peratures, equipment ratings and identification as to type, inanufacturer al�d
model. Data shall be presented on foi�n provided. Identification of and specif eations for water heating
equipment shalI also be previc�-ed. �
4. ��he��any t1�w eonsti�ction or reinodeli�zg is i.nvolved, a �eparate bu�ilding pernzit must be obtained.
5. All worl<tnust be d�ne in accor.dance with the Uniform l�7echanical C�de/Stat:e Building Code
requirements.
�. AII�rork znust�be inspe,eted (roubl�-in and fnai). Ca11 (95�)249-4600. 2�-hour notice required.
7. House Heating Test Record must be sut�i��itted ��efoi-e final.
����r°�c�ao�ts
�;omplete al1 ite�ins ai�tllis a���lication. �e�i�ipute the pez711it fee. S�gn azld cla.te th�certifcation.
INC�I��IPLETE AFPLIC.�TIONS WILL?`�C�T��;FR�3CESSED. If yctz have questioa�s, �all
(9�2} 249-460U.
Please checic o��e: �] �Iev�� [] Add�.t�.olz ❑ Re��i1- ❑ Replace ❑ Residential ❑ Comr��ercraP
���� �I�'�e�:� �1,��i� cy���.< �� ����
�w���-"� I�'����N G����.�:c� —. ������� P�t���a��er-o -
1`t��ii���� ��c�e���e��a _ -----� ������ ----� ��g�o --
Alii2d FiresidE
�.�92�.I��Ca.�&"4S i`C�c`g�Xk�� dbaFiresideHearth6Home
— ------ �'���� �t�€�a��:a':
��_�➢���Ce .���P`es�� z�ooN Fa�rv�,n�e �8���: i �,i�e
657/fi33-25R+ .
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���`S"�'�?�'�I7�SC:�2I�°'�'➢�N �
�-��A'�'II�CB S�'ST���
�)uantity:
Make:
�odel:
FueL•
Flue Siz.e:
Input BTlis:
Output BTUs
CFNi:
�'C)��IN��I'S'�'�"�'�S
C�uantity:
1�1ake:
1vlodel:
Tons
H.Pov✓er
�'���'��.��'�'� �r.�S �,a.rd�' ���r�,�'
� Gas fa.ctary firepiace ❑ Installing a Gas Lane �?nl}�
❑ VJood buz-riing factoiy i�re}�.ace with�lue:
❑ Wood Stove
❑ �Tc>od sto��e witl� fluc
�rarid Nar�� �C � ,-� -- tiiodel]'�do. �G'�'�L` `�`�-'C'�-/1�
�'���r''t,�'�p�.'I'��t�'
._Ivo. kitchen Exhatlst duct z-eealc�zlatin�______efin
7`�0. Bath Exhaust (nlust have �uct outside} cfm
1�10. i�ther Fans: Locations cfm
I������ S'�'��;�.�� (MUST BE AFPROVED BY FIRE MARSHAL)
❑ Installatior. or ❑ I�ernoval
❑ ��t�el oil: gallons ❑ underground ❑ inside ❑outside
❑ LF ras: gallons
❑ Other Gas opening
' 2
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�'��I'�' F�E ���,C�,TT..4.'k'���T(S�
�002 �9at� �tateztw ❑�'es 'I'his Sec��on�pp�ie�
The replacement of a F.esidential fixture or appliarice t17at meets aIi three of the following requir�znents:
l) Does not require modification to electrical or gas sen�ice.
2) Has a total cost of�;�00.00 or less; excludin�; the cost of the fixture or applrance:
and
3) Is improved, installed or replaced by the homeo�ner or licensed contractor.
Slcip next secfion; Co�t of Pennit $ ]5.00
State Surcharge $ .50
Mail-In Fee $ 1.50
If above does not apply, follow guidelines below:
�. �nnt�s��ct �'P-i���� is .0125% of job v✓a1:li a]@�Fp����i��rn �{ec of��35.�?0}
��-`��.� � x .0125 � 5 5�.�:
(contract price) (minin�u�r�$35.00)
2. S�ate Surchara�e. ** Add t�ie State Building Code Divisioll a l��i�aimum �'��,€�6'(� ,�F}}
.� _
�i�:.:�, - x .000� $ �. c�'�
coni�ract price) (miriimum� .50)
�. �'�5�����r� ���c� ���t�tl�i��� (�rtt��r�zaif-�rt applic�ttz��a�r�s� $ ��"
4. �'��'�.�, ���;.,'�a��' ��� (p.dd lines l-' abave) �; ��:.��
�:Oi�;Pcr.C�I'PRICa- or JC�B CQ 7T mc n�tLc �„uai cr stim�ted dollar anlount charge�i for thc pe;mi±ted v,�or}:inciuding
n,aterials,labor,profit,and oChei fixed costs. Tt is Che ainount to bc charged Co tnc customer for thc�vorlc ctone. �f any i��aterial,
equi���ment, labor,or installation is furnished by thc owner,tcnant or anv other party the reasonable market value of such items
xnust be added to the estimated cost or contract price for permit fce purposes. In the evenC tnat there is a dispute on the arnount of
the job cost,the Cit�y may rcquesY the submi;sion oi a sioned copy of t�he acPual contract.
**Ti�ie STF�TE SURCI-IARCB is.0005 of th�contract price under�1,0�Jb,00Q or�.50-whiehever is greater. For o•aluations over
01,000,000 call the Depar[ment of Inspectional Services for the price.
Thc undersis,rned hereby applies to the City for issuancc of a Mechanical Pern�iY,a,orees to do ai] worlc in strict accordance with
thc ordinances of t:he City and the re�ulations of the Minncsota State Building Code,and cer[ifies that all statements�riade on Yl1is
application are complete,true and correct.
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Applicant's Signature: ' ��.�- -- ,� —�� Date: ����r" i
Approved By: Date:
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