HomeMy WebLinkAbout2003-P07120 - gas fireplace CITY OF ORONO PERMIT
2750 Kelley Parkway - PO Box 66 Permit Number: P07120
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued: 12/22/2003
SITE ADDRESS: 2540 Old Beach Rd
Wayzata,MN 55391
PID: 21-117-23-22-0009
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: $ 40.00 Valuation: $ 3,200.00
State Surcharge Fee: $ 1.60
TOTAL FEE: $ 41.60
APPLICANT: Allied Fireside OWNER: D Schneider&M Leaf
DBA:Fireside Hearth&Home 2540 Old Beach Rd
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 AJCITYOFNO NC AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
APPLI ANT PERMITEE SIGNATURE W1 ED BY SIGNATURE
Copies: 1-File(Sienitures Reouired), 1-Applicant, 1-Monthly Reports, 1-Assessine. 1-Finance Page 1
CITY OF ORONO APPLICATION FOR MECHA\'ICAL PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
GENERAL INFORMATION
1. You may apply for mechanical permits by Nail or in person at the City offices. Applications will be
reviewed and a permit will be issued within:wo working days.
2. Permit cards will be sent by return mail afte-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 Designs -Complete calculations.details and specifications are required for each heating,
ventilation, humidification-dehumidificatior-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 proxded. 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 F_-al). Call (952)249-4600. 24-hour notice required.
7. House Heating Test Record must be submir.-d 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: - � ,l Zip:
Owner's Name: - �" .� Phone Number: �S= - -y�/- 9�
Mailing Address: ��/0 ��DN�� ,d City: !��'�-'<-"' Zip:
l _
Contractor's Name: Phone Nupber: 5/1
Mailing Address, j�� � —9/�'� ; > vc city: Gs Zip: S5%/
1
PERMIT FEE CALCULATIONS)
2002 State Statute ❑ 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; excluding 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 Permit $ 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)
x0125 $
(contract price) (minimum S35.00)
2. State Surcharge. ** Add the State Building Code Division a Minimum Fee of($ .50)
x .0005 $
(contract price) (runimum S.50)
3. Postage and Handling (Only mail-in applications) $ 1.50
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 installation is 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
S1,000,000 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 innesota State Building Code nd certifies that all statements made on this
application are complete,true t.
s
Applicant's Signature: Date: /Z�
Approved By: Date:
3
SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity:
Make:
Model:
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H.Power
FIREPLACES GAS LINE ONLY
J�rGas factory fireplace ❑ Installing a Gas Line Only
❑ Wood burning factory fireplace with flue
❑ Wood Stove
❑ Wood stove with(flue
Brand Name Model No.
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
D DATE TIME
CITY OF ORONO CALLED IN I Z-3I
INSPECTION NOTICE SCHEDULED /-S-O
PERMIT N0. 12D COMPLETED
ADDRESS 2540 0 1 d (13fae- 9-(�, r
OWNER CONTR. A-11) � rS
TELEPHONE NO. 9S �" �� Z 7774 cy- PQ
DESCRIPTION Fr (gas �s7`
01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/AREPLACE 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
09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
OWNER/CONTRACTOR TO MEET YOU:_YES—NO
COMMENTS:
CL
S,
0
cc
W
W
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2
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WW -Q WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p PHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (J52) 249-4600
Owner/Contracto n sit
Inspector.
White Copylinspector's File Canary Copy/Site Notice
DT E
CITY OF ORONO CALLED IN I'/ 6 TIME
INSPECTION NOT C SCHEDULED — -0
PERMIT NO. I COMPLETED
ADDRESS ��.'���� 0/d�, G`ry
OWNER Z(/A_! .Sr i n.eCONTR.TELEPHONE NO. hKA mar 91a e90- 7774
DESCRIPTION FIMIMMf Fyc:::' — o2 PAS-F,
1 01 FOOTING C_11 !EF HANICAL-WS 18 EXCAWGRADING/FILLING
4 02 FRAMING 13 M b7OUTUAL FINAL 19 LAKESHORE/WETLANDS
03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
CZ 04 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
i 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J G FINAL 36 FOUNDATION/REMOVAL
OWNER/ NTRACTOR TO MEET YOU:_YES_NO
COMMENTS:
a
0
a
c
0
W
cc
Q
W
W
cc
a
14 WORK SATISFACTORY:PROCEED ❑PROJECT COMPLETE
QZ
W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. O PHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours In advance. (952) 249-4600
Owner/Con tr or n site:
Inspector.
White CopyMspect is File Canary Copy/Site Notice