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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 Q 2 W Z W d 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