HomeMy WebLinkAbout2007-P11690 (Fireplace) PERMIT
CIT� OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: P11690
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued:
11/16/2007
SITE ADDRESS: 2180 Abingdon Way Unit#
Long Lake,MN 55356
PID: 03-117-23-24-0012
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type:
Mechanical Pernuts Permit Sub-type(s): Wood Fireplace
DETAILS:
Approved per resolution#:
Separate pernvts required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 55.00 valuation: $ 4,400.00
State Surcharge Fee: $ 2.20
TOTAL FEE: $ 57Z0
APPLICANT: Hearth&Home Technologies OWNER: Rick&Britt Gage
DBA:Fireside Hearth&Home 2180 Abingdon Way
2700 Fairview Ave Long Lake,MN 55356
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.
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APPLICAN'f PERMITEE SIGNATURE IS D BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
,
I � �FOR CL`I'3�USE�NLY �
� � 0 City of Orono
O¢ '�� P•O.Box 66 Date Receiued: Permit#
2750 Kelley Parkway
� � "�� Crystal Bay,MN 55323 Approved By: Amount$:
��� (952)249-4600
CITY OF ORONO—MECHANICAL PERMIT
(All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall)
S�Err���,�ox�vraTlaN
1. You may apply for mechanical pernufs by mail or in person at the City offices. Applications will
be reviewed and a pemut will be issued within two working days.
2. Pemut cards will be sent by return mail after a review is completed. PERMITS ARE NOT
VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Mechanical Desi�ns—Complete calculations, details and specifications are required for each
heating,ventilation,humidification-dehuxnidification,and air conditioning installarion including
heat loss/heat gain calculation,design temperatures,equipment ratings and identification as to
type,manufacturer and model. Data shall be presented on form provided.
4. When any new construcrion or remodeling is involved,a separate building pernut must be
obtained.
5. All work must be done in accordance with the Uniform Mechanical Code/State Building Code
requirements.
6. All work must be inspected(rough-in and final). Call(952)249-4600.
(24-48 hour notice required)
7. House Heating Test Record must be submitted before fmal.
TYPE OF PER�IIT
Cheek All That�1 1 )
�Residential ❑ Commercial(Approval Required)
/ '
�New ❑Additional ❑Repairs ❑Replace
J�b Site/Owner Information: ` .
Site Address: ���d � �j��.�q c�on W aY
,$Pe�:�1 �n vi «�cr s (�ro��
Owner: Mailing Address:
City: ��ono Zip:
Home Phone: (,0�a- 9��0'/�7 I Alternate Phone:
Contractor Information:
Contractor: Contact Person:
�w�a Mo�t��i r�.l�.
Address: State Bond#: d����1�~� �
$70��4 .
City: Zip: Expiration Date: es�/a�-�1����.
Phone: Alternate Phone:
❑ Insurance—Current:
1
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HEATING SYSTEMS
Quanrity:
Make:
Model:
Fuel:
Flue Size:
Input BTC1s:
Output BT[Js:
CFM:
COOLING SYSTEMS
Quanrity:
Make:
Model:
Tons:
H.Power
FIREPLACES
�. Gas Factory Fireplace
❑ Wood Buming Fireplace
❑ Wood Stove
❑ Wood Stove With Flue
Brand Name: �t��'n (��O Model No.: �S C"�'e '1 �'
VENTILATION
W� Ga5 E-,G
❑ No. Kitchen Exhaust duct recirculating cfrn
❑ No. Bath Exhaust(must have duct outside) cfin
❑ No. Other Fans: Locarions ��
FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHALL)
❑ Installation ❑ Removal
��M�r���� allons
� m� t g ❑ Underground ❑ Inside ❑ Outside
O�OSti6lP�t� gallons
.�MA �OiS
ttNlqy.
t��¢-�u�rae
GAS LINE ONLY
❑ Outdoor Grill ❑ Other/List What&Where:
2
❑ Yes,this secrion applies
The replacement of a Residential fixture or appliance that meets all three of the following requirements:
1. Does not require modificarion to electrical or gas service.
2. Has a total cost of$500.00 or less;excludin¢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 Pernut $ 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$35.00)
`7 /� "�� x.0125$
(contract price) (minimum$35.00)
2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50)
� x.0005 $
(contract price) (minimum$ .50)
3. POSTAGE&HANDLING(Only on 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
pernutted 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 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 State of
Minnesota, and certifies that all statements made on this application are complete, true and
correct.
Applicant's Signature: Date: ! Ca D �
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