HomeMy WebLinkAbout2006-P09597 - gas fireplace � PERMIT
CaTY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: p09597
Crystal Bay, Minnesota 55323 Permit Type:
Mechanical Permits
(952) 249-4600 Date Issued: 2/13/2006
SITE ADDRESS: 2940 Fox St Unit#
Long Lake,MN 55356
P��� 04-117-23-31-0017
DESCRIPTION:
Proposed Use: Residential
Pernvt Class: General
Pernut Type: Mechanical Pernuts Permit Sub-type(s): Gas Fireplace
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
Set&Vent only-gas by others
FEE SUMMARY: Permit Fee: $ 125.00 vatuation: $ 10,000.00
State Surcharge Fee: $ 5.00
Misc.Fee: $ 1.50
TOTAL FEE: $ 131.50
APPLICANT: Condor Fireplace&Stone Co. OWNER: Dennis Backes
8282 Arthur St NE 7026 Brooklyn Blvd
Spring Lake Park,MN 55432 Brooklyn Ctr,MN 55429
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.
ii'��wc"'L �.
APPLICANT PERMITEE SIGNATCJRE SSUED BY SIGNATURE
Copies: 1-File(Signatures Reguired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
, . •
FOR CITY USE ONL�'
� City of Orono
� �\�' P.O.Box 66 Date Received: Permlt�t
��� a`" 2750 Kelley Parkway '
j3 `�y
i a�� � �� Crystal Bay,MN 55323 Approved By: Amount$:
�'� ���r', ���� (952)249-4600 � �
�.:�>�
CITY OF ORONO—MECHANICAL PERMIT
(All Commercial permits must be approved by the Building Official or Inspector and/or Fire Mazshall) .
�E�x�L nvFORNraTION
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 two 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 Desiens—Complete calculations,details and specifications are required for each
heating,ventilation,humidification-dehumidiftcation,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.
4. When any new construction or remodeling is involved,a separate building permit must be
abtained.
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 final.
TYPE OF PERMIT
Check All That A I
��Residential ❑Commercial(Approval Required) .
��(New� ❑Additional ❑Repairs ❑Replace
J `
Job Site/lJwner Information:
Site Address: ,-7��"��C "� ��K � .
��^
, Owner:�_'��� ��, Mailing Address:
City: L.���[%Y`�% Zip:
Home Phone: Alternate Phone:
Contractor Infarmation:
��
Contractor: �' ' r '�C'-e�t '- ontact Person: �����
Address: �:}�,�' Z��� �'l�State Bond#: �'�5 '��
��— / ��
City: � � Zip:�?�piration Date: � � (G�
Phone: � "?Ir�"� ^�`SG�� ,��;`{ � Alternate Phone:
❑ Insurance—Current:
1
MECI�[ANICAL SYSTEMS BEING INSTALLED
HEATING SYSTEMS
" Quantity:
Make:
Model:
FueL•
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model: �
. Tons:
H.Power
� ,
FIREPL.�CES � � ��� �`-�-��� ,
- ��`� �,'� �.
� �� U
Gas Factory Fireplace �� , ,
❑ Wood Burning Fireplace ; ��
❑ Wood Stove
❑ Wood Stove Wi h Flue
�f�x��-�t-�1(.,-lC.� L..{yy � ,��,, ���
Brand Name: •� Model No.: �� 4t; �(� �
VENTILATION �`c Z �I �E�•'�- Cr�`�
❑ No. Kitchen E�aust duct recirculating cfin -
❑ No. Bath Euhaust(must have duct outside) cfm
� No. Other Fans: Locations cfm
FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHALL)
❑ Installation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside
LP Gas: gallons
' Other:
GAS LINE ONLY .
0 Outdoor Grill ❑ Other/List What&Where:
2
PERI�IIT FEE CALCLILATION(S} � � � �
BASED OFF -2002 STATE �'�TATUE
❑ Yes,this section applies
The replacement of a Residential fixture or appliance that meets all three of the following requirements:
1. Does not require modiftcation to electrical or gas service.
2. Has a total cost of$500.00 or less;excludine 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 Permit $ 15.00
State Surcharge $ .50
Mail-In Fee(If Applicable) $ 1.50
Total Permit Fee $
: . � �.��L = ,A,',���fi� �_ '�i�� `� �4�sF;�����&
�` :� f�
If above does not apply;follow guidelines below:
1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$35.00)
_� �. ,,;C� x.0125$ I `�t-�`���
(con act price) (minimum$35.00)
2. STATE SURCHARGE **Ad�e State Bldg Code Div.Surcharge(Minimum Fee of$.50)
�
�
�-. C��- x.0005 $ —j.C/Ci
(con act 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
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 installations are furnished by
the owner,tenant or any other pariy, the reasonable mazket 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. �
MECHANICAL PERMIT APPLICATION AGREEMENT
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: � �� � �
:;
z s,
Rese#Form �'x� ',
;�`
3
�� ��� Aj�j� TIME Y
CITY OF ORONO CALLED IN �"� �
INSPECTION N TI SCHEDULED � �'
PERMIT NO. COMPLETED
ADDRESS
OWNER CONTR.
TELEPHONE NO. ��3 ?8� a�� �
�
� DESCRIPTION '
� 01 FOOTING 11 MECHANI RI 18 EXCAV/GRADING/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 05 FINAL 14 SEWER HOOK-UP O6 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:
�
W
C
0 7(.4�p '2- T'
� v t� •
0
�
W
�
Q
�
Z
W
�
W
�
�
d
W� ORK SATISFACTORY:PROCEED ❑PROJECT COMPLEfE
W ORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR RE�NSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
�CQRRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WlLL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ IIJSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
OwnerlContractor on site:
Inspector. / , ��.�J �i3 � �
White Copyllnspector's File Canary CopylSite Notice
DATE TIME ✓
CITY OF ORONO CALLED IN
INSPECTION N IC SCHEDULED � l `l.'(�L
PERMIT N0. ��✓�� COMPLETED '�'3( �
ADDRESS ��� O X �r}.
OWNER CONTR. �I� ��PS
TELEPHONE N0.
� DESCRIPTION
� 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/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL �EPTIC INSTALL. 22 FOLLOW-UP
i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
y COMMENTS:
a J�' � 3� V'"I-� i�D IlI �A �W:1� I �k���
�
J
� i o� � g 2 b��' �� �8� '�
�
° C��fi� �+ s�-� : B�-�;��
Q 5 t�,�� �A r ��s-�- o �C
�
z
� 5,� �.�.� - p� �� 5,=1�
W
�
�
J
��WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
W ❑'CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR W4LL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (952) 249-4600
Owner►Contractor on site:
Inspector. � � � /l (�[J�
White Copyllnspector's File Canary CopylSite Notice