HomeMy WebLinkAbout2003-P06879 - gas fireplace C��I�fiY OF ORONO PERMIT
2750 Kelley Parkway - PO Box 66 Permit Number: Po6s�9
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued: io�io�2oo3
SITE ADDRESS: 2080 Salem Ct
I.ong Lake,MN 55356
PID: 27-118-23-31-0016
DESCRIPTION:
Proposed Use: Residential
Pernut Class: General
Pernut Type: Mechanical Permits Pernut Sub-type(s): Gas Fireplace
DETAILS:
Approved per resolution#:
Separate pernuts required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 41.25 Valuation: $ 3,300.00
State Surcharge Fee: $ 1.65
TOTAL FEE: $ 42.90
APPLICANT: Allied Fireside OWNER: Laura&Robb Hirschberg
DBA: Fireside Hearth&Home 2080 Salem Ct
2700 Fairview 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 SI'ATE OF
MINNESOTA UILD�6 CODF REQUIREM TS.
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APP CANT PERMITEE SIGNATURE �� _ ISSUED BY SIGNATURE
Covies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessin¢, 1-Finance Page 1
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CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
GENERAL INFORMATION
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 RECENE A PERMIT. WORK MUST NOT BEGIN UNTII,THE PERMIT CARD IS �
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POSTED ON THE JOB SITE.
3. Mechanical Desi r�is -Complete calculations, details and specifications are required for each heating, �';'_,.
ventilation, humidification-dehumidification, 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. 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. <°�
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6. All work must be inspected(rough-in and final). Call(952)249-4600. 24-hour notice required. ;�
7. House Heating Test Record must be submitted before final. :�
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Instructions =�
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Coin lete all items on this a lication. Com ute the ermit fee. Si ��
P pp p p gn and date the certification. �.�
INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call ;�
(952) 249-4600. �
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Please check one: ❑ New ❑ Addition ❑ Repair ❑ Replace�Residential ❑ Commercial
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JOB SITE• ,. �oc�>/�� Zip: S�� ��
Owner's Name: J/ ' �-- Phone Number: �j�.�- y>j •�,y�Tj �
Mailing Address• City: �"�,Lj�} Zip: "�
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��1�<�'�� �rh'��=?��Ct' ����� �/�'��i,�� ���i/Y �- %� �_ �
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Contractor's Name: Phone Nu ber: _��,� 2� L,.,,� ;�
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Mailing Address:�2�OC> �j�is'iF=ct�- City• Cx'�� � _ Zip: �.s_5%l�
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PERMIT FEE CALCULATION(S)
2002 State Statute ❑ Yes This Section Applies
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The replacement of a Residential fixture or appliance that meets all three of the following requirements: ��
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1) Does not require modification to electrical or gas serviee�.�—> � �`�'F��
2) Has a total cost of$500.00 or less; excludin�the�cost�f the fixture or appliance: �
and
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3) Is improved,installed or replaced by the homeowner or licensed contractor. �
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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)
� < C�G x .0125� $
(c ntract price) (minimum$35.00)
2. State Surchar�e. ** Add the State Building Code Division a Minimum Fee of($ .50) .�
x .0005 $ A'"
�' (contract price) (minimum$.50) �
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3. Posta2e and Handlin� (O�:ly tnai!-i�t 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 fumished 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.
**T'he STATE SURCHARGE is.0005 of the contract price under$1,000,000 or$.50-whichever is greater.For valuations over
$1,000,000 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 regula�ion the Minnesota State Building Code,and certifies that all statements made on this
application are complete,true a ct�
Applicant's Signature: � Date: l� �D �i
Approved By: Date:
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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
Gas factory fireplace ❑ Installing a Gas Line Only
Wood buming factory fireplace with flue
❑ Wood Stove
❑ Wood stove with flue
Brand Name�/_��'��'��' �-� Model No. C�J��� /�� —
VENTILATION � !rj� �5 ���,�
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
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