HomeMy WebLinkAbout2003-P07090 - gas fireplace � . PERMIT
C I TY O F O RO N O Permit Number:
2750 Kelley Parkway - PO Box 66 Po�o90
Crystal Bay, Minnesota 55323 Per-mit Type: Mechanical Permits
(952) 249-4600 Date Issued: 12�iii2oo3
SITE ADDRESS: 653 Sandstone Cr
Long Lake,MN 55356
PID: 33-118-23-11-9928
DESCRIPTION:
Proposed Use: Residential
Pernut Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Gas Fireplace
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: PermitFee: $ 35.00
Valuation: $ 1,200.00
State Surcharge Fee: $ 0.60
TOTAL FEE: $ 35.60
APPLICANT: Condor Fireplace&Stone Co(See comme� OWNER: Dahlstrom Development LLC
8282 Arthur St Ne 7745 Polaris Lane
Spring Lake Rd,MN 55432 Maple Grove,MN 55311
THE UNDERSIGNED HEREBY REQUESI'S 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.
/�����yh ��� ``-�—�'� ��I',"�'(
APPL[CANT PERMITEE SIGNATURE SUED BY SIGNATURE
Copies: 1-File(SiQnitures Required), 1-Apnlicant, 1-Monthlv Reports, 1-AssessinQ, 1-Finance Page 1
` � Page 1 of 3
�
CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT
BOX 66(2750 KELLEY PARKWA�,CRYSTAL BAY,MN 55323
GENERAI.INFORMATION , •
. 1.You may apply for mechanical permits by mail or in person at the City off'ices.Applications will be reviewed and a permit
will be issued within 2 working days.
2.Permit cards will be sent by return mail after a review is completed.PERMITS ARE NOT VALID iJNTIL YOU
RECEIVE A PERMIT.WORK MiJST 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-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 pennit 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-hour notice required.
7.House Heating Test Record must be submitted 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 ck one: ✓New Addition Repair Replace Residential Commercial
JOB SITE:�Q53 5o�.rva5+vn� G r c,l,e� Zip:
Owner's Name� )Ohn I C�'rbl.1��P� Telephone Number: (p!a -3lt lQ -_���
Mailing Address:�00 �'16���� �� City:��--p n(� Zip:
Contractor's Name��aor ��'G��T rU2� Telephone Number• �(O 7�d(D-a 3 y I
p � ���� ��
Mailing Address:���H7'1�1W"�.�.�. City: Zip:
SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity:
Make:
Model:
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
http://www.ci.orono.mn.us/mechanical%20permit.hhnl 1/8/2002
� Page 2 of 3
C OOLING SYSTEMS
(►uantiry:
D 1ake:
r 1ode1:
7'ons:
�L Power
F::REPLACES
_`� Gas factory fireplace
Wood burning factory fireplace with flue
__Wood Stove
Wood stove with flue
B�and Name_ _�..p�- -y� �1 p Model No. �L��TlLC�
V 3NTILATION
N��. Kitchen Exhaust ducted recirculating cfm
N��. Bath Exhaust(must be ducted outside) cfin
N��. Other Fans: Locations cfm
F1JEL STORAGE(MUST BE APPROVED BY FIRE MARSHAL)
Installation Removal
� __Fuel oil: gallons underground inside outside
__LP Gas: gallons
Other Gas opening
PI;RMIT FEE CALCULATION
1. 1.25%of Contract Price*or Minimum Fee($35.00
(Contract Price) /�9-�� 0 6 x.0125 $ ��, D�_
2. State Surcharge. ** Add the State Building Code Division
Surcharge to each permit. (Contract Price) /o`���, � d x.0005 $ • �-� or$.SO
ht:p://www.ci.orono.mn.us/mechanical%20permit.html 1/8/2002
a
' Page 3 of 3
3. Postage and Handling(Only mail-in applications) $ 1.50
4.TOTAL PERMIT FEE(Add lines 1-3 above) $ ��.(.�Q
* 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 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 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 regulations of the Minnesota State Building Code,and certifies that all statements
made on this application az complete,true and conect.
Applicant's Signature: Date: 1���� �(�
Approved By: Date:
http://www.ci.orono.mn.us/mechanical%20permit.html 1/8/2002
Z�� 3 ✓
OATE TIME
CITY OF ORONO CALLED IN �� ��'
INSPECTION N ICE SCHEDULED �-�5�03 =�
PERMIT N0. ?�� COMPLETED
ADDRESS l0�.3 �S C�
OWNER CONTR.��� T
TELEPHONE NO. �4��- 3�� 5���
� DESCRIPTION /"(� �� i
� 01 FOOTING 17 MECHANICAL RI 18 EXCAV/GRADING/FIWNG
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC NIAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATIOWREMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
a
j
0
�
�
0
�
W
�
Q
�
z
W
�
W
�
�
d
W� RKSATISFACTORY:PROCEED ❑PROJECTCOMPLEfE
W ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
�CORRECTUNSAFECONDITIONWITHIN HOURS. ppHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
�INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Ca11 forthe ext inspection 24 hours in advance. (952) 249-4600
Owner/Contra site:
Inspector.
White CopyAnspector's File Canary CopylSite Notice