HomeMy WebLinkAbout2004-P07255 - gas fireplace � PERMIT
�ITY� OF ORONO Permit Number:
2750 Kelley Parkway - PO Box 66 Po�2ss
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued: 2/24/2004
SITE ADDRESS: 657 Sandstone Cr
Long Lake,MN 55356
PI�: 33-118-23-11-0033
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:
Installation of fireplace and venting only-
FEE SUMMARY: Permit Fee: $ 35.00
Valuation: $ 1,200.00
State Surcharge Fee: $ 0.60
Misc.Fee: $ 1.50
TOTAL FEE: $ 37.10
APPLICANT' Condor Fireplace&Stone Co(See comme� OWNER' Dahlstrom Development LLC
� 8282 Arthur St NE � 7745 Polaris Lane
Spring Lake Park,MN 55432 Maple Grove,MN 55311
TT�UNDERSIGNID HIIZEBY REQUESTS PERMISSION TO MAKE THE REAL IlVIPROVEMENTS SPECIFIEED
AND AGREES TO DO ALL WORK IN SfRICT COMPI,IANCE WTI'H ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUII.DING CODE REQUIItIIVIIIVTS.
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APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE
Cooies: 1-File(Si�enitures Reauired), 1-Annlicant, 1-Monthlv Renorts. 1-Assessine. 1-Finance Page 1
Oct-Z8-2003 04:34ps Fro�-CITY OF OR0�10 tA6Z2�A4616 T-363 P.001/003 f-Ba0
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CITY OF ORON4 . APPLICATI4N FO�t MEC'HAIVICpI,PERM�'I'
Box 66 �2 750 Keliey Pazkway)
Cryatal Bay, MN 55313 �
1.�You may aPP�Y for mechtmical permits by msil ot in person at the City offices.Applications wt'll be
nviewrd and a permit aill be�ssued withtu two worlo�g dayrs.
2. Ptimit cards w�will be unt by ntura mail after a review is compkted.PERNIIT3 ARE NOT VAY.ID
UNTII.YOU RECENE A PERMTi',W g
P(�SZ'ED ON __rnA errF
3. �echa.�al De f�s-Complete calculadons�deraiLs aad specifications are required for eacb heating,
venrilation,humidification-dehu:nidificatiop,and air onadirioniag instalIatioa inclt�ding hear 19sslheai
�ain catculation,design tempetstures.e4uiPtrunt racings and idenritication a5 to rype.man�tfacturer and
model.Data shall be pnse�nted on form provided,Identification of aad specific�tlons for wat�r heating
�quipmem shall also be provlded.
4. Wher�airy new canstruation or remodeling is involved,a s�parate building permit must be obtained.
5. AlI vrork must be dono in accordance with the Uniform Mechanieal Code/Stau Huildiag Code
rt4u�rements.
6. All work must be inspected(rough in and fiaai).Call(952)249-4600.24 hour notice re,quired. .
7. House Heatir�g Test Reeo�cd isnut be submitted before fmal. .
Yn�^ons �� � � �
Complete all items on chis application Compute the permit fee.Sign and date the cemf cation.
IlrTCOMPLETE APpLTCATIONS WII,�.NOT BE PROCESSED,If you have questions,call
(9S2)249-4600.
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Plcase check one: [�New ❑Addition ❑Repair ❑Replace[]ResidentiaI ❑Commercial
JOB STx'E: �P�'1 Sa.r�dsfone. �,�;r• 7.ip: 2
Owner s Name:vor,nT.rr�.��, u-,n 5 pbone Nnmber:��a -3 ln .. Su�����-�_)q��
Maiting Adanas•� arK.� �v a,� Cit',}'c�.,�,� Zip:�53S�p
Contcactor•s Name: ,�„� S�Ioae, phone Nu�ber: '1 fv3-�$Iv-a3y� •
Mailing Addresa:g?�t2 A�- h ay ,tJ� C;ty;g r�n • �, y�p; .�r5 y 3�i
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Oct-tA-2003 04:34ps Fro�-CITY OF ORONO t052141461¢ T-353 P.002/003 F610
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SYSTEM n�:scittrrrorr .
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HEA7'ING SYSTEMS
Quu►dcy: �`
� ' 1
..��
�OdO�: �-..--.�.�. ���
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�4d: "`___ `�� ._,
Flue Size: �- �'
Input HTUs: � ` --��
Output 8'f[)s: . �— —"—
CEM: ~— --"^
-�-._-.—� .
COOLIIVG SYSTEMS
Quantiry. .
------ -�._..
�rLloe: ��
.`: .
Model: , -
�.�..
Tons: -~- ,--_.�_
. . '---- -s:
H.Power .—�`
�� ��
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�_LACES GAS LINE ONL,�
�feetory fireplace ❑ Insta►llmg a t3as Line Only
burnin�baorY fireplacx with flue
Wood Stove
❑ Wood stove with flue
, Brand Name P) O Model No. S�- 1 Sd TrL.- '(� .
vErrra.wTTox � �nglul lo�ion o� -�irep(ac,c O,m�.. vert� trr�c,� - �, ;gy �T��
No. Kitchen Exhaust duct recalculating__'cfin
No.��Bath Exhaust(must have duct outside) �� .
No. Other Fans:Locations � �
cS:t
�STORAGE(MLIST BE APPROVED BY FIItE MARSHALj. '
❑L�sta1lstion or Removal
Fuel oil: _^�llons �underground ❑inside Qoutside
I-P(3as: `�gallons �
Other Gas opes�ing .
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Oct-2A-2003 04:34ps From-CITY OF OR01� +A522414616 T-363 P.003/003 F-Bi0
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PERMIT FEE CALC�TY,pN(g�� ,
2002 State Statute ❑Yes T6h Sectiop Applies .
The repIACEmerit of 8�3 s'� �d�tt�t�'' 'xiure ot abol"r��that meet�all three of t11e foAo
"�S nQ�irtments:
1� �=�9Wn moditieation to ela�rieai or gas service.
2) Has a o aI of SS00.00 or less; xcl in tiu eost of the fixnue o�appyance;
and
3) Is improved,installed or raplaced by the hoauowner or licensod con�ractor.
Slap next seetion; Cost of Perrt�it $ 15.0 �.
State St�rcharge S��
M�1-�pa S� 1_50 ' —
If aborre does not appiy.tbllow guidelines below:
l- �o.Qtract Prtce*is.0125%of job with a A�nim m Fee of!��-�101 �
lao .o x.oizs S 35_00
. ����CQ� (mininfttm S3S.00)
2.�tate 5urc�,a��a�_ **pdd the State Buiiding Code Divisioa a
. 1�'ntnm Fee nf�s �m
I a00,0O x.0005 s � �Q,O
(c�tract price) (mini�au�a S.SO)
3.��aAd�I�ndling(Oaly�na�il-ti�appl�catr'nss)
S —�1,��_
a.TOTAI,pER1VlIT FEE(Add lines 1 3 above) .
� 3�, I�
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•CONTRACT PR1CB�JOB COS'f ineana d�e a�tu$1 or estimet�dollu amounc chargcd for rhe pdmttted v��ludm� .
matcrial;labor,profit�and alter 6xed�psts.It is the amou�t to ba chor �10�
WwP�e�.labor,ot installation is furnishtd by the owner�tensnc or�n�a�he����W0�doae.If m�y nntterial.
must be added to she euitrnted cost�tonnact priee tor pem�it fa y P�Y the roa�bk n�tka valtta otsuch itert�s
the job cost,r!►e Ciry may roquac the submission of a sf$ntd copy of tde�tea th�t thet zlsue is t dispute on the artwunt of
••7q�STATE SUR��nt of�of the contrut price un�S I,ppQ,ppp�Ss0-wliiehever is g��.Foe valuuions over
S 1.00�,00p�11 the nspectfonal Servless f�q� �,
The undersigned hereby apPlies co the Ciry f�issuanCe of p Ad h ic�l Pertnit a �
the ordinances of tl�e Ciry and the regulaciona of the Minnesota • �°��dO�1�����ana with - .
appl;e�tian aro eomptete�tnu a�d roRc�, �BuiWing Code,and cersitles ehat�����e on this . .
Applicant's Signature: �l�JQ
Date:
APPmved By:
Date;
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