HomeMy WebLinkAbout2003-P06960 - gas fireplace CITY OF ORONO PERMIT
2750 Kelley Parkway - PO Box 66 Permit Number: Po696o
Crystal Bay, Minnesota 55323 Pe►-mit Type: Mechanical Permits
(952 f 249-4600 Date Issued: io�29izoo3
SITE ADDRESS: 2460 Sandstone La
Long Lake,MN 55356
PID: 33-118-23-11-9926
DESCRIPTION:
Proposed Use: Residential
Pernut Class: General
Pernut Type: Mechanical Permits Permit Sub-type(s): Gas Fireplace
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 35.00 Valuation: $ 2,800.00
State Surcharge Fee: $ 1.40
TOTAL FEE: $ 36.40
APPLICANT: Condor Fireplace&Stone Co OWNER: Dahlstrom Development LLC
8282 Arthur St Ne 7745 Polaris Lane
Spring Lake Rd,MN 55432 Maple Grove,MN 55311
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN SI'RICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
_ � , - � �� ��--(� � C�'lCc�l `�
� y ��
�- APPLICANT'PERNP�{�E Si6i�'ATURE [SS DBYSIGNATURE
Covies: 1-File(SiQnitures Required), 1-Anplicant, 1-Monthlv Reports, 1-Assessing, 1-Finance Page 1
Oct-28-2003 04:34pA fr�-CITY OP ORONO +A5Z14A4616 T-353 P-001/003 f-610
� �•
... ._ .._ .. .
, CITY OF O�tONO . APPLICA,TION FO�i MECHANICAY,pERM�'
Box 66 (2 750 KeAey Pazlcway)
Crystal Bay, MN 553Z3
1. You may apply for mechanical pertnits by mail or in person at the City offices.Applications will be
teviewed and a pernut arill be issued within two worldng day+s.
2. Permic cards will bc sent by retum mail after a review is completed.PERMI?S ARE NOT VAY,ID
UNTLL YOU RECENE A PE�tMTf.WORK MUST IVOT SfiGIN UNTII,��pg�t�rrr Cp�Yg •
POSTEri ON THE JOH STIE
3. e anical esi -Complete calculstions,details arid specificatiotls ue required for each hearing,
vetitilation,humidification-dehumidification,and air conditioning installation including heat loss/heai
gain caicuiation,design temperacures,equipment zaiings and identiffcation as to rype,maaufacturcr and
model.Data shall be presented on form provided.Identification of and spcci5cations for water heatiag
equipmrnt shall also be provided.
�• When any new construction or remodeling is involved,a separate b,ulding permit must be obtained,
S. Al}work must be dont in accordance with the Unifu:m Mechanical Code/State Buildiug Code
TCQIl1lCrT1CIItS.
6. AII work must be inspcxted(rough-in and f�aa1).Call(952)249-a600.24 hour notice required.
7. House Heating Test Reaord must be submitted before fmal.
Instructions
Complete all items on this applicarion. Compute the permit fee. Sign and date the cemfication
YNCOMPLETE APpLICATION$WII.�.NOT BE PROCESSED,If you have questions,call
(952)249-460Q.
Please check one: (]v"New ❑Addition ❑Repair ❑RepIace[]Residential j]Commercial
JOB S�TE: 2� 5ar�d,�l-one Lr.�.n�p.� C�rono C�1.�del�om��
Owner's Name: p'
��TC CYd��^..�.� Phone Number:l�la-3blo-.gyy c��,�-�y
Mailing Address:��f ..Yr► 'Pvl t�d Cify: zip: 3
1nl•
Co�ndor F�repla�.t, r�
Contcactor's Name: Stane. Phone Nuruber: '7(�3-']$(�-a3y�
Mailing Address:�?$2 Arl��n�.r�}..��City. Zip: 55y.��,
�0.t'I� � M IJ
1
Oct-28-t003 Oa:34pn From-CITY OF ORONO +85t2a9a616 T-353 P 0�3/003 F-690
� '
�'ERMIT FEE CALCY)'LA,TTON(S) �
2002 Stute Statute ❑Yes Tbfs Sectiom Applies �
The replaCemer►t of a�2esidential fixture or appliance,that meets alI three of the followin�requirements:
1) Does not require modification to electrical or gas service.
Z) �ias a total cost of SS00.00 or less;excl��e cost of the fixture or appliance;
and
3) Is improved,installed or replaced by the homeowner or licensed con�actor.
Slap next seetion; Cost of Permit $ 15.00 '
Statc Sarcharge$� , p
Mail-In�ee $ 1.50
If above cioes not apply,follow guidelines below:
l. Contract Prticc*is.0125%of job with a Minit�m�ee of($35 001
Z ��rcptAc.e.b Gc� �4c�o.o� e.c,,. 2goo,ao x.o�zs g 3S��`0
(cOnRact price) •—
(minimum 535.00)
2.State 5urcharte **Add the State Building Code Di'vision a Nlinimum Fee p S.50
x.0005 $ 1 ,� �
(contrnct price) (mi nimum S.SO)
3.�osta�e aad Handlin�(Oirly mp�'l-i�t applications) $ 1.50
a.TOTAL pERMIT FEE(Add lines 1-3 above) $ ��-, �� �
•CONTRqCT pR10E or JOB COST means the actua!or estimated dollar amounr ch8rged for the permitteQ�yu�;inslu�iing
ms►tcrials,labor,profit,and other fized costs.It is the smount to be charged to the customer for the wark done,tf any material,
cquipmcnt�I�bor,or installation is fumished by the owner,tenant o�eny other party the reasonable markct vaiue of such i�ems
ntust be addcd to[hc rstimued eost or contract price tor permit fee purposes.in the event that there is a dispute on the a►nouet of
tho job eost,the City may roqutst the submission of a signtd copy of the actu8l coauact.
"7ht STATE ST,JRCHAIt,f,,E is.0005 of che contr8ct pnce under 51,000,000 or 5.50-whiChever is�tater.F��r vaivatioqc over
S 1,000,000 cal!the Department of Inspectional Servicts for the p�iCe.
The undersigned hereby applies to the Ciry for issuanee of a Mechanical Pe�mit,agrees to do all work in strict accordanee with
ehe ordinances of the Ciry and the regulations of thr Minnesota Stace Building Code,end certiSes rhat aU statertrcnts madc on chis
applieation are complese,irue and corrcci.
Applicant's Signature:-`�� . /(�`oZ - I
�atc, ' C3
Apprqvtd By:
Date;
—.�_
3
Oct-28-Z003 D4:34p� From-CITY OF ORONO +8522484616 T-353 P_D02/003 F-690
. �
• SYSTEM DESCRIPTInN ,
� HEATING SYSTEMS
Quanriry:
— —�
Make:
Model: � �
�uel: ^ �
Flue Size:
Input BTUs: �
Output BTUs:
CFM:
COOLIIVG SYSTEMS
Quantiry:
—��.
Make:
.�._..�._
�—
ModeL• �
�— �_
7ons:
z:
H.I'ower
�'YREPLACES G LINE ONLY
� Gas factory fireplace [] Installing a Gas Line Only
❑ Wood burning faccory fireplace with flue
❑ Wood Stove
❑ '�V'ood stove with flue
2�a.
Brand Name 1�0,� N��_ , Model No.�0 n[�TR��A 11 �
VENTILATION
No. I�itchtn Exhaust duct rccalculating cfra
No. 8ath Exhaust(must havc duct outside) cfm
No. Other Fans:Locations ��
FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHAL)
❑Inscallation or Removal
❑Fuel oit: gallons �]underground ❑inside doutside
[�LP Gas: gallons
[]Othtr Gas openin�
2
� �rl�1�a,+w'� C7�- -Fir.��)0.c�.g o�rtc�l V fX 1�-t�-� p--n,l,„ , . .
C�I� ��1 c�--n.s
�k �.� �
DATE � � TIME
CITY OF ORONO CALLED IN�
INSPECTION NOTIC '�(,��� SCHEDULED 3 __��'�
PERMIT NO. ��� COMPLETED
ADDRESS � . C ' cS� �
OWNER CONTR. - � ���`
TELEPHONE NO. � ��� ��" Zc��r7"�����
� DESCRIPTION � Q� ;�;Cl
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLI G
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 OS FINAL 14 SEWER HOOK-UP 06 PROCaRESS
� 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
� OWNERICONTRACTOR TO MEET YOU: YES_NO
� COMMENTS:
�
W
a
�
J
O
�
�
O
�
W
�
Q
�
2
W
�
W
�
� ,
� �WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
W ❑CORRECT WORK S PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
❑CITATION ISSUED
�INSPECTIONRE�UIRED.CALLTOARRANGEACCESS.
Call forthe next inspection 24 hours in advance. (g52) 249-4600
OwnerlContraet� s�te:
Inspector.
������
White Copy/lnspector's File Canary CopylSite Notice