HomeMy WebLinkAbout2003-P07089 - gas fireplace PERMIT
C I TY' C�� O RO N O Permit ►vum ber:
2750 Kelley Parkway - PO Box 66 P07089
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Pernuts
(952) 249-4600 Date Issued: i2iiii2oo3
SITE ADDRESS: 2462 Sandstone La
L.ong Lake,MN 55356
PID: 33-118-23-11-9925
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Pernut Type: Mechanical Permits Pernut Sub-type(s): Gas Fireplace
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: PermitFee: $ 35.00 Valuation: $ 1,400.00
State Surcharge Fee: $ 0.70
TOTAL FEE: $ 35.70
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 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.
. --------_
�, .. � �� ��
APPUCAN PERMITEE SIGNATURE fSSUED BY SIGNATURE
Copies: 1-File(Signitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1
, -. Page 1 of 3
' � .
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 2 working days.
2.Permit cards will be sent by return mail after a review is completed.PERMTTS ARE NOT VALID LTNTIL YOU
RECEIVE A PERMIT.WORK MUST 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 permit 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 fmal).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,ca11(952)249-4600.
Please ck one: � New Addition Repair Replace Residential Commercial
JOB SITE: o��}(pa S Q,YI C(�j�p�1Q� t_.,C�X1P� Zip:
Owner's Name:�b1M'�`[�QJrr(1�f�Gl�.u-p�'1�2:��Telephone Number:�Q l'o�—�(p(t--5t„jl,�
Mailing Address:��0 b 1S 6��,P.v��GU'4(rW e.� City:�p�r � Zip:
, 1103�
Contractor's Name:r�hcic]r�r QY��b�t�. U �brU..Tel�hone Nu�be�r�.� ��a3 V�
�
�
Mailing Address:��8o`��•a'1 u�Y�.`��_ City: Zip: �^,�`�3'L
SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity:
Make:
Model:
Fuel:
Flue Size:
Input BTUs:
Output BTLJs:
CFM:
� http://www.ci.orono.mn.us/mechanical%20permit.html 1/8/2002
. Page 2 of 3
' � , t
COOLING SYSTEMS .
Quantity.
Make:
Model:
Tons:
H.Power
FIREPLACES
✓ Gas factory fireplace
Wood burning factory fireplace with flue
Wood Stove
Wood stove with flue
� Brand Name �q�- �y1' l9�b Model Na �.�0 O'p�,—Q p,�K-
VENTILATION
No. Kitchen Exhaust ducted recirculating cfm
No. Bath Exhaust(must be ducted outside) cfm
No. Other Fans:Locations • cfm
, FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHAL)
Installation Removal
Fuel oil: gallons underground inside outside
LP Gas: gallons
Other Gas opening
PERMIT FEE CALCULATION
1. 1.25%of Contract Price*or Minimum Fee($35.00
(Contract Price) /4�D,0� x.0125$ , OV _
2.State Surchar¢e. **Add the State Building Code Division
Surcharge to each permit. (Contract Price) ����'�� x.0005$ �� or$SO
http://www.ci.orono.mn.us/mechanical%20permit.html 1/8/2002
_ Page 3 of 3
3.Postage and Handling(Only mail-in applications) $ 1.50
4.TOTAL PERMIT FEE(Add lines 1-3 above) $ �Jt',��
*CONfRACT PRICE or JOB COST means the actual or estimated dollaz amount chazged 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 mazTcet 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 STAT'E 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 ar mplete,true and correct.
Applicant's Signature: Date:'���
Approved By: Date:
� http://www.ci.orono.mn.us/mechanical%20permit.htxnl 1/8/2002