HomeMy WebLinkAbout2004-P08187 - gas fireplace �ITY OF ORONO PERMIT
2750 Kelley Parkway - PO Box 66 Permit Number: Pogis�
Crystal Bay, Minnesota 55323 Pe►'mit Type: Mechanical Permits
(952) 249-4600 Date Issued: ll�ls�2oo4
SITE ADDRESS: 2510 Sandstone La
Long L.ake,MN 55356
PID: 33-118-23-11-0021
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:
Set&Vent gas fireplaces only. Gas by others
FEE SUMMARY: Permit Fee: $ 37.50
Valuation: $ 3,000.00
State Surcharge Fee: $ 1.50
Misc.Fee: $ 1.50
TOTAL FEE: $ 40.50
APPLICANT: Condor Fireplace&Stone Co. OWNER: Dahlstrom Development LLC
8282 Arthur St NE 7745 Polaris Lane
Spring Lake Park,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.
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APPLICANT PERMITEE SIGNATURE SUED BY SIGNATURE
Cooies: 1-File(Si,�nitures Repuired), 1-Applicant, 1-Monthlv Reports, 1-AssessinQ, 1-Finance Page 1
Page 1 of 3
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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 2 working days.
2. Permit cards will be sent by return mail after a review is completed.PERMITS ARE NOT VALID LJNTIL 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 wark 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 k Residential Commercial
JOB SITE: J S�Q (,1// � ' a� �--��� Zip:
Owner's Name:��-`-�"�� ��L'G. � �-� �G�� I�elephone Number: �`�.�— 3�(v� �y����'�%�A
Mailing Address: City: Zip:
Contractor's Name: r�� �(�Ul �(,�-� 'f'`3'eIeph Number: �t�_� '��"�"���
/' �/ C � 7 �
Mailing Address �<���� (��ti`� "Z��� �. ��(�-- City:.�l�����- ���LZip: � -- '�3`
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SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity:
Make:
Model:
Fuel:
Flue Size: •
Input BTUs:
Output BTUs:
CFM:
http://www.ci.orono.mn.us/mechanical%20permit.html 1/8/2002
(Contract Price) �-��� ' x.0125 $ ��.��
2. State SurcharQe. **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 2 of 3
�
� COOLING SYSTEMS
Quantiry:
Make:
Model:
Tons:
H.Power
� < �
FIREPLACES �.�� l��y � �- �jl/v(�
V i.��� ���
�Gas factory fireplace � , U� y,�
�. C�' /� .
; l/
Wood burning factory fireplace with flue i �
a'�-o / "
Wood Stove �
Wood stove ith flue
BrandName C�� , ' C� ''1 ; L� Mode1 No. ��� T�—�'�(_
VENTILATION
No. Kitchen Exhaust ducted recirculating cfm
No. Bath Exhaust(must be ducted outside) cfrn
No. Other Fans: Locations cfm
FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHAL)
Instailation Removal
Fuel oil: gallons undergrourid inside outside
LP Gas: gallons
Other Gas opening
PERMIT FEE CALCULATION
1. 1.25%of Contract Price*or Minimum Fee($35.00
(Contract Price) ���� � x.0125 $ ��.�0
2. State Surcharee. **Add the State Building Code Division
Surcharge to each permit. (Contract Price) �jL��� �J x .0005 $ ���� or$.SO
http://www.ci.orono.mn.us/mechanical%20permit.html 1/8/2002
Page 3 of 3
� 3.Posta,Qe and Handling(Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE(Add lines 1-3 above) $ �(r�. �"�>
* 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�e omplete,true and correct.
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Applicant's Signature:,� ��� �� ;�'�\ /�� �����,� Date: � � � �
� ' � �_
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Approved By: Date:
http://www.ci.orono.mn.us/mechanical%20permit.html 1/8/2002
DATE TIME �
CITY OF ORONO CALIED IN �I���--b f
INSPECTION N TIC SCHEDULED !/-/� � �... /y1
PERMIT NO. COMPLEfED
ADDRESS '1 ��G �4 d-n-��r� ��'c..,
OWNER � �+-��.- CONTR. L�� �"�C-t�-e.e�
TELEPHONE NO. -Z(� 3 -- ��� - a 3 �/
� DESCRIPTION -�'�� -c-e�� Z
� 01 FOOTING 11 MECHA ICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING L FINAL 19 IAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 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 MEETYOU:_YES_NO
� COMMENTS:
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W� WORKSATISFACTORY:PROCEED O PROJECTCOMPLEfE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p PHOTO TAKEN
INSPECTOR W{LL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
0 CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the ext inspection 24 hours in advance. (952� 249-46�0
OwnerlContra n site:
Inspector.
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