HomeMy WebLinkAbout2004-P08184 - gas fireplace PERMIT
�I��Y OF ORONO Permit Number:
2750 Kelley Parkway- PO Box 66 P08184
Crystal Bay, Minnesota 55323 Permit Type: Me�t��i�al Pe�ts
(952) 249-4600 Date Issued: iiiisi2ooa
SITE ADDRESS: 2512 Sandstone La
Long Lake,MN 55356
PID: 33-118-23-11-0020
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: PermitFee: $ 37.50 Valuation• $ 3,000.00
State Surcharge Fee: $ 1.50
Misc.Fee: $ 1.50
TOTAL F'EE: $ 40.50
APPLICANT: Condor Fireplace&Stone Co. QWNER' 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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APPLICA T PERMI EE SIGNATURE ISSUED BY SIGNATURE
Covies: 1-File(SiQnitures Required). 1-Auulicant 1-Monthlv Reports, 1-Assessin¢, 1-Finance Page 2
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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 LTNTIL YOU
RECEIVE A PERMIT.WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE.
3.Mechanical Desi r�is-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.Ident�fication 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 Uniforn�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: x New Addition Repair Replace � Residential Commercial
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JOB SITE: J/ � 1. ' , Q Zip:
Owner's Name:`� ` �/���LC�-'�Z I ` elephone Number: �/��-��'(c` ��/�-/� �/ 1
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Mailing Address: City: Zip:
Contractor's Name:���'��1�(,'(���(';�.�� ,F-�y�.(1'elephone Number: ��D�j-�7�(��-;�3��
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Mailing Address: �n�,�� ��--�i_(,ti ��. ��� City: �� �- , ��- CL'1 ip: �'�� �j c�
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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
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' COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H.Power
FIREPLACES
� Gas factory fireplaceL.� '(,�.�- `'7 (1"(C� �/��D '�"-�'OC��
Wood burning factory fireplace with flue'
( � ��Wood Stove \�`j-� �
Wood stove with flue ��/�1� `�'����'�'�
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Brand Name ;���/l (,`L C') Model No. �C/C/v '����(.OGt�,
;� �z, ���--��'
VENTILATION �' � �
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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($35.00
(Contract Price) ;���i�J� x.0125$ �J1. �j�
2. State SurcharQe. ** Add the State Building Code Division
Surcharge to each permit. (Contract Price) �j(�'�L � x.0005 $ / �'�� or$.SO
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- 3.Posta,�e and Handling(Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE(Add lines 1-3 above) $ �U,�
* 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 pennit 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 a�`e complete true_�correct.
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Applicant's Signature: � i Date: / // �
Approved By: " � Date:
http://www.ci.orono.mn.us/mechanical%20permit.html 1/8/2002
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DATE TIME
CITY OF ORONO CALLED IN /I-12-�'`f
INSPECTION N TI E SCHEDULED //� i(o �¢/V� o,o�.�
PERMIT NO. ��� COMPLEfED
ADDRESS /� � �C��. L—di
OWNER � .¢� CONTR.�ar��t � �
TELEPHONE NO. 7�O 3-- 7�� � a3�/
� DESCRIPTION �— t -:-s���
� 01 FOOTING 11 ME 18 EXCAV/GRADING/FILLING
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 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEEf YOU:_YES_NO
� COMMENTS:
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W� WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
W ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
Q ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR
❑CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� 249-Q6QQ
OwnerlConUa� site:
Inspector.
White Copy/lnspecto s File Canary Copy/Sfte Notice