HomeMy WebLinkAbout2006-P09996 - gas fireplace PERMIT
CITY C�F ORONO Permit Number:
275fi Kelley Parkway- PO Box 66 P09996
Crystal Bay,'A�linnesota 55323 Permit Type:
Mechanical Permits
(952) 249-4600 Date Issued: 6/16/2006
SITE ADDRESS: 2538 Sandstone La Un;t#
Long Lake,MN 55356
P��� 33-118-23-11-0017
DESCRIPTION:
Proposed Use: Residenrial
Permit Class: General
Permit Type: Mechanical Permits Pernut Sub-type(s): Gas Fireplace
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Pemut Fee: $ 35.00 valuation: $ 1,000.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 35.50
APPLICANT: Guyer's Builers Supply OWNER: Dahlstrom Development LLC
13405 15th Avenue N 7745 Polaris Lane
Plymouth,MN 55441 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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PL ANT RMITEE SIGNATURE SUED BY SIGNATURE
Copies: 1-File(SignaturesRequired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
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� , FOR CITY USE ONLY
" 4�� City of Orono
P.O.Box 66 Date Received: Permit#
��, i � 2750 Kelley Parkway :.
+� ������<. t� Crystal Bay,MN 55323 Approved By: Amount$:
'01� Y��y�:.$Ge (952)249-4600 � . �. . � � �.
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CITY OF ORONO —MECHANICAL PERMIT
(All Commercial pennits must be approved by the Building Official or Inspector and/or Fire Marshall)
GENERAL 1NFORMATION
1. You may apply for mechanical pernuts by mail or ni person at the City offices. Applications will
be reviewed and a permit will be issued within two working days.
2. Pernut cards will be sent by return mail after a review is completed. PERMITS ARE NOT
VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERMTT CARD IS POSTED ON THE JOB SITE.
3. Mechanical DesiQns—Complete calculations, details and specifications are required for each
heating, ventilation,hunudification-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 forni provided.
4. When any new construction or remodeling is involved, a separate building pernut must be
obtained.
5. All work must be done ul accordance with the Uniform Mechanical Code/State Building Code
requu ements.
6. All work must be inspected(rough-in and final). Call(952)249-4600.
(24-48 hour notice required)
7. House Heating Test Record must be subinitted before final.
TYPE OF PERMIT
(Check All That A ly) '
�esidential ❑ Commercial(Approval Required)
�New ❑ Additional ❑ Repairs ❑Replace
Job Site/ Owner Information:
Site Address: ��.�'d ��1��o�✓� L✓�J'
Owner: Z/� ��✓YIP/+N K 5 Mailing Address:
C1ty: Zip:
Home Phone: Alternate Phone:
Contractor Information:
�
Contractor:�1��(r�L� �i/�1.�� ,�� Contact Person: ` v�
Address: ����'� > s��� Y �, State Bond#: ���'�.���
City: � OU'T/ Zip:�I���� Expiration Date: �3 �/ ��_
Phone: ��,�����3 Alternate Phone:
❑ Insurance— Current:
1
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��-- .�:'.��,. ;�;_�. .:. �r � � �i� _�E�'� .
MECHANICAL S�'S�`EMS BEING 1NSTAT,LE��,; � .� . t .
HEATING SYSTEMS ' �
Quantity:
Make:
Model:
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model: _
Tons:
H. Power
FIREPLACES
� Gas Factory Fireplace
❑ Wood Burning Fireplace
❑ Wood Stove
❑ Wood Stove With Flue
Brand Name:G-���`/�x Model No.: ��A1��3�
VENTILATION
❑ No. Kitchen Exhaust duct recirculating cfm
❑ No. Bath E�chaust(must have duct outside) cfm
❑ No. Other Fans: Locations cfm
FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHALL)
❑ Installation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑ Inside ❑ Outside
LP Gas: gallons
Other. �
GAS LINE ONLY
❑ Outdoor Grill ❑ Other/List What&Where:
2
I
,
, �
� � � ����PERl�1IT�EE CALCULATZON�S) � � �
BASED OFF -2002 STATE STATUE
❑ Yes,this section applies
The replacement of a Residential fixture or appliance that meets all tluee of the following requirements:
1. Does not require modificarion to electrical or gas seivice.
2. Has a total cost of$500.00 or less;excludinQ the cost of the fixiure or appliance: and
3. Is improved, installed or replaced by the homeowner or licensed conh•actor.
Skip next section, if this applies; Cost of Permit $ 15.00
State Siu�charge $ .50
Mail-In Fee(If Applicable) $ 1.50
� � Total Permit Fee $
' `` ` PERMIT FEE,CALCULATION(S)-'JOBS'OVER�500.00
If above does not apply; follow guideluies below:
1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$35.00)
�,�y��
L.(� x .0125$
(contract price) (minimum$35.00)
2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50)
x.0005 $
(contract price) (minimum$ .50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $
■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the
pemutted 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 installations 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 perniit 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 Building Department at(952)249-4600 for the price.
MECHANICAL PERMIT APPLICATION AGREEMENT
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 State of
Minnesota, and certifies that all statements made on this application are complete, true and
correct.
�
Applicant's Signature: Date: �rl 4�
3
��� �� """ , � � �� DATE TIME `�
CITY OF ORONO CALLED IN ��(�•U�
INSPECTION N �F� SCHEDULED V� "d � Q►'�'�
PERMIT NO. ���c�P�ETED � �=+ ,�_�.��
ADDRESS J�
OWNER CONTR. � VS
TELEPHONE NO. l Y�� ' v�'�� " "7 �n��
� DESCRIPTION � �� � �� I �
l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
Q 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
J 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
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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ORKSATISFACTORY:PROCEED Cl PROJECTCOMPLETE
� ❑C ECT WORK&PROCEED C 1 ISSUE CERTIFICATE OF OCCUPANCY
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN
INSPECTOR W4LL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-46��
OwnerlContractor on site:
Inspector. L�/ ���` � ��
White Copyllnspector's File Canary Copy/Site Notice