HomeMy WebLinkAbout2006-P09988 - gas fireplace � PERMIT
CITY OF ORONO Permit Number:
` 2750 Kelley Parkway- PO Box 66 Po9988
Crystal Bay, Minnesota 55323 Permit Type:
Mechanical Pernuts
(952) 249-4600 Date Issued:
6/14/2006
SITE ADDRESS: 2538 Sandstone La Unit#
Long Lake,MN 55356
P��� 33-118-23-11-0017
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit 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: $ 1,000.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 35.50
APPLICANT: Guyers Builders Supply OWNER: Dahlstrom Development LLC
13405 15th Aven North 7745 Polaris Lane
Plymouth,MN 55441 Maple Grove,MN 553ll
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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APPL CANT PERM E SIGNATURE ISSUED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, ]-Assessing,(If Septic, 1-Septic) Page 1
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� � ���, Clty Of OPOIIO ; FO,R CITY USE ONLY
� P.O.Box 66 Date Received: Permit,#�� I
� � 2750 Kelley Parkway
a� ,„� Crystal Bay,MN 55323 Approved By: Amaunt$:
���� (952)249-4600
CITY OF ORONO—MECHANICAL PERMIT
(All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall)
GENERAL INFOR1ViATIQN
1. You may apply for mechanical perxnits by mail or in person at the City offices. Applications will
be reviewed and a pemut will be issued within two working days.
2. Pernut cards will be sent by rehun mail after a review is completed. PERMITS ARE NOT
VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL TIiE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Mechanical Desiens—Complete calculations,details and specifications are required for each
hearing,venrilation,humidification-dehumidification,and air conditioning installarion including
heat loss/heat gain calcularion,design temperatures,equipment ratings and identification as to
type,manufacturer and model. Data shall be presented on form provided.
4. When any new construction or remodeling is involved,a separate building pernut 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 final). Call(952)249-4600.
(24-48 hour notice required)
7. House Heating Test Record must be submitted before final.
TYFE OF �ERMIT
' Check All That A 1
❑Residential ❑ Commercial(Approval Required)
�New ❑Additional ❑Repairs ❑Replace
Job Sife I Owner Inforrnation:
Site Address: ���� �i�l✓�D�>D.r/�
Owner: Mailing Address:
City: Zip:
Home Phone: Alternate Phone:
Contractor Information:
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Contractor:C�/Y�S/rjyl�L f�PPLt1 Contact Person: 01L
Address: /��/DS" 15'��✓ it/� State Bond#: a���5�e��
City: rL�l�l4tl�/I� Zip�� Expiration Date: 3 ' 0
Phone: ,�3 �n g y �IPG 3 , Alternate Phone:
❑ Insurance—Current:
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HEATING SYSTEMS
Quanrity:
Make:
Model:
FueL
Flue Size:
Input BTLJs:
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: �/���V41C Model No.: t`'�LD 1/ �0��
VENTILATION
❑ No. Kitchen Exhaust duct recirculating cfm
❑ No. Bath Exhaust(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:
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❑ Yes,this section applies
The replacement of a Residential fixture or appliance that meets all three of the following requirements:
1. Does not require modificarion to electrical or gas service.
2. Has a total cost of$500.00 or less;excludine the cost of the fixture or appliance:and
3. Is improved,installed or replaced by the homeowner or licensed contractor.
Skip next secrion,if this applies; Cost of Permit $ 15.00
State Surcharge $ .50
Mail-In Fee(If Applicable) $ 1.50
Total Permit Fee $
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If above does not apply;follow guidelines below:
1. CONTRACT PRICE *is 1.25°/a of contract price with a(Minimum Fee of$35.00)
�Q� � x.0125$
(contract price) (minimum$35.00)
2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of 5.50)
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 esrimated 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 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 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 Building Department at(952)249-4600 for the price.
' . �. . .:i MEC�TA.I*�I�.�^L-{P:ER,MIT A;FPLI�A'FT4�T AG�2EElV1���' ��
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.
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Applicant s Signature: � �/�� Date: � 6
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