HomeMy WebLinkAbout2004-P07453 - gas fireplace ' ` PERMIT
CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: Po�as3
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued: siai2ooa
SITE ADDRESS: 273o Silver view Dr
I.ong Lake,MN 55356
PID: 33-118-23-42-0007
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Mechanical Pernuts Pernut Sub-type(s): Gas Fireplace
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: PernutFee: $ 41.25 Valuation• $ 3,300.00
State Surcharge Fee: $ 1.65
TOTAL FEE: $ 42.90
APPLICANT: Allied Fireside(See Comments) OWNER: Dale&Carol Monson
DBA:Fireside Hearth&Home 2730 Silver View Dr
2700 Fairview Long Lake,MN 55356
Roseville,MN 55113
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 ISSUED BY SIGNATURE
Copies: 1-File(SiQnitures Required). 1-Aunlicant, 1-Monthlv Reports, 1-Assessin¢, 1-Finance Page 1
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��'I"�' �F �7RC)I�C) f�I'I'I,I��.'�'I�1�1 FOR lO�ECH�.I°�ICA�, �'ERIl�IIT
�ox 66 (27�0 KeIley r�arkway)
�gy�tal �ay, I�IV .�5323
GENERAL�TF�RR�IA.TIQN
1. ZTou may apply for mechanical permits by mail or in person at the �ity offices. Applications wi1l be
reviewed and a permit will be issued within two working days.
2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID
U?vTTII.,YOU RLCEIVE A F'EILIVtIT. ��jORI�MUST NOT BEGIN IJivTIL THE I'ERMIT CA1�.D IS
POSTED ON THE JOB �ITr.
3. 1Vlechanical Desi�ns-Complete calculations, details and specifications are required for each heating,
ventilation, humidification-dehuznidification, and air conditioning installation including heat loss/heat
gain calculation, design tezz�peratures, equipment ratings and identification as to type, manufacturer and
model. Data snall be presentecl on fonn provided. Identification of and specifications for water heating
equipment shall also be provi�ied.
4, vVhen any-new construciion or remodelit7g is involved, a separate building pennit must be obtained.
5. All work must Ue done in accordance with the Uniform Mechanical C;ode/State Building Code
z�equirements.
6. Al1 work must be inspected (rough-in and fnal). Cal] (9��) 249-4600. 24-hour notice required.
7. House Heating Test Record must be submitted before final.
���tre�ctions
Comp3ete all itcins ci1 t1�is application. Compute the penz�it fee. Si� and date the certification.
INCOMPLETE APPLICATIONS WILL NOT BE P�OCESSED. If you have questions, �all
(952) 249-4600.
I'lease cheelc one: � New� ❑ Additioz� ❑ Repair ❑ l�eplace ❑ Residen�ial ❑ �c�znrnercial
.��� S��'�' :_ o(��u c.�/l(/.e.� V;�G�c� �d�o
����e�-`� i�'���ea T�'����e I�u�a����-� �
l��i���g Ad��-e�sa — _ ��8y• ���o
Hiiied Firesitle
dbe Fireside HeBrth i iip111O
�Q�k➢��'�C�f}fi�S �Tc`kY3��o Licensat�20090911 _ ��St1�e� �d3&FY��e�':
�rg��py�b ��q��-��sa Roseville`MN55113 �;&��-; �ep: —
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SYS'&'E1V&I9�SC�2IPT�ON �
�bI:ATING S'YS'�EMS
�uantity:
Ivlal<e:
Model:
FueL
Flue Siz.e:
Input BTUs:
Output BTUs:
CFM:
�ODd�ING Sl'ST�'VIS
Qua��tity:
Make:
Model:
Tons:
H. Power
�'�12E�'I A,CFS GA5 L�N� C31V�,Y
� Gas factory fireplaee ❑ Installing a Gas F ine �Jn1y
❑ Wood burning factoiy fireplace witli flt�e
❑ Wood Stove
❑ Wood stove with flue
,
Brand Name �ci.� 1� C� Ivlodel No. _ �s�'�-�cc���
���?�''�'i�,�'�'��I�'
No. Yitchen Lxhaust duet recalculating efm
No. Bath Exhaust (must have duct outside} cfm
1`10. Other Fans: Locations cfm
FUEL S'�'4I�AG� (MUST BE APPROVED BY FIRE MARSHAL)
❑ Installation or ❑ Removal
❑ Fuel oiL gallons ❑ underground ❑ inside ❑outside
❑ LP Gas: gallons
❑ Other ' Gas opening '�
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�1JLVI�I.A �LEJ �..+��J�V���A�ir{IJ�
2002 ��at� Statute ❑ �es�'hfis Sec�ion t�.ppti�es
Tl��replacement of a Residential fixture or at�pliance that meets all three of the following rec�uirements:
1) Does not require modification to electr�cal or gas service.
2) Has a total cost of$500.00 or less; excludin� the cost of the fixture or appliance:
and
3) Is improved, installed or replaced by the homeowner or licensed contractor.
Slcip next section; Cost of Permit $ 15.00
State Surcharge $ .50
Mail-In Fee � 1.50
If above does not apply, follow guidelines below:
1. �oaz�a-�ct �g-ec�� as .0125% of job v✓�t11 a i��i�as��tarn Fee of(��5.00)
��'�%v.c�� x .0125 $ Lf/.�J
(contract price) (minimum�35.00)
2. State S�rc��ar�e. �°* Add the State Building Code Division a l�'Iinamum Fee�f(� .50)
��c���.c�� x .0005 $ - � � �
(contract price) (minimum$ .50)
3. �'�s�aae and �andiim� (�rady aaiail-i�a applieatiorT�s� � �—
4. T'��':�L� ���2i��T' �'�� (.�.dd Iines 1-3 above} � (�.`�. yv
*CONTRACT PRICE or JOB COST means d1e actual or estimated dollar amount chareed for the pennitted work including
materials,labor,profit,and oYher fixed costs. It is the amount to be char�cd to the customer for the work done.If any material,
equipment, labor,or instailation is furnished by the owner,tcnant or any other party the reasonable marl<et 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 uf a signed copy of the actual cor.tract.
**The STATE SURCHARGE is.0005 of the contract price under$1,OQ0,000 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 Ciry for issuance of a Mechanical Perniit,aQrees to do all work in strict accordance with
the ordinances of the City and the regulations of the Ninnesota State I3uilding Code,and certifies that all statements made on this
application are complete,true and correct.
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Applicant's Signat� ^�.-c�_ — ; �`ti-- Date: �� ���
Approved By: � Date:
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