HomeMy WebLinkAbout2007-P11638 - gas fireplace CITY �F ORONO PERMIT
2750 Kelley Parkway- PO Box 66 Permit Number: p11638
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Pernuts
(952) 249-4600 Date Issued: l0/30/2007
SITE ADDRESS: 2730 Silver View Dr Unit#
Long Lake,MN 55356
PID: 33-118-23-42-0007
DESCRIPTION:
Proposed Use: Residential
Pemut Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Gas Fireplace
DETAILS:
Approved per resolution#:
Separate pernvts required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 35.00 valuation: $ 1,800.00
State Surcharge Fee: $ 0.90
Misc.Fee: $ 1.50
TOTAL FEE: $ 37.40
APPLICANT: Glowing Hearth and Home OWNER: Dale&Carol Monson
100 Eldorado Drive 2730 Silver View Dr
Jordan,MN 55352 Long Lake,MN 55356
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
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
' FOR CITY USE ONLY
�j�., City of Orono
�dg � �. P.O.Box 66 Date Received: Permit#
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�S � , 2750 Kelley Parkway
� ,t Crystal Bay,MN 55323 Approved By: Amount$:
�����a��7 (952)249-4600
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CITY OF ORONO-MECHANICAL PERMIT
(All Commercial permits must be approved by the Building Official or[nspector and/or Fire Marshall)
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 two working days.
2. Per►nit 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
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.
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 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.
TYPE OF PERMIT
Check All That A 1
�Residential ❑Commercial(Approval Required)
❑New �Additional ❑Repairs ❑Replace
Job Site/Owner Information:
Site Address: � J� IV 1 �r�
Owner: ��f, �bVl S�L, Mailing Address: a7� I 1/�v^ �(,CtO �v"
c�ty: �4���r�o z�p: 55�2�3
Home Phone: "I "J�a - ��l 1 l��u� Alternate Phone:
Contractor Information:
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Contractor: C (1 '� Contact Person: � ��Y1 �V(i�rt�P�
Address: ��� ��oCcXQC� � State Bond#: y'� �US�jA� OU���
City: �✓C�(`,�Yl Zip:5535a,Expiration Date: o� 15 0 b
Phone: �"I�'�j�-'�f CIa' ��7(p Alternate Phone: G/�- �`-1�� ��� C�
�] Insurance-Current: 0 - I� a
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HEATING SYSTEMS
Quantity:
Make:
Model:
Fuel:
Flue Size:
[nput BTUs:
Output BTUs: _
CFM:
COOLING SYSTEMS
Quantity:
Make:
ModeL•
Tons:
H.Power
FIREPLACES
� Gas Factory Fireplace
❑ Wood Buming Fireplace
❑ Wood Stove
❑ Wood Stove With Flue
Brand Name: OZ (Cl, Model No.: �W I�
VENTILATION
❑ No. Kitchen Exhaust duct recirculating cfin
❑ 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 reyuire modification to electrical or gas service.
2. Has a total cost of$500.00 or less;excludina the cost of the fixture or appliance:and
3. Is improved,installed or replaced by the homeowner or licensed contractor.
Skip next section,if this applies; Cost of Permit $ 15.00
State Surchazge $ .50
Mail-In Fee(If Applicable) $ 1.50
Total Permit Fee $
P�L`i9��i .TM��,,.��✓ ��,°. ^.����i ,,: �. ''' ;�,a�3,lv;�
If above does not apply;follow guidelines below:
1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$35.00)
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x.0125$
ontract price) (minimum$35.00)
2. STATE SURCHARGE **Add the State Bldg Code Div.Surcharge(Minimum Fee of 5.50)
I �U U�� 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) $ �� � T�
■ * 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 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.
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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: �0/34 b�
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CITY OF ORONO CALLED IN ��-� �7
INSPECTION NO ICE^ � SCHEDULED �/-- �I - �7 C' � �`
PERMIT NO. ��✓ COMPLETED
ADDRESS � ���� S/ �G�Pi�L/I �'�c? � -
OWNER CONTR. �7�v�% ��� � -�D/�' �
TELEPHONE N0. �5r�'- C�� � �%�LD�J(� � '�`` %.
� DESCRIPTION ���� �C������ � �S�
� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORENVETLANDS
y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL
� ❑ WALL BD.
Z ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. 0 COMPLAINT
v ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
_ ❑ PLUMBING RI ❑ SEPTIC FINAL � HARD COVER REMOVAL
J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNEH/CONTRACTOR TO MEET YOU: YES_NO _
� COMMENTS: ' "� / '�
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W WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
❑ ORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Ca11 for the next inspection 24 hours in advance. (J52� 249-46��
OwnerfContract on site:
Inspector. �
White Copy/lnspector's File Canary Copy/Site Notice
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DATE TIME
CITY OF ORONO CALLED IN la -7
INSPECTION NOTICE SCHEDULED �! -D 7 /D:�
PERMIT NO. f���� COMPLETED
ADDRESS �7�� ���(.�/e-�•c � ��
OWNER CQ�-BL CONTR. C��alclLnd.l�'�'F�i�f�
TELEPHONENO. �ISZ � D7�5I
� DESCRIPTION �PC� i��� ��
� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ IAKESHORE/WETLANDS
y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE
❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
J ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
_ ❑ PLUMBING RI ❑ SE FINAL ❑ HARD COVER REMOVAL
J BING FINAL ❑ FOUNDATION/REMOVAL
Q WNERI ONTRACTOR TO MEET Y U:�,YES NO
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W WORKSATISFACTORY:PROCEED Cl PROJECTCOMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL FETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Ca11 for the nex inspection 24 hours in advance. (J52� 249-4600
OwnerlContr n it :
Inspector.
White Copyllnspector's File Canary CopylSite Notice