HomeMy WebLinkAbout2005-P09412 - gas fireplace PERMIT
CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: Po9412
Crystal Bay, Minnesota 55323 Permit Type:
Mechanical Permits
(952) 249-46C';� Date Issued: 11/9/2005
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SITE ADDRESS: 2550 Sixth Ave N Unit#
Long Lake,MN 55356
PID: 2g_118-23-41-0005
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Gas Fireplace
DETAILS:
Approved perresolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 35.00 Valuation: $ 1,100.00
State Surcharge Fee: $ 0.55
TOTAL FEE: $ 35.55
APPLICANT: Hearth&Home Technologies Inc. OWNER: Ed&Tess Rice
DBA: Fireside Hearth&Home 2550 Sixth Ave N
2700 Fairview Ave 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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APP ICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE
Copies: l-File(Signatures Required), 1-Appiicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
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CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT
, Box 6b (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 two working days.
2. Pernut cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID
UNTIL YOU RECENE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS �
POSTED ON THE JOB SITE.
3. Mechanical Desi ris- 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,manufaciurer and
model, Data shall be presented on form provided. Identification of and specifications for water heating
equipment shall also be provided.
4. When any new construction or remodeling is involved, a separate building pemut must be obtained.
5. All work must be done in accordance with the Uniform Mechanical Code/State Building Code
requirements.
6. All wark 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
(9S2)249-4600.
Please check one: ❑ IVew ❑ Addition ❑ Repair ❑Replace [] Residential ❑ Comrnercial
.�OI3 SITE: O�S� ��'�. �� Za :
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Owner's 1�1ame: j�i,,,Q�,�s�c.;, l�.�l�jo,� Phone l�tutnber:
l0�ailing Address•�
City: Zip;
Contractor's N�me: Phone Number:
1VIailing Ac�dress• City: Zip:
Mr�M����11oni� .
� 206120d0
�700 N. FairvNw A'N•
q�NvNl�.MN l�71s
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SYSTEIVF B�SC�2IP'FI�N � .
�-dEA'�'1NG S�'ST�1V�S �
Quantity:
Make:
Model:
FueL•
rlue Size:
Input BTUs:
(�utput BTUs:
CF'.b1:
�OOL&NG SYS'd'�li�S
Quantity: _
Make:
Model:
Tons:
H.�'ower
��itE�'L��'�S ��.5 L�'_°d� Q1�i�,Y
� Gas factory fireplace ❑ Installing a Gas Line C�nly
V�'ood burning factoiy fireplace with flue
❑ Vdood Stove
❑ Wood stove with flue
BrandName I-t �t� � ��� Modell�To. VJC� 7�U�`��--
�J��''�'��,�.1,I�?�
No. Kitchen�xhaust duct recalculatinb cfin
No. Bath Exhaust(must have duct outside) cfm
No. Other Fans: Locations cfm
F�J�I. S'I'�RAG� (MUST BE APPROVED BY FIRE MARSHAL)
❑ Installation or ❑ Removal �'�� � , aa�a
, � . :.0 k` y'iw'T
❑ Ft�el oil: gallons ❑ underground ❑ inside Doutside �•.. ,�.r«.
❑ LP Gas: gallons ,:,, „ 'Y'`r-"s,:
;' �`:
❑ Other Gas opening ' •�'�� :�r�,v�aa�
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PERMIT FEE CALCULATION(S)
2002 State Statute ❑ Yes This Section Appties
The replacement of a Residential fixture or appliance that meets all three of the following requirements:
1) Does not require modification to electrical or gas service.
2) Has a total cost of$500.00 or less; excludin�the cost of the fixture or appliance:
and
3) Is irnproved,installed or replaced by the homeowner or licensed contractor.
Skip next section; Cost of Permit $ 15.00
State Surcharge$ .50
Mail-In Fee $ 1.50
If above does not apply, follow guidelines below:
1. Contract Price*is .0125% of job with a Minimum Fee of(�35.00)
I ��.� x .0125 $ �S �
(contract price) (minimum$35.00)
2. State Surchar�e. **Add the State Building Code Division a Miraimum Fee of($ .50)
�� • � x .0005 $ t SS
(contract price) (minimum$ .50)
3. Postage and Handlin� (Orsly mail-in appdications) $ _ �,(5�
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4. TOTAL P�I�M[IT F]CE (Add lines 1-3 above) $ 3� . S S
"CONTRACT PRICE or JOB COST means the actuai or estimated dollar amount charged for the permitted work including
materials,]abor,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 is fumished by the owner,tenant or any other party the reasonable market value of sucti 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 contract price under$1,000,000 or$.50-whichever is greater.For valuations over
$],000,000 call the Department of Inspectional Services for the price.
The undersigned hereby applies to the City for issuance of a Mechanical Pern�it,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 are complete,true correct.
Applicant's Signature: W lU' Date:�--(�
Approved By: �
Date:
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DATE TIME ✓
CITY OF ORONO CALLED IN /�� �`� �f
INSPECTION NOTICE > SCHEDULED //-/G• -c>� ��
PERMIT NO. �U �/y�� COMPLETED %I '�L�'L�S R
ADDRESS r�S � U �% ��� ��'�L
OWNER CONTR. t'��� S��-
TELEPHONE NO. (r� �/ ��j �S�/
� DESCRIPTION
l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADWG/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 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
� 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
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� !�WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W O�ORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-46��
OwnerlContractor on site:
Inspector. �.� �i—� �� \
White Copyllnspector's File Canary CopylSite Notice