HomeMy WebLinkAbout2006-P10236 - gas fireplace PERMIT
CITY,OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: p10236
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952)249-4600 Date Issued:
8/18/2006
SITE ADDRESS: 4185 Sixth Ave N Unit#
Long Lake,MN 55356
PID: 31-118-23-11-0004
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Pernut Type: Mechanical Permits Permit Sub-type(s): Gas Fireplace
DETAILS:
Approved per resolution#:
Sepazate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 35.00 va�uation: $ 1,000.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 35.50
APPLICANT: Owner/Self OWNER: Steven Jacobson
MN 4185 Sixth Ave N
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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APPLIC RMITEE SIGNA UED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
' FOR GITY USE ONLY
r City of Orono �
4�� P.O.Box 66 Date Received: Permit#
� ` �� � 2750 Kelley Parkway
�a����` � Crystal Bay,MN 55323 Approved By: Amaunt$:
�$�a� (952)249-4G00
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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)
GENER.AL INFORMATION
1. You may apply for mechanical peimits 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 retum mail after a revie�v 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 iiistallatioii 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. Wheii any new consn-uction or remodeling is involved,a separate building pernut must be
obtained.
5. All work must be done ui 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 Hearing Test Record must be submitted before fulal.
TYPE OF'PERMIT'' :
Check Al1 That A 1
�]Residential ❑Commercial(Approval Required)
❑New �'Additional ❑Repairs ❑Replace
Job Site/Owner inforniation:
Site Address: �{l � s � `�-� ��• �
Owner: 5�'eJ L � ��q ca�e S �--� Mailing Address: �l«S (��. �✓� , IJ ,
City: ���9 ��+-IC..c Zip: �S �S 6
Home Phone: `I S�- �/73- �3(o P Alternate Phone: `�S� � `l(�S���3 l`�
Contractor Information:
Contractor: �o,K,.� ('��.p/? Contact Person: •
Address: � State Bond#:
City: Zip: Expiration Date:
Phone: Alternate Phone:
❑ Insurance—Current:
1
NIECHA�IC'AL:SYSTE1VfS�BEIN�;I�ST"i�LL;�D ';,� '`` =,:-' '�
. � �.: - �
y _ �
HEATING SYSTEMS
Quantity: �
Make: �c�a��- �r G(o.•J
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: f�"Ck��-��� �-✓ Model No.: O� (Q! � A
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 MAR5HALL)
❑ Installation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑ Inside ❑ Uutside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill ❑ Other/List What&Where:
�
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� �; � ` ''�ERM�'���FEE CALCULA'�T4I��S} ' ,n ,� k ' £ �� `
� ; � € g� r�,�
�� � ' BASED`OF��� 2Q02`ST:A.T�STATU��, ��,��� '
❑ Yes,this section applies
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;excludinQ 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 Surcharge $ .50
Mail-In Fee(If Applicable) $ 1.50
Total Permit Fee $
— -PERIV�IT FEE GALCULATION S)-�JOBS OVER$500 00 ���'; �'�
If above does not apply;follow guidelines below:
1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$35.00)
l DO v � x.0125$
(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) $
■ * CONTR.ACT 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
esrimated 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.
MECHAI�ICAL 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
Miruiesota, and certifies that all statements made on this application are complete, true and
correct.
Applicant's Signature: S�-c.��. Date: / P/ �
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CITY OF ORONO CALLED IN
INSPECTION N TI�E„3� SCHEDULED -o2S C� __��
PERMIT NO. � �f COMPLETED �� ��-�.�
ADDRESS �/P Sc�'��� /� ' _
OWNER ����� �l/ ONTR.
TELEPHONE NO. 4�Z �73 �'3�
� DESCRIPTION /��"���� Z'� �eiJ'Sa�
LL 01 FOOT�NG 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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O 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
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING R� 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEE7 YOU:_YES_NO
� COMMENTS:
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W ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
W CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WlLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR n CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-4600
OwnerlContractor on site:
Inspector. /`�l � C
White Copyllnspector's File Canary CopylSite Notice