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HomeMy WebLinkAbout2005-P09214 - gas fireplace ` ' PERMIT CITY OF ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: p09214 Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits (952) 249-4600 Date Issued: 9/23/2005 SITE ADDRESS: 2855 Somerset La Unit# Long Lake,MN 55356 PID: 04-117-23-24-0020 DESCRIPTION: Proposed Use: Residential Permit Class: General Permit Type: Mechanical Pernuts Pernvt Sub-type(s): Gas Fireplace DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Pernut Fee: $ 35.00 valuation: $ 1,900.00 State Surcharge Fee: $ 0.95 TOTAL FEE: $ 35.95 APPLICANT: Hearth&Home Technologies Inc. OWNER: Edward&Laureen Kernan DBA: Fireside Hearth&Home 2855 Somerset La 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. ,� C i _ , � " �,�'\ �� . GC�--� ?\1 \ �c. 'v1�n�" _ `���`-�— �//�7 ��� J , APPLICAN PERM[TEE SIGNATURE ISSUED BY SIGNATURE Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, ]-Assessing,([f Septic, 1-Septic) Page 1 . , � , � ��TI' �F OR�NO AI'P'LICA'I'I�N FOR I�ECHAIaTICAL PERM�T Box 6b (27�0 Kelley Parkway) Czystal �3ay, IVV�N s5323 GEIv'ERA�IIVFORMATION 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 t«�o working days. 2. Perniit cards w�ll be sent by reYurn mail after a review is completed. PERMITS ARE NOT VALID LJ.`�TIL YOU RECENE A P�RMIT. WORIy MUST NOT BEGIN LTNTIL THE PERMIT CAIZD IS POSTED QN 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. Identification of and specifications for water heating equi�;ment shall also be provid.ed. 4. When any new construction or remodelir.g is involved, a�eparate building permit must be obtained. 5. All work rnust be done in accordance with the Uniform Mechanica] Code/State Building Code requirements. 6. All �vork must be inspected (rouyh-in aud final). Call (952)249-4600. 24-hoi�r notice requii�ed. 7. House Heatin�Test Record must be submitted before finaL ��s�ructions �omplete all iteins on this application. Compute the permit fee. Sign and date the certificatian. INCOMPLETE I�PPLIC�TIONS WILL i�IOT BE PROCESSED. If you have questions, �all (952) 249-4600. I'lease checic one: �] New ❑ Addition ❑ Repair ❑ I�eplace ❑ Residential ❑ Comrnercial ��� SI�'�:_ � -t���¢.� (�-�- ��p: ��r��r'� I�'� �� . �c�,c�� � �. �'hon� I�tfl��be�-: �- 1"�'��i�i�g ,4cPd�-���: _ �ity: �iF° HeaM,a Hom.T.amo�o0i.s,Inc. ��an��-a��c,r's ��z�ae: dba Flres�do r�i�anh a MonN ����e I�1ui��e�-: ��P�id4� �C���'�S3: � �at5': �ip: RawiN���t ist t � �i Jis,7-�601 1 . . '� � S1'STEM D�SCRIP'F'70N � �IEATING SYSTEMS Quantity: Nake: Model: FueL• Flue Size: Input BTUs: Output BTUs: CFM: �OOLING SYS'd'E��S Quantity: Make: Madel: Tons: H.Power ��IZEPLA.�;'�S ��S I.��� 41li�Y ❑ Gas factory fireplace ❑ Installing a Gas Line Only �1 �'ood burning factory fireplace with flue ❑ ��'ood Stove ❑ Wood stove with ilue Brand Narze � �-� �,� I�Rodei No. �T(,�� ��1�''�'��a,.'I'��?�' ]Vo. ICitchen �xhaust duct recalculatinb cfin No. Bath Exhaust (must have duct outside) efm No. Other Fans: Locations ��''i1�h�'�'``'`"�cfr� � ,� . .. u�ta:. � . �.:,�: >.. �'�J�L S'I'��dA�E (MUST I3E APPROVED BY FIRE MARSHA A. "'�"` ""'' �' `"�;:. �r=��i�f ,�F�r+sso;, 1 t��".-xf'8��,'r.A ❑ Installation or ❑ Removal ❑ FLEel oil: gallons ❑ underground ❑ inside ❑outside ❑ LP Gas: gallons ❑ Other Gas opening � 2 � , . PERI�vgI'I'FEE �ALCULATION(S) 20Q2 5tate Statute ❑ Yes This Section Appdies The replacernent 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 improved, installed or replaced by the homeowner or Iicensed contractor. Skip next section; Cost of Pennit $ 15.00 State Surcharge � .50 Mail-In Fee $ l.50 If above does not apply, follo��guidelines below: 4. �'�rztrae4 I��•ic:e�� is .012�% of job with a'4�in�r��um �'ee �f�5�5.001 � � C� .:'�' x .0125 $ j'S _� (contract price)� (n7inimum�35.00) 2. �tate Surci;arae. **Add the State Building Code Division a�Iir�imum �'ee of�$ .50) ��. �= x .0005 � -.5� (co»tract price) (minimum� .50) 3. Pcas�a�e and �I�ndiin� (D�ilj�nzail-in ap�licaEio�rs) � �f� 4. '�'��'AI, ���I� �T� (Add lines 1-3 above) � \���-r; �`CONTRACT PRICT or JOB GOST means d1e actual or estimated dollar amount chareed for the permitTed work including materials,labor,profit,and other fixed costs. It is the amount to be charged fo the customer for the work done.If any materiai, equipment,labor,or installation is furnished by the owner,tenant or any otner party the reasonabie 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 suomission o2 a siened 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 $1,000,000 call the Department of Inspectional Services for the price. The undersigned hereby applies to the Ciry 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 a ect. Applicant's S�iature: %u,� - ti`- Date: C�. ' ,�� Approved By: � Date: 3 I C � DAT TIME � CITY OF ORONO CALLED IN 9"� INSPECTION N IC SCHEDULED ' 9-D,S� ;D� PERMIT NO. a� COMPLETED ADDRESS oZ�SS ,.Yflr/�-A�f"G1L� OWNER CONTR. TELEPHONE NO. �OS�- (0 3,3- 2S(o / � DESCRIPTION �� — /�-'r � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z04 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 v 07 DEMO-FINAI 15 SEPTIC INSTALL. 22 FOLLOW-UP i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO v�, COMMENTS: � W C � � O a � O � W � Q � 2 W � W � � � d W� WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WlLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED O INSPECTION REOUIRED.CALL TO ARRANGE ACCESS. Call for the ne t inspection 24 hours in advance. (952) 249-46�� OwnedContractp�dn 'te: Inspector. � White Copyllnspector's File Canary CopylSfte Notice