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Home My WebLink About2002-P04921 - gas fireplace r_ _ .� ITY F R N PERMIT C � � � � Permit Number: 2750 Kelley Parkway- PO Box 66 P04921 Crystal Bay, Minnesota 55323 Permit Type: Me�h�icat Permits (952) 249-4600 Date Issued: 2iz6i2oo2 SITE ADDRESS: 525 Sussex Circle I.ong Lake,MN 55356 PID: 04-117-23-32-0012 DESCRIPTION: Proposed Use: Residenrial Pemut Class: General Permit Type: Mechanical Pernuts Permit Sub-type(s): Gas Fireplace DETAILS: Approved per resolurion#: Separate pernuts required: NOTICES/REMARKS: FEE SUMMARY: Pernrit Fee: $ 35.00 Valuation: $ 1,000.00 State Surcharge Fee: $ 0.50 TOTAL FEE: $ 35.50 APPLICANT: Guyers Fireplace OWNER: Tony Eiden 13405 15th Avenue 4100 Berkshire Ln Plumouth,MN 55441 Plymouth,MN 55443 THE UNDERSIGNED HEREBY REQUESI'S PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN Sf RICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. I):�' J 1\ ��iC� G---- r APPLICA PERMI�E SIGNATURE SSUED BY SIGNATURE Copies: 1-File(SiQnitures Required), 1-Annlicant, 1-Monthlv Renorts, 1-Assessine, 1-Finance Page 1 � CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT Box 66 (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. Permit 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 Desig�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 equipment shall also be 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-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 (952) 249-4600. Please check one: � New ❑ Addition ❑ Repair ❑ Replace [�] Residential ❑ Commercial � � JOB SITE: :`�,.�� c� S 5 �X �f=�,'1 � Zip: Owner's Name: �i�� .�N ►� Phone Number: Mailing Address: City: Zip: � Contractor's Name: Cj� � ��.S �� Pe.�(cu.� Phone umber: J�:> � (:,, ��f - y f��. 3 Mailing Address: I�yv,� � �"'�` ►�`}v e r�v f' City: ��7 r^�^,�v f i.� Zip: .�`�s y-8 i , :. . .., , � m �� , . � _ . . , .. , � _ , _ _. 4 , , � � .. � ; � , . � ,;, ,�; �� 1 � � � e' . � . , . � . . � '. ' . �, - � � � .. :. . , v , .'t� i.. . �.. � � . .� . .. . .. � , . . . . �;a.,: . _.. . . � . .. .. . . . . ' _ � . . ,. . .. � � .. .�: � �. . .. . . �� . . . :� :- ,r .�. :a v� ��,� s..... .�'�, .� ,. , — , ,.. -' , . . , - . , szt �:. � SYSTEM DESCRIPTION HEATING SYSTEMS Quantity: Make: Model: Fuel: Flue Size: Input BTUs: Output BTUs: CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H.Power FIREPLACES � Gas factory fireplace ❑ Wood burning factory fireplace with flue ❑ Wood Stove ❑ Wood stove with flue Brand Name /�1�> �S�S C>� Model No. �:�� ' � �'a VENTILATION No. Kitchen Exhaust duct recalculating cfm No. Bath Exhaust(must have duct outside) cfm No: Other Fans: Locations cfm FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHAL) ❑ Installation or ❑ Removal ❑ Fuel oil: gallons ❑ underground ❑ inside ❑outside ❑ LP Gas: gallons ❑ Other Gas opening �.;, =- 2 ��fy'. ��:. �`°� s.t^ T � . � � . � . . , . . I ,- ..�� .- �„1r•' ' . � . � . .. . ... ' r � � .. . . . . , . � � .. .. ., n . . .. . Sv� r J h � . . . � , . . . ��n.. ..,...� . _.. _ . . .. . _ , f' :. ,.. . a.dr.....,. ..,.. . . ,.. .. _.v �__.,... . .. . �__� .,. . . . � � � PERMIT FEE CALCULATION(S) 2002 State Statute ❑ Yes This Section Applies The replacement of a Residential fixture or a�pliance 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 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) "? r ' f _.�j X .O 12S $ .�•✓ ,C�CJ (contract price) (minimum$3�.00) 2. State Surcharge. ** Add the State Building Code Division a Minimum Fee of($.50) �! G'C�✓ ��'x .0005 $ �-��`r ::�'� (contract price) (minimum$ .50) 3. Postage and Handlin�(Only mail-in applications) $ 1.50 - -� ,- 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ =%->• �`' *CONTRACT PRICE or JOB COST means the actual or estimated dol(ar 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 installation is 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 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 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 Minnesota State Building Code,and certifies that all statements made on this application are complete,true and correct. Applicant's Signature: ��-�- �--- ' Date: t� �>/U Approved By: Date: 3 � DATE TIME CITY OF ORONO CALLED IN INSPECTION N ICE SCHEDULED c�� ' PERMIT N0. �� COMPLETED -�� ADDRESS S�S �G�S S� X LC-r r�-�_C�p�/ OWNER CONTR. L��-/�.� ;�/ TELEPHONE NO. �Cl� � � �i'� Y " �� • _ r T — � DESCRIPTION � �-�.., �� Oi FOOTING 11 MECHANICP�L RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 tdFLk�AN1CAt FINA� 19 LAKESHORE/WETLANDS y 03 INSULATIGN 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 RI 23 SEPTIC FINAL 35 HARD COVER REMOV.AL J 10 PLUMBING FINAL 35 FOiI^JDATIUN/REMOVAL � OWNERICONTHACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � O � � O � W � Q � Z �._ ______. W � W -.... � � � GW�NORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE �` ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT �CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the next inspection 24 hours in advance. �952� ZQ9-Q6QQ OwnerlContr ctor on site: Inspector. 6'/��-� '�1 White CopyllnspectoPs File Canary CopylSite Notice