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HomeMy WebLinkAbout2005-P08591 - gas fireplace ` �� PERMIT CITY OF ORONO Permit Number: 2750 Kelley Parkway- PO Box 66 P08591 Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits (952) 249-4600 Date Issued: aiii�2oos SITE ADDRESS: 2990 Sussex Rd I.ong Lake,MN 55356 P I D: 04-117-23-31-0014 DESCRIPTION: Proposed Use: Residential Pernut Class: General Permit Type: Mechanical Permits Permit Sub-type(s): Gas Fireplace DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Pernut Fee: $ 35.00 Valuation• $ 1,500.00 State Surcharge Fee: $ 0.75 TOTAL FEE: $ 35.75 APPLICANT: Hearth&Home Technologies Inc. QWNER' Justin&Susan Kelly DBA:Fireside Hearth&Home � 2990 Sussex Rd 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. � (�f/'�—��3�-�"`�� APPLICANT PE ITEE SIGNATURE ISSUED BY SIGNATURE Couies: 1-File(SiQnitures Required), 1-Aunlicant, 1-Monthlv Renorts, 1-Assessin�, 1-Finance Page 1 /� [ , • � FOR CITY USE ONLY O���O City of Orono P.O.Box 66 Date Received: Permit# 2750 Kelley Parkway ` � � Crystal Bay,MN 55323 Approved By: Amount$: ��o� (952)249-4600 CITY OF ORONO—MECHANICAL PERMIT (All Commercial permiu must be approved by the Building Official or Inspector and/or Fire Marshall) GENERAL INFORMATION ' 1. You may apply for mechanical pernuts by mail or in person at the City offices., Applicarions will be reviewed and a pernut will be issued within two working days. 2. Pemut 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 Designs—Complete calculations,details and specifications are required for each heating,ventilation,humidification-dehumidificarion,and air conditioning installation including heat loss/heat gain calcularion, design temperatures,equipment ratings and idenrificarion 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 pernut 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 fmal. TYPE OF PERMIT Check All That A 1 �Residential ❑Commercial(Approval Required) ❑ New ❑Addirional ❑Repairs ❑Replace Job Site f Owner Information: ': Site Address: ���� ���� �`( Owner: S � Mailing Address: City: (�'�U/V C,� Zip: Home Phone: /-�o� ^y��.35�� Alternate Phone: Contract�r Information: Contractor: .��� Contact Person: Address: �1''� E���'� �'x State Bond#: R . 651/633-Z36: City: Zip: Expiration Date: Phone: Alternate Phone: ❑ Insurance—Current: 1 i' , 7 � .�`�MECHANI�AI:�SYSTEMS BEING"T�STAL��D :�:. � HEATING SYSTEMS Quantity: � Make: — o Model: �y�� �GS Fuel: /��"r Flue Size: Input BTUs: SU �G v Output BTUs: CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H.Power FIREPLACES G�S ` ❑ Gas Factor Fire lace �� Y P ❑ Wood Burning Fireplace ❑ Wood Stove ❑ Wood Stove With Flue Brand Name: Model No.: VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfm ❑ No. Bath Exhaust(must have duct outside) cfin ❑ No. Other Fans: Locations cfm FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHALL) ❑ Installation ❑ Removal ��iltA' ���� Fuel Oil: gallons ❑ Und�� .���61❑Outside LP Gas: gallons ,�A� Other: �,tjt�k 1�d.st�fv�+?� �b�i•LLd'�t �, GAS LINE ONLY ❑ Outdoor Grill ❑ Other/List What&Where: 2 � 4 . i : � � y='PERI�IIT F�E C�1i.;�ITI%A��Q1�3(S� f " ��� ' e " `-BAS�D=:OFE -:�2002:�TA:'��STATL�E..�', ,� `,r.�' ` ° ` Y ❑ Yes;this section applies The replacement of a Residenrial 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;excludins the cost of the fixture or appliance: and 3. Is improved,installed or replaced by the homeowner or licensed contractor. Skip next secrion,if ttus applies; Cost of Pernut $ 15.00 State Surcharge $ .50 Mail-In Fee(If Applicable) $ 1.50 Total Permit Fee $ :'';;PERI4SIT.EEE CAZCUI:AT�QN S)-�-�JO$S�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) o� �S�/CJ 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) $ ■ * 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. , ,� MEQ�iANI�.AL PERMIT.;A�PLIC.A��()�;�AGIZEEMENT �: 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: �l O�� 3 �%� ` ✓ Ci�f�� D T -� TIME CITY OF ORONO CALLED IN �`��� INSPECTION NOTIC SCHEDULED Z� � PERMIT NO. � COMPLETED �� �� ADDRESS a ��d � � �� �� OWNER CONTR. l/�—/`!��• �dp- TELEPHONE NO. � ��� ��� ����� � DESCRIPTION �� G � l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/N/ETLANDS h 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 � 07 DEMO-FINAI 15 SEPTIC INSTALL. 22 FOLLOW-UP W 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL T 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL J Z OWNER/CONTRACTOR TO MEET YOU: YES_NO � COMMENTS: � w a � J 0 a � 0 � w � Q � Z w � W � � �/��VORK SATISFACTORY:PROCEED C_7 PROJECT COMPLETE ��❑ CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY W O �CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CAIL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Ca11 for the next inspecti 24 hours in advance. (952� 249-4600 OwnerlContractor on ' Inspector. White Copyllnspector's File Canary CopylSite Notice