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Home My WebLink About2002-P05390 - gas fireplace �CI Y OF ORONO PERMIT 2750 Kelley Parkway - PO Box 66 Permit Number: Pos390 Crys al Bay, Minnesota 55323 Permit Type: Mechanical Permits (952 249-4600 Date Issued: ��9i2oo2 SITE DDRESS: 3160 Sussex Rd I.ong Lake,MN 55356 P I D: 04-117-23-32-0008 DESC PTION: Propose Use: Residential Permit lass: General Permit e: Mechanical Permits Permit Sub-type(s): Gas Fireplace DETAI S: Approve per resolution#: Separate permits required: NOTIC S/REMARKS: FEE S MMARY: Pernut Fee: $ 35.00 Valuation: $ 2,000.00 State Surcharge Fee: $ 1.00 TOTAL FEE: $ 36.00 APPLI ANT: Guyers Builders Supply OWNER: Thomas Forsythe 13405 15th Aven North 3160 Sussex Rd Plymouth,MN 55441 Long Lake,MN 55356 THE DERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND GREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF M SOTA BUILDING CODE REQUIREMENTS. � �� , � / v.� ,C,�.�' �..j y t.�,�,-�, i��C� APYLICANT PERMITEE SIGNATURE [S D BY SIGNATURE Copies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Renorts, 1-Assessin�, 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 RECEIVE A PERMIT. WORK MUST NOT BEG1N UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Desi r�ls -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;��Q ��X �c� Zip; Owner's Name: tri��tl Phone Number: '�+ � Mailing Address: City: Zip• � r (�� Contractor's Name: d�{�f2S �iL�c.J�P Pbone Number: ��,� ��.� � _Tk . Maihng Address:j3�v3� j S �✓ �o . City: _ ��-G� Zip. ��_ �� :j ,� {� 1 ,$ ;:;. w� ;� � �. � � SYSTEM DESCRIPTION HEATING SYSTEMS Quantity: Make: Model: Fuel: Flue Size: Input BTUs: Output BTUs: CFM: COOLING SYSTEMS Quantity: Make: tr;; Model: Tons: 4 H.Power FIREPLACES GAS LINE ONLY a'"' � Gas factory fireplace ❑ Installing a Gas Line Only ❑ Wood burning factory fireplace with flue ❑ Wood Stove ❑ Wood stove with flue �� ;: Brand Name/`(cYn.��Sc�x/� Model No. �r�Q �� 7 �`�`� M �� VENTILATION �O� � �� ` 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 openirig � . . , . . . � 2 � y { � � � i . . � , � t .;, PERMIT FEE CALCULATION(S) � 2002 State Statute ❑ 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; excludine 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) �- � x .0125 $ (contract price) (minimum$35.00) 2. State Surcharge. **Add the State Building Code Division a Minimum Fee of($ .50) x .0005 $ (contract price) (minimum$.50) 3. Postage and Handlin� (Only mail-i�i 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 installation is fumished 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: � O � Approved By: Date: 3 , � l��t" DATE TIME CI OF ORONO CALLED IN INS ECTION NOT,1�� q� SCHEDULED �L � PE MIT NO. `f' < COMPLETED AD RESS ' OW ER � CONTR. �= � -�7/ , TEL PHONE NO. /So� �� DES RIPTION � 01 FO TING HANIC L RI 18 EXCAV/GRADING/FILLING Q 02 F MING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 IN ULATION 24/25 WOOD BURNER/FIREPI.ACE 34 TREE REMOVAL Z 04 W L BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q OS FIN L 14 SEWER HOOK-UP 06 PROGRESS � 07 DE O-SITE 27 SEPTIC MAINT. 21 COMPLAINT � 07 DE O-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PL MBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PL MBING FINAL 36 FOUNDATION/REMOVAL � OWNE CONTRACTOR TO MEET YOU:_YES_NO � COM ENTS: � W a j f ,_._. O �. � O � W � Q � Z W � W � � d W� O K SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CO RECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CO RECT WORK,CALL FOR REINSPECTION TEMPORARY � BEF RECOVERING PERMANENT ❑CO ECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN NSPECTOR WILL RETURN ❑STO ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INS ECTION REQUIRED.CALLTOARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� 249-46QQ Own r/ ctor on site: Inspe tor. � � W 'e Copylinspector's File ary CopylSNe Notice