HomeMy WebLinkAbout2006-P09827 - gas fireplace "" PERMIT
CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: P09827
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued: 5/3/2006
SITE ADDRESS: 774 Tonkawa Rd Unit#
Long Lake,MN 55356
PID: 05-117-23-34-0009
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type:
Mechanical Permits Permit Sub-type(s): Gas Fireplace
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 125.00 Valuation: $ 10,000.00
State Surcharge Fee: $ 5.00
TOTAL FEE: $ 130.00
APPLICANT: Hearth&Home Technologies Inc. OWNER: Daniel Hessburg
DBA: Fireside Hearth&Home 4165 Shoreline
2700 Fairview Ave Spring Park,MN 55384
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.
APPLICANT ERMITEE SIGNATURE ISSUED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
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CITY OF ORONO APPLICATION FOR MECHANICAL
PERMIT
Box 66 (2 75 0 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 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-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 ands specifications for
P 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 Pp p to 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 El Commercial
JOB SITE
Owner's Name: s� � < �� Phone dip:
a Number:
Mailing Address: City: Zip:
tearth&Home Tedwx*wn.Nro.
Contractor's Name: .ua Fireside Hearth d "Oft Phone Number:Mailing Address: 2700 N. Fairview
'10se City: dip:
151/633-2564
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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 LINE ONLY
Gas factory fireplace �' 3 ❑ Installing a Gas Line Only
❑ Wood burning factory fireplace with flue
❑ Wood Stove
❑ Wood stove with flue
Brand Name ad LjC C= Model No.ST--(4&PT bo ac k Z
VENTILATION
No. Kitchen Exhaust- duct recalculating cfm
No. Bath Exhaust(must have duct outside) cfm
{4,npF g, •',.
No. Other Fans: Locations A0.81
owteQS yY
FUEL STORAGE ST BE APPROVED BY FIRE MARSHAL"A"ohn+`l �
(MU t►at NM .+iFhv3
PUS Efr' ;
❑ Installation or ❑ Removal
❑ Fuel oil: gallons ❑ underground ❑ inside ❑outside
❑ LP Gas: gallons
❑ Other Gas opening
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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) Hasa 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)
2020 ao x .0125 $
(contract price) (minimum$35.00)
2. State Surcharge. **Add the State Building Code Division a Minimum Fee of(S.50)
./0 x .0005 $ S
(contract price) (minimum$ .50)
3. Postage and Handling(Only mail-in applications) $ --
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 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 pen-nit 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 Pen-nit,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: S f r-' 6
Approved By: Date:
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