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HomeMy WebLinkAbout2005-P09383 - gas fireplace PERMIT OCI'TY OF ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: P09383 Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits (952) 249-4600 Date Issued: 11/3/2005 SITE ADDRESS: 825 Tonkawa Rd Unit# Long Lake,MN 55356 PID: 08-117-23-21-0002 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: $ 35.00 Valuation: $ 1,600.00 State Surcharge Fee: $ 0.80 TOTAL FEE: $ 35.80 APPLICANT: Hearth&Home Technologies Inc. OWNER: Scott Bissen&Michelle Morey DBA: Fireside Hearth&Home 16025 36th.Place North 2700 Fairview Ave Plymouth,MN 55446 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. Cz APPLICANT PERMITEE SIGNATURE ISSUED B SIGNATURE Copies: 1-File(Signatures Required), I-Applicant, 1-Monthly Reports, l-Assessing,(If Septic, 1-Septic) Page 1 CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT Box 66 (2 750 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 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 iteins 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: N New ❑ Addition ❑ Repair ❑ Replace ❑ Residential ❑ Coinmercial JOB SITE: C/,--)S �c�vfLL'uyc,. /a-'i Zip: Owner's Name: 5 Cti1' �� _ Phone Number: Mailing Address: City: Zip: Contractor's 1vam��t�T � Biba Firoaids lIMIM� Phone Number: Mailing Address: �icenee Z061l0�0 Cit -�7A9 N �afrviaw Aw. 3 Zip: aoseville, MN 55113 51/633-2561 1 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 ❑ Installing a Gas Line Only Wood burning factory fireplace with flue ❑ Wood Stove ❑ Wood stove with flue Brand Name � 6&, Model No. RW VENTILATION No. Kitchen Exhaust duct recalculating cfm No. Bath Exhaust(must have duct outside) cfm No. Other Fans: Locations �z at �'�" �g1YM W"qul <QC FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL) w A weiVII `4 ' ❑ Installation or ❑ Removal ❑Fuel oil: gallons ❑ underground ❑ inside ❑outside ❑ LP Gas: gallons ❑ Other Gas opening I 2 PERMIT FEE CALCULATIONS) 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) Lo°__X) x .0125 $ 5�� (contract price) (minimum$35.00) 2. State Surcharge. **Add the State Building Code Division a Minimum Fee of($ 30) _J to oa x .0005 $ (contract price) (minimum$ .50) 3. Postage and Handling(Only mail-in applications) $ 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ �S *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 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. 4Applicant's Signature: Date: Approved By: Date: 3 DATE TIME C, CITY OF ORONO CALLED IN INSPECTION N ICEf,}3G�j SCHEDULED PERMIT NO. !( bb COMPLETED ADDRESS Z 2 5 Z-44. OWNER CONTR. TELEPHONE NO. �f [ Le3 �3 ! �5L DESCRIPTION_ y W 01 FOOTING 11 MECHANICAL RI 18 EXCAV RADING/FILLING " 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS COT Q 03 INSULATION 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 v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL OWNER/CONTRACTOR TO MEET YOU:_YES NO COMMENTS: cc W Q_ cc O W Q Z W W cc Z) O W ,XWORKSATISFACTORY.PROCEED ❑ PROJECT COMPLETE cc' ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY C) BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR EI CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: '? Inspector. a White Copy/Inspector's File Canary Copy/Site Notice —DATE � TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED 1/ UL PERMIT NO. G.) COMPLETED ADDRESS �rx�"� eT6)/ /fes PPe,- m, cuvt sr OWNER CONTR. Sf dile_uJyc>,:0 = TELEPHONE NO. 74e 3 0 3 A'=(?(/y DESCRIPTION �S�v1` 01 FOOTING _ EC�I, NIS CAS 18 EXCAWGRADING/FILLING � Q 02 FRAMING T3'I�IECHANICAL FINAL 19 LAKESHORE/WETLANDS 03 INSULATION 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 REMOVAL v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL OWNER/CONTRACTOR TO MEET YOU:_YES_NO COMMENTS: ac W a cc J O CC O U_ W CC Q Z W W J d W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE rc W ❑CORRECT WORK&PROCEED ElISSUE CERTIFICATE OF OCCUPANCY O ElCORRECT WORK,CALL FOR REINSPECTION TEMPORARY U BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN L1STOP ORDER POSTED.CALL INSPECTOR El CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next i spection 24 hours in advance. (J52) 249-4600 Owner/Contra o n s e Inspector. White Copy/Inspector's File Canary Copy/Site Notice v + TIME CITY OF ORONO 7 CALLED IN INSPECTION NOTICE '` SCHEDULED /-/,9-a�' =c30>°i� PERMIT NO. _ COMPLETED ADDRESS �-- OWNER CONTR. TELEPHONE NO. DESCRIPTION —� W 01 FOOTING 11 MECHANICAL RI 18 EXCAWGRADING/FILLING 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS Q 03 INSULATION 24/25 WOOD BUR 'ZR/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 v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP Ul 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO COMMENTS: W 0- cc cc O O cc O W cc Q 2 W Z W cc d W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CA INSPECTOR ❑CITATION ISSUED ❑ INSPECTION REQUIRED. LTO ARRANGE ACCESS. Call for the n inspection 24 hours in advance. (952) 249-4600 Owner/Cont c Inspector. White CopylInspector's F e Canary Copy/Site Notice