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Home My WebLink About2008 - P11839 - gas fireplace PERMIT CITrY OF ORONO 2750 Kelley Parkway - PO Box 66 Permit Number: P11839 Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits (952) 249-4600 Date Issued: 1/29/2008 SITE ADDRESS: 2606 West Lafayette Rd Unit# Excelsior,MN 55331 PID: 21-117-23-21-0001 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: $ 40.31 Valuation: $ 3,225.00 State Surcharge Fee: $ 1.61 Misc.Fee: $ 1.50 TOTAL FEE: $ 43.42 APPLICANT: Hearth&Home Technologies OWNER: Paul&L Ekholm DBA:Fireside Hearth&Home 2606 West Lafayette Rd 2700 Fairview Ave Excelsior MN 55331 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 PERMITEE SIGNATURE SSI N)BY SIGNATURE Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 t FOR CITY USE ONLY 4 �04i City of Orono YO O¢ `r0 P.O.Box 66 Date Received: Permit ;.;.. } 2750 Kelley Parkway A p fi, _ iv' Crystal Bay,MN 553235Approved By: Amount S. '''4,.`- _, �A} o c;(7% (952)249-4600 CITY OF ORONO—MECHANICAL PERMIT (All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall) 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. 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. (24-48 hour notice required) 7. House Heating Test Record must be submitted before final. TYPE OF PERMIT (Check All That Apply) Residential ❑Commercial(Approval Required) ❑ New ❑ Additional ❑ Repairs Replace Job Site/ Owner Information: Site Address: ('.LCW (2 P VO Owner: (\ _\ _K'c Mailing Address: City: Zip:C l Home Phone: Cl mac.( — �` 9\`� "Alternate Phone: Contractor Information: Contractor: Hearth&Home Technologies,Inc. Contact Person: dbn Fireside Hearth & Home License 20512060 Address: 2700 N. Fairview Ave. State Bond#: Roseville, MN 55113 651/633-2561 City: Zip: Expiration Date: Phone: Alternate Phone: Insurance — Current: 1 MECHANICAL SYSTEMS BEING INSTALLED % 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 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) cfm ❑ No. Other Fans: Locations cfm FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHALL) ❑ Installation ❑ Removal -nt Th;,e.',..,,a,;,,,T. :,:,./-.. r G 4.1i1 Fuel Oil: gallons ❑ Underground ❑ Inside ❑Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill ❑ Other/List What& Where: 2 Y � PERMIT FEE CALCULATION(S) BASED OFF - 2002 STATE STATUE ❑ 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; excluding the cost of the fixture or appliance: and 3. Is improved, installed or replaced by the homeowner or licensed contractor. Skip next section, if this applies; Cost of Permit $ 15.00 State Surcharge $ .50 Mail-In Fee(If Applicable) $ 1.50 Total Permit Fee $ PERMIT FEE CALCULATION(S)—JOBS 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) x.0125 $ Lj. � (contract price) (minimum 535.00) 2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(Minimum Fee of x.50) -�• x .0005 $ . ( (contract price) (minimum 5 .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. MECHANICAL PERMIT APPLICATION AGREEMENT 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: CA4_. Date: K _ _ 3 D' � � TIME CITY OF ORONO CALLED IN 1- INSPECTION N TICEy SCHEDULED o2 PERMIT NO. f if g u/ COMPLETED ADDRESS 2L 0 to (/v l ntAjpz 4—Y OWN ER // CONTR.. TELEPHONE NO. L�'51-L0?-R -337 I SPS/�� , -() DESCRIPTION I rep (o ci-c_- � L ❑ FOOTING 0 MECHANICAL RI ❑ EXCAV/GRADING/FILLING ct ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL 0 SEWER HOOK-UP 0 PROGRESS ❑ DEMO-SITE 0 SEPTIC MAINT. ❑ COMPLAINT ❑ DEMO-FINAL ❑ SEPTIC I TALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEP C INAL 9 HARD COVER REMOVAL ❑ PLUMBING FINAL 9 FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU: YES_NO Col• COMMENTS: cc W a cc 0 cc O W CC W W CC O 2 WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY CZ 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY • BEFORE COVERING PERMANENT 0 CORRECT UNSAFE CONDITION WITHIN HOURS. 0 PHOTO TAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor e: Inspector. White Copy/Inspector's File Canary Copy/Site Notice