HomeMy WebLinkAbout2005 - P08747 - gas fireplace PERMIT
CITY OF ORONO
Permit Number:
2759 Kelley Parkway- PO Box 66 P08747
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued:
5/18/2005
SITE ADDRESS: 1005 Willow View Dr Unit#
Long Lake,MN 55356
PID: 28-118-23-41-0006
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Sub-type(s): Gas Fireplace
Permit Type: Mechanical Permits
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 113.75
Valuation: $ 9,100.00
State Surcharge Fee: $ 4.55
TOTAL FEE: $ 118.30
APPLICANT: Hearth&Home Technologies Inc. OWNER: LeGran Homes
DBA: Fireside Hearth&Home 1521 94th Lane NE
2700 Fairview Ave Blaine,MN 55449
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.
PPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing Page 1
4
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 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 Unifoun 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 I I Addition Repair I I Replace I I Residential Commercial
JOB SITE: /606 L'd;caoi,J vt a.il . Zip:
Owner's Name: L6/16_. Poij Phone Number:
Mailing Address: _ City: Zip:
Mww I Mites 1raMaelo ' .lila
Contractor's Name; PMMide
Ze um _-_ Phone Number:
Mailing Address: 2700 N. Fairview Ave. City:
9oseville, MN 66113 Zip:
�4/Rn1./ 61
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 Ql ceA-M1 % V n Installing a Gas Line Only
Wood burning factory fireplace wit 1 flue
U Wood Stove
n Wood stove with flue Q-Ej 2--
Brand
—Brand Name4er4 G Co Model No. '
VENTILATION IMK.0TA
No. Kitchen Exhaust duct recalculating cfm
No. Bath Exhaust(must have duct outside) .rll atw emeil rpeAN
No. Other Fans: Locations
FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL)
Installation or n Removal
❑Fuel oil: gallons underground n inside ❑outside
n LP Gas: gallons
n Other ' Gas opening
2
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; excluding 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)
Ci/00,61) x .0125 $ 1/ 3. ylc
(contract price) (minimum$35.00)
2. State Surcharge. **Add the State Building Code Division a Minimum Fee of($ .50)
g/�. �� x .0005 $ 5'S-
(contract price) (minimum$ .50)
3. Postage and Handling (Only mail-in applications) $
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ I C K.30
*CONTRACT PRICEor 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.
Applicant's Signat 'e: �/�, t��o_ , Date: a/0/3s
Approved By: Date:
3
P-AT TIME 1./
CITY OF ORONO CA LED IN !
INSPECTIONNQICC� SCHEDULED . om-D,S" .3 `30
PERMIT NO. 77-7 COMPLETED r� f (
ADDRESS /DDS Gv///02 ' Vl e
OWNER CONTR. 5L%Z.a()
TELEPHONE NO. ;,,S-7 433 QS-6 I
DESCRIPTION' /CP ^ /" 7' fig. ere..iieern
4, 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
• 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
• 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
IQ 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES NO
o COMMENTS:
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cc
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❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
CC
W ❑CORRECT WORK&PROCEED E ISSUE CERTIFICATE OF OCCUPANCY
O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
U BEFORE COVERING PERMANENT
❑ CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
❑ CITATION ISSUED
ElSTOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on�i��C�
Inspector.
White opy/Inspector's File Canary Copy/Site Notice
,/
DT TIME
CITY OF ORONO CALLED IN:INSPECTION N SCHEDULED -30
PERMIT NO. e a • CCOMPLETED ^ ,
ADDRESS /00 Will Olt) i
OWNER / //0 23 CONTR. pi/Li/1(
TELEPHONE NO. ( .51 2S-k1
DESCRIPTION vim✓ L' PP
W 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
• 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
• 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
LIJ 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
OWNER/CONTRACTOR TO MEET YOU:_YES NO
o COMMENTS:
cc
W
a
CC
O
CC
O
W
W
CC
Q
W
W
CC
O
W ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
CC ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
OO ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
✓ BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the n'xt inspection 24 hours in advance. (952) 249-4600
Owner/Con .yam .ite:
Inspector. 40111P
White Copy/Inspector's F Canary Copy/Site Notice