HomeMy WebLinkAbout2007-P11169 - gas fireplace CI�Y C�F ORONO PERMIT
Permit Number:
2750 Kelley �'arkway- PO Box 66 P11169
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Pernuts
(952) 249-46(�0 Date Issued:
6/26/2007
SITE ADDRESS: 4225 Forest Lake Dr Unit#
Mound, MN 55364
PID: 07-117-23-12-0025
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: Pernut Fee: $ 50.00 valuation: $ 4,000.00
State Surcharge Fee: $ 2.00
TOTAL FEE: $ 52.00
APPLICANT: Hearth&Home Technologies Inc. OWNER: Kenneth Anderson
DBA: Fireside Hearth&Home 4225 Forst Lake Dr
2700 Fairview Ave Mound MN 55364
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.
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APPLICAN ERMITEE SIGNATURE � ISSUED E3Y SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, l-Assessing,([f Septic, 1-Septic) Page 1
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' FOR CITY USE ONLY
O¢O,�` City of Orono 5 � �I(f,�
`rO P.O.Box 66 Date Received: •�i7'�i Permit# W 1
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2750 Kelley Parkway �`
'���h�,r` Crystal Bay,MN 55323 Approved By: � Amount$�,.�
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d�����n�.yo (952)249-4600
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� CITY OF ORONO —MECHANICAL PERMIT
(All Commercial pennits must be approved by the Building Official or Inspector and/or Eire Marshall)
GENERAL INFORMATION
1. You may apply for mechanical peizruts by mail or in person at the City offices. Applications will
be reviewed and a permit will be issued within two working days.
2. Peinut cards will be sent by retuin mail after a review is completed. PERMITS ARE NOT
VALID UIvTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Mechanical Desi�ns—Com�lete calculations, details and specifications are required for each
heating, ventilation,hunudification-dehunudification, and air conditioning installation including
heat loss/heat gain calculation, design temperariires,equipment ratings and identification as to
type,manufacturer and model. Data shall be presented on form provided.
4. When any new consmtction or reinodeling 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 subnutted before final.
TYPE OF PERMIT
(Check All That A pl )
�Zesidential ❑ Commercial(Approval Required)
/
❑ New ❑Additional ❑Re�airs ❑ Replace
Job Site / Owner Information:
Site Address: ��� �� F�;:as 1� L,.,K�' (��'.
Owner: {�Cn f���Qf'l'�v� Mailing Address: y;��� �c-��S� l.k k� D r.
�
City: �'rC��c% Zip: S S �l�- `�
Home Phone: �Sc,� - y�a - ��� ��' Alternate Phone:
Contractor Information:
t�h�����
Contractor: Contact Person: �e.Fin�10�MrMM �
Address: State Bond #: �����
City: Zip: Expiration Date:
Phone: Alternate Phone:
❑ Insurance— Current:
1
�
j MECHANICAL SYSTEMS BEI'�i TG INSTALLED �
HEATING SYSTEMS
Quantity: �
Make: _
Model:
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
ModeL•
Tous:
H. Power
FIREPLACES
� Gas Factory Fireplace
❑ Wood Buniing Fireplace
❑ Wood Stove
❑ Wood Stove With Flue
Brand Name: j-���, �� ���!p � Model No.: � �S r S� S��I�
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)
� ��n ❑ Removal
� �a,�
�j 1Q91F gallons ❑ Underground ❑ Inside ❑ Outside
t�� p�r' gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill ❑ Other/List What&Where:
2
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PERMIT FEE CALCULATION(S)
BASED OFF - 2002 STATE STATUE
p. ❑ Yes,this section applies
„ The replacement of a Residential fixture or appliance that meets all tlu-ee of the following requirements:
1. Does not requu�e modification to electrical or gas service.
2. Has a total cost of$500.00 or less; excludin�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 Pernut $ 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$35.00)
�GZ�. L-� X .oi2s$
(contract price) (minimum 535.00)
2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50)
x .0005 $
(contract price) (minimum$ .SOj
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 fiirnished 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 puiposes. In the event that there is a dispute on the
amount of the job cost, the City may request the submissior. of a si�ned 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 undersib ed hereby applies to the City for issuance of a Mechanical Permit, a�ees to do all.
�vork in strict accordance with the ordinances of the City and the regulatibns of the State of
Minnesota, and certifies that all statements made on this application are complete, true and
correct.
Applicant's Signature: .��.�' Date: �; ' �.
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U(�[/ � �D,9,Tf.� TIME V
� � �CITY OF ORONO CALLED IN ��J
INSPECTION NOTICE SCHEDULED -7����7 0�-'�
PERMIT N0.�//���' COMPLETED
ADDRESS �aaS����%�S� �-/� �
OWNER CONTR.����.
TELEPHONE NO. � ��a 3�3 o2i�Z,
� DESCRIPTION T-� �� � /`����Q ' `�'�C
l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPtAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W WORKSATISFACTORY:PROCEED f� PROJECTCOMPLEfE
� ❑CORRECT WORK&PROCEED - ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. �,' PHOTOTAKEN
INSPECTOR WILL RETURN i-� CITATION ISSUED
❑STOP ORDER POSTED.CAIL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next nspection 24 hours in advance. �95Z� Z49-4600
OwnerlCont on it :
Inspector.
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