HomeMy WebLinkAbout2007-P11561 (Mechanical) PERMIT
CITY OF ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: P11561
Crystal Bay, Minnesota 55323 Permit Type: lvtechanical Permits
(952) 249-4600 Date Issued:
10/11/2007
SITE ADDRESS: 3225 Bayside Rd Unit#
Long Lake,MN 55356
PID: OS-117-23-41-0017
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: $ 46.25 valuation: $ 3,700.00
State Surcharge Fee: $ 1.85
TOTAL FEE: $ 48.10
APPLICANT: Hearth&Home Technologies OWNER: Mr. &Mrs. Sheldon
DBA: Fireside Hearth&Home 3225 Bayside Rd
2700 Fairview Ave Long Lake MN 55356
Roseville,MN SSll3
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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APPLICANT PERMITEE SIGNATURE SUED BY SIGNATURE ��
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,([f Septic, 1-Septic) Page l
FOR CtTY USE ONLY
p' City of Orono
' ¢�`►' P.O.Box 66 Date Received: Permit#
��,,,,, � 2750 Kelley Parkway
a '�j�'��;�-_ Crystal Bay,MN 55323 Approved By: Amowlt$:
' �d��{�u�i��o� (952)249-4600
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CITY OF ORONO—MECHANICAL PERMIT
(All Commercial perniits must be approved by the Building Ofticial or Inspector and/or Fire Marshall)
GENERAL 1NFORMATION
1. You may apply for mechanical penniYs by mail or in person at the City offices. Applications will
be reviewed and a permit will be issued within rivo working days.
2. Peinut cards will be sent by return mail after a review is completed. PERMITS ARE NOT
VALID UNTIL YOU RECEIVE A PERMIT. �VORK MUST NOT BEGIN UNTIL THE
PERIVIIT CARD IS POSTED ON THE JOB SITE.
3. Mechanical Desiens—Coin�lete calculations, details and specifications are required for each
heating,ventilation,hunudification-dehumidification, and air conditioning installation including
heat loss/heat gain calculation, design temperahires, equipment ratings and identification as to
type, mamtfacturer and model. Data shall be presented on form provided.
4. When any new consmiction or remodeling is involved, a separate building permit must be
obtained.
5. All work must be done in accordance with the Uniform Mecl�anical Code/State Building Code
requirements.
6. All work must be inspected(rough-in aild 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 Appl )
�Residential ❑ Commercial(Approval Required) �
�'New ❑ Additional ❑Repairs ❑ Replace
Job Site / Owner Infornlation: '
Site Address: � � � 5 � c:-�5.��� �c� �
Owner: R��, S� � r��l� r� Mailing Address: 3�0�5 ��-,s.� QGl
city: C�r��� � � z�p: s s-3 s��
Home Phone: ��a' y �•-� • �� S`� Alternate Phone:
Contractor Information:
1#�ir►iMorliMlll � • •
Contractor: 1 �M � � Contact Person:
LIc�nN !0 f—
2700 N. F����
Address: Ros�v�tN, State Bond #:
i ity: Zip: Expiration Date:
Phone: Alterna�e Phone: �
❑ Insurance— Cui-rent:
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 Bun�in�Fireplace
❑ Wood Stove
❑ Wood Stove With Flue
Brand Name: �c���L�o Model No.: I � C, �G1 1 �
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 � ����
taN! Mnta�_:
Fuel Oil: ;a(lons ❑ L'����'�4de ❑ Outside
LP Gas: gallons ��"'�`
/bL'S-F.f,d . .
Other:
GAS LINE ONLY
❑ Outdoor Grill ❑ Other/List What&Where:
2
� 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:
l. Does not require modificaCion to electrical or gas service.
2. Has a total cost of$500.00 or less; excludin�flie 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 Perrnit $ 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 conh-act price with a(Minimum Fee of$35.00)
� ��� � L�� x.0125 $
(contract price) (minimum$35.00)
2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(Minimum Fee of 5.50)
x .0005 $
(contract price) (minimum$ .SOj
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50
4. TOTAL PERIVIIT FEE (Add Lines 1-3 Above) $
■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charoed 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 inaterial, 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 puiposes. In the,event that there is a dispute on the
amount of the job cost, the City may request the subr.�ission of a si�ned copy of the acriial centract.
■ ** 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 �Vlechanical 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: �'---�--��_._��—' Date: /o �i r� o �
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CITY OF ORONO CALLED IN �ODF�J�, IME �
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INSPECTION NO I SCHEDULED L�•c31•O 1 q: 30
PERMIT NO. � � ' COMPLETED
ADDRESS ��=.l—s-J ��cJ�� �
OWNER CONTR. �rlrP/lI
TELEPHONE NO � 1-- �� �--� ( �
� DESCRIPTION
�
� ❑ FOOTING ❑ MECHANICAL R ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORENVETLANDS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
v ❑ DEMO-FINA� ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
_ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
� ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
� ❑CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY
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0 ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALI INSPECTOR
O INSPECTION REOUIRED.CALI TO ARRANGE ACCESS.
Ca11 for the n xt inspection 2a hours in advance. (J52� 249-4600
Owner/Con ct r ' ite:
Inspector. ~
White Copyllnspector's Fi Canary CopylSite Notice