HomeMy WebLinkAbout2005-P09441 (gas fireplace) �� � PERMIT
CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: P09441
Crystal Bay, Minnesota 55323 Permit Type:
Mechanical Pernuts
(952) 249-4600 Date Issued: 11/22/2005
SITE ADDRESS: 3225 Bayside Rd Unit#
Long Lake,MN 55356
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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: Pernut Fee: $ 35.00 valuation: $ 2,700.00
State Surcharge Fee: $ 135
TOTAL FEE: $ 36.35
APPLICANT: Hearth&Home Technologies Inc. OWNER: Mr. &Mrs. Sheldon
DBA: Fireside Hearth&Home 3225 Bayside Rd
2700 Fairview Ave Long Lake MN 55356
Roseville,NIN 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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APPLIC 'T PERMITEE SIGNATURE ISSUED BY SIGNA URE
Copies: 1-File(SignaturesRequired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
FOR CITY USE ONLY
�,�` Cit of Orono
�O`Y P.O.E3ox66 DaleReceivcd: (� Z� U) Permit# P�9v�l
�" � 2750 Kelle Parkwa
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� �Il''x" � Gystal I3ay,MN 55373 Approved I3y: Amount$: �1C���
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C[TY OF ORONO— MECHANICAL PERMIT
(All C�nu��ercial permits must be approved by the 13uilding Ofhcial or Inspector and/or Fire Marshall)
GENERAL 1NFORMATION
1. You may apply for mecLanical pernuts by mail or in person at the City offices. Applications will
be reviewed and a pernut will be issucd witliin two working days.
2. Pemlit cards will be sent by retuin mail after a review is completed. PERIVIITS ARE NOT
VALID UN1'IL YOU RECEIVE A PERMIT. �VORK MUST NOT I3EGIN UNTIL THE
PEI2MIT CARD IS POST�D ON 1'HE JOB SITE.
3. Mechanical Desi�ns—Complete calculations, details and speci6cations are required for each
heating,ventilation, hinludification-deliunvdification,and air coiiditioning installation includirlg
heat loss/heat gain calculatiou, design tempe�rahires,equipment ratings and identification as to
ty}�e, manufacturer and ulodel. Data shall be presented on form provided.
4. W11eii auy new construction or remodeling is iuvolved,a separate building peri7ut iziust be
obtained.
5. All work must be done in accordance witll 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 subn�itted before final.
TYPE OF PERMIT �
(Check All That Apply)
�Residential ❑ Conunercial(Approval Required)
�Ne�v ❑ Additional ❑Repairs ❑ Replace
Job Site/ Owner lnfoi7nation:
SiteAddress: �=�-2S ���,5,�� R� .
Owner: �o r. S�.c ��o^ Mailing Address: � �� � (,3r�S;sl�c�,
City: (�P�n o zip: SS�3 S �
Home Phone: 9s-� • Z/7,3-�lr5't� AlteiT�ate Phone:
Contractor Infornlation:
Contractor: �!�K dwalo � Contact Person:
tMM
Address: � ���� State Bond #:
ss��ros3-'sas�
City: Zip: Expiration Date:
Pho�le: Alternate Phoile:
❑ Insurance— Cui��ent:
1
MECHANICAL SYSTEMS BEING 1NSTALLED
HEATING SYSTEMS
Quantity:
Make:
Model:
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CI�M:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H. Power
FII2EPLAC ES
� Gas Factory Fireplace
❑ Wood Buraing Fireplace
❑ Wood Stove
❑ Wood Stove Witli Flue
Brand Name: ���.*v� �j �O Model No.: ��� �
VENTILATION
❑ No. Kitchen Eshaust duct recirculating cfm
❑ No. _ Bath E�chaust(must have duct outside) cfi1�
❑ No. Ofher Fans: Locations cfin
I+UEL STORAGE (MUST BE APPROVrD BY FIRE MARSHALL)
❑ Iustallation ❑ Removal ������'� r���w��
l�t�l��i �t�>.
i�K1S f a�'�,�f �
Fuel Oil: gallons ❑ Undergro��+#n�i�ley�;�utside
LP Gas: _ gallons '�� `" �f+'y'��'
Ofl�er. t:h:�s �_�t:� ,
GAS LINE ONLY
❑ Outdoor Grill ❑ Other/List What�:Where:
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PERMIT FEE CALCULATION(S)'
BASED OFF - 2002 STATE STATUE
❑ Yes, tl�is section applies
The replacen�ent of a Residential fixture or appliance that meets all tluee of the following requirements:
1. Does not require modification to electrical or gas seivice.
2. Has a total cost of$500.00 or less;excluding the cost of the fixture or ap�liance: 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 Surcliarge $ .50
Mail-In I'ee(If Applicable) $ 1.50
Total Pernut Fee $
PERMIT FEE CALCULATION(S)—J4BS OVER$500.00
If above does not apply; follow gtiideliucs below:
l. CONTRACT PRICE * is 1.25%of conh�act price with a(Minimum Fee of$35,00)
��U�'U� x.0125 $
(conu'act price) (minimum$35.00)
2. STATE SURCHARGE **Add tlle State Bldg Code Div. Surcharge(Minimum Fee of$.50)
x.0005 $
(contract pricc) (minimum$ .SOj
3. POSTAGE&HANDLING(Only o�l Mail-In Applications) $ 1.50
4_ �'nTAI,PFRMI7'FEE(Add I,ines 1-3 Abovel $
� * CONTRACT PRICE or JOB COST means the achial or estiinated dollar amount charged for tlie
pernutted work iucluding materials, labor,profit, and other fixed costs. It is the amount to be charged
to the customer for the work done. If any material, equi�ment, labor or insi�allations are furnished by
the owner, tenant or any other parry, tl�e reasonable market value of such items must be added to the
estimated cost or contract price for pernut fee puiposes. In tlie event that there is a dispute on the
amount of the job cost, the City may request the subnussion of a signed copy of the actual contract.
� **The STATE SURCIIARG�is .0005 of the Building Department at(952)249-4600 for the price.
� MECHANICAL PERMIT APPLTCATION AGREEMENT
"I'he u�idersigned hereby applies io tl�e Ciiy for issuance of a Mechanical Yermit, agrees to do all
worlc in strict accordance with the ordinances of the City and the regulations of the State of
Minnesota, and certiiies that all statements made on this application are complete, true and
con-ect.
Applicant's Signature: � � Date: �� ,:2�
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� � DATE TIME �
� lrl�Y OF ORONO CALLED�N ' -�
INSPECTIONNO IC SCHEDULED ^��-�1-0� �3U ,vt
PERMIT NO. � COMPLETED
ADDRESS .3��5 ��c�f�'��c-� ��P
OWNER CONTR. /`-�-'r' �.�c-��.
TELEPHONE NO. ��'�� �l�3 L���lo_S�
� DESCRIPTION � ✓�
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING ICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNE� 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
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Q 05 FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
? 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J BING FINAL 36 FOUNDATION/REMOVAL
OWNE CONTRACTOR TO MEET YOU:_YES_NO
� OMMENTS:
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W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. G PHOTO TAKEN
INSPECTOR WlLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
�
Ca11 forthe next' ection 24 hours in advance. (952� 249-46��
Owner/Cont n sit •
Inspector. L
White Copyllnspector's File Canary CopylSite Notice