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Home My WebLink About2005-P09317 - gas fireplace PERMIT C.�TY OF ORONO - 2750 Kelley Parkway- PO Box 66 Permit Number: p09317 ` Crystal Bay, Minnesota 55323 Pel'mlt Type: Mechanical Pernuts (952) 249-4600 Date Issued: l0/18/2005 SITE ADDRESS: 740 Brown Rd N Unit# Long Lake,MN 55356 PID: 34-118-23-12-0002 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: Perniit Fee: $ 45.00 Va►uation: $ 3,600.00 State Surcharge Fee: $ 1.80 TOTAL FEE: $ 46.80 APPLICANT: Countryside Heating&Cooling OWNER: Scott Mabusth 6511 Hwy 12 740 Brown Rd N Maple Plain, MN 55359 Long Lake MN 55356 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. L�; �� - f-�z �� C� � �.,- . � APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE Copies: 1-File(Signatures Required), I-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 -�y7�7 5 2 �E. b�� ` FOR CITY USE ONLY � ��0�� City of Orono i P.O.Box 66 Date Rcceived: Pennit# � 27�0 Kelley Parkway a � � Crystal[3ay,MN 55323 Approved By: Amount$: ` (952)249-4600 <�kkBHO��G CITY OF ORONO-MECHANICAL PERMIT (All Commercial permits must be approved by the[3uilding Ofticial or Inspector and/or Fire Marshall) GENERAL INFORMATION l. You may apply fior 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 RGCEIVE A PERMIT. WORK MUST NOT BF.GIN UNTIL THE PERMIT CARD IS POSTED ON THF,JOB SITE. 3. Mechanical Desi�ns—Complete calculations,details and specitications 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,inanufacturer 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 ❑ Additionai ❑ Repairs �Replace I Job Site/Owner Information: Site Address: 7�� ('vwn �c� Owner: �C�� /�l��bU�S ��t Mailing Address: City: �.l"v.4 0 _.__ Zip: Home Phone: �`�7� �76- C3�7� Alternate Phone: � Contractor Information: '', Contractor: Lov.t�"t'y��e ��idCcz��y Contact Person: �`�`C. ��c;�.x�.,� / Address: ,(�-�S<< 1�'N �� State Bond#: City: !�` � �� Zip:�� Expiration Date: Phone: ��;�j�7Y`��'�� 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 F112�YLACES �' Gas Factory Fireplace ❑ Wood Burning Fireplace ❑ Wood Stove ❑ Wood Stove With Flue Brand Name:�P�L�`� � v r� Model No.: �/�a� L� VENTILATION ❑ Na Kitchen Exhaust duct recirculating cfm ❑ No. Bath Exhaust(must have duct outside) cfin ❑ No. Other Fans: Locations cfm FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHALL) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑ Inside ❑ Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill ❑ Other/List What&Where: 2 f PERMIT FEE CALCULATION(S) � . BASED OFF - 2002 STATE STATUE I — ----—-- -- —� ❑ Yes,this section applies The replacement of a Residential fixture or appliance that meets all three of the following requirements: 1. Does not require moditication 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 Pennit $ 15.00 StaCe Surcharge $ .50 Mail-In Fee([f Applicable) $ 1.50 Total Permit Fee $ �� PERMIT FEE CALCULATION(S)—JOBS OVER $500.00 � If above does not apply;follow guidelines below: l. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$35.00) 3�G?v X .oizs � �s,.�%v (contract price) (minimum$3�.00) 2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(Minimum Fee of�.50) ,�E��'v x.0005 $ �� (contract price) (minimum$ .50) 3. POSTAGE& HANDLING(Only on Mail-In Applications) $ 1.50 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ �� 0 � ■ * 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. [f 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, agrecs to do all work in strict accordance wiCh Che ordinances of the City and the regulations of the State of Minnesota, and certities that all statements �nade on this application are cotnplete, true and correct. `� F Applicant's Signature: Date:� �3 U� Reset Form � J V DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED ��- Z�• �5 2: 30 PERMIT NO. OD 9_�/ 7 COMPLETED ,��I'Q� � ADDRESS —1`�O QR-Cx�oJ I�-o� lUc� OWNER Sc.� r ��e /W�('Nsri+CONTR. TELEPHONE NO. � DESCRIPTION A�n- rt.'3� a� 6 As (.v�C' - FrIL�PuGN in�S�t:� � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 ECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z04 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 COMPLAINT v 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 � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � J ` O � � � i� � I� S ; � �� TC S�-- 0 r .�--- W I!=��— �—�.` � Q � Z W � W � � d W� r�ORK SATISFACTORY:PROCEED Cl PROJECT COMPLETE W ❑ ORRECT WORK&PROCEED �� ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOFi REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑ CITATION ISSUED ❑ INSPECTfON REQUIRED.CALL TO ARRANGE ACCESS. Cal1 forthe next inspection 24 hours in advance. (952� 249-460� Owner►Contractor on te: � , Inspector. ,,�, �) � White Copyllnspector's File Canary CopylSite Notice